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Advanced Modalities

Contrast Arthrography

QuestionAnswer
______________ ______________ is the radiographic examination of the soft tissue structures of joints after the injection of contrast media. Contrast Arthrography
The contrast media used for contrast Arthrography may be __________, __________ or ______. Radiopaque; Radiolucent; Both
What are the types of contrast that may be injected? Water-Soluble Iodinated Contrast and Air
Contrast Arthrography is performed on which joints? (5) Wrist, Knee, Hip, Shoulder and TMJ
The joints that contrast arthrography is performed on are ___________ joints and contain _______ ___________. Diarthrodial Joints; Joint Capsules
Which joint is the most frequent site of investigation using Contrast Arthrography? Knee
The soft tissue structures of concern are: (LAMB BC) Ligaments; Articular Cartilage; Torn Meniscus; Bursae; Baker’s Cysts; Complete and Incomplete rotator cuff tears.
Contrast arthrography is performed under careful ______________ conditions after ____________ ____________ is used in the area of contrast injection. Aseptic Conditions; Local Anesthesia
Of the sterile items required, the __________ and __________ of the ____________ vary according to the part being examined. Length and gauge; Needle
Usually _________ needles are used for hip and shoulder arthrography. Spinal
What would be the steps taken in the event of joint effusion? Aspiration after local anesthesia but before contrast.
Contrast is injected under _________. Fluoroscopy
What does the radiologist do after the contrast is injected? Manipulates the joint to distribute the contrast.
___________ or ___________ ___________ may also be taken after the contrast is injected. Radiographs; Spot films
The Vertical Ray method for knee arthrography uses a ________ __________ that permits better distribution of contrast material around the meniscus. Stress Device
The Horizontal Ray Method for knee arthrography uses ___________ contrast of _________ and ___________. Double Contrast; Water-soluble iodinated and Air
For the Horizontal Ray method during knee arthrography, to demonstrate the medial meniscus the patient would be in the ___________ position with the medial Meniscus pointed _______. Semi-prone; Up
How can you widen the joint space during Horizontal Ray Method Knee Arthrography? Manual Stress
During Horizontal Ray method for Knee Arthrography ________ amounts of each of the 2 contrast agents improved _____-________ ___________ of the knee joint structure. Small; Double-contrast outlining
During knee arthrography horizontal ray method, excess heavy iodinated solutions ________ into the _________ part of the joint leaving a thin ___________ ___________ on the _______ enveloped uppermost part being imaged. Drain; Dependent; Opaque Coating; Gas enveloped
The most common puncture site for Hip Arthrography is: ¾” Distal to the Inguinal Crease and ¾” Lateral to the palpated femoral Pulse
Most shoulder Arthrography examinations are performed to evaluate: 1,2,3 1)Partial or complete tear in rotator cuff or glenoid Labrum 2)Persistent pain or weakness 3)Frozen shoulder
The rotator cuff of the shoulder are the ________ and ________ that act to ____________ the shoulder. Muscles; Tendons; Stabilize
TMJ Arthrograms have largely been replaced by _____ and ______. CT and MRI
Contrast Arthrography of the TMJ can be useful in diagnosing abnormalities of _____________ ___________. Articular Disk
What is the TMJ Articular Disk? Small oval fibrocartilage between the mandibular condyle and mandibular fossa
During TMJ Contrast Arthrography, fluoroscopy is used to observe and _________ __________ motion. Image; mandibular
During TMJ contrast Arthrography, what 3 positions would be radiographed? Patient mouth closed, partially open, and fully open
Spinal needles are typically used on __________ and _________ joints. Hip; Shoulder
Created by: foster1317