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Accuracy and dispersal of subacromial and glenohumeral injections in cadavers

Lookup NU author(s): Dr Donal Shanahan

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Abstract

Objective. "Blind" shoulder injections are often inaccurate and infiltrate untargeted structures. We tested a hypothesis that optimizing certain anatomical and positional factors would improve accuracy and reduce dispersal. Methods. We evaluated one subacromial and one glenohumeral injection technique on cadavers. Results. Mean accuracy was 91% for subacromial-targeted and 74 and 91% (worst- and best-case scenarios) for joint-targeted injections. Mean dispersal was 19% for subacromial-targeted and 16% for joint-targeted injections. All results bettered those reported previously. Conclusion. These "optimized" techniques might improve accuracy and limit dispersal of blind shoulder injections in clinical situations, benefiting efficacy and safety. However, evaluation is required in a clinical setting.


Publication metadata

Author(s): Hanchard N, Shanahan D, Howe T, Thompson J, Goodchild L

Publication type: Article

Publication status: Published

Journal: Journal of Rheumatology

Year: 2006

Volume: 33

Issue: 6

Pages: 1143-1146

ISSN (print): 0315-162X

ISSN (electronic): 1499-2752

Publisher: Journal of Rheumatology Publishing Co. Ltd.

URL: http://www.jrheum.org/content/33/6/1143.abstract

PubMed id: 16755663


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