A comparative study between a novel intramuscular injection point in the gluteal muscle at 0°, 45° and 90° hip joint flexion and the point of Clark in living bodies.

• Nakajima Yukari

  Graduate Course of Nursing Science, Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University

• Mukai Kanae

  Graduate Course of Nursing Science, Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University

• Komatsu Emi

  Department of Nursing, College of Medical, Pharmaceutical and Health Sciences. Kanazawa University

• Iuchi Terumi

  Graduate Course of Nursing Science, Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University

• Kitayama Yukie

  Graduate Course of Nursing Science, Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University

• Nakatani Toshio

  Graduate Course of Nursing Science, Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University

Bibliographic Information

Other Title

• 生体における股関節屈曲0°、45°、90°位置での新殿筋注点とクラークの点との比較

Abstract

In our previous study, we identified a novel intramuscular injection point located at the intersection of the horizontal line from the anterior superior iliac spine and the perpendicular line from the middle portion of the trochanter major with the extended hip joint, and clarified that this site is as safe as the point of Clark for intramuscular injection. The aims of the present study were to determine whether intramuscular injection at our novel point is safe during flexion of the hip joint, and to determine the optimal depth of needle insertion for use in clinical settings. We determined four sites as injection points in the right buttocks of women aged 21-27 at four sites: Clark's point, our novel intramuscular point with extended hip joint (angle 0°), our novel point with hip joint flexed 45° and our novel point with hip joint flexed 90°. After measuring the distances between the point of Clark and each novel intramuscular injection point, we used ultrasound to measure the thickness of subcutaneous fat and gluteal muscle, and measured blood flow. We found that our novel intramuscular injection point was near the point of Clark during hip joint flexion, and the thickness of the subcutaneous fat and the gluteal muscle did not show significant differences. Our results suggested that this novel point is safe for intramuscular injection. We furthermore examined the optimal depth for insertion of the needle, considering the thickness of the subcutaneous fat, and found that inserting the needle 3 cm perpendicular to the skin is ideal for safe intramuscular injection, because it helps prevent damage to the nerves and blood vessels.

Journal

• Structure and Function

  Structure and Function 11 (2), 109-115, 2013

  Co-medical Research Society of Structure and Function

Keywords

• Thickness of subcutaneous fat
• Thickness of the gluteal muscle
• Superior gluteal artery
• Ultrasound system
• Depth of insertion of needle

Details

• CRID: 1390001205288062592
• NII Article ID: 130005091207
• NII Book ID: AA12137631
• DOI: 10.11172/keitaikinou.11.109
• ISSN: 18846084
• ISSN: 13477145
• Web Site: http://hdl.handle.net/2297/34268
• Web Site: https://search.jamas.or.jp/link/ui/2013293081
• Text Lang: ja
• Data Source:
  • JaLC
  • IRDB
  • CiNii Articles
  • KAKEN
  • Crossref
• Abstract License Flag: Disallowed