CT-guided scapulothoracic bursal injection-technical considerations in planning needle trajectory and confirming bursal distribution

Skeletal Radiol. 2023 May;52(5):1015-1021. doi: 10.1007/s00256-022-04111-8. Epub 2022 Jul 4.

Abstract

Objective: To describe a technique of targeted CT-guided scapulothoracic bursal injections in an illustrated and step-wise manner.

Materials and methods: This technical report describes the authors' experience in using CT guidance for targeted scapulothoracic bursal injections in 8 patients with suspected scapulothoracic bursitis over an 18-month period.

Results: The outcome of the image-guided injection was retrospectively assessed in 8 patients. None of the patients had any complications related to the procedure. Symptomatic improvement was achieved in 62.5% of the patients while 25% of patients did not report any benefit from the injection.

Conclusion: In providing a record of needle tip position and contrast distribution, CT-guided scapulothoracic bursal injections provide an objective record of the procedure, which may assist in further treatment planning.

Keywords: CT-guided injection; Computed tomography; Injection; Scapulothoracic bursa.

MeSH terms

  • Bursa, Synovial* / diagnostic imaging
  • Bursitis* / therapy
  • Humans
  • Injections
  • Retrospective Studies
  • Tomography, X-Ray Computed