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Glenohumeral arthrography

Glenohumeral (shoulder) arthrography is an imaging technique used to evaluate the glenohumeral joint to evaluate the joint components. A glenohumeral joint injection is usually performed under fluoroscopic guidance although ultrasound and CT can be also be used. An alternative to direct arthrogr...

MR arthrogram solution

MR arthrogram solution is a gadolinium-containing mixture injected into a joint for MR arthrography. Terminology Fluoroscopy, ultrasound or CT guidance can be used to cannulate a joint, which is then injected with the MR arthrogram solution. MR arthrogram solutions differ in different instit...

CT myelography

CT myelography (CTM) is a myelography technique used mainly to assess for potential spinal canal stenosis when MRI is contraindicated or when dynamic imaging is required. History CT myelography was first performed in 1976 2 and became the gold standard for imaging the spinal canal and cord unt...

Sternoclavicular joint injection (technique)

Sternoclavicular joint (SCJ) injections under image guidance ensure precise delivery of an injectate into the joint and, importantly, that the needle is under direct visualization. Indications pain arthropathy, e.g. osteoarthritis diagnostic injection Contraindications Absolute anaphylaxi...

Subtalar joint injection (technique)

Subtalar joint injections are most often performed for osteoarthritis with injection into the posterior subtalar joint. Ultrasound, fluoroscopy and CT guidance can be used. Indications osteoarthritis diagnostic Contraindications Absolute anaphylaxis to contrast/injectates active local/sy...

Quadratus femoris injection (technique)

Quadratus femoris injections under image guidance ensure precise delivery of an injectate into the quadratus femoris muscle and ensure the sciatic nerve is avoided during the procedure. CT and ultrasound can be used, with ultrasound becoming more challenging in those with larger body habitus. ...

Rotator cuff calcific tendinitis barbotage

Rotator cuff calcific tendonitis can be treated with various techniques including ultrasound-guided barbotage, which is also known as ultrasound-guided needling and lavage. It is often performed in conjunction with a subacromial bursal injection. Alternative treatments include extracorporeal sho...

Gluteus minimus/medius calcific tendinopathy barbotage (technique)

Gluteus minimus/medius calcific tendinopathy barbotage is a procedure performed under ultrasound guidance with the aim of reducing the bulk of tendon calcification, in a similar fashion to that performed for rotator cuff calcific tendinopathy. Indications gluteus minimus/medius tendon calcifi...

Greater trochanteric bursa injection (technique)

Greater femoral trochanteric bursa injections under ultrasound guidance ensure the injectate is accurately given into the bursa. The greater trochanteric bursa is the largest of the bursae surrounding the proximal femur, with the others including the subgluteus minimus and subgluteus medius burs...

Lumbar puncture

Lumbar punctures (LP) are a commonly performed hospital procedure in which a needle is inserted through the back to the subarachnoid space in the spinal canal, often to collect cerebrospinal fluid (CSF) or inject a therapeutic agent. The procedure can be performed blind via landmarks or under im...

Greater occipital nerve block (ultrasound-guided)

A greater occipital nerve block is a diagnostic and/or therapeutic procedure in which the medial, sensory branch from the second cervical spinal nerve is targeted with local anesthesia. Indications occipital neuralgia migraine post-dural puncture headache cluster headache Contraindicatio...

Infraorbital nerve block

Infraorbital nerve blocks can be used as part of the management of trigeminal neuralgia or the rarer isolated infraorbital neuralgia. Ultrasound guidance is useful to identify the infraorbital nerve directly as well as identify anatomical variations 1,2. Indications infraorbital neuralgia non-...

Arthrogram (CT)

A CT arthrogram is a CT performed after a joint is injected with a solution containing iodinated contrast. They are not commonly abbreviated as CTA, which will be confused with CT angiography. An arthrogram also refers to the procedure of injecting a joint. Indications shoulder: instability, g...

Epidural blood patch

Epidural blood patches are a treatment option for patients with craniospinal hypotension or post-dural puncture headaches in which small volumes of autologous blood are injected into a patient's epidural space to stop cerebrospinal fluid leak. The procedure can be done blind or under imaging (fl...

Vertebroplasty and kyphoplasty

Vertebroplasty and its balloon-assisted variant, kyphoplasty, are imaging-guided procedures that involve percutaneous injection of surgical polymethylmethacrylate (PMMA) cement into a diseased vertebral body. Vertebroplasty provides pain relief and strengthens the bone of vertebrae weakened by d...

Angioleiomyoma

Angioleiomyomas, also known as angiomyomas or vascular leiomyomas, are benign pericytic or perivascular soft tissue tumors. Epidemiology Angioleimyomas are rare and have been observed in a wide age range with a peak in the 4th to 6th decades of life. Generally, women are more commonly affect...

Knee joint injection (technique)

Knee joint injections under image guidance ensure precise delivery of an injectate into the knee joint. Either fluoroscopy, ultrasound or CT can be used to guide and administer injectates, which may be diagnostic (e.g. anesthetic), "therapeutic" (e.g. anesthetic/steroids, PRP), or for CT or MR a...

Subacromial bursal injection

Subacromial bursal corticosteroid injections, also known as subacromial-subdeltoid bursal injections, are used in patients with limited or no response to initial treatment with impingement syndrome, subacromial bursitis and/or rotator cuff disorders. Non-steroidal anti-inflammatory drugs (NSAIDs...

Acromioclavicular joint injection (technique)

Acromioclavicular joint (ACJ) injections under image guidance ensure precise delivery of an injectate into the joint. Ultrasound allows for real-time visualization of the needle and administration of the injectate. Fluoroscopy is an alternative method of image guidance. Indications pain: a...

Hip joint injection (technique)

Hip joint injections can be performed with a variety of image guidance, including fluoroscopy and ultrasound, which are used to administer MRI arthrogram injectate, or a steroid containing anesthetic arthrogram injectate. Indications MRI: labral injury anesthetic pain/arthropath...

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