Sharma Gaurav Kant, Botchu Rajesh
Department of Radiology, MGM Medical College and Hospital, Jaipur, India.
Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital, Birmingham, UK.
J Ultrason. 2021;21(84):77-79. doi: 10.15557/JoU.2021.0013. Epub 2021 Mar 8.
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.
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。