Name of the Procedure:

Radiologic Examination of the Hips, Bilateral (X-ray of Both Hips with a Minimum of 2 Views Each, Including Anteroposterior View of Pelvis)

Summary

A radiologic examination of the hips involves taking X-ray images of both hip joints and the pelvis. This procedure typically includes at least two views of each hip and an anteroposterior (AP) view of the pelvis. The images help in diagnosing and assessing various conditions related to the hip and pelvic region.

Purpose

This procedure is used to:

• Diagnose fractures, dislocations, or bone abnormalities.
• Detect and evaluate arthritis, bone infections, or tumors.
• Guide orthopedic treatments or surgical planning. The goal is to provide clear images that allow a healthcare provider to accurately diagnose and manage hip-related issues.

Indications

• Persistent hip pain or swelling
• Recent trauma or injury to the hip
• Difficulty in walking or reduced range of motion in the hip joints
• Suspected arthritis or degenerative joint disease
• Pre and post-surgical evaluation of hip implants
• Suspected hip dysplasia in children

Preparation

• No specific preparation is usually required.
• Patients may be asked to remove clothing and jewelry from the waist down and wear a hospital gown.
• Inform the technician if you are pregnant or might be pregnant.

Procedure Description

1. The patient is positioned on an X-ray table.
2. For the anteroposterior (AP) view of the pelvis, the patient lies on their back with legs straight.
3. For the additional views, the technician may position the legs differently to get the necessary angles.
4. A lead apron may be used to cover parts of the body not being imaged to protect from radiation.
5. The radiologic technologist operates the X-ray machine to capture the images.
6. The images are reviewed to ensure they are clear and diagnostically useful.

Duration

The procedure typically takes around 15-30 minutes.

Setting

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

Personnel

• Radiologic technologist: Conducts and oversees the imaging process.
• Radiologist: Reviews and interprets the X-ray images.

Risks and Complications

• Minimal exposure to radiation: While generally considered safe, it's important to limit unnecessary exposure.
• Potential for discomfort: Some patients might experience mild discomfort due to positioning.

Benefits

• Accurate diagnosis of hip disorders.
• Aid in treatment planning and monitoring.
• Less invasive and quicker compared to other imaging modalities.

Recovery

• No recovery time is needed; patients can resume normal activities immediately.
• Follow-up appointments may be scheduled to discuss the results with your healthcare provider.

Alternatives

• MRI (Magnetic Resonance Imaging): Offers more detailed images of soft tissues and bones but is more expensive and time-consuming.
• CT (Computed Tomography) scan: Provides detailed cross-sectional images but involves higher radiation exposure.
• Ultrasound: Useful in specific cases but less detailed for bony structures.

Patient Experience

• The procedure is generally painless, though positions held during imaging might be briefly uncomfortable.
• Any discomfort is temporary and usually managed by the technologist's support.
• No sedation or anesthesia is required.