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

1. The patient will be positioned standing, sitting, or lying down depending on the needed views.
2. The shoulder will be exposed with the arm and shoulder in various positions to get different angles.
3. Radiographic plates and the X-ray machine will be adjusted to capture the necessary images.
4. The technician will ask the patient to remain still and may ask them to hold their breath briefly while the X-ray is taken.
5. 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.