Scapulothoracic Injection

Aka: Scapulothoracic Injection

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II. Indications

  1. Scapulothoracic articulation inflammation
    1. Bursitis at inferior medial Scapular border
    2. Injured with pushing, pulling, and throwing
    3. May be associated with popping or catching Sensation

III. Preparation

  1. Needle: 25-27 gauge 1.5 inch
  2. Intraarticular Corticosteroid
    1. Methylprednisolone: 1 ml of 40 mg/ml or
    2. Betamethasone (Celestone Soluspan): 1 ml
  3. Lidocaine 1%: 1-2 ml

IV. Approach

  1. Images
    1. OrthoShoulderInjectST.jpg
  2. Patient position
    1. Lying prone
    2. Place hand of affected side on buttock
  3. Landmarks
    1. Inferior and medial border of Scapula
  4. Injected with sterile technique
    1. Needle directed laterally in plane of Scapula
    2. Needle inserted deep to infero-medial Scapula corner

V. References

  1. Pfenninger (1994) Procedures, p. 1036-54
  2. Larson (1996) Am Fam Physician 53(5):1637-43 [PubMed]
  3. Tallia (2003) Am Fam Physician 67(6):1271-8 [PubMed]

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