Bone length studies (orthoroentgenogram, scanogram)
CPT4 code
Name of the Procedure:
Common Names: Bone Length Studies, Orthoroentgenogram, Scanogram
Technical/Medical Terms: Orthopedic Radiography, Lower Extremity Long Bone Radiograph
Summary
Bone length studies involve taking precise X-ray images of the bones in your legs or arms to measure their length. It helps in identifying differences in bone length, which can affect your gait and overall body alignment.
Purpose
Bone length studies address conditions like limb length discrepancy, which can cause functional and cosmetic problems if untreated. The procedure helps in planning corrective surgeries or other interventions to equalize bone lengths.
Indications
- Noticeable difference in limb length
- Unexplained limping or gait abnormalities
- Assessment post orthopedic surgery
- Conditions such as scoliosis or developmental disorders
Preparation
- No special preparation is usually required.
- Wear comfortable clothing; you may be asked to change into a hospital gown.
- Inform the technician if you are pregnant or might be pregnant.
Procedure Description
- Positioning: The patient lies on the X-ray table.
- X-ray Imaging: Sequential X-ray images are taken from your hip to your ankle (for lower limbs) or shoulder to wrist (for upper limbs).
- Assessment: The images are reviewed to precisely measure the bone lengths.
Equipment Used: X-ray machine, Digital Radiographic System.
Anesthesia/Sedation: Not typically required.
Duration
The procedure usually takes about 30 minutes.
Setting
Performed in a radiology department within a hospital or outpatient clinic.
Personnel
- Radiologist (interpreting the images)
- Radiologic technologist (performing the X-rays)
- Orthopedic surgeon (reviewing and using the results for treatment planning)
Risks and Complications
- Exposure to a minimal amount of radiation
- Very rare chances of skin reaction in sensitive individuals
Benefits
- Accurate measurement of bone length discrepancies
- Helps in planning effective treatment strategies
- Non-invasive and quick
Recovery
- No recovery time required as this is a diagnostic imaging procedure
- Normal activities can be resumed immediately after the procedure.
Alternatives
Alternatives:
- Clinical examination and measurement using physical tools
- MRI or CT scans for more detailed imaging (though less commonly used for this purpose)
Pros and Cons:
- Clinical exams are less precise than X-rays.
- MRI and CT scans provide more detail but are more expensive and may require sedation.
Patient Experience
Patients will lie still during the procedure while the technician moves the X-ray machine. Minimal discomfort is expected. Following the X-rays, patients can immediately resume their day-to-day activities without any limitations.