Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
European Radiology
Published in: European Radiology 2/2006

01-02-2006 | Musculoskeletal

Prospective evaluation of two different injection techniques for MR arthrography of the hip

Authors: Sylvain R. Duc, Juerg Hodler, Marius R. Schmid, Marco Zanetti, Bernard Mengiardi, Claudio Dora, Christian W. A. Pfirrmann

Published in: European Radiology | Issue 2/2006

Login to get access

Abstract

The aim of the study was to evaluate prospectively the technical feasibility and discomfort of two different injection techniques for MR arthrography of the hip. Sixty-one consecutive patients undergoing MR arthrography of the hip (68 hips) were randomly injected either at the femoral head (36 hips) or the femoral neck (32 hips). The patients rated discomfort during and 0–72 h after arthrography using a visual analogue scale (VAS, 0=“did not feel anything”, 100=“unbearable”). The volume injected, the distance between the needle tract and the neurovascular bundle, the duration of the procedure and the extra-articular contrast leakage were measured. No significant differences were found for the volume injected, the distance between the needle tract and the neurovascular bundle, or the procedure duration. Volume of extra-articular contrast leakage was statistically significantly different (head 1±2 cm3, neck 3±5 cm3, P=0.024). The VAS score for needle advancement was significantly different (head 25±20, neck 19±23, P=0.031). No significant differences were found for the VAS score regarding delayed discomfort. Before the examination the arthrography-related discomfort was overestimated by 74% (50/68), correctly anticipated by 22% (15/68) and underestimated by 4% (3/68) of the patients. MR-related discomfort was overestimated by 32% (22/68), correctly anticipated by 57% (39/68) and underestimated by 10% (7/68) of the patients. Both hip puncture techniques were well tolerated. The neck injection technique produced less discomfort and was associated with greater extra-articular contrast leakage.
Literature
1.
Kenin A, Levine J (1952) A technique for arthrography of the hip. Am J Roentgenol Radium Ther Nucl Med 68:107–111PubMed
2.
Straw R, Chell J, Dhar S (2002) Adduction sign in pediatric hip arthrography. J Pediatr Orthop 22:350–351CrossRefPubMed
3.
Strife JL, Towbin R, Crawford A (1984) Hip arthrography in infants and children: the inferomedial approach. Radiology 152:536PubMed
4.
Schwartz AM, Goldberg MJ (1979) The medial adductor approach to arthrography of the hip in children. Radiology 132:483
5.
Leopold SS, Battista V, Oliverio JA (2001) Safety and efficacy of intraarticular hip injection using anatomic landmarks. Clin Orthop 192–197
6.
Hendrix RW, Anderson TM (1981) Arthrographic and radiologic evaluation of prosthetic joints. Radiol Clin North Am 19:349–364PubMed
7.
Bellaiche L, Wybier M, Champsaur P (1997) Arthrography of the hip. Ann Radiol (Paris) 40:11–21
8.
Kilcoyne RF, Kaplan P (1992) The lateral approach for hip arthrography. Skeletal Radiol 21:239–240CrossRefPubMed
9.
Aliabadi P, Baker ND, Jaramillo D (1998) Hip arthrography, aspiration, block, and bursography. Radiol Clin North Am 36:673–690CrossRefPubMed
10.
Salvati EA, Freiberger RH, Wilson PD Jr (1971) Arthrography for complications of total hip replacement. A review of thirty-one arthrograms. J Bone Joint Surg Am 53:701–709PubMed
11.
Ozonoff MB (1973) Controlled arthrography of the hip: a technique of fluoroscopic monitoring and recording. Clin Orthop 93:260–264PubMed
12.
Miller TT (2000) MR arthrography of the shoulder and hip after fluoroscopic landmarking. Skeletal Radiol 29:81–84CrossRefPubMed
13.
Goldman AB (1980) Arthrography of the hip joint. Crit Rev Diagn Imaging 13:111–171PubMed
14.
Spector GW (1973) Joint distention arthrography. Alternate method of treatment of osteoarthritis of the hip. Mo Med 70:605–607 passimPubMed
15.
Brandser EA, El-Khoury GY, FitzRandolph RL (1997) Modified technique for fluid aspiration from the hip in patients with prosthetic hips. Radiology 204:580–582PubMed
16.
Razzano CD, Nelson CL, Wilde AH (1974) Arthrography of the adult hip. Clin Orthop 99:86–94PubMed
17.
Dobson MM (1950) A further anatomical check on the accuracy of intra-articular hip injections in relation to the therapy of coxarthritis. Ann Rheum Dis 9:237–240PubMed
18.
Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock KA (2003) Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop 417:112–120PubMed
19.
Ganz R, Gill TJ, Gautier E, Ganz K, Krugel N, Berlemann U (2001) Surgical dislocation of the adult hip: a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg Br 83:1119–1124CrossRefPubMed
20.
21.
Hewitt JD, Glisson RR, Guilak F, Vail TP (2002) The mechanical properties of the human hip capsule ligaments. J Arthroplasty 17:82–89CrossRef
22.
Binkert CA, Zanetti M, Hodler J (2001) Patients’ assessment of discomfort during MR arthrography of the shoulder. Radiology 221:775–778PubMed
23.
Robbins MI, Anzilotti KF Jr, Katz LD, Lange RC (2000) Patient perception of magnetic resonance arthrography. Skeletal Radiol 29:265–269CrossRefPubMed
Metadata
Title
Prospective evaluation of two different injection techniques for MR arthrography of the hip
Authors
Sylvain R. Duc
Juerg Hodler
Marius R. Schmid
Marco Zanetti
Bernard Mengiardi
Claudio Dora
Christian W. A. Pfirrmann
Publication date
01-02-2006
Publisher
Springer-Verlag
Published in
European Radiology / Issue 2/2006
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-005-2865-z

Other articles of this Issue 2/2006

European Radiology 2/2006 Go to the issue

Experimental

Electron beam CT versus 16-slice spiral CT: how accurately can we measure coronary artery calcium volume?

Chest

Value of axial and coronal maximum intensity projection (MIP) images in the detection of pulmonary nodules by multislice spiral CT: comparison with axial 1-mm and 5-mm slices

Computer Tomography

Optimized image reconstruction for detection of deep venous thrombosis at multidetector-row CT venography

Erratum

Primitive mesenteric gastrointestinal stromal tumor with autonomic nerve/ganglionic differentiation presenting as a huge mass with small synchronous nodules

Vascular-Interventional

Evaluation of an improved technique for automated center lumen line definition in cardiovascular image data

Musculoskeletal

Variants of the superior labrum and labro-bicipital complex: a comparative study of shoulder specimens using MR arthrography, multi-slice CT arthrography and anatomical dissection