[What remains of arthrography?].
At the time of RMI, arthrography appears sometimes old-fashioned. However this exam, which knows a second youth in relation with the supply of CT-scan (arthro-CT) remains the gold-standard in the exploration of many pathologic situations: intra-articular foreign bodies, tears of glenoid or acetabular labrum, precise assessment of chondral or ligamentous lesions (especially of the ankle), sub-scapularis tendon tears, adhesive capsulitis, complications of prosthesis, appreciation of intra-articular position of the needle's tip before injection of a therapeutic drug. Arthrography, completed or not by CT-slices gives, in this indications, excellent spatial resolution images, easy to perform, to read, to understand and to transmit at the clinicians, with a reasonable cost and a minor risk. RMI is a more and more used alternative, especially for the study of meniscus and ligaments of the knee, and rotator's cuff of the shoulder. It's sure that, with the increase of the RMI image's quality, other common indications will slip towards this technique, but nevertheless at this time (and it seams to me, for a long time) arthrography and arthro-CT will remain an excellent diagnostic tool with a very competitive advantages/inconvenience ratio.
Morvan
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Cabinet d'imagerie de l'appareil locomoteur, Paris.
D001175:Arthrography; D006801:Humans; D007592:Joint Diseases / Q000000981:diagnostic imaging*; D008023:Ligaments, Articular / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D013710:Tendons / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
Que reste-t-il de l'arthrographie?