A controlled trial of the benefits of ultrasound-guided steroid injection for shoulder pain

Zufferey, Pascal; Revaz, Sylvie; Degailler, Xavier; Balagué, Federico; Sô, A.

doi:10.1016/j.jbspin.2011.04.001

Cited by 39 publications

(53 citation statements)

References 15 publications

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“…We identified 305 articles, seven RCTs were eligible for this review (Figure 1), with a total of 445 adult patients [13,14,15,16,17,18,19] . Characteristics of the enrolled studies are described in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Six studies assessed pain using a pain score [13,14,15,17,18,19] and two assessed SDQ score [15,18] at 6 weeks after injection. The analysis indicated a statistically significant decreased VAS and SDQ score difference between USG and LMG groups at this follow-up period in favour of USG (MD 1.19, 95% CI [0.39, 1.98], P = 0.003 & MD 5.01, 95% CI [1.82,8.19], P=0.02, respectively, Fig 2,3).…”

Section: The Decreased Vas and Sdq Scores At 6 Weeks After Injectionmentioning

confidence: 99%

“…Two studies compared the effective rate difference between ultrasound-guided and landmark injection groups [14,17] . More effective rate was also reported with USG group and the difference was statistically significant (risk ratio = 1.6, 95% CI [1.02, 2.50], p=0.04, Figure 6).…”

Section: The Effective Ratementioning

confidence: 99%

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Ultrasound-guided versus blind subacromial—subdeltoid bursa injection in adults with shoulder pain: A systematic review and meta-analysis

Song

Dong

et al. 2015

Seminars in Arthritis and Rheumatism

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Section: Resultsmentioning

confidence: 99%

Section: The Decreased Vas and Sdq Scores At 6 Weeks After Injectionmentioning

confidence: 99%

See 1 more Smart Citation

Ultrasound-guided versus blind subacromial—subdeltoid bursa injection in adults with shoulder pain: A systematic review and meta-analysis

Song

Dong

et al. 2015

Seminars in Arthritis and Rheumatism

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“…US-guided shoulder injections appear to have a higher percentage of success, more effective analgesia and better functional recovery 6 weeks after injection [54,55].…”

Section: • Shoulder Jointmentioning

confidence: 97%

Ultrasound-Guided Interventional Procedures for Chronic Pain Management

et al. 2015

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Ultrasonography has multiple advantages over traditional radiologic imaging modalities when used for interventional procedures. It allows improved visualization of the anatomy while avoiding ionizing radiation and risks associated with contrast use. It has proved superiority at accuracy of delivery and procedural effectiveness over blind procedures when used in association with interventional pain procedures. Although limited in its ability to see through bony structures, ultrasound has utility in visualizing soft tissues and vascular structures in anatomic regions of interest resulting in increased use for posterior neuraxial, periaxial, peripheral nerve and joint-related structures. Current evidence for use in these settings is presented here. In some cases, optimal utility may be improved by combining ultrasonography with other imaging modalities. KEYWORDS• chronic pain management Advantages of ultrasound imagingInterventional pain procedures were traditionally performed under fluoroscopic (FS), computed tomography (CT) or MRI guidance. The use of ultrasound (US) to perform injections for chronic pain has significantly increased in the past decade [1,2]. This increase is attributed to its multiple advantages over other imaging modalities including ease of performance, absence of ionizing radiation, better visualization of soft tissue (i.e., muscle, ligament) and blood vessels, real time visualization of needle advancement and, at times, the ability to observe the spread of injectate [3]. US Practice points• Use of ultrasound in medicine has grown with smaller size equipment, increased portability and decreased cost.• Ultrasound has multiple advantages over radiographic imaging when used for interventional pain procedures.• Sonography is useful for medial branch blocks and intra-articular facet blocks in the cervical and lumbar spine but there is little evidence to support its use in the thoracic spine.• Ultrasonography is limited in utility for many types of axial injections because of bony and acoustic shadowing artifact but it does show some promise with transforaminal epidurals or selective nerve root blocks.• Ultrasound guidance is effective in preventing soft tissue and vascular injury in stellate ganglion blocks compared with blind techniques. Soft tissue and vascular anomalies can be identified that fluoroscopic technique will miss.• Ultrasound improves accuracy and efficacy in ilioinguinal, iliohypogastric and genitofemoral blocks for inguinal and testicular pain.• Lateral femoral cutaneous nerve injections are more accurate under ultrasound guidance, especially given the anatomic variation the nerve exhibits in cadaver dissections.• Injections into the knee, shoulder and hip joints are more successful when performed using ultrasound.For reprint orders, please contact: reprints@futuremedicine.com

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“…Des études rapportent une plus grande efficacité des infiltrations échoguidées par rapport aux infiltrations avec repérage clinique [5]. L'échographie aurait également permis de différencier l'anévrisme d'un kyste poplité [6][7][8].…”

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Réaction pseudoseptique après infiltration : penser aux faux anévrismes artériels

Lopez

Soubrier

Mathieu

2015

Revue du Rhumatisme

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A controlled trial of the benefits of ultrasound-guided steroid injection for shoulder pain

Cited by 39 publications

References 15 publications

Ultrasound-guided versus blind subacromial—subdeltoid bursa injection in adults with shoulder pain: A systematic review and meta-analysis

Ultrasound-guided versus blind subacromial—subdeltoid bursa injection in adults with shoulder pain: A systematic review and meta-analysis

Ultrasound-Guided Interventional Procedures for Chronic Pain Management

Réaction pseudoseptique après infiltration : penser aux faux anévrismes artériels

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