X-ray of the hip joint

X-ray of the hip joints to a newborn child: is it harmful?

Everyone familiar X-ray room cabinet Problems with the musculoskeletal system are of interest to many scientists and doctors.

Bone-joint and muscular system in children have their own characteristics. For children of an earlier age is characterized by the presence of predominantly cartilaginous tissue, rather than bone.

Because of this, they often show dislocations and subluxations, rather than fractures. This is most clearly seen in children with congenital dysplasia of the hip joint.


Hip dysplasia: symptoms of

Hip dysplasia is commonly referred to as a condition in which there is a certain underdevelopment of the tissues that form the hip joint. Usually dysplasia is considered the initial stage of a dislocation or pre-preening of the hip joint. If you do not help the child in the early stages after the development of the uterus, the risk of disability of the baby increases significantly.

This problem is quite common. According to statistics, dysplasia of the hip joint is present in almost every fourth child, but immediately after birth, spontaneous correction of the dislocated femoral head occurs, and the limb develops normally, without any pathology.


Compare a healthy and sore joint Hip dysplasia involves a mismatch of articular surfaces. It most often develops when, when in the womb of the mother, the baby's legs are brought together( this usually manifests itself in a pelvic presentation of the fetus with the legs crossed).Because of this, the articular surfaces( acetabulum and head of the femur) do not develop in close contact with each other. Even in the norm the hip joint of the child is extremely unstable. This instability is due to the fact that during childbirth for the correct birth of a baby, it is necessary to give him the most advantageous position. This is important for the normal passage of all the limbs of the fetus through the crotch of the mother, so as not to cause a rupture of the vagina. For this purpose, the kid's organism provides for the inferior development of most joints and fontanelles.

With dysplasia of the hip joint, the late development of ossification points is observed. The nuclei are inferior in size to normal, they begin to be visualized on the roentgen much later, and the process of their ossification is prolonged. Visually, with subluxation or dislocation, one can observe a vertical lateral displacement of the ossification nuclei relative to their normal position. Normally, ossification nuclei are observed in girls at about the age of 4 months, and in boys at 6. In some cases, the nuclei may begin to ossify in a later period( in the region of the year).Based on this, it is possible to suspect hereditary metabolic diseases associated with a violation of the metabolism of calcium and other ions in the blood. Congenital dislocation of the limbs can easily be diagnosed in such a situation.

During the birth of a child, development of a dislocation or subluxation is possible. They develop because the almost completely hip joint is made with a cartilaginous tissue, and the congruence of the articular surfaces is not high.

The head of the femur is excessively large and does not correspond to the size of the acetabulum. The ligamentous apparatus in this region does not possess elasticity, it is easily amenable to displacement and extension. Because of this, the head of the femur can easily leave its articular bed and move to the side, which contributes to the development of dislocation. In very rare cases, dislocation can lead to rupture of the hip tissue, resulting in emergency surgical care.

If in the first days of a child's life not to take the necessary measures, the dislocation can be established. This will contribute to the development of the point of ossification in the head of the femur( normally it begins to ossify at the age of 2-3 months), an increase in muscle traction( due to the gluteal muscles that pull up the limb upwards).In this case, a decrease in the relative length of the limb will be observed, and lameness will appear by the year.

With further walking, it is possible to move the femur to the front of the pelvic bone, where the thigh receives a new fulcrum, and walking is further disturbed. If you do not provide assistance and at this stage the child faces a disability and a complete loss of the ability to go straight.


Where to make an x-ray of the hip joint

Modern equipment causes minimal harm to the patient This problem is dealt with not only by pediatric orthopedists, but also by traumatologists, pediatricians, radiologists. In any private clinic or public hospital, where there is the necessary equipment, you can make an x-ray picture of dysplasia of the hip joints.

In order to prevent the development of the disease, it is necessary to conduct a thorough diagnosis at early stages of the baby's life. It should be composed of general examination data, and also include information obtained from various instrumental studies.

