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Hand X-Ray - Procedure and Uses

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A diagnostic examination called a hand X-Ray is performed to look for fractures, cancers, foreign objects, or degenerative disorders of the hand.

Written by

Dr. Kinjal Shah

Medically reviewed by

Dr. Kaushal Bhavsar

Published At August 16, 2023
Reviewed AtAugust 16, 2023

Introduction

X-rays use external radiation to create pictures of the hand for diagnostic purposes. X-rays penetrate bodily tissues and land on specially prepared plates (similar to camera film). It creates a " negative " visual (the more solid a structure is, the whiter it appears on the film). X-rays can also be created using digital media and computers instead of film. Invisible electromagnetic energy beams are used in hand X-rays to create pictures of the surrounding soft tissues and bones. Standard X-rays are used to diagnose a variety of conditions, such as tumors, infections, foreign objects, and bone injuries. This diagnostic tool can assist the physician in identifying and comprehending injuries or degenerative conditions that affect one or both hands. X-rays of the hands can be used by the doctor to track the development of bone in the hands.

What Is a Hand X-Ray?

Electromagnetic waves are the type of radiation that is used in X-rays. These waves visualize the internal structure of the body. The earliest kind of medical imaging still in use today is the X-ray. X-rays were initially used to photograph human tissue in 1896 after being discovered in 1895. X-rays are also the most commonly used type of imaging.

A hand X-ray (radiograph) is a test that creates a picture of the inside of the hand. The picture shows the hand's inner structure (anatomy) in black and white. Calcium in the bones absorbs more radiation, so the bones appear white on the X-ray. Soft tissues, such as muscle, fat, and organs, absorb less radiation, appearing in different shades of gray. Medical professionals use hand X-rays to identify and treat issues in the hand.

How Is a Hand X-Ray Procedure Performed?

  1. Preparation: The patient must remove any jewelry or metal objects from their hands, wrists, or arms before the procedure since they may obstruct the X-ray pictures. The patient must also wear a hospital gown or other non-metal clothes. The patient can be given a lead apron in the X-ray room to shield their reproductive organs from radiation. Even though the X-ray facility is frigid, the entire procedure often only takes five to ten minutes.

  2. Positioning: The patient will be instructed to place their hand, palm down, on a table or other flat surface. The technician will next arrange the patient's hand, the X-ray equipment, and themselves such that the hand is completely extended and placed. The patient can turn the hand and hold it in different postures to take pictures from different perspectives. The patient can be asked to hold sandbags or other objects to demonstrate how the region under study appears underweight. There will be two or three shots from each perspective.

  3. Image Capture: After the patient is properly positioned, the technician will walk behind a shield and ask them to hold still while they take the X-ray pictures. A small quantity of radiation from the X-ray equipment will be emitted; this radiation will travel through the hand and produce a picture on a particular film or digital detector.

The process usually does not hurt and simply takes a few minutes to finish. A radiologist or doctor will analyze the pictures once they have been taken and give the patient a diagnosis.

What Can One Predict Following a Hand X-Ray?

The radiologic technicians might ask to wait a little while after the hand X-ray, so they can quickly review the results. Before letting the patient depart, they want to ensure that none of the pictures are hazy. They will take new pictures if any of the old ones are blurry.

After that, a physician known as a radiologist will examine the pictures. Radiologists are educated in the analysis and interpretation of X-ray images. The radiologist will provide the healthcare provider with the findings after reviewing them. The healthcare professional will review the results and suggest the best course of action.

What Does an Abnormal Result Mean?

Unusual outcomes might be:

  1. Fractures.

  2. Bone cancer.

  3. Bones that are deteriorating.

  4. Osteomyelitis (inflammation of the bone induced by an infection) (inflammation of the bone caused by an infection).

What Are the Indications of a Hand X-Ray?

Doctors can identify the source of discomfort, soreness, swelling, and deformity using a hand X-ray. Broken bones or dislocated joints may also be visible. An X-ray may determine if the bones are aligned and whether they have healed adequately after a fractured bone has been set. An X-ray can assist surgeons in planning surgery when needed and verifying the results. It can also assist in detecting cysts, later-stage infections, tumors, and other disorders in the bones. A bone age study, which enables medical professionals to identify conditions that interfere with healthy growth, may also include taking an X-ray of the hand.

What Are the Risks of Hand X-Rays?

  1. Radiation Exposure: X-rays make pictures using a small amount of ionizing radiation, which can be dangerous in high doses. A hand X-ray uses a very small quantity of radiation. Thus, there is little chance that it will have any unfavorable consequences. The radiation dosage from a hand X-ray is about similar to the radiation the surroundings expose to over the course of a few days.

  2. Painful: To obtain the required pictures during the process, the technologist may have to place the hand in an uncomfortable or awkward posture. Any soreness, though, is often mild and transient.

  3. Pregnancy: If possible, pregnant women should avoid getting X-rays, particularly hand X-rays, as radiation might potentially damage the fetus. The quantity of radiation exposure to the fetus will be reduced if a pregnant lady needs a hand X-ray by the doctor.

Before obtaining a hand X-ray, it is crucial to clarify any worries or inquiries they may have with a doctor. The advantages of the operation often outweigh any minor dangers in general.

Conclusion

A low-risk diagnostic tool is a hand X-ray. The doctor can use them to identify or track hand issues, such as injuries, degenerative conditions, or abnormal bone development. The doctor will offer a suggested course of action after correctly diagnosing the problem. Inquire further about the unique ailment, the proposed course of action, and the expected outcome.

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Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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