Radiologic examination, femur; minimum 2 views
CPT4 code
Name of the Procedure:
Radiologic Examination, Femur; Minimum 2 Views
Common Name(s): X-ray of the femur, Femur radiograph
Medical Term: Diagnostic radiologic examination of the femur
Summary
A radiologic examination of the femur involves taking X-ray images from at least two different angles to visualize the thigh bone. This helps in identifying any fractures, abnormalities, or diseases affecting the femur.
Purpose
Medical Conditions:
- Fractures or breaks in the femur
- Bone infections or osteomyelitis
- Bone tumors or growths
- Degenerative bone diseases
Goals/Outcomes:
- Accurate diagnosis of the condition affecting the femur
- Planning appropriate treatment or surgical interventions
- Monitoring healing or disease progression
Indications
Symptoms/Conditions:
- Pain in the thigh or leg
- Swelling or bruising in the thigh area
- Inability to bear weight on the affected leg
- Deformity or abnormal mobility of the leg
Patient Criteria:
- Patients with a recent injury to the thigh
- Those experiencing unexplained pain or swelling
- Individuals with a history of bone diseases
Preparation
Pre-Procedure Instructions:
- No special preparation or fasting is required.
- Remove any metallic objects or jewelry that might interfere with the X-ray images.
Diagnostic Tests/Assessments:
- None required specifically for the X-ray itself.
Procedure Description
- The patient will be positioned by a radiologic technologist, who will ensure proper alignment of the femur.
- X-ray images will be taken from at least two different angles—typically front (anterior-posterior) and side (lateral) views.
- The patient will need to stay still while the images are taken to ensure clarity.
Tools/Equipment:
- X-ray machine
- Lead aprons or shields to protect other parts of the body from radiation.
Anesthesia/Sedation:
- Not typically required.
Duration
The procedure usually takes about 15-30 minutes.
Setting
The procedure is performed in a radiology department within a hospital or an outpatient clinic.
Personnel
- Radiologic Technologist
- Radiologist (to interpret the images)
Risks and Complications
Common Risks:
- Minimal exposure to radiation
Rare Risks:
- Potential for a false negative or missed fracture
Management:
- Repeat imaging if initial images are inconclusive.
Benefits
Expected Benefits:
- Accurate diagnosis of fractures or bone conditions
- Quick and non-invasive procedure
- Immediate results for acute injuries
Realization of Benefits:
- Often immediate, as the images can be reviewed shortly after the procedure.
Recovery
Post-Procedure Care:
- No special care needed after the procedure.
Expected Recovery Time:
- Immediate, as there is no recovery period needed from an X-ray.
Restrictions/Follow-Up:
- Follow-up with a healthcare provider to discuss the results and subsequent steps.
Alternatives
Other Treatment Options:
- MRI or CT scans (more detailed imaging but often used for more complex cases)
- Bone scans (for detecting metabolic activity of bones)
Pros and Cons:
- MRI/CT scans provide more detail but are more expensive and time-consuming.
- Bone scans offer metabolic information but involve more radiation.
Patient Experience
During the Procedure:
- Minimal discomfort; the patient is required to stay still for clear images.
After the Procedure:
- No pain or discomfort expected post-procedure.
- Pain management is not necessary.
- The patient can resume normal activities immediately.