Checking the angle of the newborn In the first months of life to establish the presence of hip dysplasia or dislocation is difficult. This is due to the fact that the child is not walking yet, his muscles are slightly atrophied, which creates the appearance of a normal limb and does not give a visual definition of the length of the limb. The only symptom that can indicate the presence of a dysplasia of the hip joints is the "click symptom".It is characterized by the appearance of a specific sound in the direction of the dislocated limb( in addition, for the disease of dysplasia of the hip joints, a fairly easy and free dislocation of the femoral head and its reverse reposition are characteristic).Frequent adjustment and displacement of the head of the bone can lead to a kind of "joint failure", in which the hip will be able to spontaneously correct and dislocate without the use of large forces. However, this condition occurs in children over the age of the year, in which the capsule and ligaments have already become elastic, and they have contributed to an additional displacement due to their structure.

At the first attempts of the child to crawl and walk this pathology is already easier to determine. Visually, the presence of a dislocation or subluxation can already be determined by a shift in the symmetry of the skin folds. You can already see the discrepancy of the limbs in the length( relative shortening).In the diagnosis, an attempt to dilute the baby's legs can also help. If you pay attention to the legs of the baby during his sleep, you can determine the symptom of the external rotation of the thigh( in the dream, the limb muscles relax, which causes the leg to assume a position that slightly turns outward).Normally, if you take your hips to the newborn, they should lie on the surface of the table. In a more adult child( up to a year), the norm should be about 60 degrees. If from any side it is less than the norm, then it is necessary to suspect the pathology of the joint.


X-ray of the hip joint: preparation of the infant and older

However, despite the above symptoms, the advantage of diagnosing dysplasia still belongs to X-ray methods. It is they that make it possible to establish a diagnosis of dysplasia or dislocation with an accuracy of about 70%.

Parents often have a question - is it possible to hold a kid with a radiograph of the joints? Is it harmful for the body?

The answer to this question is twofold. On the one hand, it is harmful. Any radiological load on the children's body is extremely unpleasant and can lead to the development of hematological pathology or cancer problems. On the other hand, with competent dosing of radiation, it is possible to detect, with little or no harm to the baby, the problems with the musculoskeletal system available to him( but not the fact that even such a minimum dose of rays will not affect the baby in the future).For infants, especially younger than 3 months, it is desirable to abandon the X-ray study and give preference to ultrasound. As he grows up( up to a year), the child is already allowed to perform an X-ray examination, but only after careful monitoring of the dose of incoming radiation.

It is recommended to use ultrasound to determine the pathology of the joints. From year to year they switch to X-ray diagnostic methods.


Hip Dysplasia: X-ray of the

The screening test confirmed the diagnosis of the baby First of all, it is necessary to pay attention to the position of the child. Normally, a picture of the hip joint should be carried out in the lying position of the baby with the legs straight and extended along the legs. In no case can the limbs be bent in the hip joints, as this will create the prerequisites for a false diagnosis of dysplasia. Another nuance that often manifests itself during the decoding of pictures is the ability to correctly distinguish the pathological location of articular surfaces from the lower limit of the norm.

In newborns, the x-ray of the hip joint is performed in a recumbent position, but with the legs brought to the body and some internal rotation. Taz of the kid at the same time should fit snugly to the cassette so that there are no errors during the recording of the picture. Sexual organs of children should be protected with a special lead apron or plate to prevent damage to the gonads and the development of subsequent infertility or pathology of the reproductive system and hormonal background. It is extremely important to keep the baby during the procedure of an X-ray, as there is not much which child will lie still and wait until the doctors do everything they need. Therefore, to prevent excessive mobility and activity of the baby, it is recommended to put him to sleep before the X-ray procedure, or simply talk calmly with him, sing so that the kid does not get scared and starts moving legs and handles.

Special attention is paid to the main articular structures, such as the acetabulum, the ratio of the head of the femur and the cavity itself, when decoding the image.

Scheme of norm and deviation of the development of the pelvic joint

Diagram of the norm and deviation of the development of the pelvic joint

In order to fully appreciate them, it is recommended to do x-rays in several projections. Everything is complicated by the fact that when creating several pictures, the dose of radiation is significantly increased, because of this it is necessary to immediately put the baby right and prevent his movements, since the repeated snapshot will be extremely dangerous.


