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Antero-posterior View of Hip

Shenton's line is formed from the continuity of the inferior aspect of the femoral neck through to the inferior aspect of the superior pubic ramus. This gives a good guide to the normal relationship of the head of the femur to the pelvis. Synovial membrane is very extensive around the hip joint and, like the capsule, comes well down the femoral neck, especially anteriorly. Note the normal pattern of the bone trabeculae in the femoral neck, indicating the lines of stress. Fractures of the femoral neck are common, especially in the old, and as they may be impacted they are sometimes difficult to visualize. If severe separation of the femoral head occurs, then the possibility of avascular necrosis exists and it must therefore be checked on follow-up films.

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