The patient is in the prone position. The approach is parallel to the head of the rib and slightly ascending in order to avoid the transverse process of the vertebra (Fig. 13). Injected contrast material immediately flows in a linear, semicircular fashion between the head of the rib and the
FIGURE 11 Diagrammatic coronal representation of the costovertebral joint.
FIGURE 12 Diagrammatic axial representation of the joint of the head of the rib and the costotransverse joint.
vertebral body facet. A small synovial recess is present at the inferior aspects of the neck and head of the rib (Fig. 14). Use of nonionic contrast material is recommended to avoid complications of unexpected injection into the thoracic spinal canal.
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Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.