X-ray: an example of the diagnostic features of

When carrying out the X-ray procedure, one should keep in mind some features. First of all, that the children in the joints are dominated by the cartilage, and because of this it is not possible to fully visualize the entire joint cavity. For this, certain schemes for the X-ray procedure are being used.

After carrying out the radiography it is extremely important to correctly interpret the main indications. For their interpretation, a special Hilgenreiner's scheme is used. It analyzes the main parameters of the joint in the baby, such as the acetabular angle, the distance from the Hilgenrainer line to the metaphyseal plates( h) and the bottom of the vestibular cavity to h( the value of d).

The acetabular angle is defined between two parallels - a line drawn through the ipsilone-shaped cartilage, and a tangent through the edges of the articular cavities. Normally, this angle in children under 3 months is approximately 30 degrees and, with time( or more precisely, by the year) decreases to 20.

Verification scheme - visual aid The value of h is determined from the horizontal line of the Hilgenrainer to the middle of the metaphyseal plate of the proximal femur. This indicator indicates the displacement of the head of the femur with respect to the acetabulum. Normally, this value is determined on the right and left, while it occupies a span of 9 to 12 cm. Decrease in the indicator or its differences on the right and on the left is the presence of pathology.

The interval from the bottom of the acetabulum to h indicates a lateral displacement of the femoral head relative to the cavity. This figure is equal to both sides and is normally about 15 mm.

The advantage of this scheme is that it gives an idea of ​​the volumetric projection of the joint and allows one to suspect the presence of even the smallest changes in the early stages of the disease. Scheme Hilgenreinera was widely adopted and recognized due to its uniqueness and reliability of interpretation of images.

For more reliable diagnosis, use auxiliary lines. These lines include the lines of Shenton and Calvet. The Shenton line is held as an extension of the acetabulum circle to the medial surface of the femoral neck. This line is broken at the lateral-proximal displacement of the thigh. The Calvet line connects the outer edge of the ilium and the upper edge of the neck of the thigh. With subluxation or dislocation, this arc is interrupted, which allows one to suspect a violation of the integrity of the joint.


Other x-ray charts

Comparison of the healthy and aching pelvic joint

Comparison of the healthy and aching joint of the pelvis

The following regimens have also become common in the diagnosis of hip dysplasia:

  1. Scheme of Rheinberg. To use it on an X-ray, several lines are drawn: line A, drawn horizontally through the tips of the Y-shaped cartilages and through centers of ossification points in the thighs;A vertical line B is drawn through the supra-lateral protrusion of the acetabulum. In addition, the median sacral line is drawn. The evaluation of the state according to this scheme is carried out in the following way: first of all, the distance between the midline and the line B is estimated. On the basis of the distance between them, a minor line B1 is drawn from the parallel side of the body. When unilateral dislocation, line B is carried out from the side of a healthy limb, and only after that - with the affected one. In the presence of congenital dislocation of the femur, the proximal end of the femur is located above the A line and is located outside of the line B. In addition, such an identification mark as the lower edge of the femoral neck is used. Its contour should normally cross the lower contour of the inguinal bone( its horizontal branch) and make the right line( the Shenton line).
  2. Scheme of Ombredan. A snapshot for the evaluation under this scheme is carried out somewhat vertically. In the image, a horizontal line is visually drawn through the synostosis between the iliac and pubic bone. Vertically perpendicular, which is lowered to the outer edge of the acetabulum. Normally this perpendicular visually divides the joint cavity into 4 quadrants. In each of the quadrants, its components are evaluated( in the lower inner quadrant, the nuclei of ossification of the femoral bone heads should normally be projected).With subluxation, this nucleus is located in the outer lower quadrant, and when dislocated - in the outer upper quadrant.

Other methods of diagnosis

If during the X-ray diagnostics there are no proper results of the study or there is no possibility to fully assess the condition of the joint, it is recommended to resort to CT computed tomography. This method is more informative than conventional radiography, as it allows to more accurately assess the condition of articular surfaces.

