n SA Journal of Radiology - Anterior approach v. posterior approach - ultrasound-guided shoulder arthrogram injection : original article

Volume 12, Issue 3
  • ISSN : 1027-202X
  • E-ISSN: 2078-6778



Anterior approach ultrasound-guided arthrogram injections are a quick and reliable way of injecting contrast medium prior to a shoulder MRI scan. A retrospective study on patients who we had previously injected and scanned at our clinic was undertaken, to compare the more documented posterior ultrasound-guided approach with the anterior approach. The success rate for successful intra-articular injections for the anterior approach far exceeds the posterior approach. Additionally, the anterior approach is better tolerated by patients as the injections are much quicker and apparently less painful. In our experience, therefore, it is far better from every viewpoint to perform anterior approach ultrasound-guided shoulder arthrogram injections rather than posterior injections.

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