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At least 883 records · Page 49Linked to original sources
PubMed1981

[Arthrography of the ankle, its use in indications for surgery of sprains].

The attitude toward severe spraining of the ankle is reviewed. Where at least one ligament is torn, it is now well established that only surgery can ensure stability of the ankle. To ascertain whether a ligament is torn, three tests are available: anteroposterior varus stress film, anterior subluxation of the talus tests in comparison with the operative observations showed that: - Arthrography is the most accurate test, without any false positive or false negative results if performed within 48 hours. - Anterior subluxation of the talus is also a good test, but less accurate (12% false negative). - Anteroposterior varus stress film provides only gross information which is difficult to interpret.

Ankle Injuries↗
PubMed1981

Intra-articular steroids in the treatment of rotator cuff tear: reappraisal by arthrography.

Previous studies have cast doubt on the efficacy of intra-articular steroids in the treatment of rotator cuff tears. This investigation re-evaluated the question, using shoulder arthrography both to substantiate the diagnosis of rotator cuff tear and to assure accurate intra-articular injection of steroid. Successful results followed in 13/15 patients so treated. Intra-articular steroid administration is appropriate therapy for rotator cuff tear providing the steroid is properly injected into the shoulder joint cavity.

Adult↗
PubMed1980

Filling of lymphatic vessels in ankle arthrography.

3 patients are described in whom lymphatic filling occurred in ankle arthrography. There were no clinical and arthrographic features of rheumatoid arthritis. It is therefore concluded that these occurrences are due to a pressure phenomenon.

Ankle Joint↗
PubMed1980

Arthrography of the shoulder.

Arthrography of the shoulder is a most effective diagnostic tool in evaluating the shoulder joint. The technique is easily mastered with practice. A knowledge of shoulder anatomy is imperative in order to fully understand the normal as well as abnormal shoulder arthrogram.

Arthritis, Rheumatoid↗
PubMed1995

[Magnetic resonance arthrography in chondral disease of the knee].

The clinical usefulness of Magnetic Resonance Imaging (MRI) of the knee in the depiction of meniscal, ligament and tendon lesions is well known. In contrast, the role MRI plays in the diagnosis of chondromalacia remains debated, the gold standard being arthroscopy. A new technique, i.e., MR arthrography (MRA), has been recently proposed which consists of the intraarticular injection of a paramagnetic contrast agent (Gd-DTPA) during MRI. Thirty-one patients with clinically suspected chondromalacia of the knee were examined with MRA. The exams were performed with a 1T superconductive magnet and a dedicated coil. All the patients were examined before (baseline scans) and after paramagnetic contrast agent injection. MRA results were compared with arthrographic findings. Baseline MRI had 25% sensitivity, 77.9% specificity and 83% diagnostic confidence in the diagnosis of chondromalacia; these figures increased to 93%, 97.6% and 91.5% after contrast agent injection. This preliminary experience confirms MRA to be a useful tool in the diagnosis of chondral knee conditions.

Adult↗
PubMed1994

The role of computerized tomography in shoulder arthrography.

Double contrast computerized tomographic (CT) shoulder arthrograms of 55 shoulders were reviewed. This investigation was compared with conventional arthrograms and the findings were correlated with subsequent clinical and surgical follow-up. CT arthrograms were found to be useful in demonstrating bony, ligamentous and cartilaginous structures and have helped the surgeon in deciding the approach and type of surgical procedure. Indications for CT arthrography are recurrent dislocation, multidirectional instability, severe rheumatoid arthritis and other arthritides, complex shoulder deformities and suspected loose bodies. We found that this examination was not as helpful for rotator cuff injuries, impingement syndrome, adhesive capsulitis and in cases of vague or mild shoulder pain.

Adolescent↗
PubMed1977

The diagnosis of chondromalacia by double contrast arthrography of the knee.

The patellar and articular cartilages of the femoral and tibial condyles can be demonstrated well by double contrast arthrography, and abnormalities of the cartilage can be seen. A comparison of surgical findings with the preoperative arthrogram was made for 100 patients, and the diagnosis of chondromalacia of the patella and condyles had an accuracy of about 90 per cent.

Cartilage Diseases↗
PubMed1977

Clinical significance of arthrography of the humeroscapular joint.

This paper discusses the possibility of using arthrography of the humeroscapular joint for further differentiation of the syndrome of humeroscapular periarthritis. A description of the normal arthrogram is followed by a discussion of the arthrographic features of rupture of the rotator cuff, rupture of the long biceps tendon, and anomalies of the joint capsule.

Humans↗
PubMed1977

Double contrast knee arthrography in children.

The indications for knee arthrography in children consist of: suspected internal derangement; osteochondritis dissecans; Blount's disease; popliteal cysts; loose bodies; synovial tumors; and miscellaneous abnormalities including unexplained knee pain.

Adolescent↗
PubMed1977

[Ganglion recidives of the knee joint. Arthrography and clinic (author's transl)].

56 patients with 59 operated popliteal cysts were controlled clinically and by arthrography. In 14.3% (8 knee-joints) a recidive was found. In 64% the arthrogram showed a tout outline of the joint-capsule. In 30% a small and big bursa was seen. Recessus with long narrow handle can be a potential recidive of ganglion. Clinic and arthrogram allow to make a difference between "recidive" and "ganglion". The clinical recidive may be a new "ganglion".

Adult↗
PubMed1997

Characterization of anatomic communications among the antebrachiocarpal, middle carpal, and carpometacarpal joints in cattle, using intra-articular latex, positive-contrast arthrography, and fluoroscopy.

OBJECTIVE: To evaluate the frequency and sites of communication among the antebrachiocarpal, middle carpal, and carpometacarpal joints in cattle. ANIMALS: 137 limbs were obtained from 72 fresh bovine cadavers submitted for necropsy because of problems unrelated to the carpus. PROCEDURE: 1 of the 3 injection sites was randomly assigned to both carpi of each ox, and a mixture of latex and barium sulfate was injected into the joint. Communication between 2 or more joints was determined by the presence of latex and contrast material in a joint adjacent to the injected joint by examination of frozen sections, positive-contrast arthrography, and fluoroscopy. RESULTS: Communication existed among the 3 joints in 18 specimens (13.1%). The middle carpal joint and the carpometacarpal joint always communicated. The antebrachiocarpal joint communicated with the middle carpal joint between the ulnar and intermediate carpal bones. The middle carpal and carpometacarpal joints always communicated between the fourth and fused second and third carpal bones. In a few specimens, additional sites of communication were identified at the palmar aspect of the fourth carpal bone and the fused second and third carpal bones. CONCLUSIONS AND CLINICAL RELEVANCE: Individual anatomic variation of the carpus in cattle should be considered when diagnostic or treatment protocols are established.

Animals↗
PubMed1997

MR arthrography of the glenohumeral joint.

This article explores MR arthrography of the glenohumeral joint, including normal anatomy of the glenoid labrum, glenohumeral ligaments, and biceps labral complex. Examples of glenohumeral joint instability include the Bankart lesion, anterior labroligamentous periosteal sleeve avulsion, glenolabral articular disruption, humeral avulsion of the glenohumeral ligament, and Bennet lesion. Normal variations include the sublabral foramen, the Buford complex, and cord-like middle glenohumeral ligament. Labral tears and paralabral cysts are also discussed.

Humans↗
PubMed1976

Ultrasound evaluation of the popliteal space. Comparison with arthrography and physical examination.

Ultrasound scanning techniques were used to examine the popliteal space in 102 knees. In 30 of 34 knees in which arthrograms were also obtained, the information obtained from both tests was the same. In two instances in which there were different results, the presence of palpable popliteal cysts was confirmed by ultrasound scans but not by arthrography, and in two other cases, small asymptomatic cysts were seen on arthrograms but not on ultrasound scans. In the 68 other knees, ultrasound scans were helpful in the differential diagnosis of popliteal cysts, popliteal artery aneurysms, thrombophlebitis, and a solid poplitieal mass. The results indicate that ultrasound scanning is a valuable, rapid, safe, accurate technique in evaluating patients with symptoms or findings related to the popliteal space.

Aneurysm↗
PubMedDate not supplied

Tomographic technique for visualization of the cruciate ligaments in double contrast arthrography.

Double contrast arthrography of the knee is the method of choice for visualization of the menisci, while the single positive contrast technique is the preferred method for evaluation of the cruciate ligaments. A technique is described which combines the advantages of these two methods. Following radiography of the menisci, an essentially single positive contrast study of the cruciate ligaments is obtained by positioning the patient in the lateral recumbent position with the knee flexed to about 90degree. The positive contrast medium in this position fills the joint cavity beyond its mid-point and surrounds the cruciate ligaments. Tomographic studies of the midline of the knee joint, made in this position with a polytome unit, demonstrate the cruciate ligaments to best advantage.

Humans↗
PubMed1976

Double-contrast arthrography in meniscal lesions and patellar chondropathy.

The technique of double-contrast arthrography is discussed in this paper. The serial exposures included a special exposure of the retropatellar region in order to detect patellar chondropathy. Various types of meniscal rupture and degeneration are discussed with special reference to combinations of these lesions and to lesions of both menisci in the same knee joint. The aetiology and radiological features of patellar chondropathy are discussed in detail. Patellar chondropathy was diagnosed in 19% of patients without meniscal lesions, 23% of patients with medial and 35% of those with lateral meniscal lesions, as well as in 73% of post-meniscectomy cases. Comparison of arthrographic with arthroscopic results revealed a positive correlation in 74% of cases.

Cartilage Diseases↗
PubMed1976

Arthrography of the knee with fluoroscopic technique.

The clinical diagnosis of meniscus lesions is often difficult. The authors have therefore used arthrograpy of the knee with double contrast medium. The fluoroscopic technique used in fifty cases is described. The results obtained are reported and compared with 105 other cases in which arthrography was carried out with standard radiological technique. The diagnostic accuracy for meniscus lesions is very high.

Adolescent↗