Kuratani K, Tanaka M, Hanai H, Hayashida K. Accuracy of shoulder joint injections with ultrasound guidance: Confirmed by magnetic resonance arthrography. World J Orthop 2022; 13(3): 259-266 [PMID: 35317253 DOI: 10.5312/wjo.v13.i3.259]
Corresponding Author of This Article
Makoto Tanaka, MD, PhD, Doctor, Center for Sports Medicine, Daini Osaka Police Hospital, 2-4-40, Karasugatsuji, Tennoji-ku, Osaka 543-8922, Japan. makoto.tanaka@mac.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Kosuke Kuratani, Department of Orthopedic Surgery, Japan Community Healthcare Organization Osaka Hospital, Osaka 553-0003, Japan
Makoto Tanaka, Center for Sports Medicine, Daini Osaka Police Hospital, Osaka 543-8922, Japan
Hiroto Hanai, Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Suita 565-0871, Japan
Kenji Hayashida, Department of Orthopaedic Surgery, Daini Osaka Police Hospital, Osaka 543-8922, Japan
Author contributions: Kuratani K performed the research, contributed to the analysis and wrote the paper; Tanaka M designed and performed the research and supervised the report; Hanai H supervised the statistical analysis; Hayashida K designed the research and supervised the report.
Institutional review board statement: This research has been approved by the IRB of the corresponding author’s affiliated institution.
Informed consent statement: Patients were not required to give informed consent to this study because the analysis used clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: We have no financial relationships to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Received: June 29, 2021 Peer-review started: June 29, 2021 First decision: October 16, 2021 Revised: October 28, 2021 Accepted: February 10, 2022 Article in press: February 10, 2022 Published online: March 18, 2022
ARTICLE HIGHLIGHTS
Research background
Intra-articular glenohumeral joint injections are essential procedures in a clinical setting of shoulder surgery. In general, a fluoroscopy-guided shoulder injection has been extensively used.
Research motivation
At our institution, we typically perform ultrasound-guided shoulder injections for magnetic resonance arthrography (MRA). The accuracy of ultrasound guided shoulder injection has not been reported.
Research objectives
To evaluate the accuracy of ultrasound-guided shoulder injections with MRA images.
Research methods
We reviewed the shoulder MRA images of patients with anterior shoulder instability and classified the intra-articular condition in three groups and calculated the injection accuracy.
Research results
From the total of 179 injections, 163 (91.0%) were completely administered in the glenohumeral joint. In addition, intra-articular injection with some leakage was detected in 10 shoulders (5.6%).
Research conclusions
The ultrasound-guided shoulder injection was shown to be a very accurate procedure.
Research perspectives
Further, it is necessary to evaluate whether this technique is effective even for inexperienced examiners.
