Proximal Humerus Insertion Techniques

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How is the insertion site located for the arrow-guided intrabony access system in the proximal humerus?

The intertubercular sulcus is kept in the middle while the arm is rotated inward

What is the target area for insertion in the proximal humerus?

The greater tubercle on the anterolateral surface

How is the site of the surgical collar identified for insertion?

By keeping the hand perpendicular to the long axis of the arm

At what angle is the needle inserted during the arrow-guided intrabony access procedure?

45-degree angle

Study Notes

  • The text is about inserting an arrow-guided intrabony access system, specifically the EZ-IO system, into the proximal humerus.
  • The proximal humerus has a large target area for insertion.
  • To locate the insertion site, the patient's arm is rotated inward, and the intertubercular sulcus, where the biceps tendon is located, is kept in the middle to avoid obstruction.
  • The target area is the greater tubercle, which is located on the anterolateral surface of the upper arm.
  • Techniques are used to palpate the correct anatomy of the bone: the patient's arm is positioned with the cubital side of the hand on the chest to locate the anterior border and avoid the medial side where the brachial plexus is located. The other hand is placed perpendicular to the long axis of the arm to identify the site of the surgical collar, which is 1 or 2 cm above it.
  • The insertion site is evaluated visually, and the needle is inserted at a 45-degree angle and perpendicular to the skin at that point.
  • The text is a tutorial video for educational purposes.
  • The Arrow, EZ-IO, and Teleflex are commercial brands or trademarks owned by Teleflex Incorporated or its subsidiaries.
  • Vidacare LLC is a wholly-owned subsidiary of Teleflex Incorporated.
  • Copyright 2014 Teleflex Incorporated. All rights reserved.
  • MC-000601.

Learn about the insertion techniques for the EZ-IO system in the proximal humerus, including locating the insertion site, palpating the correct anatomy, and visually evaluating the insertion site. This tutorial video provides educational insights into the process.

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