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Doctor insights on: Mri Arthrogram Hip

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Hip MRI shows "chondrolabral separation" what does that mean? One hip has a paralabral cyst also but says soft tissues are in tact

Hip MRI shows "chondrolabral separation" what does that mean? One hip has a paralabral cyst also but says soft tissues are in tact

Dettachment: It means that the labrum (structure located around the rim of the socked)has separated from itparalabral cyst are usually very common and indicates early degenerative changes of the labrum. ...Read more

Dr. Janice Alexander
5 Doctors shared insights

Mri (Definition)

Mri or magnetic resonance imaging is one of the more recently developed imaging modalities available to physicians. It uses powerful magnets to generate images. There is no ionizing radiation which is a major advantage over many other modalities. Mri is the best imaging exam that we have for most soft tissue and joint related problems. There are radiologists ...Read more


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MRI ARTHROGRAM LEFT HIP ; A very small subchondral cyst was noted along the lateral roof of the right acetabulum What does this mean?

MRI ARTHROGRAM LEFT HIP ; A very small subchondral cyst was noted along the lateral roof of the right acetabulum What does this mean?

Early DJD: Subchondral cysts mean cysts in the bone underneath the cartilage, and are a reaction of the bone to degenerative and stress related changes about the joint space. These are usually seen with some cartilage damage and narrowing of the joint space adjacent to the cyst. Many people are asymptomatic with small cysts. ...Read more

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What's the difference between a MRI and hip arthrogram? I had an MRI scan done on my hip and it didn't find anything. But I still have severe hip pain. The doctor has ordered a hip arthrogram. What's the difference?

What's the difference between a MRI and hip arthrogram? I had an MRI scan done on my hip and it didn't find anything. But I still have severe hip pain. The doctor has ordered a hip arthrogram. What's the difference?

Dye!: Dye is injected into the hip looking for tears in the capsule and labrum. Then an x-ray or ct is done to visualize what is present! Not done routinely for joint pain or arthritis! ...Read more

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Why did none of blood test esr ccp rf cbc show severe synovitis in hip? Even mri and hip arthrogram failed. Found during hip surgery.

Why did none of blood test esr ccp rf cbc show severe synovitis in hip? Even mri and hip arthrogram failed. Found during hip surgery.

False negatives: Almost all tests have some false negatives. Depending on the severity and extent of synovitis it may not show up on tests. It also depends on the type of inflammation. There can similarly be false positive test results for most of the tests.
Wish you good health! ...Read more

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I'm 46&had a rthr in december for femoral dysplasia/femoral anteversion. Any idea why my left hip is painful with no rom? Mri arthrogram is negative.

I'm 46&had a rthr in december for femoral dysplasia/femoral anteversion. Any idea why my left hip is painful with no rom? Mri arthrogram is negative.

Two fold: 1. From over compensation from your previousl right hip issue. 2. Bow with some pain from walking differently after surgical correction of your right hip. ...Read more

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What is the definition or description of: MRI arthrogram?

What is the definition or description of: MRI arthrogram?

MRI with injection: An MRI arthrogram is an MRI of a joint after a contrast agent has been injected into the joint. The MRI is usually performed before and after the dye has been injected. Injecting the contrast agent into the joint often provides additional information not found on a regular study. It may show small tears or holes that would be missed on a regular study. ...Read more

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Can a MRI arthrogram on your shoulder hurt?

Can a MRI arthrogram on your shoulder hurt?

Yes, but...: Not that much. When done by an experienced Doctor, the arthrogram should not be very painful. I have done over 15, 000 arthrograms in the last 10 years, and most of my patients say it is not much more than a typical flu shot. You can google "DrNefcy. Com" and go to arthrogram advice for more information. ...Read more

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Could a MRI arthrogram on your shoulder hurt?

Could a MRI arthrogram on your shoulder hurt?

A little: Me arthrograms involve placing a small needle into the joint and injecting a contrast agent. Typically, all you feel is a small numbing shot. About 5-10 seconds of discomfort. ...Read more

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What is the definition or description of: shoulder MRI arthrogram?

Injection: Injection of contrast into shoulder joint followed by an mri. ...Read more

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How would I know if I got an infection from a shoulder MRI arthrogram?

How would I know if I got an infection from a shoulder MRI arthrogram?

Pain and limited: Movement and elevated temperature and some welling redness of the shoulder. After one to two days of the procedure. ...Read more

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My sister, 13 1/2, has to get an MRI arthrogram done on her left hand. Does it hurt? She was wondering. Ow and she is clusterphobic.

