Comparison of ultrasound-guided vs. 'blind' techniques for intra-synovial injections of the shoulder area in horses: scapulohumeral joint, bicipital and infraspinatus bursae

Equine Veterinary Journal
W SchneeweissF David

Abstract

Diagnosis and treatment of pathologies involving synovial structures in the shoulder region are technically difficult. Ultrasound-guided (UG) injection techniques have been shown to be highly accurate, safe and reliable for various structures in human and equine patients. To develop easy-to-use and reliable UG injection techniques for the infraspinatus bursa (IB), bicipital bursa (BB) and scapulohumeral joint (SHJ) and to compare them with conventional 'blind' methods. Eight pairs of equine shoulders were positioned on a computed-tomography (CT) table with left and right shoulders randomly assigned to Operator A (UG) and Operator B ('blind'). Contrast medium mixed with methylene blue was injected into the target structures. Time and number of attempts for correct needle placement and ease of injection were recorded. A CT scan of each shoulder was performed after every injection to evaluate the location of contrast material. Once injections and CT scans were completed, anatomic dissections were conducted. Statistical analysis was used to compare UG and 'blind' techniques with significance set at P<0.05. Intra-synovial injections using UG techniques were successful in all 24 synovial structures compared with 14/24 with convention...Continue Reading

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Citations

Jan 11, 2016·Veterinary Radiology & Ultrasound : the Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·Mary Beth WhitcombJake Hersman
Oct 31, 2012·Equine Veterinary Journal·A R S Barr
Jul 30, 2016·Veterinary and Comparative Orthopaedics and Traumatology : V.C.O.T·John David StackFlorent David
Jul 17, 2021·Ultrasound in Medicine & Biology·Yanxue WangShaoling Wu

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