Sonographically Guided Glenohumeral Joint Injection

Musculoskeletal Ultrasound in Physical Medicine and Rehabilitation

“…The emergence of these new treatments, combined with the needle tenotomy techniques, have been made possible by the ability to visualize the degenerative tendon, perform percutaneous needling of the tendon and accurately place the injectate into the desired area. While [79] Acromioclavicular joint [80] Glenohumeral joint [81] Biceps tendon sheath [13] Aspiration/lavage of calcific tendinitis [68] Elbow Medial and lateral epicondyle [82] Elbow joint [83] Hand/wrist Carpal tunnel [84] De Quervain's tenosynovitis [85] Carpometacarpal and trapeziometacarpal joint [86] Trigger finger [87] Scaphotrapeziotrapezoid joint [88] Distal radioulnar joint [89] Lower extremity…”

Magnetic Resonance Arthrography of the Glenohumeral Joint: Ultrasonography-Guided Technique Using a Posterior Approach

“…Although the anterior approach is the most commonly used [7,8,13,20], the posterior approach has become the preferred technique in recent years [13,17,21]. We believe that US-guided injection of contrast material using the posterior approach into the glenohumeral joint is reliable, well tolerated by patients and easy to perform.…”

“…Fluoroscopic control of needle placement during the intraarticular injection of contrast media into the glenohumeral joint is the standard technique [7][8][9][10]. However, injection for direct MR arthrography can be palpation-directed, ultrasonography-guided or computerized tomography (CT)-guided [11][12][13][14][15][16][17][18]. Deployment of ionizing radiation is a disadvantage of fluoroscopic and CT-guided shoulder arthrography.…”

Intervention Using Ultrasonography

“…초음파를 이용한 시술의 종류는 주사(injection), 3) 흡인(aspiration), 4) 탐침(needling, barbotage), 5) 신경 차단(nerve block), 6) 종양 생검(tumor biopsy) 7) 및 이물 제거 (Fig. 4).…”