ARTHROGRAPHY

ARTHROGRAPHY – Contraindication, Purpose, Abnormal Findings, Client Preparation, Procedure and Post-Procedural Care (NURSING PROCEDURE)

Arthrography is an X-ray examination of a joint using air, contrast media or both in the joint space. The purposes are to detect abnormalities of the cartilage and/or ligaments (e.g. tears) and to visualize structures of the joint capsule. This procedure is performed when a client complains of persistent knee or shoulder pain or discomfort. Usually, it is performed on an outpatient basis

CONTRAINDICATION

  • Acute arthritic attack
  • Joint infection
  • Pregnant

PURPOSE

  • To visualize the structures of the joint capsule
  • To detect abnormalities of the cartilage and/or ligaments (tears)

ABNORMAL FINDINGS

  • Osteochondritis
  • Dissecans
  • Osteochondral fractures
  • Cartilage abnormalities
  • Synovial abnormalities
  • Tears of the ligaments
  • Joint capsule abnormalities

CLIENT PREPARATION

  • Explain the procedure to the client to allay anxiety and fear and to increase the client’s cooperation
  • Obtain a client history of allergies to seafood, iodine and contrast dye. An antihistamine, diphenhydramine (Benadryl), may be given orally or intravenously if there is a history of iodine or seafood hypersensitivity
  • Provide ongoing assessment before, during and after the procedure, including vital signs, discomfort and other
  • Inform the client that changes in body position may be asked for during the procedure. At other times, the client is to remain still
  • Inform the client that he or she will not be asleep during the arthrography and may ask questions prior, during and after the test procedures

PROCEDURE

  • Prepare the knee or shoulder area using aseptic site
  • Local anesthetic is administered to puncture site
  • A needle is inserted into the joint space (e.g. knee), and synovial fluid is aspirated for synovial fluid analysis
  • Air and/or contrast medium is injected into the joint space and X-rays are taken
  • The knee may be bandaged
  • Food and fluids are not restricted

POST-PROCEDURAL CARE

  • Apply an ice ace bandage to the legs, including the knee, if indicated to decrease swelling and pain
  • Instruct the client to rest the joint for the time specified, usually 12 hours
  • Inform the client that a crepitant noise may be heard with joint movement. This should stop in a few days; however, if the noise persists, the health care providers should be contacted
  • Instruct the client to apply an ice bag with a cover to the affected joint to decrease swelling if noted. An analgesic for pain and/or discomfort may be ordered or suggested
ARTHROGRAPHY – Contraindication, Purpose, Abnormal Findings, Client Preparation, Procedure and Post-Procedural Care (NURSING PROCEDURE)
ARTHROGRAPHY – Contraindication, Purpose, Abnormal Findings, Client Preparation, Procedure and Post-Procedural Care (NURSING PROCEDURE)

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