Article

The glenohumeral joint can be accessed by anterior, posterior, or
superior approach. Blind shoulder injections using anterior or posterior approach
have been often inaccurate and infiltrated untargeted structures. The aim of this
study was to investigate the success rate of injections in the glenohumeral joint
using the superior approach. DESIGN: Nineteen shoulders from 12 adult cadavers
were anatomically dissected after a dye injection had been performed, with
cadavers in the supine position. A clinician rated injection confidence scores.
The dissectors rated injection accuracy scores and investigated untargeted
structures penetrated. RESULTS: The clinician's confidence scores were the
highest in 18 of 19 shoulders. Superior glenohumeral injections were successful
in 18 of 19 (94.7%) shoulders; however, in 3 of these 18 shoulders, the long
heads of biceps tendons were penetrated. CONCLUSIONS:
The glenohumeral joint
injection using the superior approach is accurate and clinically useful, but
caution for the likelihood of penetrating the long head of biceps tendon should
be considered.

Langue : ANGLAIS