Abstract
The subacromial–subdeltoid bursa (SASDB) can be well visualized with the transducer placed over the lateral aspect of the shoulder with the supraspinatus tendon and acromion in the field of view. This footprint allows for accurate injection into the bursa while avoiding a direct tendon or deltoid muscle injection.
Key Words
Impingement, Rotator cuff, Shoulder joint, Subacromial Bursa, Subdeltoid Bursa, Ultrasound
Note: Please see pages ii , iii for a list of anatomic terms/abbreviations used throughout this book.
The subacromial–subdeltoid bursa (SASDB) can be well visualized with the transducer placed over the lateral aspect of the shoulder with the supraspinatus tendon and acromion in the field of view. This footprint allows for accurate injection into the bursa while avoiding a direct tendon or deltoid muscle injection.
In-Plane Technique ( Fig. 34C.1 )
- ▪
Patient is positioned side lying (shown in 34C.1A ), sitting, or supine (not shown).
Fig. 34C.1
A, Room, interventionalist, transducer, and US unit set up for USG subacromial/subdeltoid bursa injection. B, Ultrasound image of the subacromial–subdeltoid bursa (SASDB) needle placement superficial to the supraspinatus tendon with an in-plane approach. C, Drawing of relevant structures. Needle is green; note the SASDB space. D, Skeleton showing the proper placement of ultrasound transducer and needle.Related posts:
Introduction: How to Use This Atlas
Caudal Epidural Steroid Injection: Ultrasound Guidance
Lumbar Transforaminal Epidural Steroid Injection—Infraneural Approach: Fluoroscopic Guidance
Thoracic Zygapophysial Joint Intraarticular Injection—Posterior Approach: Fluoroscopic Guidance
Greater Occipital Nerve Steroid Injection—In-Plane Approach
Lateral Femoral Cutaneous Nerve Injection: Ultrasound Guidance
Stay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree
