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. 2013 Jan;41(1):149-52.
doi: 10.1177/0363546512467010. Epub 2012 Nov 27.

Accuracy of acromioclavicular joint injections

Bradley R Wasserman  1 , Sarah Pettrone, Laith M Jazrawi, Joseph D Zuckerman, Andrew S Rokito
Affiliations

Accuracy of acromioclavicular joint injections

Bradley R Wasserman et al. Am J Sports Med. 2013 Jan.

Abstract

Background: Injection to the acromioclavicular (AC) joint can be both diagnostic and therapeutic.

Purpose: The purpose of this study was to evaluate the accuracy of in vivo AC joint injections.

Study design: Case series; Level of evidence, 4.

Methods: Thirty patients with pain localized to the AC joint were injected with 1 mL of 1% lidocaine and 0.5 mL of radiographic contrast material (Isovue). Radiographs of the AC joint were taken after the injection. Each radiograph was reviewed by a musculoskeletal radiologist and graded as intra-articular, extra-articular, or partially intra-articular.

Results: Of the 30 injections performed, 13 (43.3%) were intra-articular, 7 (23.3%) were partially articular, and 10 (33.3%) were extra-articular. When the intra-articular and the partially articular groups were combined, 20 patients (66.7%) had some contrast dye in the AC joint.

Conclusion: This study demonstrates that despite the relatively superficial location of the AC joint, the clinical accuracy of AC joint injections remains relatively low.

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