X-ray procedure of straight wrist joint

The article is professionally consulted by MSc, BS. Dang Manh Cuong - Radiologist - Radiology Department - Vinmec Central Park International General Hospital. The doctor has over 18 years of experience in the field of ultrasound - diagnostic imaging.

X-ray of the wrist joint is indicated in cases where the patient has long-term unexplained pain and discomfort at the wrist joint. X-ray images of the joints help doctors evaluate and determine treatment requirements.

X-ray of the wrist joint is an imaging technique that helps doctors diagnose cases of suspected injury at the wrist joint. X-rays pass through the part of the body to be examined and record images in a straight - inclined direction of the internal organs of the body.
X-ray of the wrist joint using an X-ray machine with an enhanced fluorescence screen and an iodine-containing contrast agent. At that time, with the bright fluorescent screen, the doctor can see the movements of the internal organs. Iodine-containing contrast material, after being injected into the joint, will display more clearly, making it easier for the doctor to see the structures and activities of the joints to diagnose the disease more accurately.

2.1 What does the patient need to prepare? Before taking X-ray of the straight wrist joint, the patient does not need to prepare anything before the scan.
Patients should inform the doctor about their current health status. If the patient is using the drug, it is necessary to inform the doctor immediately to avoid an allergic reaction to iodinated contrast agents. Patients may have to change into hospital clothes at the request of the doctor. Remove jewelry or carry metal objects because they can affect the shooting technique. If you suspect you are pregnant, tell your doctor because radiation can affect the fetus, causing malformations. In case of necessity, it is imperative to conduct X-ray, the doctor must take some safety protection measures, to help minimize radiation effects to the fetus.

2.2 The X-ray procedure of the straight-tilt wrist joint The X-ray procedure of the straight-tilt wrist joint is done quickly and results in diagnostic imaging by a doctor with experience and expertise:
The doctor recognizes Order sheet of X-ray from the patient. Determine and compare the location to be taken with the clinical diagnosis. The patient is invited to the X-ray room. The doctor explains the procedure that will take place here so that the patient can understand. The technician adjusts the bracket, the ball is 1m away from the bracket. Adjust technical factors (43 - 45kv, 1.2mAs). The patient was instructed to sit next to the X-ray table. Take before the straightness and tilt of the joint to compare with the image after the iodinated contrast agent has been injected. Disinfect the skin around the patient's joints. Looking at the previous scan results on the screen, the doctor injects iodinated contrast material into the joint space to be investigated. At this point, the patient may feel his or her joints are tense. After the injection is complete, the doctor will ask the patient to move the joint gently so that the contrast agent is spread evenly in the joint. Perform radiographs with straight and inclined directions, similar to baseline. After taking the picture, the patient was directed to the waiting room to get the results. Adjust the contrast, check the balance on the film. Print film and compare with satisfactory film standards. The scan takes about 30 minutes. 2.3 Evaluation of results The position of the wrist joint is in the middle of the film in the straight - inclined position. X-ray quality: Clear, high contrast. X-ray film with full name, mark (F) (T) and date of patient's scan. A qualified doctor reads the lesions displayed on the computer and prints the scan results. The doctor can advise the patient if required. 2.4 Possible complications X-ray of the straight wrist joint is less prone to complications.
Because the iodinated contrast agent is injected into the joint, allergic reactions are very rare. After the survey, the joint site may be mildly painful. At this time, the patient can apply cold compresses to relieve pain. However, if this condition persists, the patient should immediately notify the doctor for timely remedy. Patients should refrain from vigorous exercise for 24 hours after the scan.

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