BACKGROUND: Ultrasound (US) guided intra-articular elbow injections are commonly performed in clinical practice. OBJECTIVE: To describe a proximal to distal approach for US-guided intra-articular elbow injection. DESIGN: Cadaveric study. SETTINGS: Academic institution. METHODS: Both elbows of a single cadaver were injected with green-colored water-diluted latex dye using the US-guided proximal to distal approach. In the left elbow, the needle was kept in situ; in the right elbow, the needle was removed. Subsequently, a layer-by-layer anatomical dissection was performed in both elbows. MAIN OUTCOME MEASURES: Presence and distribution of the latex dye and location of the needle tip within the elbow joint capsule. RESULTS: Anatomical dissection of both elbows confirmed the correct intra-articular position of the needle tip in the left elbow as well as correct placement of the latex dye bilaterally. During layer-by-layer dissection of the left elbow, the position of the radial nerve was observed anterior to the needle. CONCLUSIONS: This cadaveric observation demonstrated that the US-guided proximal to distal approach is a convenient technique to access the elbow joint. Compared to the previously described techniques, the in-plane, proximal to distal approach may provide excellent needle visibility during the entire procedure, precisely targeting the articular space. The preliminary data need to be validated in additional clinical studies.

Department of Physical and Rehabilitation Medicine Hacettepe University Medical School Ankara Turkey

Department of Physical Medicine and Rehabilitation and Community and Geriatric Research Center National Taiwan University Hospital Bei Hu Branch Taiwan

Department of Rehabilitation Medicine 1st Faculty of Medicine Charles University and General University Hospital Prague Czech Republic

Institute of Anatomy 1st Faculty of Medicine Charles University Prague Czech Republic

Physical and Rehabilitation Medicine Unit Luigi Sacco University Hospital ASST Fatebenefratelli Sacco Milan Italy

Temerty Faculty of Medicine Division of Physical Medicine and Rehabilitation University of Toronto Toronto Ontario Canada

000      

00000naa a2200000 a 4500

001      

bmc24000939

003      

CZ-PrNML

005      

20240213093515.0

007      

ta

008      

240109s2023 xxu f 000 0|eng||

009      

AR

024    7_

$a 10.1002/pmrj.12966 $2 doi

035    __

$a (PubMed)36864563

040    __

$a ABA008 $b cze $d ABA008 $e AACR2

041    0_

$a eng

044    __

$a xxu

100    1_

$a Ricci, Vincenzo $u Physical and Rehabilitation Medicine Unit, Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy $1 https://orcid.org/0000000325762039

245    10

$a Ultrasound-guided injection of the elbow: Cadaveric description for the proximal to distal approach / $c V. Ricci, K. Mezian, KV. Chang, N. Mittal, M. Kara, O. Naňka, L. Özçakar

520    9_

$a BACKGROUND: Ultrasound (US) guided intra-articular elbow injections are commonly performed in clinical practice. OBJECTIVE: To describe a proximal to distal approach for US-guided intra-articular elbow injection. DESIGN: Cadaveric study. SETTINGS: Academic institution. METHODS: Both elbows of a single cadaver were injected with green-colored water-diluted latex dye using the US-guided proximal to distal approach. In the left elbow, the needle was kept in situ; in the right elbow, the needle was removed. Subsequently, a layer-by-layer anatomical dissection was performed in both elbows. MAIN OUTCOME MEASURES: Presence and distribution of the latex dye and location of the needle tip within the elbow joint capsule. RESULTS: Anatomical dissection of both elbows confirmed the correct intra-articular position of the needle tip in the left elbow as well as correct placement of the latex dye bilaterally. During layer-by-layer dissection of the left elbow, the position of the radial nerve was observed anterior to the needle. CONCLUSIONS: This cadaveric observation demonstrated that the US-guided proximal to distal approach is a convenient technique to access the elbow joint. Compared to the previously described techniques, the in-plane, proximal to distal approach may provide excellent needle visibility during the entire procedure, precisely targeting the articular space. The preliminary data need to be validated in additional clinical studies.

650    _2

$a lidé $7 D006801

650    12

$a loketní kloub $x diagnostické zobrazování $7 D004551

650    _2

$a loket $7 D004550

650    _2

$a intervenční ultrasonografie $x metody $7 D018084

650    _2

$a latex $7 D007840

650    _2

$a injekce intraartikulární $x metody $7 D007270

650    _2

$a mrtvola $7 D002102

655    _2

$a časopisecké články $7 D016428

700    1_

$a Mezian, Kamal $u Department of Rehabilitation Medicine, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic $1 https://orcid.org/0000000272033325

700    1_

$a Chang, Ke-Vin $u Department of Physical Medicine and Rehabilitation and Community and Geriatric Research Center, National Taiwan University Hospital, Bei-Hu Branch, Taiwan

700    1_

$a Mittal, Nimish $u Temerty Faculty of Medicine, Division of Physical Medicine and Rehabilitation, University of Toronto, Toronto, Ontario, Canada $1 https://orcid.org/0000000262911956

700    1_

$a Kara, Murat $u Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey

700    1_

$a Naňka, Ondřej $u Institute of Anatomy, First Faculty of Medicine, Charles University, Prague, Czech Republic $1 https://orcid.org/000000026300395X $7 mzk2006348905

700    1_

$a Özçakar, Levent $u Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey

773    0_

$w MED00201294 $t PM & R $x 1934-1563 $g Roč. 15, č. 11 (2023), s. 1431-1435

856    41

$u https://pubmed.ncbi.nlm.nih.gov/36864563 $y Pubmed

910    __

$a ABA008 $b sig $c sign $y - $z 0

990    __

$a 20240109 $b ABA008

991    __

$a 20240213093512 $b ABA008

999    __

$a ok $b bmc $g 2049521 $s 1210633

BAS    __

$a 3

BAS    __

$a PreBMC-MEDLINE

BMC    __

$a 2023 $b 15 $c 11 $d 1431-1435 $e 20230506 $i 1934-1563 $m PM & R $n PM R $x MED00201294

LZP    __

$a Pubmed-20240109