Name of the Procedure:

Radiologic Examination of the Acromioclavicular Joints, Bilateral (with or without Weighted Distraction)

Summary

This procedure involves taking X-ray images of both acromioclavicular (AC) joints, which are located at the top of the shoulder, connecting the collarbone (clavicle) to the acromion of the shoulder blade. Weighted distraction may be used to better visualize these joints.

Purpose

This procedure is used to diagnose issues with the AC joints, such as arthritis, fractures, dislocations, separations, or other abnormalities. The goal is to obtain clear images that help in identifying the condition and determining the appropriate treatment plan.

Indications

• Persistent shoulder pain
• Suspected AC joint separation or dislocation
• Previous shoulder injury
• Signs of arthritis in the shoulder
• Loss of shoulder function or range of motion

Preparation

• Generally, no special preparation is needed.
• Patients might be asked to remove jewelry and wear a hospital gown.
• Inform the technician if pregnant or suspecting pregnancy.

Procedure Description

1. The patient is positioned standing upright or sitting.
2. Standard X-rays are taken first.
3. For weighted distraction images, weights may be attached to the patient's wrists to apply gentle downward traction on the shoulders.
4. The technician captures X-ray images of both AC joints.
5. Multiple views may be taken to ensure a thorough evaluation.

Duration

The procedure typically takes about 15-30 minutes.

Setting

The procedure is performed in a radiology department, either in a hospital or an outpatient imaging center.

Personnel

• Radiologic Technologist (performs the imaging)
• Radiologist (interprets the images)

Risks and Complications

• Minimal exposure to radiation, which is generally considered safe but may carry a slight risk of cancer.
• Small risk of discomfort or pain if weights are used.

Benefits

• Provides detailed images to assist in accurate diagnosis.
• Helps in planning effective treatment strategies.
• Non-invasive and relatively quick.

Recovery

• No recovery time needed.
• Patients can resume normal activities immediately after the procedure.

Alternatives

• MRI or CT scans for more detailed imaging.
• Physical examination and history alone (may be less accurate).

• Ultrasound imaging.

  Pros and cons:

• MRI or CT provides more detail but is more expensive and time-consuming.
• Ultrasound is radiation-free but less effective for visualizing bones.

Patient Experience

• The procedure is generally painless.
• Patients might feel slight discomfort from holding positions or weights during the exam.
• Any discomfort is brief and minimal.