Indirect Ultrasound Guidance Increased Accuracy of the Glenohumeral Injection Using the Superior Approach: A Cadaveric Study of Injection Accuracy
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
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.
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.
참고문헌 (11)
- Kim JS., "Accuracy of the glenohumeral injection using the superior approach : a cadaveric study of injection accuracy", Am J Phys Med Rehabil, 89, pp.755~758 (2010)
- Johnson TS., "Accuracy of intra-articular glenohumeral injections : the anterosuperior technique with arthroscopic documentation", Arthroscopy, 27, pp.745~749 (2011)
- Itoi E., "Stabilizing function of the long head of the biceps in the hanging arm position", J Shoulder Elbow Surg, 3, pp.135~142 (1994)
- Rutten MJ., "Glenohumeral joint injection : a comparative study of ultrasound and fluoroscopically guided techniques before MR arthrography", Eur Radiol, 19, pp.722~730 (2009)
- Ohara T., "Ultrasound instruments as possible vectors of staphylococcal infection", J Hosp Infect, 40, pp.73~77 (1998)
- 김준성, "동결견 환자에서 상방 주입법을 사용한 관절강 내 주사요법의 정확도", Annals of Rehabilitation Medicine, 31(1), pp.37~40 (2007), 대한재활의학회
- Hulstyn MJ., "Arthroscopic anatomy of the shoulder", Orthop Clin North Am, 26, pp.597~612 (1995)
- Stitik TP., "Shoulder injections for osteoarthritis and other disorders", Phys Med Rehabil Clin N Am, 15, pp.407~446 (2004)
- Wolf EM., "Anterior portals in shoulder arthroscopy", Arthroscopy, 5, pp.201~208 (1989)
- Wong PL., "A review on frozen shoulder", Singapore Med J, 51, pp.694~697 (2010)
- Tempelhof S., "Age-related prevalence of rotator cuff tears in asymptomatic shoulders", J Shoulder Elbow Surg, 8, pp.296~299 (1999)