My sister, 13 1/2, has to get an MRI arthrogram done on her left hand. Does it hurt? She was wondering. Ow and she is clusterphobic.

Yes, but...: Not too much. When performed by an experienced Doctor, the arthrogram should not hurt very much. I have done thousands of arthrograms, and most of my patients say it is similar to a flu shot. Teenagers are not a problem if you walk them throught the proceedure. Your sister can be premedicated for claustrophobia, if needed. For more information, google "DrNefcy. Com" and click on arthrogram advice. ...Read more

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Left shoulder MRI arthrogram- report states that sgh ligament is not seen. Does this mean it is completely torn? Will surgery be necessary?

Left shoulder MRI arthrogram- report states that sgh ligament is not seen. Does this mean it is completely torn? Will surgery be necessary?

Depends: The SGHL is normally absent in about 10 percent of patients, so it may be torn or a normal variant. Additional findings of injury to the biceps tendon with subluxation, accompanied by pain with certain motions such as baseball throwing, will determine whether surgery is indicated. Surgery also depends on the patient's career and life style. Consultation with you Orthopedic Surgeon is recommended. ...Read more

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Hard blow to the floor playing vball.2 diff doctors, mri, arthrogram mri, xrays came back fine. Can't put any pressure when kneelin. Knee pain 24/7.Help?

Hard blow to the floor playing vball.2 diff doctors, mri, arthrogram mri, xrays came back fine. Can't put any pressure when kneelin. Knee pain 24/7.Help?

See Sports Expert: Recommend seeing a sports medicine fellowship trained physician. You could have multiple reasons for pain. Many times hairline fractures are not that easy to see right away. Also ligamentous issues are easy to miss as well. ...Read more

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Had shoulder pain for 2 yrs. Ortho inyected me twice, had physical therapy, MRI arthrogram clear, and nothing. Been playing tennis for 10 yrs.????

Had shoulder pain for 2 yrs. Ortho inyected me twice, had physical therapy, MRI arthrogram clear, and nothing. Been playing tennis for 10 yrs.????

Slow down a bit: Assuming the MRI study is clear, you can start by reducing the frequency and intensity of your workouts and tennis, while using a NSAID, such as motrin. When you get to a lower level of activity that does not cause shoulder pain, stay at this level for a month or so, and then slowly increase your activity as long as the pain does not recur. ...Read more

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How do a regular hip MRI and an arthrogram of the hip differ?

How do a regular hip MRI and an arthrogram of the hip differ?

More complex study.: I assume you mean an MRI of the hip compared to an MRI of the hip with an arthrogram. Both studies include an MRI of the hip. The study with an arthrogram helps to better visualize the labral and articular cartilage about the hip. Along with an arthrogram, additional medication is placed into the hip joint, which can help determine if your hip pain is inside the joint and capsule or outside. ...Read more

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Hip pain. My last MRI was an arthrogram. I had also had a theraputic injection done with short term relief. My previous injection from lasted 13 mo.?

Hip pain. My last MRI was an arthrogram. I had also had a theraputic injection done with short term relief. My previous injection from lasted 13 mo.?

Tough decisions: Hip arthroscopy is in its infancy, and we do not have long term studies on patients that we have repaired. Therefore, each hip case needs to be individualized with a surgeon that you trust and have a good rapport with. There are few clear cut answers. ...Read more

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Hip pain. Leg/hip not holding weight after sitting. Arthrogram MRI yest. Can hardly walk. Wont hold my weight?

Hip pain. Leg/hip not holding weight after sitting. Arthrogram MRI yest. Can hardly walk. Wont hold my weight?

Varies: The two most common causes would be a problem in the hip verses a pinched nerve in the back. The MRI arthrigram should go a long way in determining if it is from the hip or not. ...Read more

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I had an MRI of my right hip with arthrogram to diagnose labral tear and radiologist said dye went to lymph nodes quickly. Why would this happen?

I had an MRI of my right hip with arthrogram to diagnose labral tear and radiologist said dye went to lymph nodes quickly. Why would this happen?

Inflammation: Assuming that the arthrogram was done correctly, and contrast placed into the joint space, then heart rate and motion will not affect uptake. The contrast placed into the joint space gets absorbed by turnover of the joint fluid with uptake into the lymphatic system, and then flows into the blood vessels. Contrast outside of the joint gets absorbed directly by the blood vessels, and usually not... ...Read more

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Can an MRI arthrography cause severe pain on my hip?

MRI arthrogram: The hip joint has relatively small volume with tight capsule and can be quite sensitive to stretch of any injected fluid. ...Read more

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Is it normal to have severe pain after a MRI arthrography on my hip?

