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Anterior approach v. posterior approach - ultrasound-guided shoulder arthrogram injection


M Neethling-du Toit
R de villiers

Abstract



Anterior approach ultrasound-guided arthrogram injections are a quick and reliable way of injecting contrast medium prior to a shoulder MRI scan. A retrospective study on patients who we had previously injected and scanned at our clinic was undertaken, to compare the more documented posterior ultrasound-guided approach with the anterior
approach. The success rate for successful intra-articular injections for the anterior approach far exceeds the posterior approach. Additionally, the anterior approach is better tolerated by patients as the injections are much quicker and apparently less painful. In our experience, therefore, it is far better from every viewpoint to perform anterior approach
ultrasound-guided shoulder arthrogram injections rather than posterior
injections.

South African Journal of Radiology Vol. 12 (3) 2008: pp. 60-62

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eISSN: 2078-6778
print ISSN: 1027-202X