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Basic Arthrographic Techniques
Jessica Sanchez, MD; Julia R. Crim, MD
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KEY FACTS

  • Preprocedure

    • Procedure

      • Outcomes

        TERMINOLOGY

        • Definitions

          • Arthrography: Imaging examination of joint
            • Contrast material injected to opacify/delineate joint
              • Agents include iodinated contrast, gadolinium, air
            • Imaging options
              • Fluoroscopy and radiography
              • CT
              • MR

        PREPROCEDURE

        • Indications

          • Contraindications

            • Getting Started

              PROCEDURE

              • Patient Position/Location

                • Equipment Preparation

                  • Procedure Steps

                    • Findings and Reporting

                      • Alternative Procedures/Therapies

                        OUTCOMES

                        • Problems

                          • Complications

                            • Expected Outcomes

                              Selected References

                              1. Foremny GB et al: Risk of bleeding associated with interventional musculoskeletal radiology procedures. A comprehensive review of the literature. Skeletal Radiol. 44(5):619-27, 2015
                              2. Bruins MJ et al: In vitro study of the antimicrobial effects of radiological contrast agents used in arthrography. J Bone Joint Surg Br. 93(1):126-30, 2011
                              3. Choudur HN et al: Ultrasound-guided gadolinium joint injections for magnetic resonance arthrography. J Clin Ultrasound. 39(1):6-11, 2011
                              4. Giaconi JC et al: Morbidity of direct MR arthrography. AJR Am J Roentgenol. 196(4):868-74, 2011
                              5. Donaldson JR et al: The relationship between the presence of metallosis and massive infection in metal-on-metal hip replacements. Hip Int. 20(2):242-7, 2010
                              6. Rutten MJ et al: Glenohumeral joint injection: a comparative study of ultrasound and fluoroscopically guided techniques before MR arthrography. Eur Radiol. 19(3):722-30, 2009
                              7. Saupe N et al: Pain and other side effects after MR arthrography: prospective evaluation in 1085 patients. Radiology. 250(3):830-8, 2009
                              8. Andreisek G et al: MR arthrography of the shoulder, hip, and wrist: evaluation of contrast dynamics and image quality with increasing injection-to-imaging time. AJR Am J Roentgenol. 188(4):1081-8, 2007
                              9. Buckwalter KA: CT arthrography. Clin Sports Med. 25(4):899-915, 2006
                              10. Morrison WB: Indirect MR arthrography: concepts and controversies. Semin Musculoskelet Radiol. 9(2):125-34, 2005
                              11. Elentuck D et al: Direct magnetic resonance arthrography. Eur Radiol. 14(11):1956-67, 2004
                              12. Schulte-Altedorneburg G et al: MR arthrography: pharmacology, efficacy and safety in clinical trials. Skeletal Radiol. 32(1):1-12, 2003
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Preprocedure

                                • Procedure

                                  • Outcomes

                                    TERMINOLOGY

                                    • Definitions

                                      • Arthrography: Imaging examination of joint
                                        • Contrast material injected to opacify/delineate joint
                                          • Agents include iodinated contrast, gadolinium, air
                                        • Imaging options
                                          • Fluoroscopy and radiography
                                          • CT
                                          • MR

                                    PREPROCEDURE

                                    • Indications

                                      • Contraindications

                                        • Getting Started

                                          PROCEDURE

                                          • Patient Position/Location

                                            • Equipment Preparation

                                              • Procedure Steps

                                                • Findings and Reporting

                                                  • Alternative Procedures/Therapies

                                                    OUTCOMES

                                                    • Problems

                                                      • Complications

                                                        • Expected Outcomes

                                                          Selected References

                                                          1. Foremny GB et al: Risk of bleeding associated with interventional musculoskeletal radiology procedures. A comprehensive review of the literature. Skeletal Radiol. 44(5):619-27, 2015
                                                          2. Bruins MJ et al: In vitro study of the antimicrobial effects of radiological contrast agents used in arthrography. J Bone Joint Surg Br. 93(1):126-30, 2011
                                                          3. Choudur HN et al: Ultrasound-guided gadolinium joint injections for magnetic resonance arthrography. J Clin Ultrasound. 39(1):6-11, 2011
                                                          4. Giaconi JC et al: Morbidity of direct MR arthrography. AJR Am J Roentgenol. 196(4):868-74, 2011
                                                          5. Donaldson JR et al: The relationship between the presence of metallosis and massive infection in metal-on-metal hip replacements. Hip Int. 20(2):242-7, 2010
                                                          6. Rutten MJ et al: Glenohumeral joint injection: a comparative study of ultrasound and fluoroscopically guided techniques before MR arthrography. Eur Radiol. 19(3):722-30, 2009
                                                          7. Saupe N et al: Pain and other side effects after MR arthrography: prospective evaluation in 1085 patients. Radiology. 250(3):830-8, 2009
                                                          8. Andreisek G et al: MR arthrography of the shoulder, hip, and wrist: evaluation of contrast dynamics and image quality with increasing injection-to-imaging time. AJR Am J Roentgenol. 188(4):1081-8, 2007
                                                          9. Buckwalter KA: CT arthrography. Clin Sports Med. 25(4):899-915, 2006
                                                          10. Morrison WB: Indirect MR arthrography: concepts and controversies. Semin Musculoskelet Radiol. 9(2):125-34, 2005
                                                          11. Elentuck D et al: Direct magnetic resonance arthrography. Eur Radiol. 14(11):1956-67, 2004
                                                          12. Schulte-Altedorneburg G et al: MR arthrography: pharmacology, efficacy and safety in clinical trials. Skeletal Radiol. 32(1):1-12, 2003