Reducing radiation in paediatric pelvic radiography

Abstract Objective The aim of this study was to assess the short-term clinical outcome in dogs following a hip hemi-arthroplasty for the treatment of primary pathological disorders of the hip and as a salvage procedure following failure of the cup component of a total hip replacement. Materials and Methods Medical records of dogs that had a unilateral hip hemi-arthroplasty performed between 2015 and 2020 were reviewed. Data collected included follow-up orthopaedic examinations performed at 0, 2, 8 and 52 weeks postoperatively, pelvic radiography at 0, 8 and 52 weeks postoperatively and an owner questionnaire (Helsinki chronic pain index [HCPI]). Results Eleven unilateral hip hemi-arthroplasty procedures were identified. The median age at time of surgery was 3.6 years (8 months–10 years) and the median follow-up time was 13 months (range: 2 months–3 years). The HCPI for all dogs at follow-up was median 8 ± 7.30 (range: 5–25). Total HCPI was < 12 for 7/10 dogs and ≥ 12 for 3 dogs. Pelvic radiographs at 1 year confirmed osteointergration of the femoral stem implant and no evidence of implant subsidence or progression of osteoarthritis. However, there was some evidence of mild lucency of the acetabular bed around the prosthetic femoral head and mild peri-acetabular sclerosis in four cases. Conclusion Hip hemi-arthroplasty provides a clinically acceptable treatment for disabling disease of the coxofemoral joint with 10/11 patients achieving acceptable short-term clinical function. Long-term assessment of the hip hemi-arthroplasty and comparison with total hip replacement is indicated.

Download Full-text

Displaced anterior pelvic fracture on initial pelvic radiography predicts massive hemorrhage

The American Journal of Emergency Medicine ◽

10.1016/j.ajem.2018.03.058 ◽

2018 ◽

Vol 36 (12) ◽

pp. 2172-2176 ◽

Cited By ~ 1

Author(s):

Shinsuke Tanizaki ◽

Shigenobu Maeda ◽

Makoto Sera ◽

Hideya Nagai ◽

Taizo Nakanishi ◽

...

Keyword(s):

Pelvic Fracture ◽

Massive Hemorrhage ◽

Pelvic Radiography

Download Full-text

Urinary incontinence in a young British blue cat with suspected dilatation of the ventricle terminalis, spina bifida cystica and failure of fusion of the sacral vertebrae

Veterinary Record Case Reports ◽

10.1136/vetreccr-2018-000779 ◽

2019 ◽

Vol 7 (2) ◽

pp. e000779 ◽

Cited By ~ 1

Author(s):

Adam Swallow ◽

Paul Freeman ◽

Lisa Alves

Keyword(s):

Urinary Incontinence ◽

Urinary Tract ◽

Urinary Bladder ◽

Spina Bifida ◽

Marked Improvement ◽

Skeletal Maturity ◽

Conus Medullaris ◽

Caudal Vertebrae ◽

Spina Bifida Cystica ◽

Pelvic Radiography

A seven-month-old, male neutered British blue cat presented for investigation of lifelong urinary incontinence. Clinical examination documented a flaccid tail which was deep pain-negative, and the urinary bladder was easily expressed. Voluntary urination was possible. An abnormal hair whorl was noted over the tail base. Pelvic radiography noted absent dorsal lamina to the caudal sacral and proximal caudal vertebrae. The cranial S1/S2 vertebrae were incompletely fused. Haematology, biochemistry and urinalysis were unremarkable. Ultrasonographic examination of the urinary tract was unremarkable, as was an intravenous urogram. MRI documented a large, fluid-filled cavity at the level of the conus medullaris compatible with dilatation of the ventricle terminalis or syrinx. Spina bifida cystica was also present at Cd5/Cd6. The incontinence was noted to improve with time and skeletal maturity before acutely exacerbating. The owners subsequently elected for tail amputation, resulting in a marked improvement in urinary incontinence.

Download Full-text

Dose optimization in pelvic radiography by air gap method on CR and DR systems – A phantom study

Radiography ◽

10.1016/j.radi.2014.11.005 ◽

2015 ◽

Vol 21 (3) ◽

pp. 214-223 ◽

Cited By ~ 9

Author(s):

C.T.P. Chan ◽

K.K.L. Fung

Keyword(s):

Air Gap ◽

Phantom Study ◽

Dose Optimization ◽

Pelvic Radiography

Download Full-text

Validation of a Decision Instrument to Limit Pelvic Radiography in Blunt Trauma

Academic Emergency Medicine ◽

10.1197/aemj.10.5.475-b ◽

2003 ◽

Vol 10 (5) ◽

pp. 475-b-476

Author(s):

B. A. Niedens

Keyword(s):

Blunt Trauma ◽

Pelvic Radiography

Download Full-text

Reconsidering the Value of Gonadal Shielding During Abdominal/Pelvic Radiography

Journal of the American College of Radiology ◽

10.1016/j.jacr.2017.06.018 ◽

2017 ◽

Vol 14 (12) ◽

pp. 1635-1636 ◽

Cited By ~ 4

Author(s):

Keith J. Strauss ◽

Eric L. Gingold ◽

Donald P. Frush

Keyword(s):

Pelvic Radiography

Download Full-text

HIP MORPHOLOGY: COMPARATIVE STUDY BETWEEN EGYPTIANS AND JAPANESE ADULTS

Journal of Musculoskeletal Research ◽

10.1142/s0218957713500139 ◽

2013 ◽

Vol 16 (03) ◽

pp. 1350013

Author(s):

Tarek Aly ◽

Genji Fuji

Keyword(s):

Body Height ◽

Hip Osteoarthritis ◽

Acetabular Head Index ◽

Center Edge ◽

Acetabular Morphology ◽

Hip Morphology ◽

Japanese Adults ◽

Pelvic Radiography ◽

Hip Trauma ◽

Ethnic Variations

The prevalence of osteoarthritis appears to vary widely among ethinic groups. Many studies had been published describing the acetabular morphology of Chinese, Nigerians, Singaporeans and Japanese. No previous studies comparing Egyptian Arabs and Japanese Orientals work available. Purpose: The aim of this study was to determine the ethnic variations of acetabular morphology between Egyptian and Japanese populations. Patients and Methods: A total of 844 Egyptian and 757 Japanese consecutive patients with no clinical evidence of hip osteoarthritis and who underwent pelvic radiography in the supine position for hip trauma or a routine health check were analyzed for the relationships between the center-edge (CE) angle, Sharp angle, acetabular head index, as well as the relationships of the above-mentioned variables with age, gender, body height. Results: Comparing the measurements of those three parameters in both populations showed statistically significant values (all Egyptian versus Japanese, all female versus male are significant). Conclusion: Our data confirm the presence of ethnic variations in acetabular morphology which predispose to various pathologies of the hip joint.

Download Full-text