Riccardo Del Vescovo MD, Abstract Co-Author: Nothing to Disclose

Eliodoro Faiella MD, Presenter: Nothing to Disclose

Francesco Carcione MD, Abstract Co-Author: Nothing to Disclose

Francesca Maria Martina MD, Abstract Co-Author: Nothing to Disclose

Rosario Francesco Grasso, Abstract Co-Author: Nothing to Disclose

Bruno Beomonte Zobel MD, Abstract Co-Author: Nothing to Disclose

To describe the technique performed under ultrasonographic guidance and to assess its efficacy

38 consecutive patients were enrolled in the study, after obtaining informed consent. All the procedures were performed with the left arm (15) or the right arm (23) in abduction, with the corresponding hand over the controlateral scapulae in order to obtain a distension of the posterior capsula. Sterile technique was used and a 22-gauge needle was used. Under ultrasonographic control the tip of needle was followed until its proper position within the articular cavity and the contrast media was injected. The procedure was performed by an interventional radiologist and one resident in training in interventional radiology; we considered technical results, number of attempts, experienced pain, time of procedure and complication

The procedure was performed in all the cases. The mean time of the procedure was 7.2 ± 1.4 min. The pain, on a scale from 0 to 10, was reported as 3.2. One attempt was performed in 31 patients (81 %), two in the remaining 7 (18%). No complications were observed

MR shoulder arthrography performed with Posterior Approach under Ultrasonographic Guidance And abduction (PAUGA) is a safe, fast and well tolerated technique that can be perfomed with optimal results with no need of X-Ray

MR shoulder arthrography performed with (PAUGA) is a safe, fast and well tolerated technique that can be perfomed with optimal resul

Del Vescovo, R, Faiella, E, Carcione, F, Martina, F, Grasso, R, Beomonte Zobel, B, MR Shoulder Arthrography: Posterior Approach under Ultrasonographic Guidance and Abduction (PAUGA).  Radiological Society of North America 2009 Scientific Assembly and Annual Meeting, November 29 - December 4, 2009 ,Chicago IL. http://archive.rsna.org/2009/8015223.html