73521 Radiologic examination, hips, bilateral, with pelvis when performed; 2 views

Name of the Procedure:

Radiologic Examination, Hips, Bilateral, with Pelvis, 2 Views
Common name(s): Bilateral Hip X-ray, Pelvic X-ray

Summary

A radiologic examination of both hips and the pelvis using X-ray technology, typically conducted in two different views to provide comprehensive imagery. This helps healthcare professionals in diagnosing and evaluating issues related to the hip and pelvic regions.

Purpose

The procedure aims to diagnose conditions affecting the hips and pelvis, such as fractures, arthritis, dislocations, tumors, and congenital anomalies. The X-ray images help in forming a treatment plan or in monitoring the progress of a known condition.

Indications

• Persistent hip or pelvic pain
• Suspected fractures or injuries
• Evaluating arthritis or joint degeneration
• Pre- and post-surgical assessments
• Unexplained limping or restricted movement
• Monitoring of hip dysplasia in infants and children

Preparation

• Remove any metal objects or jewelry from the pelvic area.
• Wear a hospital gown if required.
• Inform the technician if you are pregnant or may be pregnant.
• No special fasting or medication adjustments are typically required.

Procedure Description

1. The patient will be positioned on an X-ray table, lying down or standing based on requirements.
2. The radiologic technologist will position the X-ray machine to take images in at least two different views, usually anteroposterior (AP) and lateral views.
3. A lead apron may be used to cover parts of the body not being imaged to minimize radiation exposure.
4. The patient needs to remain still while the images are being captured.
5. The procedure is non-invasive and does not require anesthesia.

Duration

The procedure typically takes around 15-30 minutes, including positioning and capturing images.

Setting

Performed in a hospital radiology department, outpatient imaging clinic, or specialized radiology facility.

Personnel

• Radiologic Technologist
• Radiologist (to interpret the images)

Risks and Complications

• Exposure to a small amount of radiation, which is usually minimal and considered safe for most patients.
• Rare risk of allergic reaction to contrast material if used.
• Possible slight discomfort from lying still on the X-ray table.

Benefits

• Accurate diagnosis of hip and pelvic conditions.
• Quick and non-invasive procedure.
• Helps in effective treatment planning.

Recovery

• No recovery time needed; patients can return to normal activities immediately.
• Follow-up appointments may be scheduled based on the findings.

Alternatives

• MRI or CT scan: provide more detailed images but are more expensive and time-consuming.
• Ultrasound: useful for certain soft tissue evaluations but not as effective for bone imaging.

Patient Experience

• Generally, a painless procedure, though some patients might experience mild discomfort from holding still.
• The radiologic technologist will ensure patient comfort and explain each step.
• No significant post-procedure symptoms or restrictions.