Arthrogram, Hip



Arthrogram, Hip





MATERIALS



  • Spinal needle, 20- or 22-gauge, 3.5-in. length (approximately).


  • Lidocaine 1%.


  • Syringes, 10 and 20 mL, with short extension tubing.


  • Saline, sterile nonbacteriostatic.


  • Nonionic contrast, 20 mL (approximately), Omnipaque 300 or 360 or equivalent.


Indications.

Suspected septic arthritis (for aspiration), trauma, loosening or infection of hip joint prosthesis, hip dysplasias, and some synovial disorders. Steroid injection for pain management.


Consent.

Risk of procedure is mainly due to possible allergy to contrast or local anesthetic. Bleeding or introducing infection is a remote possibility.


Scout Films.

Anteroposterior (AP) and lateral views of hip.






Figure 54-1. Landmarks for needle placement in hip arthrography.







Figure 54-2. Anatomy of hip joint capsule. A: Coronal section and (B)

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Jun 12, 2016 | Posted by in GENERAL RADIOLOGY | Comments Off on Arthrogram, Hip

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