Hip arthrogram injection (fluoroscopic guided)

Case contributed by Dr Dai Roberts

Presentation

For a fluoroscopic guided hip anesthetic arthrogram injection. Previously successful injection and good symptom relief with corticosteroid and local anesthetic.

Patient Data

Age: 60 years
Gender: Male
Fluoroscopy

Injection of iodinated contrast

The image stack shows the injected contrast freely flowing in an expected direction into the hip joint.

Fluoroscopy

Further administration of injectate

Expected filling of the hip joint as more injectate is instilled. 

Case Discussion

Multiple target sites for hip arthrograms have been described. The shown technique utilizes an oblique needle course in line with the femoral neck. The image stacks show freely flowing iodinated contrast. The subsequent images show filling of the head neck portion of the hip joint and looks like a 'ring of Saturn', which the joint distending above the zona orbicularis, a thicker aspect of the capsule. 

PlayAdd to Share

Case information

rID: 73287
Published: 5th Jan 2020
Last edited: 8th May 2020
Inclusion in quiz mode: Included

Updating… Please wait.

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

 Thank you for updating your details.