A practical guide for performing arthrography under fluoroscopic or ultrasound guidance.
We propose a practical approach for performing arthrography with fluoroscopic or ultrasound guidance. Different approaches to the principal joints of the upper limb (shoulder, elbow, wrist and fingers), lower limb (hip, knee, ankle and foot) as well as the facet joints of the spine are discussed and illustrated with numerous drawings. Whenever possible, we emphasise the concept of targeting articular recesses, which offers many advantages over traditional techniques aiming at the joint space.


CONCLUSIONS
• Arthrography remains a foremost technique in musculoskeletal radiology • Most joints can be successfully accessed by targeting the articular recess • Targeting the recess offers several advantages over traditional approaches • Ultrasound-guidance is now favoured over fluoroscopy and targeting the recess is equally applicable.
Faculty of Medicine, University of Montreal, Montreal, QC, Canada.|Department of Radiology, Centre Hospitalier de l'Université de Montréal (CHUM), Hôpital Notre-Dame, 1560 rue Sherbrooke Est, Montréal, QC, H2L 4M1, Canada.
Eugen
E
Lungu
Faculty of Medicine, University of Montreal, Montreal, QC, Canada. thomas.moser@umontreal.ca.|Department of Radiology, Centre Hospitalier de l'Université de Montréal (CHUM), Hôpital Notre-Dame, 1560 rue Sherbrooke Est, Montréal, QC, H2L 4M1, Canada. thomas.moser@umontreal.ca.
Thomas P
TP
Moser
Arthrography; Articular recess; Fluoroscopy; Intra-articular injection; Ultrasound