Severe abnormality of pelvic development During the procedure, the bone structures are more contrasted and saturated, which, however, is also a minus - it is difficult to mark the border of normal cartilage and not to confuse it with an enlarged articular gap.

If computed tomography does not help, it's best to use arthrography. The method is specifically aimed at the study of joints( in particular articular surfaces and joint space).The method of reliability is on par with the radiography. A full evaluation of the joint, its mechanics allows even to predict the further development of the disease and determine the need for subsequent replacement operations.

Based on X-ray diagnosis, it becomes possible to determine the further treatment plan for the baby. If the deviations from the norm are insignificant, the condition can be corrected by tightly swaddling the child and wearing special structures( for example, Pavlik's stirrups).If the changes are significant, more severe methods of correcting the position of the limbs in the joint may be required( gypsum, board with extension).

In no case should you try to find out inconsistencies of the legs of the baby to fix everything yourself, without consulting a doctor, since you can make a child disabled for the rest of your life.


X-ray diagnostics: contraindications

There are some contraindications for X-ray diagnostics. First of all, it should be noted the problems with the immune system. Immunodeficiency, backed up by X-rays, can contribute to changes in the bone marrow, after which, when curing dysplasia and dislocation of the hip joint, it is necessary to contact hematologists.

Another contraindication to the procedure of X-rays is the predisposition of the baby to oncology( to be precise, then radiation sickness).

Caution should be given to X-rays for children with severe metabolic defects, with poor tissue supply, with obvious atrophy, with already existing problems with bones( juvenile idiopathic osteoporosis).

If possible, it is better to abandon the procedure of X-rays - after all, it's a kid whose organism is extremely susceptible to the effects of X-rays. Do not spoil his health by this method. Agree to it or not - it's up to you, but not always the harm obtained as a result of irradiation, is worth the healing of an innate dislocation.

Based on everything that was said above, it can be understood that X-ray diagnostics for dysplasia of hip joints in children is an almost indispensable method of investigation. Despite all its harmfulness, only an x-ray can give a complete picture of what is happening in the joint and help in determining the treatment. Undoubtedly, it is important and proper styling of the baby, contact during its implementation of the baby with his mother. The main thing is the correct dosage of the radiation dose and the competent arrangement of the baby under the X-ray, and then you can forget about problems with the hip joints forever.

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X-ray of the hip

x-ray of the hip joint

Despite the fact that many different diagnostic methods have already been invented, the hip of the hip joint is still a popular study. It has its drawbacks and advantages, but in some cases it is simply impossible to do without it.

What does X-ray of the hip joint show?

Qualitatively made and correctly deciphered snapshot can give a lot of useful information and detect:

  • dislocations;
  • dysplasia;
  • congenital pathology;
  • inflammatory processes;
  • good and malignant neoplasms;
  • fractures;
  • rheumatoid or nonspecific arthritis;
  • infectious lesions;
  • abnormal tissue proliferation;
  • necrosis of the head of the hip;
  • Osteoporosis.

In coxarthrosis, for example, a hip joint X-ray may be the only study capable of confirming a reliable diagnosis. Because only this procedure is able to visually demonstrate an important feature - the destruction of tissues.

The x-ray of the hip joint is prescribed not only for dislocations or fractures. Indications for the procedure are also soreness, discomfort or limited mobility. In addition, the pictures should be taken during the treatment - in order to monitor its effectiveness.

How do x-rays of the hip joint?

The procedure goes pretty quickly. All that a patient needs is to undress and take a sedentary, and more often lying position in a separate booth. With the help of special equipment, ionized radiation purposely passes through the area of ​​the joint.

The patient does not feel any pain or discomfort during the examination. The most unpleasant thing you can face is a cold couch and the need to touch the naked body with it.

No special preparation of the x-ray of the hip joint is required. In rare cases, the patient needs to empty the intestines, so that the picture does not have false omissions. But basically this is not the problem.

x-ray of the hip joint preparation

Advantages and disadvantages of X-ray of the hip joint

Although radiography is considered an ancient and quite affordable method, it remains one of the most informative. In addition, you can refer to different specialists if necessary.

