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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

  1. The patient will be positioned to ensure the wrist is placed correctly on the X-ray table.
  2. Two views are taken: one from the front (anteroposterior view) and one from the side (lateral view).
  3. The radiologic technologist positions the X-ray machine over the wrist and takes the images.
  4. 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.

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