Arthrography

Arthrograms are a diagnostic tool performed in conjunction with MRI, CT or X-ray to evaluate joints. This procedure involves a contrast injection into the joint that enhances the visualization of structures and aids the evaluation of joint abnormalities, such as cartilage tears and other injuries.

When contrast is injected into the joint space, it coats the inner lining of the joint structures and appears bright white on an arthrogram, allowing the radiologist to assess the anatomy and function of the joint.

 

What to Expect:

After local anesthesia, a needle is maneuvered into the area of interest. A combination of a short-acting anesthetic and an intermediate to long acting corticosteroid are then injected. The anesthetic can provide immediate pain relief lasting 4-6 hours while the corticosteroid takes effect approximately 1-2 days after the injection, reaching maximum effectiveness within 5-7 days. The duration of the pain relief varies depending on the severity and reversibility of the patient’s condition. If therapeutic effect is achieved, several injections per year can be performed with few long term consequences.

MRI Arthrogram of the wrist

The procedure is most often used to identify abnormalities within the:

  • shoulder
  • elbow
  • wrist
  • hip
  • knee
  • ankle

The procedure is also used to help diagnose persistent, unexplained joint pain or discomfort.

If needed for further diagnosis, you will be taken to the CT or MRI machines for more images.

 

Frequently Asked Questions

What happens after the procedure?

You may resume normal daily activities with the exception of athletic activities, which should be avoided for 24 hours. Athletes should consult their coach or trainer prior to resuming practice. You may experience minor discomfort and swelling of the joint for a day or two after the arthrogram. You may treat the pain with over-the-counter non-steroidal anti-inflammatory medicines such as Advil or Tylenol.

A few patients may have allergic reaction from the contrast material. Please inform the technologist prior to your exam if you have any known allergy to x-ray contrast or MRI contrast.

Infection of the joint is a rare but serious complication of arthrography and requires treatment with antibiotics. If you have symptoms of pain, swelling, red skin or fever three or more days after the arthrogram, please contact the facility to speak to the radiologist or your referring physician.

Exam Prep:

No special preparation is necessary before arthrography. Food and fluid intake do not need to be restricted.

You should inform your physician of any medications you are taking and if you have any allergies, especially to barium or iodinated contrast materials. Also inform your doctor about recent illnesses or other medical conditions.

You may be asked to remove some or all of your clothes and to wear a gown during the exam. You may also be asked to remove jewelry, eye glasses and any metal objects or clothing that might interfere with the x-ray images.

Women should always inform their physician or x-ray technologist if there is any possibility that they are pregnant. Many imaging tests are not performed during pregnancy so as not to expose the fetus to radiation.