But there are procedures and their shortcomings. Firstly, during it occurs, albeit small, but irradiation. Secondly, the X-ray is not able to see all the diseases. Therefore, before the examination it is important to make sure of its expediency.

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There are cases when the radiograph is not informative. First of all, it is tendonitis, bursitis, and also stretching of muscles.

Although x-ray of the hip joint in most cases is applicable to adults, children can also be examined. In this case, specialists take into account the following nuance: in infants, most of the head of the femur and acetabulum consists of cartilaginous tissue. It is worse visualized. To read the picture with maximum accuracy, the doctor resorts to additional schemes, for example, Perkin.

X-ray of the femoral joint

No special preparation is required for the procedure. Usually the study takes about 10-20 minutes. X-ray of the femoral joint has such advantages:

  • low cost in comparison with MRI and CT;
  • method availability;
  • the ability to track the dynamics of the development of pathology and the effectiveness of treatment.

If a child is diagnosed with hip dysplasia, remember that before the age of three months, radiography is not assigned. In this case, select an alternative method, for example, ultrasound.

How is the procedure performed?

For both adults and children, a prescription is prescribed with clear indications. Before the diagnosis, you may need to clean the intestines, the nurse will warn you in advance. Most often, the radiologist technician makes several projections, eventually obtaining up to 4 pictures from several sides.

Immediately before the X-ray, you need to remove jewelry, metal objects. Their presence distorts the image. A nurse may ask to take off her clothes.

When pregnant, X-rays are not prescribed. If the need for research exceeds the potential hazard to the fetus, radiation diagnosis is carried out with special precautions.

Prices for X-ray of the hip joint

Modern devices differ in the highest possible accuracy and small doses of radiation exposure. The equipment of the expert class is used mainly in private institutions in which the price of X-rays varies within the limits of 500-5000 rubles. The cost of the service depends on additional procedures, for example, densitometry. When deciding where to make an x-ray of the hip joints, pay attention to:

  • the status of the medical institution;
  • availability of modern equipment;
  • real patient feedback.

To make an X-ray, to receive the conclusion and the scheme of treatment it is possible in the "Open clinic" on Kutuzovsky. Specialists read not only standard, but also complex pictures. Depending on the problem, the most effective and sparing therapy is selected.

ldck.ru

X-ray of the hip joints

Radiography ( roentgenography) - examination of the internal structure of the body through X-rays. These rays, passed through a specific area of ​​the body, are displayed on the projection image. The degree of X-ray attenuation is recorded in the photograph.

Radiography until today remains one of the main and available methods for diagnosing many pathologies of the human skeleton. X-ray analysis of the hip joints is performed with fractures and dislocations( congenital and acquired), in the diagnosis of tumors, metastases, inflammations, and pathologies of bone tissue( necrosis of the head of the femur, osteoporosis, etc.), in pathologies of cartilage tissue and other joint diseases( coxarthrosis, osteochondrosis, etc.).X-rays of the joints are not required for bursitis, muscle stretches or tendinitis.

X-rays in the diagnosis of hip joint pathologies in infants and young children have their own characteristics. The main difference between diagnostics of children is that most of the head of the femur and the acetabulum consists of cartilaginous tissue, which is less discernible in the pictures. For reading such pictures, auxiliary schemes( lines of Perkin, Hilgenreiner, etc.) are used.

As for hip joint disease, X-rays are ineffective in the early diagnosis of osteoporosis. Talk about the diagnosis of "osteoporosis" can be with the loss of bone tissue 20-40% or more. And this is not an early diagnosis. But the X-ray is very informative for fractures, dislocations and pronounced pathologies of bones and joints, disorders in which the structure of the joint changes. On X-ray images, the degree of articulation of the joint elements, the size of the cartilage, the changes in the shape of the acetabulum, the head of the femur, the neck of the femur, etc. can be recorded.

