A practical guide for performing arthrography under fluoroscopic or ultrasound guidance

被引：18
作者：
Lungu E. [1 ,2 ]
Moser T.P. [1 ,2 ]
机构：
[1] University of Montreal, Montreal, QC
[2] Department of Radiology, Centre Hospitalier de l’Université de Montréal (CHUM), Hôpital Notre-Dame, 1560 rue Sherbrooke Est, Montréal, H2L 4M1, QC
来源：
Insights into Imaging | 2015年 / 6卷 / 6期
关键词：
Arthrography; Articular recess; Fluoroscopy; Intra-articular injection; Ultrasound;
D O I：
10.1007/s13244-015-0442-9
中图分类号：
学科分类号：
摘要：
Abstract: We propose a practical approach for performing arthrography with fluoroscopic or ultrasound guidance. Different approaches to the principal joints of the upper limb (shoulder, elbow, wrist and fingers), lower limb (hip, knee, ankle and foot) as well as the facet joints of the spine are discussed and illustrated with numerous drawings. Whenever possible, we emphasise the concept of targeting articular recesses, which offers many advantages over traditional techniques aiming at the joint space. Teaching Points: • Arthrography remains a foremost technique in musculoskeletal radiology • Most joints can be successfully accessed by targeting the articular recess • Targeting the recess offers several advantages over traditional approaches • Ultrasound-guidance is now favoured over fluoroscopy and targeting the recess is equally applicable © 2015, The Author(s).
引用
收藏
页码：601 / 610
页数：9
相关论文
共 23 条
  • [1] Bonakdarpour A., Reinus W.R., Khurana J.S., Diagnostic imaging of musculoskeletal diseases: a systematic approach, (2010)
  • [2] Peterson J.J., Bancroft L.W., History of arthrography, Radiol Clin N Am, 47, pp. 373-386, (2009)
  • [3] Hodler J., Technical errors in MR arthrography, Skelet Radiol, 37, pp. 9-18, (2008)
  • [4] Ng A.W., Hung E.H., Griffith J.F., Tong C.S., Cho C.C., Comparison of ultrasound versus fluorcoscopic guided rotator cuff interval approach for MR arthrography, Clin Imaging, 37, pp. 548-553, (2013)
  • [5] Rutten M.J., Collins J.M., Maresch B.J., Smeets J.H., Janssen C.M., Kiemeney L.A., Et al., Glenohumeral joint injection: a comparative study of ultrasound and fluoroscopically guided techniques before MR arthrography, Eur Radiol, 19, pp. 722-730, (2009)
  • [6] Messina C., Banfi G., Aliprandi A., Mauri G., Secchi F., Sardanelli F., Sconfienza L.M., Ultrasound guidance to perform intra-articular injection of gadolinium-based contrast material for magnetic resonance arthrography as an alternative to fluoroscopy: the time is now. Eur Radiol, doi:10.1007/s00330-015-3945-3, (2015)
  • [7] MacMahon P.J., Eustace S.J., Kavanagh E.C., Injectable corticosteroid and local anesthetic preparations: a review for radiologists, Radiology, 252, pp. 647-661, (2009)
  • [8] Brown R.R., Clarke D.W., Daffner R.H., Is a mixture of gadolinium and iodinated contrast material safe during MR arthrography?, AJR Am J Roentgenol, 17, pp. 1087-1090, (2000)
  • [9] Depelteau H., Bureau N.J., Cardinal E., Aubin B., Brassard P., Arthrography of the shoulder: a simple fluoroscopically guided approach for targeting the rotator cuff interval, AJR Am J Roentgenol, 182, pp. 329-332, (2004)
  • [10] Chung C.B., Dwek J.R., Feng S., Resnick D., MR arthrography of the glenohumeral joint: a tailored approach, AJR Am J Roentgenol, 177, pp. 217-219, (2001)
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