Radiologic examination; calcaneus, minimum of 2 views
CPT4 code
Name of the Procedure
Radiologic Examination of the Calcaneus
Common name: X-ray of the heel
Technical/medical term: Calcaneus radiography
Summary
A radiologic examination of the calcaneus involves taking X-ray images of the heel bone from at least two different angles. The procedure is non-invasive and helps diagnose fractures, infections, or other conditions affecting the heel.
Purpose
The primary purpose of this procedure is to identify and assess issues related to the calcaneus, such as fractures due to trauma or degenerative conditions. The goal is to obtain clear images of the heel bone to guide diagnosis and treatment.
Indications
- Severe pain or swelling in the heel area
- Difficulty bearing weight on the affected foot
- History of trauma or injury to the heel
- Suspected infection or bone conditions like osteoporosis
- Post-surgical evaluation to monitor recovery
Preparation
- Remove any footwear, socks, and jewelry from the affected foot.
- Inform the healthcare provider of any pregnancy, as X-rays involve radiation.
- No specific fasting or medication adjustments are typically required.
Procedure Description
- The patient will be positioned on an X-ray table, and their foot will be placed in the appropriate position to capture the necessary views.
- A lead apron may be used to protect other parts of the body from radiation exposure.
- The X-ray machine will be adjusted to focus on the heel area.
- The radiologic technologist will take at least two X-ray images from different angles, often lateral (side) and axial (bottom-up) views.
- The patient may need to hold still or hold their breath momentarily while the images are taken.
Duration
The procedure typically takes about 15-30 minutes, including positioning and taking the necessary images.
Setting
The procedure is usually performed in a hospital radiology department or an outpatient imaging center.
Personnel
- Radiologic technologist (primary operator)
- Radiologist (to interpret the images)
- Medical assistant or nurse (if additional support is needed)
Risks and Complications
- Exposure to low-level radiation (minimal risk)
- Discomfort from holding certain positions
Benefits
- Provides clear images of the heel bone, aiding in accurate diagnosis.
- Helps guide appropriate treatment plans.
- Non-invasive and quick.
Recovery
- No specific recovery time is needed.
- Patients can typically resume normal activities immediately after the procedure.
- Follow-up appointments may be scheduled to discuss the results with a healthcare provider.
Alternatives
- MRI or CT scan for more detailed imaging, if needed.
- Physical examination and symptom assessment without imaging.
- Bone scan for detecting bone abnormalities.
Patient Experience
- The patient might feel slight discomfort from holding still or positioning the foot during the X-rays.
- Technologists will provide instructions and support to ensure the patient's comfort and safety.
- Pain management is generally not necessary, but comfort measures can be taken if discomfort arises.