Shoulder pain is a common clinical complaint with an annual incidence of 14.7 per 1000 patients per year. Lifetime prevalence has reportedly been as high as 70%. Rotator cuff pathology, acromioclavicular, and glenohumeral joint disorders constitute the most common causes of shoulder pain. The shoulder can also be a site of inflammatory conditions. Intra-articular steroid injection for management of adhesive capsulitis is well studied and an important cornerstone of management for patients with this disorder.
Shoulder joint injection can be with or without image guidance. Image-guided shoulder arthrography is a technique that was first described in 1933 by Oberholzer. Schneider et al. described a simplified straight vertical approach with the aid of fluoroscopy that is the most common procedure performed today.
The important aspects of a fluroscopic guided shoulder joint injection include:
Minimizing patient discomfort.
Maintaining patient safety.
Maintaining proper needle technique to enter the rotator cuff interval or the acromioclavicular joint.
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