Arthrogram

Advanced radiology for your joints

Specialized Imaging for Your Joints

When you have joint pain or a joint condition, your doctor at Beth Israel Deaconess Medical Center (BIDMC) may order a radiologic exam called an arthrogram test. An arthrogram is a type of X-ray that uses a dye to create a detailed image of the affected joint. This type of musculoskeletal (MSK) diagnostic test lets your doctor see the space within the joint and the soft tissues around the joint. These are not always visible on a regular X-ray.

How to Prepare

You do not need to take any special steps before a joint arthrogram test. You can follow your normal diet. You can take your regular medicines.

Be sure to tell your doctor if you:

  • Are allergic to anesthesia, iodine or any medicines. 
  • Have ever had a serious allergic reaction. 
  • Have a bleeding disorder. 
  • Have an infection in your joint. 
  • May be pregnant. 
  • Take blood thinners.

More About Arthrogram

During the Exam

An arthrogram takes about 20 minutes. If you need an MRI scan after the arthrogram, the imaging will take about 45 minutes. In total, you can expect complete testing to take about 90 minutes.

A radiologist will perform your arthrogram. After you arrive you will:

  • Change into a hospital gown. 
  • Remove any metallic objects from the area near your joint. 
  • Lie on an X-ray table. 
  • Expose the area around the affected joint for sterilization. 
  • Receive an anesthetic to numb the skin over your joint.

Next, your radiologist:

  • Uses X-ray guidance to place a small needle into the joint.  
  • Takes a fluid sample for lab testing, if needed. 
  • Injects dye into the joint space. 
  • Injects numbing medicine into the joint space, if needed. 
  • Removes the needle.

After your joint is prepped for imaging, your radiologist will take multiple X-rays. You may be asked to move the joint into different positions.

You may also need additional imaging right after the arthrogram. At BIDMC, we usually complete an MRI test. Be sure to tell your doctor if you have any metallic objects in your body that would interfere with the exam. If you do, we can complete a CT scan instead.

After the Exam

Once the test is complete, you can return to your regular activities. You can use any medicine you normally use for pain.

Getting Your Test Results

Your arthrogram results should be ready in about 48 hours. Your doctor or care team receives the results. They will contact you to discuss what the arthrogram showed and your treatment options.