Name of the Procedure:

Radiologic Examination, Hips, Bilateral, with Pelvis; 3-4 Views
Common name(s): Bilateral Hip X-ray with Pelvic Views

Summary

A bilateral hip X-ray with pelvic views is a diagnostic imaging test that uses a small amount of radiation to create detailed images of both hips and the pelvis. This test helps doctors identify issues related to bones, joints, and soft tissues in these areas.

Purpose

The procedure is typically used to:

• Diagnose fractures, dislocations, or degenerative diseases like arthritis in the hips or pelvis.
• Assess the alignment and integrity of bones and joint spaces.
• Monitor the progress of a previously diagnosed condition.

Indications

• Pain in the hip or pelvic region.
• Difficulty walking or limited range of motion in the hips.
• Suspected fractures or injury due to trauma.
• Evaluation of conditions like osteoarthritis or hip dysplasia.
• Follow-up on known hip or pelvic conditions.

Preparation

• Typically, no special preparation like fasting is required.
• Patients may be asked to remove clothing, jewelry, or any metallic objects that could interfere with the images.
• Women should inform the technologist if there is a possibility of pregnancy.

Procedure Description

• The patient will be positioned on an X-ray table and asked to lie still.
• Placement of the body may be adjusted to capture multiple views, typically 3 to 4 different angles.
• A lead apron may be used to protect other parts of the body from radiation exposure.
• The technologist operates the X-ray machine to capture the required images.

Duration

The entire procedure usually takes about 15 to 30 minutes.

Setting

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

Personnel

• Radiologic Technologist: Performs the X-ray.
• Radiologist: Analyzes the X-ray images and provides a report to the referring physician.

Risks and Complications

• Minimal exposure to radiation, which is generally considered safe but carries a very small risk.
• Rarely, the patient might experience discomfort from remaining still or being positioned on the X-ray table.

Benefits

• Provides crucial information to accurately diagnose hip and pelvic conditions.
• Non-invasive, quick, and usually available in most medical facilities.
• Helps guide treatment plans and monitor the effectiveness of treatments.

Recovery

• No specific recovery time is needed.
• Patients can resume normal activities immediately after the procedure.
• Follow-up appointments will be based on the results and the referring physician’s guidance.

Alternatives

• MRI or CT scan: Provides more detailed images, especially for soft tissues, but is more expensive and less widely available.
• Ultrasound: Non-invasive and radiation-free but less detailed for bone imaging.
• Bone scan: Useful for detecting bone abnormalities but involves a small amount of radioactive material.

Patient Experience

• The procedure is generally painless, though some discomfort might arise from maintaining certain positions.
• The technologist will ensure patient comfort and explain each step of the process.
• Pain management measures are usually unnecessary due to the non-invasive and quick nature of the test.