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MR Arthrography of the Shoulder Using an Anterior Approach: Optimal Injection Site

María V. Redondo1, Juan D. Berná-Serna1, Pedro A. Campos2, Manuel Reus1, Francisco Martínez3, Matilde Campos4 and Ernesto Domenech1

1 Department of Radiology, Virgen de la Arrixaca University Hospital, 30120-El Palmar, Murcia, Spain.
2 Department of Radiation Protection, Virgen de la Arrixaca University Hospital, Murcia, Spain.
3 Department of Orthopedic Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain.
4 Department of Biostatistics, Murcia University, Murcia, Spain.


Figure 1
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  		Fig. 1 —34-year-old man with glenohumeral instability. Image shows radiopaque coordinates and configuration of three injection sites: upper third of humeral head (1), lower third of humeral head (2), and area between middle and lower thirds of glenohumeral joint (3).

 

Figure 2
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  		Fig. 2A —48-year-old man with chronic shoulder pain. In upper third of humeral head, radiograph shows injection site corresponding to coordinates 4 and E.

 

Figure 3
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  		Fig. 2B —48-year-old man with chronic shoulder pain. Radiograph shows needle point.

 

Figure 4
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  		Fig. 2C —48-year-old man with chronic shoulder pain. Arthrogram confirms intraarticular distribution of contrast material.

 

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