Hip anesthetic arthrogram injection (fluoroscopic guided)

Case contributed by Dr Dai Roberts

Presentation

Hip OA. For guided injection.

Patient Data

Age: 50
Gender: Male
Fluoroscopy

Marking an entry point and injection of iodinated contrast

The planning for and intra-articular injection of iodinated contrast into the right hip which confirms an intra-articular needle position. 

Fluoroscopy

Administration of injectate

The image stack shows the injection of the corticosteroid containing injectate and as this doesn't contain iodinated contrast it is diluting the contrast already in the joint, making it more radiolucent.  

Case Discussion

Technically successful anesthetic arthrogram injection.  Storing the fluoroscopic 'runs' or 'video loops' to create the stacks of images shown, will precisely show the spread of the intra-articular injectate.  

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Case information

rID: 76486
Published: 26th Apr 2020
Last edited: 8th May 2020
Inclusion in quiz mode: Included
Institution: St. Paul's Hospital