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

Kimura, Hiroaki; Suda, Michael; Kobayashi, Tadashi; Suzuki, Shigeki; Fukui, Sho; Obata, Hideaki

doi:10.1038/s41598-022-23362-y

Cited by 6 publications

(6 citation statements)

References 28 publications

(19 reference statements)

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“…Actually, all cases in our study were able to perform IR in the neutral position without problems. Kimura H et al reported that USguided fascia hydrorelease on the CHL in patients with shoulder contracture improved the ROM not only in ER but also in flexion, extension, abduction, and IR [24]. The anterior part of the CHL envelopes the subscapularis muscle, and the posterior part envelopes the supraspinatus/infraspinatus muscle, anchoring the muscles to the coracoid process.…”

Section: Discussionmentioning

confidence: 99%

Dynamic Analysis of the Coracohumeral Ligament Using Ultra-Sonography in Shoulder Contracture

Kato

Inui

Mifune

et al. 2023

Sensors

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The coracohumeral ligament (CHL) is related to the range of motion of the shoulder joint. The evaluation of the CHL using ultrasonography (US) has been reported on the elastic modulus and thickness of the CHL, but no dynamic evaluation method has been established. We aimed to quantify the movement of the CHL by applying Particle Image Velocimetry (PIV), a technique used in the field of fluid engineering, to cases of shoulder contracture using the US. The subjects were eight patients, with 16 shoulders. The coracoid process was identified from the body surface, and a long-axis US image of the CHL parallel to the subscapularis tendon was drawn. The shoulder joint was moved from 0 degrees of internal/external rotation to 60 degrees of internal rotation at a rhythm of one reciprocation every 2 s. The velocity of the CHL movement was quantified by the PIV method. The mean magnitude velocity of CHL was significantly faster on the healthy side. The maximum magnitude velocity was significantly faster on the healthy side. The results suggest that the PIV method is helpful as a dynamic evaluation method, and in patients with shoulder contracture, the CHL velocity was significantly decreased.

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Section: Discussionmentioning

confidence: 99%

Dynamic Analysis of the Coracohumeral Ligament Using Ultra-Sonography in Shoulder Contracture

Kato

Inui

Mifune

et al. 2023

Sensors

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“…US-FHR or ultrasound-guided fascia hydrodissection (US-FHD) have recently gained popularity as therapeutic options for the management of fascial pain [18][19][20]. The term "hydrorelease" and "hydrodissection" refers to the separation and relaxation of fascial structures using the hydraulic force of injected solutions, typically D5W (5% dextrose in water).…”

Section: Ultrasound-guided Fascia Hydrorelease (Us-fhr)mentioning

confidence: 99%

“…The utilization of ultrasound guidance throughout the procedure allowed for precise targeting of the affected fascial structures and real-time monitoring of the injectate dispersal. This technique has also been reported to be effective in the management of pain syndromes in the shoulder, low back, and postarthroscopic knee scarring [18,19].…”

Section: Video 2: Ultrasound-guided Hydrorelease/hydrodissection Of S...mentioning

confidence: 99%

A Novel Treatment of Fascial Pain With Glucopuncture: Three Clinical Cases

Lam,

Kersschot,

Suryadi

2024

Cureus

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The fascial system (FS) represents a sophisticated and intricate network within the human body, comprising both superficial and deep fascial layers. Disruptions or dysfunctions within this system have been implicated in a variety of musculoskeletal (MSK) disorders and pain syndromes. Specifically, fascial tightness has been associated with diminished range of motion and localized pain. Glucopuncture, a novel therapeutic approach, involves the administration of 5% dextrose injections directly into the fascial layers, such as the superficial fascia, to address these issues. This article presents a case series involving three patients who underwent palpation/ landmark-guided glucopuncture for the treatment of superficial fascial dysfunction. The first case involves a 45-year-old male with a nine-month history of left groin pain, who experienced significant pain relief following glucopuncture below the inguinal ligament, with complete resolution of symptoms within four weeks. The second case describes a 36-year-old female suffering from left arm and neck pain for two years, who reported gradual pain alleviation over six weeks after receiving multiple injections in the fasciae of the neck, scapula, and lateral aspect of the triceps muscle. The final case involves a 67-year-old female with a six-month history of low back and buttock pain, who showed improvement after four weeks following multiple injections in the fasciae of the low back, lumbar region, and buttocks. These cases highlight the potential of palpation-guided glucopuncture as a simple, cost-effective method for modulating regional pain caused by superficial fascial dysfunction. However, further research is necessary to fully ascertain the efficacy and safety of glucopuncture for treating fascial dysfunction.

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“…Finally, US-guided hydrorelease of the coracohumeral ligament is a promising new technique for the treatment of FS; however, more study is needed before this can be recommended for regular use (41).…”

Section: Injection-based Treatmentmentioning

confidence: 99%

Frozen Shoulder: Diagnosis and Management

Wise,

Seales,

Houser

et al. 2023

Curr Sports Med Rep

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Frozen shoulder is a common condition that causes pain and restriction of movement of the shoulder unrelated to secondary causes. It has three classic phases (freezing, frozen, and thawing), and is resolved in most cases within 1 to 2 years. Diagnosis is clinical based on global motion restriction and pain. Imaging plays an ancillary role to narrow the differential diagnosis. Physical therapy, nonsteroidal anti-inflammatories, and injection therapies are standard treatments, although none have been shown to alter the long-term course of the condition. Ultrasound guidance is recommended for injection-based therapy, although not required. Further study should focus on long-term outcomes and treatments that significantly alter the natural course of the disease.

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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

Cited by 6 publications

References 28 publications

Dynamic Analysis of the Coracohumeral Ligament Using Ultra-Sonography in Shoulder Contracture

Dynamic Analysis of the Coracohumeral Ligament Using Ultra-Sonography in Shoulder Contracture

A Novel Treatment of Fascial Pain With Glucopuncture: Three Clinical Cases

Frozen Shoulder: Diagnosis and Management

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