Article

OBJECTIVE: To evaluate the safety and accuracy of ultrasound (US)-guided needle
insertion into the subscapularis using fresh cadavers. DESIGN: A needle was
inserted into the subscapularis of adult human cadavers under US guidance using a
lateral approach from the posterior axillary fold. An anatomist dissected the
cadavers to evaluate the effectiveness of this injection method. SETTING:
University dissecting room. PARTICIPANTS: Fresh cadavers (N=5). INTERVENTIONS:
US-guided dye injections targeting the motor points of the subscapularis. MAIN
OUTCOME MEASURE: Accuracy of the injections and prevalence of complications. The
presence of dye within 1.0cm of the motor points was defined as reaching the
target. The injection procedure was considered a success if two-thirds of the
injected dye reached the target. RESULTS: We did not identify any neurovascular
structures at risk of injury in the injection route. All subscapularis muscles
were injected successfully using the US-guided lateral approach. CONCLUSIONS:
US-guided needle insertion into the subscapularis using this lateral approach was
accurate and had the minimal risk of neurovascular or lung injuries.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS