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Jul 25 2009, 7:52 AM EDT
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Change: patient/tube to demonstrate the subacromial space.2. Needle Insertion and Contrast Injectionsource: http://www.elcamino.edu/faculty/mcolunga/RT%20255/Arthrography%20SP%2009.pptThe needle is commonly inserted using an anterior approach. The needle is directed towards the junction of the
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Jun 5 2009, 9:03 PM EDT
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Change: Select fine focus if available. There is considerable advantage in using the fluoroscopy unit to ensure that the subacromial views are positioned correctly. "These (scout) views are important to assess for calcium hydroxyapatite deposition in the rotator
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Jun 5 2009, 8:42 PM EDT
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Change: The caudal angulation required to achieve visualisation of the subacromial space is variable from patient to patient. If the fluoroscopic image reveals the subacromial space to be inadequately demonstrated, change in beam angulation can be made prior to acquiring a DSI image.This is an AP
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Jun 5 2009, 10:15 AM EDT
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Change: (control/scout views)The preliinary images are taken in the erect position. There is considerable advantage in using the fluoroscopy unit to ensure that the subacromial views are positioned correctly. "These views
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Jun 5 2009, 10:14 AM EDT
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Change: Correct needle position is indicated by free flow of contrast away form the needle tip in a cresent shape following the humeral head. Pooling of the contrast around the needfle tip suggests extra-articular injection of contrast. Alternatively, a small amount of local anaesthetic
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Jun 5 2009, 9:36 AM EDT
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Change: Shoulder Arthrography Performed with a Fluoroscopically Guided Anterior Approach. Radiographics. 2003;23:373-378.B. J. Manaster, MD, PhD. Invited Commentary. Radiographics, Volume 23 ● Number 2, p 379 ... back to the Wikiradiography home page...back to the Applied Radiography home page
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Jun 5 2009, 9:34 AM EDT
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Change: Alternatively, a small amount of local anaesthetic can be injected to assess free flow into the joint. When the needle is confirmed to be within the joint, 2-3 mls of contrast and 10mls of
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Jun 5 2009, 9:22 AM EDT
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Change: It is good practice with all needle insertion procedures to position the needle in the centre of the fluoroscopic image to eliminate parallax error. When
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Jun 5 2009, 8:20 AM EDT
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Change: Locked by Jun 5 2009, 8:20 AM EDT for: no reason given
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Jun 5 2009, 8:19 AM EDT
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Change: exercizesexercises undertaken by the patient. CT scanning of the shoulder joint post contrast media injection and DSI imaging is highly desirable.3. Digital Spot Imaging (DSI)This is an AP image of the shoulder joint post contrast injection
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Jun 5 2009, 8:18 AM EDT
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Change: of interest is rolledrotated into a true AP position (the elbow should be in an AP position). Ensure that the anatomy of interest is within the
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Jun 5 2009, 8:12 AM EDT
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Change: This is an AP image of the shoulder joint post contrast injection with the patient's arm in internal rotation. The patient's arm is not fully
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Jun 5 2009, 7:51 AM EDT
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Jun 5 2009, 7:50 AM EDT
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Jun 5 2009, 7:50 AM EDT
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Change: Following successful injection of contrast media, the radiologist will remove the needle. The patient is encouraged to move his/her shoulder to ensure the contrast agents have penetrated all recesses of the shoulder joint. The radiographer will then perform the post-contrast spot imaging using the image intensifier.3. Digital
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Jun 5 2009, 7:38 AM EDT
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Change: Following the completion of the preliminary images taken in the erect position, the patient is positioned supine on the fluoroscopic table with the shoulder of
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Jun 5 2009, 7:17 AM EDT
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Change: IntroductionA shoulder arthrogram is a fluoroscopic examination of the shoulder joint following the introduction of contrast media into the jointPreparationPatient IdentificationChange patient into gownCheck departmental policy re signed consent by patientEnsure old imaging is on-handProcedurePreliminary Views
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Jun 5 2009, 7:06 AM EDT
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Change: Created by Jun 5 2009, 7:06 AM EDT for: no reason given
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