Journal article
Ultrasound-Guided Biceps Tendon Sheath Injections Frequently Extravasate Into the Glenohumeral Joint
Arthroscopy, Vol.37(6), pp.1711-1716
06/01/2021
DOI: 10.1016/j.arthro.2020.12.238
PMID: 33453348
Abstract
Purpose: To evaluate the frequency of glenohumeral joint extravasation of ultrasound (US)-guided biceps tendon sheath injections. Methods: Fifty shoulders with a clinical diagnosis of bicipital tenosynovitis pain received a US-guided biceps sheath injection with anesthetic, steroid, and contrast (5.0 mL mixture) followed immediately by orthogonal radiographs to localize the anatomic distribution of the injection. Radiographic evaluation of contrast localization was determined and interobserver reliability calculated. Results: All 50 postinjection radiographs (100%) demonstrated contrast within the biceps tendon sheath. In addition, 30 of 50 (60%) radiographs also revealed contrast in the glenohumeral joint. Interobserver reliability for determination of intraarticular contrast was good (kappa value 0.87). Conclusions: US-guided bicipital sheath injections reproducibly result in intrasheath placement of injection fluid. Bicipital sheath injections performed with 5 mL of volume result in partial extravasation into the joint 60% of the time. These data may be useful for surgeons who use the results of diagnostic biceps injections for diagnosis and surgical decision-making. Level of Evidence: III, prospective cohort study, diagnosis
Details
- Title: Subtitle
- Ultrasound-Guided Biceps Tendon Sheath Injections Frequently Extravasate Into the Glenohumeral Joint
- Creators
- John Slevin - Madigan Army Medical CenterMeghan Joyce - San Antonio Military Medical CenterJoseph W. Galvin - Madigan Army Medical CenterMichael A. Mahlon - Madigan Army Medical CenterMatthew D. Grant - Madigan Army Medical CenterJosef K. Eichinger - Medical University of South CarolinaJason A. Grassbaugh - Madigan Army Medical Center
- Resource Type
- Journal article
- Publication Details
- Arthroscopy, Vol.37(6), pp.1711-1716
- Publisher
- Elsevier
- DOI
- 10.1016/j.arthro.2020.12.238
- PMID
- 33453348
- ISSN
- 0749-8063
- eISSN
- 1526-3231
- Number of pages
- 6
- Language
- English
- Date published
- 06/01/2021
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984618641802771
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