Indirect Ultrasound Guidance Increased Accuracy of the Glenohumeral Injection Using the Superior Approach: A Cadaveric Study of Injection Accuracy
Annals of Rehabilitation Medicine
;
: 202-207, 2013.
Article
in English
| WPRIM
| ID: wpr-7646
ABSTRACT
OBJECTIVE:
To investigate whether or not indirect ultrasound guidance could increase the accuracy of the glenohumeral joint injection using the superior approach.METHODS:
Twelve shoulders from 7 adult cadavers were anatomically dissected after a dye injection had been performed, while the cadavers were in the supine position. Before the injection, a clinician determined the injection point using the ultrasound and the more internal axial arm rotation was compared to how it was positioned in a previous study. Injection confidence scores and injection accuracy scores were rated.RESULTS:
The clinician's confidence score was high in 92% (11 of 12 shoulders) and the injection accuracy scores were 100% (12 of 12 shoulders). The long heads of the biceps tendons were not penetrated.CONCLUSION:
Indirect ultrasound guidance and positioning shoulder adducted at 10degrees and internally rotated at 60degrees-70degrees during the superior glenohumeral joint injection would be an effective method to avoid damage to the long head of biceps tendons and to produce a highly accurate injection.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arm
/
Shoulder
/
Shoulder Joint
/
Tendons
/
Cadaver
/
Supine Position
/
Head
Type of study:
Practice guideline
Limits:
Adult
/
Humans
Language:
English
Journal:
Annals of Rehabilitation Medicine
Year:
2013
Type:
Article
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