Extremity x-ray

• How the test is performed

  The test is performed in a hospital radiology department or in the health care provider's office by an x-ray technologist. You will be asked to place the specific area being x-rayed (such as your hand, wrist, or foot) on the table, and to hold still as the x-ray is taken. You may be asked to change position, so additional x-rays can be taken.

• How to prepare for the test

  Tell the health care provider if you are pregnant. Remove all jewelry from the area being imaged.

• How the test will feel

  In general, there is no discomfort, although you may be slightly uncomfortable while the extremity is positioned for the x-ray.

• Why the test is performed

  Your doctor may order this test if you have signs of a fractures, tumors, or degenerative conditions in a hand, foot, or wrist.

• Normal Values

  The x-ray shows normal structures for the age of the patient.

• What abnormal results mean

  Abnormal results may be due to:

  • Bone tumor
  • Broken bone (fracture)
  • Degenerative bone conditions
  • Dislocated bone
  • Osteomyelitis

  Additional conditions under which the test may be performed:

  • Clubfoot
  • To detect foreign objects in the body
• What the risks are

  There is low-level radiation exposure. X-rays are monitored and regulated to provide the minimum amount of radiation exposure needed to produce the image. Most experts feel that the risk is low compared with the benefits.

  Pregnant women and children are more sensitive to the risks of an x-ray.

• References

  Rogers LF, Taljanovic MS, Boles CA. Skeletal trauma. In: Grainger RC, Allison D, Adam, Dixon AK, eds. Diagnostic Radiology: A Textbook of Medical Imaging. 5th ed. New York, NY: Churchill Livingstone; 2008:chap 46.

  Mettler FA. Introduction. In: Mettler FA, ed. Essentials of Radiology. 2nd ed. Philadelphia, Pa: Saunders Elsevier; 2005:chap 1.

Review Date: 11/16/2008

Reviewed By: Linda Vorvick, MD, Family Physician, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.