https://scholars.lib.ntu.edu.tw/handle/123456789/480861
標題: | Accuracy of Two Ultrasound-Guided Coracohumeral Ligament Injection Approaches: A Cadaveric Study | 作者: | Majdalani, Carl Boudier-Revéret, Mathieu Pape, John Brismée, Jean Michel Michaud, Johan Luong, Dien Hung Grabs, Detlev KE-VIN CHANG WEN-SHIANG CHEN CHUEH-HUNG WU Sobczak, Stéphane |
公開日期: | 1-九月-2019 | 出版社: | WILEY | 卷: | 11 | 期: | 9 | 起(迄)頁: | 989 | 來源出版物: | PM and R | 摘要: | © 2019 American Academy of Physical Medicine and Rehabilitation Background: Glenohumeral idiopathic adhesive capsulitis is a common shoulder condition that hinders functionality. Addressing the pathology has been extensively researched. Ultrasound (US)-guided injections have shown their efficacy. However, no study has been conducted to compare anatomical accuracy between different approaches in targeting the coracohumeral ligament (CHL). Objective: To investigate whether US-guided injection of the CHL can be performed accurately using either the rotator interval (RI) or the coracoidal (CO) approach. Methods: An experimental cadaveric case series. Setting: Anatomy laboratory. Specimens: Both shoulders of 13 Thiel-embalmed cadavers. Interventions: Three physiatrists each injected a 0.1 mL bolus of colored dye in both shoulders of each cadaver using either the RI or the CO approach under US guidance. Each cadaver received a total of six injections (three injections per shoulder). The accuracy of the injection was determined following shoulder dissection by an anatomist. Main Outcome Measure: The accuracy of the US-guided injection of the CHL. Results: The RI approach yielded 36 accurate injections, giving it an accuracy of 100%. With the CO approach two injections were deemed inaccurate yielding an accuracy of 94%. There was no significant difference in accuracy between all operators. Conclusions: US-guided injection of the CHL can be performed accurately with both the RI and CO approaches. The RI approach was likely to be more accurate. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/480861 | ISSN: | 19341482 | DOI: | 10.1002/pmrj.12079 | SDG/關鍵字: | dye; adult; aged; anatomy; Article; articular cartilage; bolus injection; cadaver; case study; coracoid process; coracoidal approach; dissection; human; human tissue; humeral head; humeroscapular periarthritis; idiopathic disease; interventional ultrasonography; measurement accuracy; patient positioning; physiatrist; priority journal; rotation; rotator interval approach; shoulder; supination; ultrasound guided coracohumeral ligament injection; anatomic landmark; bursitis; intraarticular drug administration; joint ligament; procedures; Anatomic Landmarks; Bursitis; Cadaver; Humans; Injections, Intra-Articular; Ligaments, Articular; Shoulder Joint; Ultrasonography, Interventional |
顯示於: | 醫學系 |
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