Hip anesthetic arthrogram injection (fluoroscopic guided)

Case contributed by Dr Dai Roberts

Presentation

For image-guided anesthetic arthrogram steroid injection.

Patient Data

Age: 50 years
Gender: Female
Fluoroscopy

Injection of iodinated contrast

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

Fluoroscopy

Post administration of injectate

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.  

PlayAdd to Share

Case information

rID: 76488
Published: 2nd May 2020
Last edited: 8th May 2020
Inclusion in quiz mode: Included
Institution: St. Paul's Hospital