Arthrography.pptx

arthrography

1. Arthrography

2. It is the radiological examination that involves the study of joint space and related soft tissue structures by introduction of iodinated as well as negative contrast media.

3. Indications To access the status of cartilage, labrum and tendons To access for presence, type, extent, gap, and edges of torn capsular and pericapsular stuctures Assessment of the prosthesis Lesions or cyst

4. Contraindication: Hypersensitivity to contrast media Infection

5. Contrast media LOCM , 5-15ml depending on joint

6. Preliminary film Ap and lateral

7. Technique Patient lies supine on table. Using aseptic technique, the puncture site is anesthetized and the 21G Needle is inserted. small amount of test injection is given to ensure position of needle. Then contrast is given and spot films are taken. Patient can be sent for CT or MRI if necessary

8. Puncture sites for joints: For knee- puncture site 1-2cm posterior to patella For hip- puncture site below junction of femoral artery For shoulder- puncture site into glenohumeral joint For elbow- puncture site is proximal to radial head For ankle- puncture site is between 2 malleoli For wrist- puncture site is over midpoint of radiocarpal joint

9. Aftercare: Patient might feel discomfort for few days in the joint. Patient should be asked not to do hard works.

10. Complications: Trauma, pain Infection Bleeding, redness, swelling at the site of puncture.