Bicipital Groove Injection

Contributor information and disclosures. Ultrasound guidance may be helpful. Can find the bicipital groove easier by internally and externally rotating the arm with the elbow at 90.

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Place the high frequency linear us probe at the bicipital groove with the probe marker pointing to patient s right side.

Bicipital groove injection. Nabil ebraheim duration. Nabil ebraheim 62 429 views. Advance the needle cephalad at a 20 30 degree angle. Do not inject bicipital tendon.

Biceps tendon evaluation injection ultrasound everything you need to know dr. Finding the injection site. Sterilize the injection area and use the thumb to palpate the point that is most painful over the bicipital groove. The risk of tendon rupture is greater in patients aged 50 years and older.

Once you locate the appropriate injection site mark the injection site. Scan the area at the point of maximum tenderness to find the appropriate injection site. Injected with sterile technique with betadine preparation of skin direct needle parallel to bicipital groove vertically oriented needle enters skin at 30 degrees oriented superiorly. Identify bicipital tendon in bicipital groove proximal humerus mark point of maximal tenderness over groove.

Author ritu khurana md chief of rheumatology crozer chester medical center. Injection in bicipital groove. Confirm this is the biceps tendon by externally rotating the arm and placing the. Injection in bicipital groove.

Bicipital groove injection the most precise anatomic injection is recommended in patients younger than 50 years. Point of maximal tenderness in bicipital groove over the biceps tendon. A subacromial injection is preferred in this population because it avoids direct needle penetration of the tendon. 5 6 7 fluoroscopic guidance of injection into the supraglenoid tubercle has been described.

In a 10 year retrospective review comparing ultrasound guided n 53 with fluoroscopy guided n 50 biceps tendon sheath injection petscavage thomas et al.