Fluoroscopic Shoulder Hydrodilatation for Frozen Shoulder

Description

In this instructional video, Dr. Vinay Singh provides a comprehensive demonstration on how to perform a shoulder injection under fluoroscopy, with a particular focus on the procedure of hydrodilatation for frozen shoulder. Dr. Singh explains that frozen shoulder is a common self-limiting condition in India that often results in significant pain and restricted movement for patients. He outlines the theatre setup, emphasizing the importance of patient positioning — arms should be supine and externally rotated to facilitate the injection process without interference from the biceps tendon. The talk includes critical points on X-ray positioning to identify the ideal entry point for the needle, which should target the anteromedial aspect of the humeral head.Also discussed are the specific tools and equipment required, including the spinal needle and local anaesthetic, as well as how hydrodilatation can relieve pain and improve mobility in a majority of patients. Throughout the video, Dr. Singh emphasizes best practices for ensuring accurate needle placement and monitoring through fluoroscopy, sharing insights on the visibility of the procedure via X-ray imaging. As he progresses through the steps of administering hydrodilatation, he continuously checks and confirms the correct needle position, highlighting the intricate balance needed to successfully navigate this medical procedure.

DOI: 10.1302/3114-230095

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