arthrograms

Regarding hip aspiration..
Putting fluid in rarely helps; found it more useful for the tech to flex the knee while I’m maintaining needle position. Increases pressure in the hip joint and the needle is the path of least resistance.
I’m out of the athrogram business as I’ve switched to home based telerad, but I’ve done all my arthrograms since 2007 by CT only.
Billy Morrison wrote a book on arthrography. 
Classic back in the 80’s was:

Do not miss the days of knee arthrography and the medieval torture device as well as the radiation to the torso as you struggledto position the knee while running the fluoro
Best,

Frank

Very nice document.
Couple of modifications..

For wrist- its best to ulnar deviate the hand and volar flex to open up the radiocarpal space and go distal to proximal along the joint alignment of radiocarpal articulation.

For hip arthrogram/inj- go little bit medial to lateral border of head and neck junction otherwise, one may end up outside the joint.

For hip aspiration- go to inferior recess- that’s where fluid pools most of the time if it’s there e.g. in periprosthetic infection.

Pics look great!
Best!AC

Avneesh Chhabra, M.D. M.B.A.

Professor Radiology & Orthopedic Surgery

Chief, Division of Musculoskeletal Radiology

UT Southwestern Medical Center, Dallas, Tx
5373 Harry Hines Blvd.
Dallas, Tx-75390-9178

Office: 214-648-2122

avneesh.chhabra@utsouthwestern.edu

Sent: Friday, January 21, 2022 11:57 AM
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EXTERNAL MAIL

From my colleague Andy Sonin. 
This is the guide we disseminate within our practice to new radiologists.–Paul Hsieh, MD
E-mail: <paulhsiehmd@gmail.com>

does anyone have a good reference article on techniques for arthrograms? thank you so much!
Barbra A. Ross, MD 4891 E. Butler DriveParadise Valley, AZ 85253650-996-6692 (cell)

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