Name of the Procedure:

Radiologic examination, hand; 2 views
Common name(s): Hand X-ray, Hand radiography

Summary

A Radiologic examination of the hand involves taking X-ray images of the hand from two different angles. This helps doctors diagnose and treat conditions affecting the hand's bones and joints.

Purpose

This procedure is performed to diagnose fractures, dislocations, infections, arthritis, or other abnormalities in the hand's bones and joints. The goal is to provide a clear view of the hand's internal structure to guide treatment.

Indications

• Visible deformity or suspected fracture
• Persistent pain or swelling in the hand
• Reduced mobility or function
• Suspected bone infection or tumors
• Follow-up on previously diagnosed hand conditions

Preparation

• No special preparation is typically required.
• Remove any jewelry or metallic objects from the hand and wrist.
• Inform the technician or doctor if you are pregnant.

Procedure Description

1. The patient will be asked to sit or stand beside the X-ray machine.
2. The hand will be positioned on an X-ray plate or detector.
3. Two images will be taken from different angles, usually front (anteroposterior) and side (lateral) views.
4. The patient must remain still while each image is taken to ensure clarity.
5. The radiologic technologist operates the X-ray machine from another room or behind a protective barrier during the exposure.

Duration

The entire procedure typically takes about 10-15 minutes.

Setting

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

Personnel

• Radiologic technologist
• Radiologist (to interpret the images)
• Referring physician (to use the results for diagnosis and treatment)

Risks and Complications

• Low exposure to ionizing radiation
• Rare risks include allergic reactions to contrast materials if used (though not typical for hand X-rays)
• Misinterpretation of images if not taken or processed correctly

Benefits

• Non-invasive and quick diagnostic tool
• High accuracy in identifying bone fractures, dislocations, and other abnormalities
• Immediate results that aid in prompt treatment

Recovery

• No recovery time needed
• Patients can resume normal activities immediately after the procedure
• Follow-up appointments depend on the initial findings and treatment plan

Alternatives

• MRI or CT scans: Provide more detailed images of soft tissues and complex fractures but are more expensive and less accessible.
• Ultrasound: Useful for soft tissue evaluation but not as effective for detailed bone imaging.
• Physical examination and symptom monitoring: For minor injuries where imaging may not be necessary.

Patient Experience

• The procedure is painless, though holding still for the X-ray may be uncomfortable for a few minutes, especially if there is existing pain.
• Patients may feel slight discomfort from positioning the hand.
• Comfort measures include pillows or padding to support the hand during imaging.