Kimberly Ruth Gardner MD, Presenter: Nothing to Disclose

Brian Manfredi MD, Abstract Co-Author: Nothing to Disclose

Hsiu Su MD, Abstract Co-Author: Nothing to Disclose

At the conclusion of this presentation, the learner should be able to: 1. Recognize the advantages of ultrasound-guided over landmark-based or fluoroscopically-guided approaches to joint injection with gadolinium prior to arthrography. 2. Gain knowledge of pre-procedural considerations and contraindications. 3. Become familiar with the step-by-step procedure for ultrasound-guided gadolinium shoulder, elbow, wrist, hip and knee injections prior to magnetic resonance arthrography, including technical factors such as ultrasound probe selection and imaging parameters.

1. Introduction: The Increasing Role of Sonography in Musculoskeletal Diagnostics and Therapeutics 2. Advantages of Ultrasound-guided over Landmark-based or Fluoroscopically-guided Approaches 3. Pre-Procedural Considerations    a) Clinical History    b) Prior Imaging    c) Current Medications and Allergies    d) Contraindications 4. Technical Factors    a) Probe Selection    b) Imaging Parameters 5. Injection Preparation 6. Step-by-Step Procedure for Ultrasound-guided Hip, Knee, Shoulder, Elbow and Wrist Injections    a) Patient Position    b) Needle Approach    c) Joint Space Injection under Direct Sonographic Visualization 7. Post-Procedure Considerations/Complications including suboptimal gadolinium injection

http://abstract.rsna.org/uploads/2014/14019362/14019362_ztir.pdf

Gardner, K, Manfredi, B, Su, H, Ultrasound-guided Gadolinium Joint Injections for Magnetic Resonance Arthrography: A Step-by-Step Approach.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14019362.html