What is Intraarticular Shoulder Injection?
The shoulder is prone to different kinds of injuries and inflammatory conditions. An intraarticular shoulder injection is a minimally invasive procedure to treat pain and improve shoulder movement. It may be performed with the help of ultrasound or fluoroscopic imaging which allows your physician to precisely target the intraarticular space.
The shoulder consists of two joints. The main joint is the glenohumeral joint formed by the head of the upper arm bone or humerus and the glenoid cavity at the side of the shoulder blade. The acromioclavicular joint of the shoulder is formed by the clavicle or collar bone and the acromion, a bony projection of the shoulder blade. The shoulder is supported by muscles, tendons, and ligaments. A rotator cuff is a group of 4 muscles that provide stability to the shoulder and enable arm movements in various directions. A fluid-filled sac called a bursa is present between the muscles and bones to provide lubrication for smooth shoulder movements.
Intraarticular shoulder injections are used for diagnostic as well as therapeutic purposes. Corticosteroids are the most commonly injected medications to relieve pain and inflammation in the joint.
Some of the common indications for shoulder injections include:
- Frozen shoulder
- Rotator cuff injuries
- Impingement syndrome
- Ligament injuries and Bursitis
Your doctor may recommend a joint injection if your symptoms are not relieved by conservative treatments such as oral medications, activity modification, and physical therapy.
The administration of the injection depends upon the condition to be treated. Your doctor may inject the glenohumeral joint, the acromioclavicular joint or the subacromial space.
The glenohumeral joint is usually approached from the front or back of the shoulder.
- You should avoid strenuous activities involving the injected area for at least 2 days.
- You may experience worsening symptoms initially which can be treated with ice and medications.
Risks and Complications
Intraarticular shoulder injections are a relatively safe procedure. However, it may rarely be associated with certain risks and complications such as:
- Septic arthritis
- Bleeding at the site of insertion
- Injury to adjacent structures
- Pain and swelling
- Proximal Biceps Tenodesis
- Intraarticular Shoulder Injection
- Arthroscopic Acromioplasty
- Shoulder Joint Replacement
- Reverse Shoulder Replacement
- Rotator Cuff Repair
- SLAP Repair
- Arthroscopic Bankart Repair
- Arthroscopic Frozen Shoulder Release
- Latarjet Procedure
- Shoulder Arthroscopy
- Distal Clavicle Excision
- Pectoralis Major Tears/Repairs
- ORIF of the Clavicle Fractures
- Arthroscopic Superior Capsular Reconstruction (SCR)
- Subacromial Decompression
- Shoulder Resurfacing
- Acromioclavicular (AC) Joint Reconstruction