Hip arthrogram injection (fluoroscopic guided)

Case contributed by Dai Roberts , 8 Jan 2020
Diagnosis not applicable
Changed by Dai Roberts, 6 May 2020

Updates to Quizquestion Attributes

Question was changed:
Does the injection iodinated contrast confirm an intra-articular needle tip position?

Updates to Quizquestion Attributes

Question was added:
What needles will you use for the procedure?
Answer was added:
A suggested selection include a large bore drawing up needle, 25G needle for administration of local anaesthetic and a 22G 90mm Quincke (spinal) needle to cannulate the joint.

Updates to Quizquestion Attributes

Question was added:
Has the hip joint been adequately distended with injectate?
Answer was added:
Yes. Radiopaque injectate distends the hip joint and as most commonly seen, predominantly is evident in the head neck portion of the joint like a ring.

Updates to Quizquestion Attributes

Answer was added:
A suggestion syringe selection is a 5 mL syringe for 1% lidocaine and attached to a 25G needle, 10 mL for contrast agent and attached to extension tubing and 20 mL syringe for the arthrogram injectate.
Question was added:
What syringes will you use for the procedure?

Updates to Study Attributes

Images Changes:

Image Fluoroscopy (Frontal) ( update )

Perspective was set to Frontal.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.