Name of the Procedure:

Hip Arthrography Injection; without Anesthesia

Summary

In hip arthrography, a contrast dye is injected into the hip joint to improve the clarity of imaging studies such as X-rays, CT scans, or MRIs. This procedure is typically performed without anesthesia.

Purpose

Hip arthrography is used to diagnose issues within the hip joint such as labral tears, cartilage damage, or other structural abnormalities. The goal is to provide detailed imaging to better diagnose and plan treatment for hip-related problems.

Indications

• Persistent hip pain
• Suspected labral tear
• Unexplained hip discomfort even after initial imaging
• Hip joint dysfunction or abnormal movement

Preparation

• Inform the doctor about any allergies, particularly to contrast dyes.
• Follow any specific instructions regarding fasting if advised.
• Adjust medications only if the doctor recommends it.
• Arrange for transportation, as you might feel some discomfort after the procedure.

Procedure Description

1. You will be asked to lie on an imaging table.
2. The skin around the hip will be cleaned to prevent infection.
3. A local anesthetic may be applied to numb the area.
4. Using fluoroscopic guidance (real-time X-ray), a needle is inserted into the hip joint.
5. A small amount of contrast dye is injected into the joint.
6. The needle is removed, and the imaging (X-ray, CT, or MRI) is conducted immediately after the injection.

Duration

The procedure typically takes between 30 to 60 minutes.

Setting

Hip arthrography is usually performed in a hospital radiology department or an outpatient imaging center.

Personnel

• Radiologist (performs the injection and imaging)
• Radiologic technologist (assists with imaging)
• Nurse (provides pre- and post-procedure care)

Risks and Complications

• Discomfort or pain at the injection site
• Allergic reaction to contrast dye
• Infection at the injection site
• Temporary joint pain or swelling

Benefits

• Improved diagnostic accuracy for hip-related issues
• Helps in planning appropriate treatment or surgery
• Immediate results from imaging

Recovery

• Post-procedure, you may experience mild pain or discomfort.
• Rest the hip for the remainder of the day.
• Apply ice packs if instructed by the physician.
• Follow-up appointment might be scheduled to discuss imaging results.

Alternatives

• Standard X-ray, CT, or MRI without contrast
• Ultrasound of the hip
• Observational management or empirical treatment

Patient Experience

During the procedure, you may feel a brief sting or pressure when the needle is inserted and dye is injected. Following the procedure, slight discomfort or fullness in the hip area is common. Pain management options, such as over-the-counter pain relievers, might be recommended to ensure comfort.