Name of the Procedure:

Radiologic Examination of the Pelvis and Hips, Infant or Child, Minimum of 2 Views
Common name(s): Pediatric pelvic X-ray, hip X-ray, pelvis and hips radiography

Summary

This procedure involves taking X-ray images of a child's pelvis and hips from at least two different angles. These images help doctors diagnose and treat various conditions affecting the hip joints, pelvic bones, and surrounding structures in infants and children.

Purpose

The primary purpose of this radiologic examination is to identify abnormalities, injuries, or diseases in the pelvis and hip areas. This can include diagnosing developmental dysplasia of the hip (DDH), hip dislocation, fractures, infections, or congenital anomalies. The goal is to obtain clear images to assist in accurate diagnosis and effective treatment planning.

Indications

• Presence of hip pain, limping, or difficulty walking
• Suspected hip dislocation or developmental dysplasia of the hip (DDH)
• Trauma or injury to the pelvis or hip area
• Congenital hip conditions
• Signs of infection or inflammation in the pelvis or hip joint
• Follow-up imaging for previously diagnosed conditions

Preparation

• Typically, no special preparation such as fasting is required.
• Ensure the child is wearing loose, comfortable clothing, and remove any metallic items from the hip and pelvic area.
• Parents may be asked to stay with their child during the procedure to help keep them calm and still.

Procedure Description

1. The child will be positioned on an X-ray table, often lying on their back.
2. Two different angles of X-ray images will be taken to provide a comprehensive view of the pelvis and hips.
3. The radiologic technologist will carefully position the child and may use soft restraints to help keep them still during the imaging.
4. A lead apron may be used to protect parts of the body not being imaged.
5. The X-ray machine will be positioned over the pelvis and hips, and the technologist will take the images.
6. The procedure does not involve anesthesia or sedation, though gentle holding and comforting may be required.

Duration

The procedure typically takes about 15-30 minutes, including preparation and taking the X-ray images.

Setting

This examination is usually performed in a hospital's radiology department or an outpatient imaging center.

Personnel

• Radiologic Technologist
• Radiologist (to interpret the images)
• Pediatrician or Orthopedic Specialist (may request or be present for the procedure)

Risks and Complications

• Exposure to low levels of radiation, though minimized and considered safe for diagnostic purposes.
• Rarely, a child may experience anxiety or distress during the procedure.

Benefits

• Provides crucial diagnostic information to identify and treat hip or pelvic conditions.
• Non-invasive and quick, with immediate availability of images for evaluation.
• Helps in the early detection and treatment of hip developmental issues, preventing long-term complications.

Recovery

• No specific recovery is needed; the child can resume normal activities immediately.
• Parents should follow up with their healthcare provider to discuss the results and any further treatment or imaging if required.

Alternatives

• Ultrasound: Often used for infants, particularly to diagnose developmental dysplasia of the hip (DDH).
• MRI (Magnetic Resonance Imaging): Provides detailed images without radiation but is typically reserved for more complex cases.

Patient Experience

• The procedure is painless, but the child may feel uncomfortable or anxious.
• Simple instructions, comforting, and gentle holding by a parent can help ease the child's distress.
• Pain management or sedation is usually not necessary.