Flashcards in Special Procedures Deck (16):
1
Greek arthron means
joint
2
Arthrography
Radiologic examination of the synovial joints and related soft tissue structures that employs contrast media
3
___ or ___ exams may be used in place of, or in addition to, arthrograms
CT, MRI
4
Joints commonly examined with arthography:
Hip
Knee
Ankle
Shoulder
Elbow
Wrist
5
Most common arthrogram procedures:
Shoulder
Knee
6
Knee Arthrography
Assess knee joint and associated soft tissue structures
Joint capsule, menisci, and ligaments
7
Structures of major interest for knee arthography include
the joint capsule, menisci; and collateral, cruciate, and other minor ligaments.
8
Clinical indications (mostly trauma) for knee arthrogram:
Tears in joint capsule
Tears or degeneration of menisci
Ligament injury
9
Contraindications for knee arthrography:
Hypersensitivity to iodine-based contrast media or local anesthetics
10
An example of a nontraumatic pathologic indicating arthrography is a ________ which communicates with the joint capsule in the popliteal area.
Baker's cyst
11
Patient Preparation for arthrogram:
No dietary
Procedure explained
Advise of complications
Signed informed consent form
12
Imaging Equipment for knee arthography:
Fluoroscopy and spot imaging
Patient restraining device:
provides medial or lateral stress
Conventional radiography capability
13
Accessory Equipment for knee arthrography:
Arthrogram tray:
Includes Items needed for contrast injection and preparation of injection site:
Prep sponge
Fenestrated drape
Syringes
Flexible connector
Needles
Local anesthetics
Sterile gloves
Razor
Contrast media
bandaid
14
Contrast Media used for knee arthrography:
Radiolucent (room air)
Radiopaque (iodinated)
Double contrast:
(5 mL of positive and 80-100 mL of negative CO2, or air)
15
Needle Placement and Injection for knee arthrography:
1 Site prepared according to sterile technique
2 Retropatellar, lateral, anterior, or medial approach (site of injection is the site preferred by physician)
3Skin anesthetized
4Fluid aspirated (discarded or sent to lab)
5Contrast media instilled (5 mL of positive and 80-100 mL of negative CO2, or air)
6 Needle removed
7 Knee exercised to produce thin, even coating of soft tissue structures with positive medium
16