Shielding reproductive organs of orthopaedic patients during pelvic radiography

The use of gonadal shielding has been advocated for patients undergoing pelvic radiography before and during the reproductive years. The aim of this study is to look at the adequacy of gonadal shielding used in a district general hospital for young patients having pelvic radiographs. A total of 200 radiographs were reviewed of 49 patients below the age of 45 years. Full coverage was achieved in only 36% of cases. Amongst females, only 22% received adequate shielding. None of the patients in their reproductive years (16-45 years) had gonad shields. The reasons for inadequate coverage were, in order of frequency: (i) no shielding was used; (ii) malposition of the shielding device; and (iii) the use of inappropriately shaped or sized devices. Suggestions for improvement are proposed.