Acetabular and femoral parameters that are assessed on plain radiographs are then described. Normal pre-patella soft-tissue and normal density within Hoffas fat pad. Nice example of the normal fat within the supra-patella recess region without a joint effusion evident. This article aims to summarise the most important aspects of the assessment of plain radiographs performed on the young adult hip joint. Normal AP and lateral knee radiographs in an adult male for reference. Throckmorton sign is a slang term used humorously by medical students and residents. This paper begins by describing the parameters that potentially impact the quality of antero-posterior (AP) and lateral radiographs of the hip, and the variations in lateral radiographs that can be used. Throckmorton sign, also known as John Thomas sign, refers to when the penis points in the direction of unilateral disease, typically of the pelvis or hip. Essentially normal radiographs of the hip for reference. Radiographic examination remains the mainstay of the initial assessment however, common parameters are required to assist in the formation of accurate diagnoses and appropriate management plans including appropriate further imaging. Minimal acetabular rim degenerative changes in the right hip. An enhanced awareness of the presence of structural disorders of the hip, such as developmental dysplasia of the hip and femoroacetabular impingement (FAI), has fuelled an evolution in the assessment of patients with hip pain and enhanced our ability to diagnose patients, even in cases where there are mild structural abnormalities. X-ray is the basic tool for the study of the hip 1, 2, 3.
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