Radiologic examination, wrist; complete, minimum of 3 views
CPT4 code
Name of the Procedure:
Radiologic Examination, Wrist; Complete, Minimum of 3 Views
Common name(s): Wrist X-ray, Radiograph of Wrist
Summary
A radiologic examination of the wrist is an imaging test that uses X-rays to capture detailed pictures of the bones and tissues in the wrist. It typically involves taking at least three different views (angles) of the wrist to provide a comprehensive image set for diagnosis.
Purpose
This procedure is used to diagnose and assess various conditions affecting the wrist, such as fractures, dislocations, infections, arthritis, and other bone-related issues. The goal is to obtain clear images that help healthcare providers understand the source of wrist pain or dysfunction and to plan appropriate treatment.
Indications
- Acute wrist pain or injury
- Suspected fracture or bone dislocation
- Chronic wrist pain or discomfort
- Signs of arthritis or joint degeneration
- Detection of bone infections or tumors
Preparation
- No special preparation is usually required.
- Patients may need to remove any jewelry or metal objects from their wrist and hand.
- Inform the radiologist if there is a possibility of pregnancy.
Procedure Description
- The patient is positioned on an X-ray table or seated next to the X-ray machine.
- The wrist is placed in different positions to capture the required views, typically including the frontal (AP), lateral, and oblique views.
- The radiologic technologist positions the X-ray machine and places lead shields on the patient as needed to protect other parts of the body.
- The patient is asked to remain still while the images are taken.
- Images are captured, checked for clarity, and additional views may be taken if necessary.
Duration
The procedure generally takes about 15-30 minutes.
Setting
Radiologic examinations are performed in a hospital radiology department, outpatient imaging center, or a specialized clinic.
Personnel
- Radiologic Technologist: Conducts the X-rays and handles equipment
- Radiologist: Reviews and interprets the images
Risks and Complications
- Minimal exposure to radiation, but generally considered safe.
- Very rare possibility of allergic reaction to contrast material if used, though not typical for wrist X-rays.
Benefits
- Accurate diagnosis of bone fractures, dislocations, and other wrist conditions.
- Facilitates appropriate treatment planning.
- Non-invasive, quick, and relatively inexpensive.
Recovery
- No recovery time is necessary.
- Patients can resume normal activities immediately following the procedure.
- Follow-up appointments might be scheduled to discuss the results.
Alternatives
- MRI or CT scan: Provide more detailed images but are more time-consuming and expensive.
- Ultrasound: Useful for soft tissue injuries but less detailed for bone assessments.
Patient Experience
- The procedure is generally painless.
- There may be slight discomfort from holding the wrist still or in specific positions.
- Minimal wait time for the procedure and quick results turnaround.
- Any discomfort is brief and manageable.