Is it normal to have severe pain after a MRI arthrography on my hip?

No.: How soon after the arthrogram did you begin having severe pain? Infection is a relatively rare but serious complication of arthrography. Call your doctor and explain your symptoms. ...Read more

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Severe pain after a MRI arthrography on my hip. Take aspirin?

Severe pain after a MRI arthrography on my hip. Take aspirin?

Not unusual: An MRI arthrogram is preformed usually injecting gadolinium and iodinated contrast. One could have allergy reaction to either. Pain after this study is rarely sever. Talk to doctor who did the study. Infection or blood in the joint could produce pain. Rather than taking a pain med do not overlook the possibility of an adverse reaction. If clear for adverse reaction any mild pain medicate is ok. ...Read more

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Is MR arthrography of the hip joint a fancy way of saying MRI of the hip with contrast media (Gadalinium)?

Is MR arthrography of the hip joint a fancy way of saying MRI of the hip with contrast media (Gadalinium)?

Yes and no.: A standard MRI with contrast usually implies an intravenous injection of gadolinium. An MRI arthrogram means that the contrast is injected directly into the joint space, usually with fluoroscopic guidance of the needle. ...Read more

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Using a Tesla 3 MRI s it possible to have a normal MRI of hip and then in the same session have a MR-guided MR arthrography of the hip joint?

Yes: Yes you can have both. MRI contrast is injected into hip joint and MRI repeated. Theory being that if MRI without contrast revealed the problem no further testing needed. If it was normal a repeat MRI with contrast in joint may show abnormalities not seen on the first study without contrast. (Gadalinium) ...Read more

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Do you have to wear a hospital gown in order to get an arthrogram mri?

Do you have to wear a hospital gown in order to get an arthrogram mri?

Depends: If you are having a shoulder or hip MRI arthrogram, the radiologist will need access to your shoulder or hip to inject the contrast into the joint (arthogram). A gown is the easiest garment for such purposes. If you are having an MRI arthrogram of your knee, wrist or elbow, a gown would not be necessary. Many outpatient centers provide scrubs for MRI procedures. ...Read more

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How long does a hand arthrogram MRI last?

How long does a hand arthrogram MRI last?

Depends: In my practice, we do an MRI study before and after the arthrogram. The pre arthrogram MRI takes 20 minutes, and the post arthrogram takes 30 minutes, as long as there are no artifacts or motion which would result in repeated images. The arthrogram takes about 5 minutes, with the injection no more than 10 seconds with an experienced Doctor. Google: Dr. Nefcy Arthrogram Advice for more details. ...Read more

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What view of a shoulder MRI with contrast and arthrogram should you look at to determine a labral tear? Slap vs. Bankart?

What view of a shoulder MRI with contrast and arthrogram should you look at to determine a labral tear? Slap vs. Bankart?

Depends: A shoulder MRI takes images in multiple planes and with multiple techniques. Tears of the labral cartilage are best seen in the axial images, but can also be seen in the coronal and sagittal planes. That includes a Bankart injury. A tear of the superior labral complex such as a SLAP lesion is best seen in the coronal images, but can also be seen in the other planes. ...Read more

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MRI in '14 showed supraspinatus tendinitis. Arthrogram now shows same and small labral tear. No overhead activities due to inability to raise arm. Had subacromial decompression in '09. What may be causing ongoing tendinitis? Surgery for labrum tear?

MRI in '14 showed supraspinatus tendinitis. Arthrogram now shows same and small labral tear. No overhead activities due to inability to raise arm. Had subacromial decompression in '09. What may be causing ongoing tendinitis? Surgery for labrum tear?

Possible cuff tear: You would need to see orthopedic surgeon for an examination. There are certain exam tests which are + when a labral tear is causing symptoms. You may have also had progression of your supraspinatus or rotator cuff tendinitis to a partial or full-thickness rotator cuff tear. Nonoperative treatment can include anti-inflammatories and subacromial cortisone injections. Physical therapy is helpful. ...Read more

Dr. Peter Nefcy
23 Doctors shared insights

Mri Arthrogram (Definition)

An MRI arthrogram is an MRI of a joint after a contrast agent has been injected into the joint. The MRI is usually performed before and after the dye has been injected. Injecting the contrast agent into the joint often provides additional information not found on a regular study. It may show small tears or holes that would be missed ...Read more


Arthrography (Definition)

Visualization of the joint with the use if intraarticular injections & imaging (usually x-ray, but may be ...Read more