Hip anesthetic arthrogram injection (fluoroscopic guided)

Case contributed by Dai Roberts
Diagnosis not applicable

Presentation

For image-guided anesthetic arthrogram steroid injection.

Patient Data

Age: 50 years
Gender: Female

Injection of contrast

Fluoroscopy

Injection of iodinated contrast through a 22G Quincke needle, shows the needle is in an intra-articular position.

Post injectate

Fluoroscopy

The hip joint is distended with injecate. The needle is still in situ. 

Case Discussion

Technically successful hip anesthetic arthrogram injection.  The injection of iodinated contrast first flows into the medial aspect of the joint and knowing the different normal appearances of arthrogram injections will help unnecessary needle repositioning.  

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