J Korean Radiol Soc.  2005 Jun;52(6):413-417. 10.3348/jkrs.2005.52.6.413.

Feasibility of Ultrasound-Guided Intraarticular Contrast Injection for MR Arthrography

• Baek SJ
• Lee JM
• Kang DS

• KMID: 1834251
• DOI: http://doi.org/10.3348/jkrs.2005.52.6.413

Abstract

PURPOSE: To assess the feasibility of ultrasound-guided intraarticular contrast injection using the posterior approach for MR arthrography.
MATERIALS AND METHODS
Between June 2002 and October 2004, 132 patients (29 female, 103 male: mean age, 33.6 years) underwent ultrasound-guided intraarticular contrast media injection (40 ml saline+10 ml 2% lidocaine(R)+0.2 ml gadopentetate dimeglumine+0.4 ml epinephrine(R) for MR arthrography. The patients were classified into four groups, viz. the no leakage group, the minor leakage with successful intraarticular injection group, the major leakage with unsuccessful intraarticular injection group, and the injection failure group.
RESULTS
The "no leakage" and "minor leakage" groups were considered to be technical successes, while the "major leakage" and "injection failure" groups were regarded as technical failures. The technical success rate of ultrasound-guided intraarticular contrast injection using the posterior approach for MR Arthrography was 99.2% (131/132 patients) and one patient 0.7% (1/132 patients) was included in the "major leakage" group.
CONCLUSION
Ultrasound-guided intraarticular contrast injection using the posterior approach for MR arthrography was feasible with a high success rate.

Keyword

MR Arthrography; Ultrasound-guided injection; Shoulder joint; Shoulder joint instability

MeSH Terms

Arthrography*
Contrast Media
Female
Humans
Injections, Intra-Articular
Male
Shoulder Joint
Contrast Media