Posterior Approach: The patient sits with their arm resting at their side with the shoulder in neutral rotation resting on their lap. The sulcus between the head of the humerus and acromion is identified.

2003年3月15日 · The glenohumeral joint can be injected from an anterior, posterior, or superior approach. The anterior and posterior approaches, which are used more often, are described here.

2023年3月23日 · Either an anterior or posterior technique can be taken with visualization of the glenohumeral joint allowing direct placement of needle-tip position. Injection of contrast is still required to ensure an intra-articular needle tip position.

2023年10月20日 · A number of approaches to the aspiration and injection of the shoulder have been described, with the anterior and posterior approaches most commonly used. Local cellulitis. Septic arthritis (shoulder aspiration for diagnosis is …

Shoulder Injection Posterior Approach Before the Procedure 1. Comprehensive Shoulder Exam a. Assess intra vs extra-articular fluid collections b. Assess the skin over insertion site c. Assessing for an acceptable target. i. Palpate the infero-posterior aspect of the acromion with the thumb. Place the index finger on the coracoid process. 2 ...

2019年7月29日 · Carlin Senter, MD, and Elizabeth Marshall, MD, discuss how to perform a subacromial shoulder injection, focusing on the supplies needed and the proper anatomic landmarks, including the advantages of both the posterior and lateral approaches for injection. Proper procedure for both approaches is demonstrated using a simulator.

2024年10月27日 · Intra-articular ultrasound-guided injections can be done using the anterior rotator interval approach or posterior approach. The posterior technique avoids accidental neurovasculature injury and has lower extra-articular extravasation rates of the injectate compared to the anterior approach. See Fig. 16.1 .

Injection technique for the posterior shoulder. Injections of the posterior shoulder treat injuries to the infraspinatus and teres minor tendons. The AC (acromio-clavicular) joint sprain is common.

2022年5月13日 · Injection of the joint is performed via a posterior approach with the humerus adducted across the thorax, thus opening the posterior joint space (Fig. 4a). It is also very helpful to ask the patient to retract the scapula (i.e., sit or lie with shoulder pulled back in good posture).

Local anesthesia achieved using Ethyl Chloride spray (Cooling spray). 5 ml of Lidocaine 1% without epinephrine and 1ml of Kenalog 40 mg/1mL in a needle of appropriate length and gauge was injected into the joint using *** posterior/anterior approach. Gentle aspiration before injection didn’t show any blood.