Radiologic examination, wrist; 2 views
CPT4 code
Name of the Procedure:
Radiologic Examination, Wrist; 2 Views
(Commonly referred to as a wrist X-ray)
Summary
A wrist X-ray is a common imaging test that uses a small amount of radiation to create pictures of the bones, joint spaces, and surrounding tissues in the wrist. Typically, two different views are taken to provide a more comprehensive evaluation.
Purpose
A wrist X-ray helps diagnose fractures, dislocations, or abnormalities in the wrist bones and joints. It also assists in monitoring the healing process in patients with wrist injuries.
Indications
- Wrist pain or swelling
- Suspected fracture or dislocation
- Deformity of the wrist or hand
- Difficulty moving the wrist
- Monitoring healing after a wrist fracture
- Evaluating chronic wrist conditions such as arthritis or ganglion cysts
Preparation
- Generally, no special preparation is needed.
- Patients may need to remove jewelry or clothing that could interfere with the X-ray images.
- Inform the technician if there is a possibility of pregnancy.
Procedure Description
- The patient will be positioned to ensure the wrist is placed correctly on the X-ray table.
- Two views are taken: one from the front (anteroposterior view) and one from the side (lateral view).
- The radiologic technologist positions the X-ray machine over the wrist and takes the images.
- The entire process is quick, and each view is captured in seconds.
Duration
The procedure typically takes about 10-15 minutes.
Setting
Wrist X-rays are commonly performed in a hospital radiology department, outpatient imaging center, or orthopedic clinic.
Personnel
A radiologic technologist conducts the X-ray. A radiologist or an orthopedic specialist interprets the results.
Risks and Complications
- Minimal exposure to radiation (very low risk).
- Rarely, patients may find some discomfort while positioning.
Benefits
- Accurate diagnosis of wrist injuries and conditions.
- Helps in planning appropriate treatment.
- Quick and non-invasive.
Recovery
- No recovery time is needed.
- Patients can usually resume normal activities immediately after the procedure.
- Follow-up appointments may be necessary to discuss X-ray results.
Alternatives
- MRI or CT scan if more detailed images of soft tissues or complex fractures are needed.
- Ultrasound for soft tissue evaluation.
- Each alternative offers different levels of detail and may be used based on the specific condition or clinical question.
Patient Experience
- The patient might feel slight discomfort while positioning the wrist but there should be no pain during the X-ray itself.
- The radiologic technologist will ensure patient comfort and safety throughout the procedure.