The Shoulder
Supraspinatus
Infiltration
One to three infiltrations are usually curative. Be careful in athletes.
Keep an interval of twee weeks between two consecutive infiltrations
Material:
A thin 2.5 cm needle and a tuberculin syringe, filled with 1 cc of Triamcinoloneacetonide 10 mg/ml
Technique:
- The patient sits, with the arm behind the back, the elbow
bent to 90°.
- In this position, the tendon fills the gap, between acromion and major tubercle.
- Palpation of the tendon
- Insert the needle vertically downwards at the centre of the delineated area
to the required depth.
- Tendinous contact in superficial lesions, bony contact in deep lesions
- Infiltration of +/- 0.1 cc.
- The needle is partly withdrawn and reinserted
at a slightly different angle and another 0.1cc is injected.
- This procedure is repeated about ten times until the full amount has been administered and the whole lesion has been treated.
- During the entire infiltration a typical and marked resistance is felt.
After-care:
- After-pain during 24 h. is possible
- Two weeks of relative rest. Reassessment after two weeks; a second infiltration is given if signs and symptoms remain positive.
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