Ultrasound-guided lateral approach for needle insertion into the subscapularis for treatment of spasticity

Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved..

OBJECTIVE: To evaluate the safety and accuracy of ultrasound (US)-guided needle insertion into the subscapularis using fresh cadavers.

DESIGN: A needle was inserted into the subscapularis of adult human cadavers under US guidance using a lateral approach from the posterior axillary fold. An anatomist dissected the cadavers to evaluate the effectiveness of this injection method.

SETTING: University dissecting room.

PARTICIPANTS: Fresh cadavers (N=5).

INTERVENTIONS: US-guided dye injections targeting the motor points of the subscapularis.

MAIN OUTCOME MEASURE: Accuracy of the injections and prevalence of complications. The presence of dye within 1.0cm of the motor points was defined as reaching the target. The injection procedure was considered a success if two-thirds of the injected dye reached the target.

RESULTS: We did not identify any neurovascular structures at risk of injury in the injection route. All subscapularis muscles were injected successfully using the US-guided lateral approach.

CONCLUSIONS: US-guided needle insertion into the subscapularis using this lateral approach was accurate and had the minimal risk of neurovascular or lung injuries.

Medienart:

E-Artikel

Erscheinungsjahr:

2012

Erschienen:

2012

Enthalten in:

Zur Gesamtaufnahme - volume:93

Enthalten in:

Archives of physical medicine and rehabilitation - 93(2012), 7 vom: 05. Juli, Seite 1147-52

Sprache:

Englisch

Beteiligte Personen:

Rha, Dong-wook [VerfasserIn]
Han, Seung-Ho [VerfasserIn]
Kim, Hee-Jin [VerfasserIn]
Won, Sung-Yoon [VerfasserIn]
Lee, Sang Chul [VerfasserIn]

Links:

Volltext

Themen:

Comparative Study
Journal Article

Anmerkungen:

Date Completed 10.09.2012

Date Revised 25.11.2016

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.apmr.2012.02.017

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM217013996