Archives of physical medicine and rehabilitation · 2012
Ultrasound-guided lateral approach for needle insertion into the subscapularis for treatment of spasticity.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Rha Dong-wook, Han Seung-Ho, Kim Hee-Jin, Won Sung-Yoon, Lee Sang Chul
Аннотация
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.
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.