Name of the Procedure:

Radiologic Examination, Hip, Unilateral, with Pelvis When Performed; 1 View Common name(s): Hip X-ray, Pelvic X-ray

Summary

A radiologic examination of the hip is a diagnostic imaging test that involves taking an X-ray of one hip, along with the pelvis if needed. This is typically done to identify any fractures, dislocations, or abnormalities in the hip joint and surrounding structures.

Purpose

This procedure is used to detect issues such as fractures, arthritis, tumors, infections, or developmental conditions in the hip and pelvic region. The goal is to provide a clear image that helps in diagnosing the cause of hip pain or dysfunction and to guide appropriate treatment.

Indications

• Persistent hip pain
• Recent injury or trauma to the hip or pelvis
• Suspected hip fracture or dislocation
• Evaluation of hip arthritis
• Monitoring of hip joint conditions over time
• Pre-surgical assessment

Preparation

• Patients may be asked to remove any metal objects in the pelvic area (e.g., belts, jewelry) to ensure clear images.
• No special fasting or medication adjustments are typically required.
• Inform the healthcare provider of any pregnancies, as X-rays can be harmful to the unborn baby.

Procedure Description

1. The patient will be positioned on an X-ray table, usually lying flat on their back.
2. The radiologic technologist will position the hip and pelvis and may use a positioning device to ensure accurate imaging.
3. A lead shield may be placed over parts of the body not being imaged to reduce radiation exposure.
4. The X-ray machine will be positioned over the hip, and the technologist will take a single X-ray image.
5. The technologist may ask the patient to hold still and possibly hold their breath momentarily to avoid blurring the image.

Duration

The procedure typically takes less than 15 minutes, including positioning and taking the image.

Setting

The procedure is usually performed in a hospital, outpatient radiology center, or clinic with X-ray facilities.

Personnel

• Radiologic Technologist: performs the X-ray imaging.
• Radiologist: reviews and interprets the X-ray images.
• Referring Physician: orders the X-ray and uses the results for diagnosis and treatment planning.

Risks and Complications

• Exposure to a low level of radiation; although minimal, repeated exposures should be limited.
• Rare risk of allergic reactions to contrast materials if used (not typically required for this single-view X-ray).

Benefits

• Provides a clear and quick diagnostic image of the hip and pelvis.
• Non-invasive and painless.
• Helps in accurately diagnosing the cause of hip pain or injury, leading to appropriate treatment.

Recovery

• There is no recovery time required; patients can usually resume normal activities immediately.
• Follow-up appointments may be necessary based on the findings and subsequent medical advice.

Alternatives

• Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scans may provide more detailed images but are more costly and may take longer.
• Ultrasound can be used for soft tissue evaluation but is not as effective for bone imaging.
• Pros and cons: MRI and CT offer more detail for complex cases but involve higher costs and longer procedure times. Ultrasound is less effective for bone but useful for soft tissue assessment.

Patient Experience

During the procedure, the patient might experience slight discomfort from remaining still in a specific position. The X-ray itself is painless. Post-procedure, there are no significant sensations or pain, and normal activities can be resumed immediately.