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Indirect Ultrasound Guidance Increased Accuracy of the Glenohumeral Injection Using the Superior Approach: A Cadaveric Study of Injection Accuracy
| Content Provider | Semantic Scholar |
|---|---|
| Author | Kim, Joon Sung Kim, Min-Wook Park, Dong Yoon |
| Copyright Year | 2013 |
| 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 10° and internally rotated at 60°-70° 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. |
| Starting Page | 202 |
| Ending Page | 207 |
| Page Count | 6 |
| File Format | PDF HTM / HTML |
| DOI | 10.5535/arm.2013.37.2.202 |
| PubMed reference number | 23705114 |
| Journal | Medline |
| Volume Number | 37 |
| Alternate Webpage(s) | https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/df/arm-37-202.PMC3660480.pdf |
| Alternate Webpage(s) | http://ftp.ncbi.nlm.nih.gov/pub/pmc/6d/df/arm-37-202.PMC3660480.pdf |
| Alternate Webpage(s) | https://doi.org/10.5535/arm.2013.37.2.202 |
| Journal | Annals of rehabilitation medicine |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |