Semin Musculoskelet Radiol 2012; 16(01): 015-026
DOI: 10.1055/s-0032-1304298
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

MR and CT Arthrography of the Elbow

Anton G. Delport
1   Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
,
Adam C. Zoga
1   Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
› Author Affiliations
Further Information

Publication History

Publication Date:
23 March 2012 (online)

Abstract

Magnetic resonance (MR) arthrography has, to a great extent, replaced conventional and CT arthrography as the standard of care imaging tool for indications including medial elbow pain in the throwing athlete, chondral and osteochondral lesions in the elbow, and intra-articular bodies. There are still rare specific incidences where CT arthrography is indicated. This article reviews elbow arthrography, with a greater emphasis placed on MR arthrography, including indications, technique, potential complications, contraindications, equipment, and MR arthrographic pathologies.

 
  • References

  • 1 Hodge JC. Musculoskeletal Procedures: Diagnostic and Therapeutic. Austin, TX: Landes Bioscience; 2003
  • 2 Bergin D, Schweitzer ME. Indirect magnetic resonance arthrography. Skeletal Radiol 2003; 32 (10) 551-558
  • 3 Carrino JA, Smith DK, Schweitzer ME. MR arthrography of the elbow and wrist. Semin Musculoskelet Radiol 1998; 2 (4) 397-414
  • 4 American College of Radiology. ACR appropriateness criteria. Available at: http://www.acr.org/SecondaryMainMenuCategories/quality_safety/app_criteria/pdf/ExpertPanelonMusculoskeletalImaging/ChronicElbowPainDoc6.aspx . Accessed January 3, 2012
  • 5 Steinbach LS, Palmer WE, Schweitzer ME. Special focus session. MR arthrography. Radiographics 2002; 22 (5) 1223-1246
  • 6 Morrison WB, Sanders TG. Problem Solving in Musculoskeletal Imaging. St. Louis, MO: Mosby; 2008
  • 7 Schwartz ML, al-Zahrani S, Morwessel RM, Andrews JR. Ulnar collateral ligament injury in the throwing athlete: evaluation with saline-enhanced MR arthrography. Radiology 1995; 197 (1) 297-299
  • 8 Cotten A, Jacobson J, Brossmann J , et al. Collateral ligaments of the elbow: conventional MR imaging and MR arthrography with coronal oblique plane and elbow flexion. Radiology 1997; 204 (3) 806-812
  • 9 Malfair D. Therapeutic and diagnostic joint injections. Radiol Clin North Am 2008; 46 (3) 439-453 , v
  • 10 Munshi M, Pretterklieber ML, Chung CB , et al. Anterior bundle of ulnar collateral ligament: evaluation of anatomic relationships by using MR imaging, MR arthrography, and gross anatomic and histologic analysis. Radiology 2004; 231 (3) 797-803
  • 11 Wear SA, Thornton DD, Schwartz ML, Weissmann III RC, Cain EL, Andrews JR. MRI of the reconstructed ulnar collateral ligament. AJR Am J Roentgenol 2011; 197 (5) 1198-1204
  • 12 Sanal HT, Chen L, Haghighi P, Trudell DJ, Resnick DL. Annular ligament of the elbow: MR arthrography appearance with anatomic and histologic correlation. AJR Am J Roentgenol 2009; 193 (2) W122-6
  • 13 O'Driscoll SW, Bell DF, Morrey BF, O'Driscoll SW. Posterolateral rotatory instability of the elbow. J Bone Joint Surg Am 1991; 73 (3) 440-446
    • 14 Cohen SB, Valko C, Zoga A, Dodson CC, Ciccotti MG. Posteromedial elbow impingement: magnetic resonance imaging findings in overhead throwing athletes and results of arthroscopic treatment. Arthroscopy 2011; 27 (10) 1364-1370
    • 15 Dubberley JH, Faber KJ, Patterson SD , et al. The detection of loose bodies in the elbow: the value of MRI and CT arthrography. J Bone Joint Surg Br 2005; 87 (5) 684-686