An arthrogram is an x-ray image of the inside of a joint after contrast (or “dye”) is injected into the joint. An arthrogram provides a clear image of the soft tissue in the joint (e.g. ligaments and cartilage) so that a more accurate diagnosis about an injury or symptom can be made.
A radiologist injects the contrast medium into the joint, using fluoroscopy (a special type of x-ray), computed tomography (CT) or ultrasound to help guide the injection needle into the correct position.
Once the injection is finished, images of the joint are taken using magnetic resonance imaging (MRI) or CT. While a plain MRI or CT can provide some information of the soft tissue structures, an arthrogram can sometimes provide much more detailed information about what is wrong within the joint.