A New Procedure for Ultrasound-Guided Hydrorelease for the Scarring After Arthroscopic Knee Surgery

Machida, Takahiro; Watanabe, Akira; Miyazawa, Shinichi

doi:10.7759/cureus.12405

Cited by 4 publications

(10 citation statements)

References 19 publications

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“…The patient had no serious adverse events requiring specific treatment. Furthermore, no serious adverse events have been reported in previous studies [6,7,11]. Finally, ultrasound-guided hydrorelease can be presented on videos, which can aid in informing the patient before obtaining the patient's consent for the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…In a previous report by Machida et al [7], who proposed this technique, the mechanism of tissue separation by ultrasound-guided hydrorelease may have improved tissue sliding. Therefore, confirmation of the sliding by ultrasonography will be the key to the success of this procedure.…”

Section: Discussionmentioning

confidence: 99%

“…The dynamic ultrasonography six weeks postoperatively revealed scar sliding defects during quadriceps contraction (Video 1) and manual skin sliding (Video 2). We then performed ultrasound-guided hydrorelease, as reported by Machida et al [7].…”

Section: Case Presentationmentioning

confidence: 99%

“…Machida et al consider ultrasound confirmation of improved tissue sliding as the key to the success of this procedure regarding the treatment of scar tissue after arthroscopic surgery. However, no video evidence of improved tissue sliding has been presented [7]. We performed an ultrasound-guided hydrorelease in a patient who presented with a lack of terminal extension and AKP after arthroscopic surgery for medial meniscus injury.…”

Section: Introductionmentioning

confidence: 99%

“…Ultrasound-guided hydrorelease has been performed for lower back pain [6] and postoperative scar tissue [7]. Machida et al consider ultrasound confirmation of improved tissue sliding as the key to the success of this procedure regarding the treatment of scar tissue after arthroscopic surgery.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Video Evidence of Tissue Sliding Improvement by Ultrasound-Guided Hydrorelease on Scars After Arthroscopic Knee Surgery: A Case Report

Machida¹,

Fukao²,

Watanabe³

et al. 2022

Cureus

Self Cite

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Postoperative scarring is a complication of arthroscopic knee surgery that causes a lack of terminal extension and tissue sliding defects. We present video evidence of tissue sliding before and after ultrasoundguided hydrorelease in a 53-year-old man. The patient presented with pain in the scarred area following arthroscopic knee surgery. His active and passive extension was -5° with restricted patellar mobility. Dynamic ultrasonography revealed scar tissue sliding defects. For ultrasound-guided hydrorelease, a needle (22G, 60 mm) was aimed at a site within 10 mm depth of the hypoechoic change in the scar area below the patella, and saline solution (10 mL) mixed with 1% lidocaine (10 mL) and 10 mg prednisolone was injected. Immediately after injection, the patient's extension was 0° with no pain or limitation of patellar mobility, and dynamic ultrasonography showed tissue sliding improved. Video evidence from dynamic ultrasonography clarifies the direction of the inadequate slide and the indication for and efficacy of ultrasound-guided hydrorelease. This case highlights the benefits of video evidence from dynamic ultrasonography before and after ultrasound-guided hydrorelease.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Case Presentationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Video Evidence of Tissue Sliding Improvement by Ultrasound-Guided Hydrorelease on Scars After Arthroscopic Knee Surgery: A Case Report

Machida¹,

Fukao²,

Watanabe³

et al. 2022

Cureus

Self Cite

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Effectiveness of ultrasound-guided fascia hydrorelease on the coracohumeral ligament in patients with global limitation of the shoulder range of motion: a pilot study

Kimura¹,

Suda

Kobayashi

et al. 2022

Sci Rep

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We conducted a prospective single-arm interventional study of the treatment efficacy of ultrasound-guided fascia hydrorelease (US-FHR) on the coracohumeral ligament (CHL) of patients with global limitation of shoulder range of motion (ROM) without local inflammation. The primary outcome was the change in passive ROM (pROM) of external rotation (ER) after first US-FHR. Secondary outcomes included the change in pROM of other directions from baseline, the pain visual analogue scale (pVAS) at the timepoints after each procedure (first, second US-FHR and rehabilitation) as well as the change in the Shoulder Pain and Disability Index (SPADI) from the first to the second visit. Eleven patients underwent US-FHR. The pROM of ER after the 1st US-FHR changed by a median of 7.1° (p < 0.01). There was a statistically significant improvement in the pROM of flexion, extension, abduction, external rotation, and internal rotation from baseline to each timepoints. The pVAS at rest showed no significant improvement, although the pVAS at maximal ER showed a trend towards improvement. The SPADI score decreased by a median of 13.4 (p < 0.01). No adverse events were observed. US-FHR on the CHL with or without rehabilitation might be an effective, less invasive treatment for patients with global limitation of shoulder ROM.

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Clinical reasoning of ultrasound imaging-guided manual passive manipulation for adhesion prevention in a patient with total knee arthroplasty: a case report

Oku

Yabuki

Kishimoto

et al. 2022

Physiotherapy Theory and Practice

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A New Procedure for Ultrasound-Guided Hydrorelease for the Scarring After Arthroscopic Knee Surgery

Cited by 4 publications

References 19 publications

Video Evidence of Tissue Sliding Improvement by Ultrasound-Guided Hydrorelease on Scars After Arthroscopic Knee Surgery: A Case Report

Video Evidence of Tissue Sliding Improvement by Ultrasound-Guided Hydrorelease on Scars After Arthroscopic Knee Surgery: A Case Report

Effectiveness of ultrasound-guided fascia hydrorelease on the coracohumeral ligament in patients with global limitation of the shoulder range of motion: a pilot study

Clinical reasoning of ultrasound imaging-guided manual passive manipulation for adhesion prevention in a patient with total knee arthroplasty: a case report

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