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

Dong Wook Rha, Seung Ho Han, Hee Jin Kim, Sung Yoon Won, Sang Chul Lee

Research output: Contribution to journalArticle

8 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)1147-1152
Number of pages6
JournalArchives of Physical Medicine and Rehabilitation
Volume93
Issue number7
DOIs
Publication statusPublished - 2012 Jul 1

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Rotator Cuff
Needles
Cadaver
Injections
Coloring Agents
Anatomists
Therapeutics
Lung Injury
Outcome Assessment (Health Care)
Safety
Muscles
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Rha, Dong Wook ; Han, Seung Ho ; Kim, Hee Jin ; Won, Sung Yoon ; Lee, Sang Chul. / Ultrasound-guided lateral approach for needle insertion into the subscapularis for treatment of spasticity. In: Archives of Physical Medicine and Rehabilitation. 2012 ; Vol. 93, No. 7. pp. 1147-1152.
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Ultrasound-guided lateral approach for needle insertion into the subscapularis for treatment of spasticity. / Rha, Dong Wook; Han, Seung Ho; Kim, Hee Jin; Won, Sung Yoon; Lee, Sang Chul.

In: Archives of Physical Medicine and Rehabilitation, Vol. 93, No. 7, 01.07.2012, p. 1147-1152.

Research output: Contribution to journalArticle

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