Pelvic X-ray

A pelvic X-ray shows the pelvic bones and hip joints. It is especially important for detecting hip fractures in older adults.

Clinical uses

A pelvic X-ray is often used to assess hip pain, fractures of the pelvis or femoral neck, and joint conditions such as osteoarthritis. In children it can also help evaluate hip joint development.

In older adults who fall and have hip pain, an X-ray is often the first test to check for a fracture.

Preparation and positioning

Patients are asked to remove metal objects around the waist and pelvis. For women of reproductive age, staff usually ask about the possibility of pregnancy before the exam.

Protective shielding may be used over the abdomen or gonads according to protocol, while maintaining image quality.

Things to keep in mind

The dose from a pelvic X-ray is relatively higher than a chest X-ray, so doctors usually order it only when clearly needed.

If a fracture is suspected but not seen on X-ray, the doctor may recommend an MRI, which is more sensitive for subtle fractures.

Key points

• Often used for hip fractures in older adults.
• Radiation dose can be reduced with shielding where appropriate.

Educational information, not a substitute for medical advice.