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Shoulder, infiltration infraspinatus tenoperiostal
 Infraspinatus, insertion
PATIENT'S POSTURE The patient lies prone on the couch, the trunk supported by the elbows in 90 ° flexion, vertically under the shoulders. The forearm is brought in slight lateral rotation by the patient's holding on to the edge of the couch ; lastly the arm is brought in slight adduction against the trunk.
PRODUCT 1 ml triamcinolone acetonide (10 mg/ml)
SYRINGE 1 ml tuberculin syringe
NEEDLE 0.6x30 mm (23 G 10.7x40 mm (22 G 1 ½) in corpulent patients
TECHNIQUE The tenoperiosteal insertion partially lies just lateral to and under the acromian angle and partly lateral to the outer acromian edge. Just underneath the spine of the scapula one can successively feel the muscle belly, the musculotendinous junction, the body of the tendon and the tenoperiosteal insertion. In this insertion, which is about 2 cm wide, one palpates with the flexed thumb for the most tender spot. The needle is inserted in the middle of the spot and some twenty droplets are infiltrated over the entire tenoperiosteal lesion.
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Linking with other Cyriax items |
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