Aftercare Education Articles

Shoulder Arthrography 肩關節攝影

2017-06-14
Introduction

Shoulder arthrography is a procedure for displaying tendon injury, joint surfaces, and capsular structures.

Procedures
  1. The patient is cleaned and draped in supine position. 
  2. Have patients lie on their back for a  X-ray image would be taken before the examination. 
  3. Steriolize the skin and locally inject anesthetic. 
  4. Puncture needle is then inserted into the joint space, and contrast medium is then injected via a connecting tube.
  5. This is followed by 8-10 ml air. The shoulder is moved passively in all directions to distribute the contrast medium. 
Indications
  1. To examine patients’ persistent shoulder pain and limitation of movement, and tendon injury.
  2. To assess patients’ glenoid labrum of recurrent dislocations.
  3. To evaluate patients’ frozen shoulder.
Contraindications
  1. Local infection. 
  2. Contrast allergy.

Illustrations

Normal shoulder arthrography

There is leakage of contrast medium to

subdeltoid bursa, and rotator cuff tear.

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