Efficiency of Axillary Bolster Use for Ultrasound-Guided Glenohumeral Joint Injection in MR Arthrography

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dc.contributor.authorSakcı, Zakir
dc.contributor.authorOğul, Hayri
dc.contributor.authorTuncer, Kutsi
dc.contributor.authorKaya, Serhat
dc.contributor.authorKızıloğlu, Alper
dc.contributor.authorPolat, Gökhan
dc.contributor.authorKantarcı, Mecit
dc.date.accessioned2025-07-26T10:55:50Z
dc.date.available2025-07-26T10:55:50Z
dc.date.issued2025
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü,Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractPurpose: The purpose of this study was to prospectively evaluate the accuracy of the ultrasonography (US)-guided posterior injection technique using an axillary bolster for magnetic resonance (MR) arthrography of the shoulder joint. Materials and methods: This study included 60 patients (30 US-guided injections with an axillary bolster, 30 US-guided injections without an axillary bolster). There were 37 men and 23 women whose ages ranged from 17 to 64 years (mean, 36.87 years). All procedures were performed by two radiologists with less than 1 year of experience in arthrographic procedures. The accuracy of the two injection techniques was compared. Extraarticular contrast material leak was graded according to the MR arthrography findings. The number of injection attempts and the effect of contrast material extravasation rate on diagnostic quality were recorded. Results: There were no significant differences between US-guided punctures with and without an axillary bolster in regard to pain (p = 0.39). Injections with an axillary bolster had a higher likelihood of success on the first attempt (p = 0.0031). Complete extravasation in the US-guided posterior approach technique without an axillary bolster was significantly higher than the US-guided posterior injection technique with an axillary bolster (p < 0.0001). Conclusion: Although there is no significant difference in pain scores for both techniques, complete contrast material extravasation is seen at a higher rate in the US-guided posterior approach injection technique without the use of an axillary bolster compared to the technique used.
dc.identifier.citationSakcı, Z., Oğul, H., Tuncer, K., Kaya, S., Kızıloğlu, A., Polat, G., & Kantarcı, M. (2025). Efficiency of Axillary Bolster Use for Ultrasound‐Guided Glenohumeral Joint Injection in MR Arthrography. Journal of Clinical Ultrasound, 53(6), 1280-1287. 10.1002/jcu.24018
dc.identifier.doi10.1002/jcu.24018
dc.identifier.endpage1287
dc.identifier.issn0091-2751
dc.identifier.issn1097-0096
dc.identifier.issue6
dc.identifier.pmid40231402
dc.identifier.scopus2-s2.0-105002596364
dc.identifier.scopusqualityQ3
dc.identifier.startpage1280
dc.identifier.urihttps://hdl.handle.net/20.500.12939/5796
dc.identifier.volume53
dc.identifier.wosWOS:001466860600001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakPubMed
dc.indekslendigikaynakScopus
dc.indekslendigikaynakWeb of Science
dc.institutionauthorTuncer, Kutsi
dc.language.isoen
dc.relation.ispartofJournal of Clinical Ultrasound
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectarthrography
dc.subjectglenohumeral joint
dc.subjectmagnetic resonance imaging
dc.subjectultrasound
dc.titleEfficiency of Axillary Bolster Use for Ultrasound-Guided Glenohumeral Joint Injection in MR Arthrography
dc.typeArticle

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