Accuracy and dispersal of subacromial and glenohumeral injections in cadavers

N. C. A. (Nigel) Hanchard, D. (Donald) Shanahan, T. E. (Tracey) Howe, J. (Jonathan) Thompson, L. M. (Lorna) Goodchild

    Research output: Contribution to journalArticle

    Abstract

    OBJECTIVE: "Blind" shoulder injections are often inaccurate and infiltrate untargeted structures. We tested a hypothesis that optimizing certain anatomical and positional factors would improve accuracy and reduce dispersal. METHODS: We evaluated one subacromial and one glenohumeral injection technique on cadavers. RESULTS: Mean accuracy was 91% for subacromial-targeted and 74 and 91% (worst- and best-case scenarios) for joint-targeted injections. Mean dispersal was 19% for subacromial-targeted and 16% for joint-targeted injections. All results bettered those reported previously. CONCLUSION: These "optimized" techniques might improve accuracy and limit dispersal of blind shoulder injections in clinical situations, benefiting efficacy and safety. However, evaluation is required in a clinical setting.
    Original languageEnglish
    Pages (from-to)1143-6
    JournalJournal of Rheumatology
    Volume33
    Issue number6
    Publication statusPublished - 2006

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    Cadaver
    Injections
    Joints
    Safety

    Cite this

    Hanchard, N. C. A. N., Shanahan, D. D., Howe, T. E. T., Thompson, J. J., & Goodchild, L. M. L. (2006). Accuracy and dispersal of subacromial and glenohumeral injections in cadavers. Journal of Rheumatology, 33(6), 1143-6.
    Hanchard, N. C. A. (Nigel) ; Shanahan, D. (Donald) ; Howe, T. E. (Tracey) ; Thompson, J. (Jonathan) ; Goodchild, L. M. (Lorna). / Accuracy and dispersal of subacromial and glenohumeral injections in cadavers. In: Journal of Rheumatology. 2006 ; Vol. 33, No. 6. pp. 1143-6.
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    title = "Accuracy and dispersal of subacromial and glenohumeral injections in cadavers",
    abstract = "OBJECTIVE: {"}Blind{"} shoulder injections are often inaccurate and infiltrate untargeted structures. We tested a hypothesis that optimizing certain anatomical and positional factors would improve accuracy and reduce dispersal. METHODS: We evaluated one subacromial and one glenohumeral injection technique on cadavers. RESULTS: Mean accuracy was 91{\%} for subacromial-targeted and 74 and 91{\%} (worst- and best-case scenarios) for joint-targeted injections. Mean dispersal was 19{\%} for subacromial-targeted and 16{\%} for joint-targeted injections. All results bettered those reported previously. CONCLUSION: These {"}optimized{"} techniques might improve accuracy and limit dispersal of blind shoulder injections in clinical situations, benefiting efficacy and safety. However, evaluation is required in a clinical setting.",
    author = "Hanchard, {N. C. A. (Nigel)} and Shanahan, {D. (Donald)} and Howe, {T. E. (Tracey)} and Thompson, {J. (Jonathan)} and Goodchild, {L. M. (Lorna)}",
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    language = "English",
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    Hanchard, NCAN, Shanahan, DD, Howe, TET, Thompson, JJ & Goodchild, LML 2006, 'Accuracy and dispersal of subacromial and glenohumeral injections in cadavers', Journal of Rheumatology, vol. 33, no. 6, pp. 1143-6.

    Accuracy and dispersal of subacromial and glenohumeral injections in cadavers. / Hanchard, N. C. A. (Nigel); Shanahan, D. (Donald); Howe, T. E. (Tracey); Thompson, J. (Jonathan); Goodchild, L. M. (Lorna).

    In: Journal of Rheumatology, Vol. 33, No. 6, 2006, p. 1143-6.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Accuracy and dispersal of subacromial and glenohumeral injections in cadavers

    AU - Hanchard, N. C. A. (Nigel)

    AU - Shanahan, D. (Donald)

    AU - Howe, T. E. (Tracey)

    AU - Thompson, J. (Jonathan)

    AU - Goodchild, L. M. (Lorna)

    PY - 2006

    Y1 - 2006

    N2 - OBJECTIVE: "Blind" shoulder injections are often inaccurate and infiltrate untargeted structures. We tested a hypothesis that optimizing certain anatomical and positional factors would improve accuracy and reduce dispersal. METHODS: We evaluated one subacromial and one glenohumeral injection technique on cadavers. RESULTS: Mean accuracy was 91% for subacromial-targeted and 74 and 91% (worst- and best-case scenarios) for joint-targeted injections. Mean dispersal was 19% for subacromial-targeted and 16% for joint-targeted injections. All results bettered those reported previously. CONCLUSION: These "optimized" techniques might improve accuracy and limit dispersal of blind shoulder injections in clinical situations, benefiting efficacy and safety. However, evaluation is required in a clinical setting.

    AB - OBJECTIVE: "Blind" shoulder injections are often inaccurate and infiltrate untargeted structures. We tested a hypothesis that optimizing certain anatomical and positional factors would improve accuracy and reduce dispersal. METHODS: We evaluated one subacromial and one glenohumeral injection technique on cadavers. RESULTS: Mean accuracy was 91% for subacromial-targeted and 74 and 91% (worst- and best-case scenarios) for joint-targeted injections. Mean dispersal was 19% for subacromial-targeted and 16% for joint-targeted injections. All results bettered those reported previously. CONCLUSION: These "optimized" techniques might improve accuracy and limit dispersal of blind shoulder injections in clinical situations, benefiting efficacy and safety. However, evaluation is required in a clinical setting.

    M3 - Article

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    EP - 1146

    JO - Journal of Rheumatology

    JF - Journal of Rheumatology

    SN - 0315-162X

    IS - 6

    ER -

    Hanchard NCAN, Shanahan DD, Howe TET, Thompson JJ, Goodchild LML. Accuracy and dispersal of subacromial and glenohumeral injections in cadavers. Journal of Rheumatology. 2006;33(6):1143-6.