The Shoulder

Technique:

• The patient sits with the arm hanging in a neutral position.
• The lateral edge of the acromion and the coraco-acromial ligament are identified.
• A thin needle, 5 cm long, and fitted to a 10 cc syringe is inserted about one cm under the acromial edge.
• The needle is then further moved, in a slightly cranial direction under the acromion.
• Aspiration is performed at different positions and depths and as much blood as possible is evacuated.