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173378

Anterior versus Posterior Approach for Ultrasound (US) Guided Shoulder Magnetic Resonance (MR) Arthrograms

Article

Last updated: 04 Jan 2025

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Clinical Research (Medical)

Abstract

Background: Shoulder arthrography is an accurate method that can help in diagnosing several diseases. When shoulder arthrography is done combined with magnetic resonance imaging (MRI), a more comprehensive assessment of the cartilaginous structures of the glenohumeral joint is performed. Objective: This study aims to compare the anterior with the posterior ultrasound-guided arthrography injection approaches in achieving optimal needle placement, ensuring the accuracy of shoulder arthrography injections. Subjects and Methods: A total of 38 individuals (suffering from shoulder dislocation) were enrolled, in the study. The efficacy of the technique was evaluated relative to the success or failure of contrast medium administration into the glenohumeral joint, and the number of attempts required to achieve that success. Results: The success rate among the anterior approach group was 84.2% versus 89.5% in the posterior approach group. The mean number of trials for the anterior and posterior approaches showed no statistically significant difference while the mean injected volume with the anterior approach was significantly lower than that of the posterior approach group (P-Value: 0.006). Conclusion: The posterior approach has a slight advantage over the anterior approach regarding the injected volume of the contrast medium. However, there were better results yet non-statistically significant regarding the anterior and posterior approaches accuracy, pain tolerance, and the number of trials.
 

DOI

10.21608/scumj.2021.173378

Keywords

Shoulder MRA, Ultrasound-guided, Injection, posterior approach, anterior approach, Injection volume

Authors

First Name

Ahmad

Last Name

Wahdan

MiddleName

A

Affiliation

Radiology Department, Suez Canal University Hospital, Faculty of Medicine, Suez Canal University, Ismailia Egypt

Email

drawahdan@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Refaat

MiddleName

-

Affiliation

Radiology Department, Suez Canal University Hospital, Faculty of Medicine, Suez Canal University, Ismailia Egypt

Email

-

City

-

Orcid

-

First Name

Laila

Last Name

El Kady

MiddleName

-

Affiliation

Radiology Department, Suez Canal University Hospital, Faculty of Medicine, Suez Canal University, Ismailia Egypt

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Mousa

MiddleName

-

Affiliation

Radiology Department, Suez Canal University Hospital, Faculty of Medicine, Suez Canal University, Ismailia Egypt

Email

m-a-mousa@live.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Toreih

MiddleName

-

Affiliation

Orthopedics Surgery Department, Suez Canal University Hospital, Faculty of Medicine, Suez Canal University, Ismailia Egypt

Email

-

City

-

Orcid

-

Volume

24

Article Issue

1

Related Issue

22901

Issue Date

2021-03-01

Receive Date

2021-05-29

Publish Date

2021-03-01

Page Start

82

Page End

86

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 24_Issue 1_Pages 82-86.pdf

PDF . 239.6kB

Link

https://scumj.journals.ekb.eg/article_173378.html

Detail API

https://scumj.journals.ekb.eg/service?article_code=173378

Order

9

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

Anterior versus Posterior Approach for Ultrasound (US) Guided Shoulder Magnetic Resonance (MR) Arthrograms

Details

Type

Article

Created At

22 Jan 2023