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超声引导下肩袖间隙注射——高拉夫-博楚技术

Ultrasound guided injection of the rotator interval - Gaurav-Botchu technique.

作者信息

Sharma Gaurav Kant, Botchu Rajesh

机构信息

Department of Radiology, MGM Medical College and Hospital, Jaipur, India.

Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital, Birmingham, UK.

出版信息

J Ultrason. 2021;21(84):77-79. doi: 10.15557/JoU.2021.0013. Epub 2021 Mar 8.

DOI:10.15557/JoU.2021.0013
PMID:33791121
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8008194/
Abstract

Ultrasound-guided injection of the shoulder via the rotator interval can be challenging. The procedure is used for arthrograms, hydrodilatation and intra-articular glenohumeral joint injections. The conventional approach to the rotator interval is from lateral to medial. However, the placement of the needle in the target zone i.e. between the coracohumeral ligament and the long head of the biceps, can be difficult and challenging. Inadvertent injection performed with the needle in the long head of the biceps tendon can result in a biceps tendon rupture. We describe a new method (Gaurav-Botchu technique) to access the target zone (between the coracohumeral ligament and the long head of the biceps tendon) via a medial to lateral approach, which increases the target zone.

摘要

超声引导下经旋转间隙进行肩部注射可能具有挑战性。该操作可用于关节造影、关节腔扩张以及盂肱关节腔内注射。传统的进入旋转间隙的方法是从外侧到内侧。然而,将针放置在目标区域,即喙肱韧带和肱二头肌长头之间,可能困难且具有挑战性。在肱二头肌长头肌腱内进行注射可能会导致肱二头肌肌腱断裂。我们描述了一种新方法(高拉夫 - 博楚技术),通过从内侧到外侧的入路进入目标区域(喙肱韧带和肱二头肌长头肌腱之间),这增加了目标区域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3993/8008194/31addad206a9/jou-21-84-e77-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3993/8008194/d72c9e9f7f83/jou-21-84-e77-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3993/8008194/f20e125ea04f/jou-21-84-e77-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3993/8008194/a60db575e2d9/jou-21-84-e77-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3993/8008194/d15fcc1fc658/jou-21-84-e77-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3993/8008194/53ae0e0a85a0/jou-21-84-e77-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3993/8008194/31addad206a9/jou-21-84-e77-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3993/8008194/d72c9e9f7f83/jou-21-84-e77-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3993/8008194/f20e125ea04f/jou-21-84-e77-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3993/8008194/a60db575e2d9/jou-21-84-e77-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3993/8008194/d15fcc1fc658/jou-21-84-e77-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3993/8008194/53ae0e0a85a0/jou-21-84-e77-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3993/8008194/31addad206a9/jou-21-84-e77-g006.jpg

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本文引用的文献

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Skeletal Radiol. 2019 Aug;48(8):1269-1274. doi: 10.1007/s00256-018-3105-3. Epub 2018 Nov 16.
2
Intra-articular Steroid Injection for Frozen Shoulder: A Systematic Review and Meta-analysis of Randomized Controlled Trials With Trial Sequential Analysis.关节内注射类固醇治疗肩周炎:一项采用试验序贯分析的随机对照试验的系统评价和Meta分析
Am J Sports Med. 2017 Jul;45(9):2171-2179. doi: 10.1177/0363546516669944. Epub 2016 Oct 7.
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Ultrasound-guided intra-articular and rotator interval corticosteroid injections in adhesive capsulitis of the shoulder: a double-blind, sham-controlled randomized study.
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Open Access Rheumatol. 2022 Apr 11;14:43-56. doi: 10.2147/OARRR.S355140. eCollection 2022.
超声引导下关节内及肩袖间隙皮质类固醇注射治疗肩周炎:一项双盲、假对照随机研究。
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