Radiologic examination, elbow, arthrography, radiological supervision and interpretation
CPT4 code
Name of the Procedure:
Radiologic Examination, Elbow, Arthrography, Radiological Supervision and Interpretation
Summary
An elbow arthrography is a diagnostic procedure where a contrast dye is injected into the elbow joint and X-rays are taken to visualize the joint structures, including bones, cartilage, and ligaments. The process is supervised and interpreted by a radiologist.
Purpose
Elbow arthrography is performed to diagnose joint abnormalities, injuries, or diseases such as tears in the ligaments or cartilage, arthritis, or unexplained joint pain. The goal is to provide detailed images that allow for accurate diagnosis and treatment planning.
Indications
- Persistent shoulder pain not relieved by conventional treatments
- Suspected ligament or cartilage tears
- Unexplained swelling or immobility in the elbow joint
- Pre-surgical planning or post-surgical evaluation
Preparation
- Fasting may be required for a few hours before the procedure.
- Patients should inform their doctor of any allergies, especially to contrast dye or iodine.
- Any medications being taken should be reviewed, with adjustments made as necessary.
- Pre-procedure diagnostic tests might include blood tests or a routine X-ray of the elbow.
Procedure Description
- The patient is positioned on an X-ray table.
- The skin over the elbow joint is sterilized.
- Local anesthesia is administered to numb the area.
- A needle is inserted into the joint and the contrast dye is injected.
- Multiple X-ray images are taken in different positions.
- The radiologist supervises and interprets the images to make a diagnosis.
Tools used include a sterile needle, X-ray machine, and contrast dye. Local anesthesia is typically used to minimize discomfort.
Duration
The procedure typically takes about 30-60 minutes.
Setting
The procedure is performed in a hospital radiology department or an outpatient imaging center.
Personnel
- Radiologist
- Radiology technician
- Nursing staff
Risks and Complications
- Allergic reaction to the contrast dye
- Infection at the injection site
- Bleeding or bruising
- Joint pain or swelling post-procedure
Benefits
- Clear and detailed images of the elbow joint structures
- Accurate diagnosis leading to effective treatment plans
- Minimally invasive compared to surgical exploration
Recovery
- Patients may experience minor discomfort or swelling that typically resolves within a few days.
- Pain relief can be managed with over-the-counter medications.
- Patients are usually advised to rest the elbow for 24 hours after the procedure.
- Follow-up appointments may be scheduled to discuss results and next steps.
Alternatives
- MRI or CT scan without contrast may be an option but might not provide as detailed imaging of the joint structures.
- Physical therapy or conservative treatment may be attempted before considering arthrography.
- Arthroscopy, a surgical procedure, could be considered for both diagnostic and therapeutic purposes.
Patient Experience
- Patients may feel a brief sting from the needle and pressure from the contrast injection.
- Mild discomfort is common during and after the procedure.
Radiologists and technicians strive to make the patient as comfortable as possible throughout the process.
Pain management includes local anesthesia during the procedure and OTC pain relievers post-procedure.