Name of the Procedure:

Radiologic Examination of the Hip, Arthrography, Radiological Supervision, and Interpretation

Summary

In this procedure, a special type of X-ray called an arthrogram is used to visualize the hip joint. It involves injecting a contrast dye into the hip joint to get clearer images. This helps in diagnosing hip issues more accurately.

Purpose

The procedure addresses conditions such as unexplained hip pain, joint stiffness, or suspected hip joint abnormalities. It aims to provide detailed images of the hip to diagnose conditions like labral tears, arthritis, or joint cysts.

Indications

• Persistent hip pain not explained by routine X-rays or MRIs
• Suspected labral tears or cartilage damage
• Evaluation of hip joint prosthesis
• Determination of joint derangement or abnormalities

Preparation

• Patients may need to fast for a few hours before the procedure.
• Inform the doctor about all medications being taken; adjustments may be needed.
• Perform any required diagnostic tests, such as standard X-rays or MRI scans, beforehand.
• Wear loose, comfortable clothing and remove any metal objects.

Procedure Description

1. The patient lies on an examination table.
2. The area around the hip is cleaned and sterilized.
3. Local anesthesia is administered to numb the injection site.
4. Using a fluoroscope for guidance, a needle is inserted into the hip joint.
5. Contrast dye is injected into the joint space.
6. X-ray images are taken as the radiologist moves the joint to capture multiple angles.
7. The needle is removed, and the injection site is cleaned and bandaged.

Duration

The procedure typically takes about 30 to 60 minutes.

Setting

The procedure is usually performed in a hospital radiology department or an outpatient imaging center.

Personnel

• Radiologist
• Radiologic technologist
• Nurse (if sedation or additional monitoring is required)

Risks and Complications

• Allergic reaction to the contrast dye
• Infection at the injection site
• Temporary pain or discomfort in the joint
• Very rare risk of joint damage

Benefits

• Provides detailed images that can lead to a more accurate diagnosis
• Helps guide treatment options, including surgery if necessary
• Minimally invasive with quick recovery time

Recovery

• Patients may experience mild discomfort or swelling at the injection site.
• Avoid strenuous activity for 24 hours.
• Follow-up appointments as advised by the doctor for discussion of results and further treatment.

Alternatives

• Standard X-rays or MRI without contrast
• Ultrasound imaging
• Each alternative varies in the level of detail provided and invasiveness

Patient Experience

During the procedure, patients may feel a brief sting from the anesthesia and pressure during the dye injection. Mild discomfort can be managed with over-the-counter pain medications. Most patients can resume normal activities within a day.