Advantages of radiography

  • Method availability;
  • Relatively low cost of the procedure;
  • Other specialists can get acquainted with the pictures, and also the dynamics of treatment can be monitored by a series of images( in contrast to ultrasound, etc.);

Disadvantages of radiography

  • "Static" of the image - it is difficult to assess the functional characteristics of joints and tissues;
  • Ionizing radiation is a harmful effect of radiation on the body;
  • "Summary" of the image - in some cases the area under investigation can be obscured by other tissues, it is impossible to examine the individual layers of tissues by the x-ray;
  • Radiography is not suitable for studying soft tissues without contrast agents.

Procedure

Joint X-rays are performed only if there is a clear clinical indication. Usually, several projections are made from different sides( two or more pictures).The x-ray of the hip joint may require special training, in the form of a cleansing enema. This will avoid obscuring the contents of the intestine. During the procedure, a person lies. Radiography is performed fairly quickly, the procedure itself is absolutely painless. Contraindication is pregnancy and the presence of metal elements in the study area.

trauma.ru

X-ray of the joints. Hip, knee, shoulder, ankle, elbow

Classic X-ray is widely used for diagnostic purposes, this is one of the most common and accurate methods of examination. It is absolutely irreplaceable in the diagnosis of pathological processes in the joints. X-ray of the joints is used both to establish the nature of the pathology, and to control the course of treatment.

X-ray features of joints: preparation, holding and what shows

Joint X-rays are often prescribed for suspected trauma - dislocation, sprain, fracture or fracture, ligament rupture or tendon rupture. But the trauma is not the only indication for this type of examination. Roentgen joints can detect changes in the structure of tissues, detect tumors, cysts, inflammation and deformities, reveal arthrosis or arthritis. Diseases such as osteoporosis and osteophyte are also most often detected by X-ray. A relative contraindication to x-rays of joints is pregnancy, as well as some mental illnesses that do not allow a person to remain immobile during the examination.

No special preparation of X-ray joints requires , for the patient this is a quick, simple and absolutely painless process. The patient is placed on a special table, the inguinal area is covered with a lead apron to protect from radiation. Children are also protected by the thyroid gland and eyes, and the babies are completely covered with an apron, leaving only the limb being examined. Then the doctor takes a picture of the joint, sometimes - in several projections. At this time, you must observe the stillness so that the pictures are clear. All the examination takes a few minutes.

If the picture was taken correctly, then the condition of the tissues will be very clearly visible on it. The key to successful examination of is a modern device, the experience of a doctor who makes and deciphers a snapshot, as well as the correct fulfillment of the doctor's instructions by the patient himself. If during the session the subject did not follow the requirements of the radiologist and moved, the picture will be spoiled. Sometimes the problem becomes excess weight - fat cells distort x-ray radiation and the picture may turn out to be fuzzy. It is also important to choose the right projection - for some injuries and diseases it is better to take a picture in a direct projection, for others - in the side, it is also possible to combine several options to get the most complete picture.

Often in the process of therapy, a doctor prescribes x-rays of the joints very often, and many patients become worried - but will not it damage the health? How often can X-rays be made? In fact, the harm from irradiation during the survey is minimal. Especially if the doctor uses the device of the last generation. The dose of radiation is extremely small and comparable to the amounts of natural radiation from the TV or flights on the airplane. For example, with the x-ray of the knee, the effective dose is 0.001 mZt - about the same amount we get in a natural way for one day.

What does the X-ray of the joint show? There's no point in trying to figure it out yourself by searching for information on the Internet. In order to learn how to decode pictures and notice pathologies, doctors have been studying at universities for many years and are improving their knowledge all their lives. That is why it is so important to find a really good and experienced radiologist.

By the way: Scientists from the United States have proposed a method of identifying a person from an x-ray image of the knee joint. The knee joint is unique - like a fingerprint or retina. The method is still imperfect and requires improvements, but many experts recognize it as promising.

