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Updated: Jul 16, 2026
In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
Published on: July 2, 2021
Near-fatal air embolus during arthrography of the hip in a baby aged four months
R Lamdan1, A Sadun, M Y Shamir
1Hebrew University, Hadassah Medical Center, Jersusalem, Israel. nrlamdan@bezeqint.net
Abstract:
We describe a near-fatal event, probably due to air embolism, following an air arthrogram for developmental hip dysplasia in a baby aged four months. The sequence of events and the subsequent treatment are described. There is little information about this complication in the literature. The presumed mechanism and alternative methods for confirmation of placement of the needle are discussed. We no longer use air arthrography in children.
Insights
A rare air embolism complication occurred during an air arthrogram for infant hip dysplasia. This event led to a near-fatal outcome, prompting a discontinuation of the procedure for pediatric patients.
Area of Science:
- Pediatric radiology
- Medical imaging complications
- Vascular air embolism
Background:
- Developmental hip dysplasia is a common pediatric condition.
- Air arthrography was historically used for hip joint evaluation.
- Minimally invasive imaging techniques carry inherent risks.
Observation:
- A four-month-old infant experienced a near-fatal event during an air arthrogram.
- The complication was strongly suspected to be an air embolism.
- The specific sequence of events and treatment were documented.
Findings:
- Air embolism is a rare but severe complication of air arthrography.
- Limited literature exists on this specific complication in pediatric patients.
- The presumed mechanism involves air entering the vascular system during needle insertion.
Implications:
- The findings highlight the critical risks associated with air arthrography.
- Alternative methods for confirming needle placement should be considered.
- Discontinuation of air arthrography in children is recommended due to safety concerns.
