Ultrasound-Guided Injection for the Biceps Brachii Tendinitis: Results and Experience

Ultrasound-guided shoulder girdle injections are more accurate and more effective than landmark-guided injections: a systematic review and meta-analysis

“…Additionally, five more studies did not report the randomisation method used 25 26 31 33 34. (2) The allocation concealment method was reported in three studies 29 30 36.…”

“…(3) Three studies were noted to have heterogeneous shoulder pathology of the participants 25 27 30. Another two papers had a weak diagnostic method to confirm the presence of bicipital tendinitis/tendinopathy or adhesive capsulitis (inclusion criteria were based on a clinical finding without a confirmatory imaging of the underlying pathology) 31 32. (4) Four studies failed to report an imaging evaluation of the shoulders prior to the injection 31 34 35 37.…”

“…Another two papers had a weak diagnostic method to confirm the presence of bicipital tendinitis/tendinopathy or adhesive capsulitis (inclusion criteria were based on a clinical finding without a confirmatory imaging of the underlying pathology) 31 32. (4) Four studies failed to report an imaging evaluation of the shoulders prior to the injection 31 34 35 37. (5) All efficacy studies compared the patient demographics at baseline except for one study 26.…”

“…(7) All studies included patients in the chronic stage with a mean duration of symptoms of ≥7 months, except for one study 27. Two studies failed to report the mean duration of symptoms 26 31. (8) Another limitation was the characteristics of cadaveric tissue compared to live tissue, which could have affected the accuracy of the injection 34–37.…”

“…(3) Two papers reported the number of years of experience for investigators who performed the injections 32 35. Three papers failed to report the qualification(s) of the investigators who performed the injections 25 27 31. (4) Two studies allowed a repeated injection for patients with poor response after the first injection 27 31.…”