Fluoroscopy-guided injections of the upper extremity: pearls and pitfalls
Fluoroscopy guidance is commonly utilized for injections in the upper extremity, with increased accuracy for injection placement compared to blind injection. Injection of the glenohumeral joint is the most commonly performed upper extremity procedure. However, there are a number of other sites which...
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| Veröffentlicht in: | Skeletal radiology 2023-05, Vol.52 (5), p.843-854 |
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| creator | Kresse, Maxine E. Perry, Michael T. Nacey, Nicholas C. |
| description | Fluoroscopy guidance is commonly utilized for injections in the upper extremity, with increased accuracy for injection placement compared to blind injection. Injection of the glenohumeral joint is the most commonly performed upper extremity procedure. However, there are a number of other sites which can be easily injected under fluoroscopy including the acromioclavicular joint, subacromial subdeltoid bursa, biceps tendon sheath, scapulothoracic bursa, elbow, wrist, first CMC joint, and pisotriquetral joint. Fluoroscopy can be used to guide injections into the glenohumeral, elbow, or wrist joints preceding MR arthrography. While there are technique similarities when injecting any of these sites, some particular approaches and pitfalls are unique to each anatomic site. |
| doi_str_mv | 10.1007/s00256-022-04129-y |
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Injection of the glenohumeral joint is the most commonly performed upper extremity procedure. However, there are a number of other sites which can be easily injected under fluoroscopy including the acromioclavicular joint, subacromial subdeltoid bursa, biceps tendon sheath, scapulothoracic bursa, elbow, wrist, first CMC joint, and pisotriquetral joint. Fluoroscopy can be used to guide injections into the glenohumeral, elbow, or wrist joints preceding MR arthrography. 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Injection of the glenohumeral joint is the most commonly performed upper extremity procedure. However, there are a number of other sites which can be easily injected under fluoroscopy including the acromioclavicular joint, subacromial subdeltoid bursa, biceps tendon sheath, scapulothoracic bursa, elbow, wrist, first CMC joint, and pisotriquetral joint. Fluoroscopy can be used to guide injections into the glenohumeral, elbow, or wrist joints preceding MR arthrography. While there are technique similarities when injecting any of these sites, some particular approaches and pitfalls are unique to each anatomic site.</description><subject>Arthrography</subject><subject>Bupivacaine</subject><subject>Comparative analysis</subject><subject>Elbow</subject><subject>Elbow (anatomy)</subject><subject>Fluoroscopy</subject><subject>Fluoroscopy - methods</subject><subject>Humans</subject><subject>Imaging</subject><subject>Infections</subject><subject>Injection</subject><subject>Injections, Intra-Articular - methods</subject><subject>Joints (anatomy)</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nuclear Medicine</subject><subject>Orthopedics</subject><subject>Pathology</subject><subject>Patient positioning</subject><subject>Radiology</subject><subject>Review Article</subject><subject>Sheaths</subject><subject>Shoulder Joint - diagnostic imaging</subject><subject>Steroids</subject><subject>Upper Extremity - diagnostic imaging</subject><subject>Wrist</subject><issn>0364-2348</issn><issn>1432-2161</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kUFv1DAQhS0EotvCH-CAInHh4jIeJ7bDrapoqVSJC5wt15ksXmXjYCcS-ff1kgISB-TDSPb3nt74MfZGwKUA0B8yADaKAyKHWmDL12dsJ2qJHIUSz9kOpKo5ytqcsfOcDwBC60a9ZGeyMaqVqHbs7mZYYorZx2nl-yV01FVhPJCfQxxzFftq_k7VMk2UKvo5JzqGef1YTeTSkCs3dtUU5t4NQ37FXpSZ6fXTvGDfbj59vf7M77_c3l1f3XMvVTNzEig6iU64ulEelIG2hBe9M60jBXXbtRoRHoxAo0h6AbXUwhXIt6ZpQV6w95vvlOKPhfJsjyF7GgY3UlyyxbKZ1sLgCX33D3qISxpLOovamEafrAt1uVF7N5ANYx_n5Hw5XVnWx5H6UO6vdI1oJKIuAtwEvnxcTtTbKYWjS6sVYE_N2K0ZW5qxv5qxaxG9fcqyPByp-yP5XUUB5Abk8jTuKf0N-x_bR1L4lv8</recordid><startdate>20230501</startdate><enddate>20230501</enddate><creator>Kresse, Maxine E.</creator><creator>Perry, Michael T.</creator><creator>Nacey, Nicholas C.</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20230501</creationdate><title>Fluoroscopy-guided injections of the upper extremity: pearls and pitfalls</title><author>Kresse, Maxine E. ; 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Injection of the glenohumeral joint is the most commonly performed upper extremity procedure. However, there are a number of other sites which can be easily injected under fluoroscopy including the acromioclavicular joint, subacromial subdeltoid bursa, biceps tendon sheath, scapulothoracic bursa, elbow, wrist, first CMC joint, and pisotriquetral joint. Fluoroscopy can be used to guide injections into the glenohumeral, elbow, or wrist joints preceding MR arthrography. While there are technique similarities when injecting any of these sites, some particular approaches and pitfalls are unique to each anatomic site.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35869326</pmid><doi>10.1007/s00256-022-04129-y</doi><tpages>12</tpages></addata></record> |
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| subjects | Arthrography Bupivacaine Comparative analysis Elbow Elbow (anatomy) Fluoroscopy Fluoroscopy - methods Humans Imaging Infections Injection Injections, Intra-Articular - methods Joints (anatomy) Medicine Medicine & Public Health Nuclear Medicine Orthopedics Pathology Patient positioning Radiology Review Article Sheaths Shoulder Joint - diagnostic imaging Steroids Upper Extremity - diagnostic imaging Wrist |
| title | Fluoroscopy-guided injections of the upper extremity: pearls and pitfalls |
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