MR arthrography (direct)

With direct MR arthrography an MRI scan of the joint is performed after contrast agent has been injected into it. This type of examination is the most accurate diagnostic examination method which is currently available.

However, it is only used in certain cases, in particular in the shoulder, hip and wrist areas. The indication of such a special examination is clarified by the radiologist together with the referring orthopaedic specialist.

The contrast agent is injected under sterile conditions under local anaesthetic and under X-ray control.

Subsequently an MRI scan of the joint is performed and a special examination report is written.

Possible but very rare risks of joint aspiration comprise bleeding, infections or allergic reactions to the contrast agent.

direct MR arthrography

Typical picture of an injury to the long biceps tendon retainer (SLAP lesion)