Hip arthrogram injection (fluoroscopic guided)

Case contributed by Dr Dai Roberts

Presentation

Presented for image-guided diagnostic/therapeutic steroid injection into the hip.

Patient Data

Age: 55 years
Gender: Female
Fluoroscopy

Injection of iodinated contrast

Injection of iodinated contrast extends into the hip joint confirming an intra-articular position.  

Fluoroscopy

Administration of injectate

Injectate, containing a corticosteroid and local anesthetic, has been instilled into the hip joint.  

Case Discussion

Shown is a technically successful anesthetic hip arthrogram injection.  

The syringe selection will help identify the different solutions for injecting. Anesthetic arthrograms are different from other arthrogram injections, as the commonly used corticosteroids are white in color, so identifying the steroid containing syringe is obvious. Keeping the local anesthetic syringe, and contrast syringe for fluoroscopy, the same for both diagnostic and anesthetic arthrograms is good practice to limit confusion when switching between the procedures on the same list.

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Case information

rID: 76495
Published: 26th Apr 2020
Last edited: 8th May 2020
Inclusion in quiz mode: Included
Institution: St. Paul's Hospital