Pelvis X-Ray Referral

• Pelvic fractures- Cracks or breaks in the pelvic bones, often caused by injury or trauma
• Hip joint arthritis- Wear and tear changes in the hip joint, leading to narrowing of the joint space and bone damage.
• Sacroilitis- Irritation and swelling of the sacroiliac joint region
• Hip dislocation- Complete displacement of the hip joint — note that acute hip dislocation is a medical emergency requiring immediate in-person assessment. A pelvis X-ray referral is not appropriate for acute dislocation.
• Bone tumours or lesions- Unusual or abnormal growths involving the pelvic bones
• Congenital abnormalities- Structural irregularities of the pelvis that are present at birth.

Note: If you have experienced significant trauma (motor vehicle accident, fall from height, or heavy impact), have severe pelvic pain and are unable to stand or walk, or have any signs of shock (dizziness, rapid heart rate, feeling faint) — call 000 or attend an Emergency Department immediately. Do not book a telehealth referral for suspected traumatic pelvic fractures.

A telehealth pelvic X-ray referral is appropriate for non-traumatic pelvic pain, chronic joint concerns, or lower-grade injuries where you can weight-bear and are not in acute distress.

Various imaging angles are used to assess the pelvic area.

• AP pelvis view- Standard front view of the pelvis and both hips
• Inlet view- Shows a bottom-up view of the pelvis to evaluate alignment
• Outlet view- Provides a view to assess fracture patterns and alignment changes.

A pelvis X-ray evaluates the structure, alignment, and overall condition of the pelvic bones and hip joints. It can identify breaks, joint degeneration, displacements, and other bone abnormalities.

• Small fractures may not always be visible
• Limited details compared to CT or MRI
• Does not clearly show muscles, ligaments or internal organs

Although no special preparation is needed, here are a few things to keep in mind:

• Wear loose clothing
• Remove jewellery, belts, or any metal objects
• Inform staff if you are pregnant
• Follow all instructions from your doctor or imaging clinic

Note: A telehealth consultation is a convenient alternative for discussing symptoms, but it does not replace a physical examination. If your condition requires physical palpation or assessment, the GP may advise you to see a doctor in person.