Accuracy of Palpation-Directed Intra-articular Glenohumeral Injection Confirmed by Magnetic Resonance Arthrography
| Autor: | Christopher S. Lee, Claire McGroder, Shalen Kouk, Scott E. Powell, Robert K. Lee, Shane M. Davis, Emily H. Lee, Ryan M. Sung |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Gadolinium DTPA Male medicine.medical_specialty Adolescent Shoulders Contrast Media Palpation Injections Intra-Articular Rotator Cuff Young Adult Intra articular Humans Medicine Acromioclavicular joint Orthopedics and Sports Medicine Arthrography Aged Retrospective Studies medicine.diagnostic_test Shoulder Joint business.industry Capsule Magnetic resonance imaging Middle Aged Arthralgia Magnetic Resonance Imaging Single surgeon medicine.anatomical_structure Female Arthrogram Radiology business |
| Zdroj: | Arthroscopy: The Journal of Arthroscopic & Related Surgery. 31:205-208 |
| ISSN: | 0749-8063 |
| Popis: | Purpose The aim of this study was to determine the accuracy of anatomic palpation-directed injections in the office setting. Methods Two hundred twenty-six shoulders in 208 patients were studied using a 0.2-Tesla extremity scanner after the injection of gadolinium–diethylene triamine pentaacetic acid–saline. All patients were injected in a sterile fashion by a single board-certified shoulder surgeon using an anterior approach by palpating the rotator interval anterior to the acromioclavicular joint and angling the needle 45° lateral and 45° caudad. All injections, successful or otherwise, were single injections. Magnetic resonance (MR) arthrograms were retrospectively read by 2 musculoskeletal fellowship-trained, board certified radiologists to determine whether the injection was in the glenohumeral joint. Results Two hundred one of the 226 injections were successful (88.9%). Of the 25 unsuccessful injections, the contrast material extravasated out of the capsule in 5 cases and into the subscapularis tendon in 10 cases. The contrast material was injected into the subacromial space in 9 cases, into the rotator interval fat in 9 cases, and into extracapsular tissue in 6 cases. There was insufficient volume of contrast material in 10 cases. The accuracy rate was 88.9%. There were no complications. Conclusions The palpation-directed rotator interval anterior approach technique for intra-articular glenohumeral MR arthrogram injections performed by a single surgeon was 88.9% accurate. Level of Evidence Level IV, therapeutic case series. |
| Databáze: | OpenAIRE |
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