Ankle joint

This joint takes on a very heavy load - in fact, this is the foundation of our entire body. Therefore, the diseases of the ankle joint are not uncommon. X-ray of the ankle joint is necessary for the diagnosis of arthritis and arthrosis, trauma, inflammation in the joint bag. Usually for diagnosis, x-ray of the joint is prescribed in three projections. In the most difficult cases, the doctor may issue a referral to CT to check the condition of the bones, or on MRI for a more accurate assessment of soft tissue.

Knee joint

Roentgen of the knee joint is prescribed for injuries - for example, suspected fracture, rupture of a meniscus or dislocation, as well as for the detection of arthrosis, arthritis, osteoporosis and other diseases. This type of research allows you to examine not only the joint itself, but also the area of ​​the fibular, femoral and tibia.

Hip joint

Hip X-ray helps diagnose deforming arthrosis, arthritis, aseptic necrosis of the femoral head, hip fracture, neoplasms, pathological changes in bone tissues and various injuries. To ensure that the picture was not superfluous due to overcrowded intestines, before the x-ray of the hip joint, you can make a cleansing enema or take a soft laxative before the examination.

Elbow joint

Injuries to the elbow often occur, especially at the risk of athletes, for example, tennis players. Widespread and bursitis of the elbow joint - inflammation of the synovial bag. X-ray of the elbow joint in traumatology is prescribed for suspected fractures of the shoulder, radius and elbow bone, and dislocation of the forearm bones.

Shoulder joint

X-ray of the shoulder joint is prescribed for dislocations and fractures, humeropathy periarthritis, neoplasms, inflammatory processes in the surrounding tissues, arthritis, arthrosis, necrosis of the shoulder heads, tendinitis and other diseases. In addition to the shoulder joint on the X-ray image of this region, clavicles and scapula are visible, which also makes it possible to assess the state of these structures.

Temporomandibular joint

Like any joint, the temporomandibular is susceptible to diseases such as arthritis, and the method of radiography can detect them. The x-ray of the temporomandibular joint is also prescribed for inflammatory processes and injuries.

Today, there are many different methods of examining joints, and X-rays - one of the most informative. Despite the fact that it began to be used for diagnosis as far back as the 19th century, it is not outdated. Modern devices have little in common with equipment 20 years ago - they are safe and allow you to take pictures of very good quality. Radiography is one of the fastest and cheapest methods of diagnosis, and at the same time its informativeness can not be overestimated.

The cost of X-ray diagnosis of joints

Compared with such diagnostic methods as MRI and CT, the price of joint X-rays is low. Even in good private clinics, it rarely exceeds 3000 rubles, the average cost is about 2000 rubles. For a small additional fee - about 400-500 rubles - the result of the survey you will write to the disk.

Where can I get X-rays of joints?

X-ray of joints can be done both in the state polyclinic and in a private medical center. Of course, the cost of radiography in a paid outpatient clinic will be slightly higher, but this option has a number of advantages - you do not have to sit in line or take time off for a survey because the X-ray room is working at inconvenient hours for you. In addition, due to a lack of funding, out-of-date equipment is still used in public hospitals, while private clinics often have more modern and safe equipment.

For example, in the laboratory "INVITRO" installed a modern General Electric Brivo DR-F, released last year. It gives you the opportunity to magnify the pictures 10 times, and this helps the doctor to examine the condition of the joint in all the smallest details and make an accurate diagnosis. In addition, the radiation load during examination on this device is 30% lower than when tested on an outdated technique. It should also be mentioned that the cost of X-rays of joints in "IINVITRO" is lower than in most private clinics, it includes both the examination itself and primary consultation, diagnosis and medical conclusion. You will receive the survey results on the same day.

PersonsMinistry of Health of the Moscow Region No. LO-50-01-006731 dated June 17, 2015. Contraindications are possible. Talk to your doctor.

Thursday, 08/20/2015 15: 28: 10 Opinion of the editorial board

Despite the fact that the X-ray is a relatively safe method of diagnosis, it is usually not prescribed to children, especially infants up to three months. At such a tender age, X-rays are poorly informative, since in newborns some parts of bone structures are not made of bone, but of cartilaginous tissue, which is poorly seen on X-rays. In any case, the X-rays of the joints are prescribed with caution.

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