When someone has an X-ray, radiation passes through their body. Radiation exposure is the main concern regarding X-rays. The researchers suggested that CT scans might be a more effective test if high clinical suspicion persists after no fracture is identified on the pelvic X-ray. In 2022, researchers studied the cases of 285 adults aged 18 years and older who were admitted to a level 1 trauma center from January 2010 through May 2019 with a severe blunt pelvic fracture.Īmong other findings, they discovered that pelvic fractures were missed in 15.8% of these individuals. In cases such as these, the radiologist or doctor may need more images.įurthermore, pelvic X-rays are not always accurate.

Likewise, it can be difficult to X-ray someone who is unable to position their body correctly due to a physical condition or extreme pain from an accident or fall. Several factors can affect the quality of the X-rays.įor instance, an X-ray technician may have trouble capturing clear images if the person does not understand that they must remain still, such as a young child or someone with dementia or delirium. Once the X-rays are complete, a radiologist will analyze the images and send a report to the referring doctor, who will then meet with the person to discuss the results and possible treatment options. Once the technician captures the required images, the person may get dressed and go back to their normal daily routine. They will return to reposition the person as needed. Once the person is properly positioned and covered, the technician will move behind a wall or to another room to operate the X-ray machine. This is to ensure they get the clearest images possible. They may also ask the person to hold their breath and be still while they perform the X-ray. The X-ray tech may provide a lead apron or blanket to help protect the person from radiation exposure in areas not being studied. Usually, this means lying in the supine position (face up) on an exam table, but the technician may want standing images as well. Once it is time to begin, the X-ray tech will help the person position themselves to get the best images. The X-ray may take place in a hospital’s radiology department or a radiology clinic. Accessed July 6, 2012.Radiologic technologists, also called X-ray technicians, perform pelvic X-rays. ACR Appropriateness Criteria: chronic hip pain. The advantages of MRI in the detection of occult hip fractures. Verbeeten KM, Hermann KL, Hasselqvist M, et al. A retrospective chart review of elderly patients who cannot weight bear following a hip injury but whose initial x rays are normal. Diagnostic imaging practice guidelines for musculoskeletal complaints in adults-an evidence-based approach.

Hip pain in the elderly: evaluation and diagnosis. How common is hip pain among older adults? Results from the Third National Health and Nutrition Examination Survey. Christmas C, Crespo CJ, Franckowiak SC, Bathon JM, Bartlett SJ, Andersen RE.

Xray images of normal male hips