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Ultrasound-Guided Injection of the Adductor Longus and Pectineus in a Cadaver Model

 Dong-wook Rha  ;  Sang-Hee Lee  ;  Hyung-Jin Lee  ;  You-Jin Choi  ;  Hee-Jin Kim  ;  Sang Chul Lee 
 Pain Physician, Vol.18(6) : E1111-E1117, 2015 
Journal Title
 Pain Physician 
Issue Date
Aged ; Aged, 80 and over ; Cadaver ; Coloring Agents ; Humans ; Injections, Intramuscular/methods* ; Male ; Middle Aged ; Muscle, Skeletal/anatomy & histology ; Muscle, Skeletal/diagnostic imaging* ; Pelvis/diagnostic imaging ; Reproducibility of Results ; Safety ; Ultrasonography, Interventional*
BACKGROUND: The close anatomic and functional relationship between the proximal parts of the adductor longus and pectineus muscles produce considerable overlap in symptoms and signs in the inguinal region. To our knowledge, there have been no publications of ultrasound (US)-guided injection techniques into the 2 muscles. OBJECTIVE: This study sought to describe US-guided injection techniques in the proximal part of the adductor longus and pectineus muscles and to validate whether these techniques deliver injections appropriately to their target muscles in unembalmed cadavers. STUDY DESIGN: Cadaveric study. METHODS: A preliminary trial with 2 unembalmed cadavers provided information on the target sonographic structures of proximal adductor longus and pectineus muscles. Bilateral US-guided intramuscular injections in the proximal adductor longus and pectineus were performed using the remaining 5 unembalmed male cadavers. To avoid confusion of dye location, we did not inject into both the adductor longus and pectineus muscle in the same side. After injections, each specimen was dissected to evaluate the accuracy of injection. RESULTS: Ten injections (5 for the adductor longus muscle and 5 for the pectineus muscle) were performed targeting the proximal parts of muscles in 5 cadaveric specimens. All injections were successful and blue dye was injected accurately at the target area within the adductor longus and the pectineus muscles. No other muscles were injected unintentionally. There were no accidental penetrations and/or injuries at adjacent neurovascular structures as well. LIMITATION: Despite successful injection of the proximal parts of adductor longus and pectineus, this study did not verify the usefulness of this technique in clinical practice. CONCLUSIONS: The results of this study may play a role in the diagnosis and management of patients presenting with chronic pelvic pain syndrome and sports hernia.
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1. Journal Papers (연구논문) > 2. College of Dentistry (치과대학) > Dept. of Oral Biology (구강생물학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실)
Yonsei Authors
김희진(Kim, Hee Jin) ORCID logo https://orcid.org/0000-0002-1139-6261
나동욱(Rha, Dong Wook) ORCID logo https://orcid.org/0000-0002-7153-4937
이상철(Lee, Sang Chul) ORCID logo https://orcid.org/0000-0002-6241-7392
이상희(Lee, Sang Hee)
이형진(Lee, Hyung Jin) ORCID logo https://orcid.org/0000-0002-3082-935X
최유진(Choi, You Jin) ORCID logo https://orcid.org/0000-0003-3701-2200
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