What Is Arthrography?

We use the Arthrography test to evaluate conditions within your joints. During the test, a special x-ray called a fluoroscope takes rapid images and sends them to our computer. Arthrography creates images in real time so we can view your joints as you move. This allows us to see if your joint is suffering from disease or a mechanical dysfunction.

Some problems we may find include bone spurs, worn cartilage and torn joint capsules. The images we gather are precise enough to show us small details such as tiny tears, scar tissue and cysts. We can then use these images to determine the best method of treatment.

About The Procedure

After applying local anesthetic, we may remove excess fluid from the area for further study or to reduce inflammation. Then we will inject a contrast medium (usually an iodine solution) into the joint. This helps highlight and separate the structures in and around your joint. We are then able to find abnormalities more easily. 

We can use Arthrography to pinpoint the cause of unexplained joint pain. Our ability to study the internal mechanics of joints and possible injury to the associated soft tissues can often lead to successful repair. Even small tears or cysts can cause ongoing pain. When we can repair these small tears, we are able to provide substantial relief to our patients. In some cases we are able to completely relieve a patient from pain.

Depending on the situation, different methods of treatment can be used to ease your pain. During situations where the cartilage has worn away from overuse, we may use certain steroid and/or hyaluronic acid injections. We use these to cushion the joint and delay joint replacement. In certain situations, the joint damage may be substantial enough that joint replacement surgery is recommended.