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Updated: May 7, 2026
Measuring 3D In-vivo Shoulder Kinematics using Biplanar Videoradiography
Published on: March 12, 2021
Accuracy of non assisted glenohumeral joint injection in the office setting
Eliezer Sidon1, Steven Velkes, Shai Shemesh
1Department of Orthopedics, Rabin Medical Center, Beilinson Campus, Petach Tikva 49100, Israel.
Purpose:
The diagnostic and therapeutic success of shoulder joint injection depends on its accuracy. Two recent studies reported high success (93-96%) for non-imaging-assisted anterior injection in anesthetized patients. This study examined the accuracy of anterior shoulder injection in awake patients under conditions similar to the office setting.
Methods:
The study group consisted of 166 consecutive patients with shoulder pain who underwent diagnostic magnetic resonance arthrography at a tertiary medical center in 2011-2012. As part of the examination, contrast material was injected into the glenohumeral joint via an anterior approach by a certified musculoskeletal radiologist without any image assistance. Success was defined as contrast material limited to the intra-articular joint on the scan, without scatter to the periauricular tissue.
Results:
A successful injection was verified by magnetic resonance arthography in 163 patients (98.2%).
Conclusions:
Non-assisted anterior shoulder injection is highly accurate (98.2%) in the hands of an experienced radiologist, even in awake patients.
