Performing shoulder arthrography without image converters in the field of orthopedic accident surgery

This paper describes a method by which a shoulder arthrography may be carried out without the aid of fluoroscopy. To provide all patients with the best therapy possible, one should be able to perform arthrographies without having to own an image intensifier. The process of mixing a radiopaque substance with a local anesthetic agent combined with air will in itself dissolve existing adhesions during the tapping of the joint, as a result of which this diagnostic procedure will turn into therapy. In cases of extensive lacerations of the joint capsule, it is not possible to obtain a clear outline of the intra-articular structures, but on the other hand we shall frequently meet with a diffuse outflow of the mixture into the surrounding musculature. No allergic reactions to the radiopaque substance were observed.