Ultrasound-guided interventions for painful shoulder: from anatomy to evidence

Chang, Ke Vin; Mezian, Kamál; Naňka, Ondřej; Wu, Wei; Lin, Chih-Peng; Özçakar, Levent

doi:10.2147/jpr.s169434

Cited by 33 publications

(29 citation statements)

References 42 publications

(45 reference statements)

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“…The third branch is the suprascapular nerve from the superior trunk of the BP [14]. Scanning can start from the C5 anterior ramus and gradually moving the transducer laterally until the C5 and C6 anterior rami merge to become the superior trunk.…”

Section: Which Branches Of the Bp Can Be Seen In The Cervical Region?mentioning

confidence: 99%

Sonographic Pearls for Imaging the Brachial Plexus and Its Pathologies

et al. 2020

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The brachial plexus (BP) is a complicated neural network, which may be affected by trauma, irradiation, neoplasm, infection, and autoimmune inflammatory diseases. Magnetic Resonance Imaging is the preferred diagnostic modality; however, it has the limitations of high cost and lack of portability. High-resolution ultrasound has recently emerged as an unparalleled diagnostic tool for diagnosing postganglionic lesions of the BP. Existing literature describes the technical skills needed for prompt ultrasound imaging and guided injections for the BP. However, it remains particularly challenging for beginners to navigate easily while scanning its different parts. To address this, we share several “clinical pearls” for the sonographic examination of the BP as well as its common pathologies.

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Section: Which Branches Of the Bp Can Be Seen In The Cervical Region?mentioning

confidence: 99%

Sonographic Pearls for Imaging the Brachial Plexus and Its Pathologies

et al. 2020

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“…Amongst them, exercise therapy has been suggested as the core conservative treatment [11]. Likewise, the use of deep dry needling has shown to relieve shoulder pain [12], and ultrasound-guided injection therapy is widely used before surgery, with good outcomes in the short-term [13,14]. Surgical intervention is mainly indicated when pain and functional limitations persist after conservative measures, and for patients with clearly distinguished clinical signs [11,15].…”

Section: Introductionmentioning

confidence: 99%

Effects of Adding Interferential Therapy Electro-Massage to Usual Care after Surgery in Subacromial Pain Syndrome: A Randomized Clinical Trial

Casaña

Sanchez-Santos

Melero-Suárez

et al. 2019

JCM

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Subacromial pain syndrome (SAPS) is a prevalent condition that results in loss of function. Surgery is indicated when pain and functional limitations persist after conservative measures, with scarce evidence about the most-appropriate post-operative approach. Interferential therapy (IFT), as a supplement to other interventions, has shown to relieve musculoskeletal pain. The study aim was to investigate the effects of adding IFT electro-massage to usual care after surgery in adults with SAPS. A randomized, single-blinded, controlled trial was carried out. Fifty-six adults with SAPS, who underwent acromioplasty in the previous 12 weeks, were equally distributed into an IFT electro-massage group or a control group. All participants underwent a two-week intervention (three times per week). The control group received usual care (thermotherapy, therapeutic exercise, manual therapy, and ultrasound). For participants in the IFT electro-massage group, a 15-min IFT electro-massage was added to usual care in every session. Shoulder pain intensity was assessed with a 100-mm visual analogue scale. Secondary measures included upper limb functionality (Constant-Murley score), and pain-free passive range of movement. A blinded evaluator collected outcomes at baseline and after the last treatment session. The ANOVA revealed a significant group effect, for those who received IFT electro-massage, for improvements in pain intensity, upper limb function, and shoulder flexion, abduction, internal and external rotation (all, p < 0.01). There were no between-group differences for shoulder extension (p = 0.531) and adduction (p = 0.340). Adding IFT electro-massage to usual care, including manual therapy and exercises, revealed greater positive effects on pain, upper limb function, and mobility in adults with SAPS after acromioplasty.

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“…in cases of subacromial impingement) 4 and of the soft tissues encapsulating the LHBT in the rotator interval (eg, in cases of AC). 2 The anatomical interface between the coracohumeral ligament and the LHBT (ie, the capsulo-synovial cavity of the glenohumeral joint) is commonly referred to as the specific target zone for the infiltration. 5 Owing to the paramount role of this intervention in the management of a painful shoulder, we would like to focus on some anatomical details of the rotator interval architecture to propose a few useful tips and tricks in planning the previously quoted procedure.…”

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confidence: 99%

Ultrasound‐Guided Hydrodilatation of the Shoulder Capsule at the Rotator Interval: Technical Tips and Tricks

2020

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Adhesive capsulitis and disorders of the intra‐articular portion of the long head of the biceps brachii tendon are common causes of shoulder pain. Sonographic findings, coupled with clinical evaluation and medical history, are paramount for prompt diagnosis. Herewith, either to precisely confirm the pain generator(s) or to appropriately treat relevant cases, ultrasound‐guided interventions are often required in daily clinical practice. Targeting the anatomical structures involved in the aforementioned pathological conditions, we briefly describe some technical tips and tricks as regards ultrasound‐guided hydrodilatation of the shoulder capsule at the rotator interval.

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Ultrasound-guided interventions for painful shoulder: from anatomy to evidence

Cited by 33 publications

References 42 publications

Sonographic Pearls for Imaging the Brachial Plexus and Its Pathologies

Sonographic Pearls for Imaging the Brachial Plexus and Its Pathologies

Effects of Adding Interferential Therapy Electro-Massage to Usual Care after Surgery in Subacromial Pain Syndrome: A Randomized Clinical Trial

Ultrasound‐Guided Hydrodilatation of the Shoulder Capsule at the Rotator Interval: Technical Tips and Tricks

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