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UW MSK Fellowship Information
SSR Fellowship Information
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Wrist Arthrography Set-Up and Procedure
Equipment:
Arthrography tray, syringes
Extra sterile towels
Sharpie marker and non-sterile hemostat
Solutions:
Xylocaine 1%
Isovue-M 300 (10-20cc)
Scout films:
If recent (<30 days) plain film exam on PACS or available on film, no scouts required.
Otherwise, three view wrist
Prepare consent form and stamp with patient ID
Please note: This study may require two sessions, depending on pattern of ligamentous tear and leakage.
Initial injection:
two compartments injected (mid-carpal and DRUJ)
spot films at 1-2 frames / sec. during injection
overheads: radial & ulnar deviation PA, clinched fist PA
Follow-up injection (as needed):
30-45 minute delay to allow for initial contrast to dissipate
Patient off fluoro table and in waiting room
Repeat skin prep and perform final injection
Same spot and overhead filming as needed
MSK Procedure Protocols
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