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Ultrasound-guided lateral approach for needle insertion into the subscapularis for treatment of spasticity

Authors
 Dong-wook Rha ; Seung-Ho Han ; Sang Chul Lee ; Sung-Yoon Won ; Hee-Jin Kim 
Citation
 Archives of Physical Medicine and Rehabilitation, Vol.93(7) : 1147~1152, 2012 
Journal Title
 Archives of Physical Medicine and Rehabilitation 
ISSN
 0003-9993 
Issue Date
2012
Abstract
OBJECTIVE: To evaluate the safety and accuracy of ultrasound (US)-guided needle insertion into the subscapularis using fresh cadavers. DESIGN: A needle was inserted into the subscapularis of adult human cadavers under US guidance using a lateral approach from the posterior axillary fold. An anatomist dissected the cadavers to evaluate the effectiveness of this injection method. SETTING: University dissecting room. PARTICIPANTS: Fresh cadavers (N=5). INTERVENTIONS: US-guided dye injections targeting the motor points of the subscapularis. MAIN OUTCOME MEASURE: Accuracy of the injections and prevalence of complications. The presence of dye within 1.0cm of the motor points was defined as reaching the target. The injection procedure was considered a success if two-thirds of the injected dye reached the target. RESULTS: We did not identify any neurovascular structures at risk of injury in the injection route. All subscapularis muscles were injected successfully using the US-guided lateral approach. CONCLUSIONS: US-guided needle insertion into the subscapularis using this lateral approach was accurate and had the minimal risk of neurovascular or lung injuries.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/89623
DOI
10.1016/j.apmr.2012.02.017
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Rehabilitation Medicine
1. 연구논문 > 2. College of Dentistry > Dept. of Oral Biology
Yonsei Authors
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Link
 http://www.sciencedirect.com/science/article/pii/S0003999312001475
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