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Reliability of Non-Imaging-Guided Glenohumeral Joint Injection Through Rotator Interval Approach in Patients Undergoing Diagnostic MR Arthrography

Sharoun Porat1, John A. Leupold2, Keith R. Burnett3 and Wesley M. Nottage1

1 Department of Orthopaedic Surgery, The Sports Clinic, 23961 Calle de la Magdalena, Ste. 229, Laguna Hills, CA 92653.
2 Lakes Regional Healthcare, South Spirit Lake, IA.
3 Laguna Niguel MRI, Laguna Niguel, CA.


Figure 1
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  		Fig. 1 —40-year-old man with no previous shoulder surgery. Photograph shows external anatomic landmarks used for needle placement.

 

Figure 2
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  		Fig. 2 —MR arthrogram images of same shoulder in single "miss" case. Images on right are with contrast material out of shoulder capsule, with corresponding "in" images on left.

 

Figure 3
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  		Fig. 3 —Photograph shows dissection of rotator interval viewed from anterior perspective. Cranial is to top and lateral to left. RI = rotator interval, C = coracoid, SS = subscapularis.

 

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