Radiologic examination, shoulder; complete, minimum of 2 views
CPT4 code
Name of the Procedure:
Radiologic examination, shoulder; complete, minimum of 2 views
Common names: Shoulder X-ray, Shoulder Radiograph
Summary
A shoulder radiologic examination is a medical imaging procedure where X-rays are used to create detailed images of the shoulder joint. This involves taking a minimum of two views from different angles to provide a comprehensive look at the shoulder's bony structures.
Purpose
This procedure is used to diagnose and monitor conditions affecting the shoulder joint, such as fractures, dislocations, arthritis, and other bone-related issues. The goal is to accurately identify any abnormalities to guide treatment.
Indications
- Persistent shoulder pain
- Suspected fractures or dislocations
- Limited range of motion
- Swelling or deformity of the shoulder
- Post-operative follow-up
Preparation
- No special preparation is usually required.
- Patients should inform the technician if they are pregnant.
- Wear loose-fitting clothing and remove any jewelry or metal objects in the shoulder area.
Procedure Description
- The patient will be positioned standing, sitting, or lying down depending on the needed views.
- The shoulder will be exposed with the arm and shoulder in various positions to get different angles.
- Radiographic plates and the X-ray machine will be adjusted to capture the necessary images.
- The technician will ask the patient to remain still and may ask them to hold their breath briefly while the X-ray is taken.
- Two or more images from different angles are captured.
No anesthesia or sedation is typically required.
Duration
The procedure usually takes about 15-30 minutes.
Setting
It is performed in a radiology department of a hospital, outpatient clinic, or specialized imaging center.
Personnel
- Radiologic technologist (performs the X-ray)
- Radiologist (interprets the images)
Risks and Complications
- Minimal exposure to radiation
- Potential discomfort from positioning
Benefits
- Quick, non-invasive diagnosis
- High accuracy in detecting bone abnormalities
- Helps guide appropriate treatment
Recovery
- No recovery time is needed; patients can resume normal activities immediately.
- If discomfort was experienced during positioning, rest and pain relievers may be used.
Alternatives
- MRI (Magnetic Resonance Imaging): Provides more detailed images of soft tissues.
- CT (Computed Tomography) scan: Offers detailed cross-sectional images of the shoulder.
Patient Experience
- The procedure is generally painless, though some discomfort may occur from positioning.
- Patients will need to remain still, and there may be brief moments of holding their breath.
- Any discomfort is usually minor and temporary.