Does Subacromial Injection of a Local Anesthetic Influence Strength in Healthy Shoulders? by Mazda Farshad, Michèle Jundt-Ecker, Reto Sutter, Martin Schubert,

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Does Subacromial Injection of a Local Anesthetic Influence Strength in Healthy Shoulders? by Mazda Farshad, Michèle Jundt-Ecker, Reto Sutter, Martin Schubert, and Christian Gerber J Bone Joint Surg Am Volume 94(19): October 3, 2012 ©2012 by The Journal of Bone and Joint Surgery, Inc.

The subacromial injection is performed with the patient in the lateral decubitus position (Fig. 1- A) with the needle 2 cm lateral to the edge of the acromion, between the anterior (*) and lateral (**) fibers of the deltoid muscle, and angled 70° to the sagi... Mazda Farshad et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

Ultrasonographic image of a left shoulder in the sagittal plane (Figs. 2-A and 2-B) and the coronal plane (Figs. 2-C and 2-D), before (Figs. 2-A and 2-C) and after (Figs. 2-B and 2-D) injection of the fluid into the subacromial bursa (double-headed arrow). Mazda Farshad et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

Ultrasonographic image of a left shoulder in the coronal plane after injection of the fluid into the subacromial bursa (*), showing partial extension of the fluid into the deltoid muscle (arrows). Mazda Farshad et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.