Name of the Procedure:

Radiologic Examination; Upper Extremity, Infant, Minimum of 2 Views

Summary

A radiologic examination of the upper extremity in infants is a diagnostic imaging procedure that uses X-rays to capture multiple views of the infant's arm, including the shoulder, elbow, wrist, and hand.

Purpose

The procedure is used to diagnose fractures, dislocations, infections, congenital anomalies, or other abnormalities in the bones and joints of the upper extremity. The goal is to obtain clear images that help in accurate diagnosis and appropriate medical or surgical intervention.

Indications

• Symptoms such as pain, swelling, or deformity in the infant’s arm.
• Trauma or injury to the arm.
• Suspected infection or inflammation in the bones or joints.
• Follow-up on previously diagnosed conditions or post-surgical progress.

Preparation

• No special preparation is typically required.
• Removal of any metal objects or clothing that might interfere with the imaging.
• The infant may need to be gently restrained to keep them still during the X-ray.

Procedure Description

1. The infant is placed in a specific position based on the area being imaged.
2. At least two views are taken from different angles to provide a comprehensive evaluation.
3. The radiologic technician adjusts the X-ray machine and takes the images.
4. Lead shielding is used to protect the infant from unnecessary radiation exposure.
5. The images are then processed and reviewed by a radiologist.

Duration

The procedure typically takes about 15-30 minutes.

Setting

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

Personnel

• Radiologic Technician: Conducts the imaging procedure.
• Radiologist: Interprets the X-ray images.
• Occasionally a nurse or a radiology assistant to help with positioning and comforting the infant.

Risks and Complications

• Minimal risk from exposure to low levels of radiation.
• Rarely, the infant may experience discomfort from positioning.

Benefits

• Provides essential diagnostic information that cannot be obtained through a physical exam alone.
• Helps in accurate diagnosis and effective treatment planning.
• Non-invasive and relatively quick.

Recovery

• No recovery time is required.
• The infant can resume normal activities immediately after the procedure.
• Follow-up appointments may be needed, depending on the findings.

Alternatives

• Ultrasound: May be used for soft tissue evaluation but is less effective for detailed bone imaging.
• MRI: Provides high-detail imaging without radiation but is more expensive and may require sedation.

Patient Experience

• The infant might cry or feel uncomfortable due to the unfamiliar environment and need for stillness.
• Gentle restraint might be used to ensure the infant remains still.
• Parents can often be present to comfort their child during the procedure.