1 thought on “Superomedial Scapular Impingement Syndrome”
qreeves
Hi Phillip
We have had quite a few referrals from certain of our shoulder surgeons and sports docs during the past 4 years or so.
MRI seems reasonably sensitive at demonstrating the oedema superomedially when clinical suspicion
We inject the bursa under US or CT with good results
Need to be careful re pneumothorax risk
Us is fine and safe if in prone position on table with arms hanging down towards floor to rotate scapula laterally
With US can localize foci of tenderness/pain
CT guided injection more difficult position wise as scapulae in more medial position
This and AC joint injection have exploded in our part of the world. Not sure what your experience has been re AC jt injections
Regards
Quentin Reeves
Integral Diagnostics (IDX) is a leading provider of medical imaging services across Australia and New Zealand. The Company provides state of the art diagnostic services to patients and their referrers at 72 radiology clinics, including 26 comprehensive sites. IDX employs some of Australasia’s leading radiologists and diagnostic imaging specialists in a unique medical leadership model that ensures quality patient care, service and access. Good medicine is good business. For more information, please visit http://www.integraldiagnostics.com.au/.
Please consider the environment before printing this e-mail. This e-mail transmission and any attachments to it is confidential and for the exclusive use of the intended recipient. This e-mail may contain privileged information of SRG Radiology or any of its related entities or third parties. If you are not the intended recipient of this e-mail transmission, you are hereby notified that any disclosure, distribution, storage or copying of this e-mail transmission including its contents or attachments is strictly prohibited.
if you are not the intended recipient of this e-mail transmission then please notify the sender immediately by return e-mail or phone SRG Radiology, delete this e-mail and do not act in reliance of the information contained in this e-mail. any views expressed in this e-mail are those of the individual sender only, unless expressly stated to be those of SRG Radiology. SRG Radiology does not guarantee the integrity of the e-mail, or that it is free from errors, viruses or interference.
Hi Phillip
We have had quite a few referrals from certain of our shoulder surgeons and sports docs during the past 4 years or so.
MRI seems reasonably sensitive at demonstrating the oedema superomedially when clinical suspicion
We inject the bursa under US or CT with good results
Need to be careful re pneumothorax risk
Us is fine and safe if in prone position on table with arms hanging down towards floor to rotate scapula laterally
With US can localize foci of tenderness/pain
CT guided injection more difficult position wise as scapulae in more medial position
This and AC joint injection have exploded in our part of the world. Not sure what your experience has been re AC jt injections
Regards
Quentin Reeves
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Dr Quentin Reeves
Radiologist
mob. 027 494 7157
email. qreeves@srgmri.co.nz
web. http://www.srgmri.co.nz
Integral Diagnostics (IDX) is a leading provider of medical imaging services across Australia and New Zealand. The Company provides state of the art diagnostic services to patients and their referrers at 72 radiology clinics, including 26 comprehensive sites. IDX employs some of Australasia’s leading radiologists and diagnostic imaging specialists in a unique medical leadership model that ensures quality patient care, service and access. Good medicine is good business. For more information, please visit http://www.integraldiagnostics.com.au/.
Please consider the environment before printing this e-mail. This e-mail transmission and any attachments to it is confidential and for the exclusive use of the intended recipient. This e-mail may contain privileged information of SRG Radiology or any of its related entities or third parties. If you are not the intended recipient of this e-mail transmission, you are hereby notified that any disclosure, distribution, storage or copying of this e-mail transmission including its contents or attachments is strictly prohibited.
if you are not the intended recipient of this e-mail transmission then please notify the sender immediately by return e-mail or phone SRG Radiology, delete this e-mail and do not act in reliance of the information contained in this e-mail. any views expressed in this e-mail are those of the individual sender only, unless expressly stated to be those of SRG Radiology. SRG Radiology does not guarantee the integrity of the e-mail, or that it is free from errors, viruses or interference.
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