0:00

Now that we know what the approach

0:04

going to be, let's show you what

0:08

as we do the arthrogram. I'm going

0:13

Here is an image.

0:15

It looks kind of funky, I know, but trust

0:20

This is after the contrast

0:23

All that's black is liquid.

0:24

Now, what did it look like

0:28

And we're going to bring that down.

0:29

And here it is right here.

0:31

This is that posterior elbow joint.

0:33

Let me just bring in both

0:36

Let me go like this and let

0:42

I'm going to zoom this up

0:45

So this little divot, this area,

0:50

corresponds to this area

0:56

So the needle is going

1:00

and we're going to hit this

1:03

When we do that, this is going

1:07

This is the fat pad.

1:08

And you can see that fat pad elevating as

1:14

which corresponds to the space

1:19

So here is a little video.

1:23

At this point, I'm approaching

1:26

And you can actually see

1:29

So let's run the video.

1:31

You can see it coming in,

1:32

coming in.

1:33

And it's parked right here.

1:36

You can see little dot right there.

1:38

I'm going to go back and forth.

1:40

Convince yourself that

1:42

And right there, we're in the joint space.

1:45

At this point, we're

1:49

And here I am injecting fluid.

1:50

What I like to do is put

1:54

When you do that,

1:58

some flow artifact, which is

2:01

So let's see what that looks like.

2:03

You see that? As I inject a contrast...

2:05

Inject contrast, you see what's

2:08

It's getting elevated from the under

2:10

surface because fluid is

2:14

And we can actually see a little bit

2:15

of motion of that motion in the vascular...

2:19

but it's actually just

2:22

And that's how we do an elbow arthrogram