Accuracy of Ultrasound‐Guided Versus Palpation‐Guided Acromioclavicular Joint Injections: A Cadaveric Study

Peck, Evan; Lai, Jim K.; Pawlina, Wojciech; Smith, Jay

doi:10.1016/j.pmrj.2010.06.009

Cited by 76 publications

(65 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Además, es fácil sobrepasar los límites de la misma e introducir anestésico en el espacio subacromial, lo que invalidaría el resultado 18 . Diversos autores han publicado tasas de fracaso en la infiltración desde el 43% hasta el 66% [19][20][21][22] . Para mejorar estos porcentajes se han utilizado diversos méto-dos de imagen.…”

Section: Infiltración Articularunclassified

Exploración y evaluación radiológica de la articulación acromioclavicular

Mora

Heredia

Díaz

et al. 2015

Revista Española de Artroscopia y Cirugía Articular

View full text Add to dashboard Cite

r e v e s p a r t r o s c c i r a r t i c u l . 2 0 1 5;2 2(1):11-17 información del artículo Historia del artículo: Recibido el 21 de marzo de 2015 Aceptado el 2 de junio de 2015 On-line el 2 de julio de 2015 Palabras clave: Exploración física Resonancia magnética Articulación acromioclavicular Radiología simple Dolor hombror e s u m e n La situación anatómica de la articulación acromioclavicular nos permite realizar una evaluación mediante la observación y la palpación más sencilla que en la articulación glenohumeral. Sin embargo, el dolor proveniente de la misma puede irradiar a diferentes zonas del hombro, del brazo y del cuello y solaparse con otras afecciones. Por ello, es importante conocer las diferentes maniobras exploratorias, así como estar familiarizado con la interpretación de las pruebas de imagen.En este artículo se revisan de forma sistemática los test más utilizados en la exploración de la articulación acromioclavicular, valorando sensibilidad, especificidad y valores predictivos, así como la forma correcta de realizarlos. Además, se analizan las peculiaridades radiológicas de dicha articulación y las utilidades de las diferentes proyecciones y técnicas en el diagnóstico de enfermedad acromioclavicular. © 2015 Fundación Española de Artroscopia. Publicado por Elsevier España, S.L.U. Este es un artículo Open Access bajo la licencia CC BY-NC-ND (http://creativecommons.org/licenses/by-nc-nd/4.0/). Physical examination and radiological imaging of the acromioclavicular jointKeywords: Physical examinationMagnetic resonance imaging Acromioclavicular joint Simple X-ray image Shoulder pain a b s t r a c tThe subcutaneous location of the acromioclavicular joint allows the clinician to evaluate deformities directly and palpate the joint. This is more complicated in the glenohumeral joint. However, pain arising from the joint can irradiate to different areas of the shoulder, arm and neck, and can be misleading. Thus, it is important to be familiar with the spectrum of physical examination tests, specific radiological projections and MRI findings in order to reach an accurate diagnosis.The aim of this article is to systematically describe the most commonly used physical examination tests for acromioclavicular pathology, including sensitivity, specificity, and * Autor para correspondencia.Correo electrónico: maria.valencia.mora@gmail.com (M. Valencia Mora). http://dx.

show abstract

Section: Infiltración Articularunclassified

Exploración y evaluación radiológica de la articulación acromioclavicular

Mora

Heredia

Díaz

et al. 2015

Revista Española de Artroscopia y Cirugía Articular

View full text Add to dashboard Cite

show abstract

“…29,30) There are 3 methods of injection into the acromioclavicular joint, (1) when the probe is placed in parallel to the longitudinal axis of the lateral clavicle and its position is adjusted so that we see the joint in the center of the image: an out of plane method is used to insert the needle from the anterior skin to the posterior direction; (2) the image is adjusted so that the joint appears at the lateral side of the scan, then the needle is inserted from the lateral side of the probe so that the needle points towards the lateral edge of the clavicle, passing over the acromion, and penetrates the joint capsule; and (3) the probe is rotated 90 o so that the acromion is imaged in the transverse plane and then medially moved until no bony structure can be seen-the joint. The needle is inserted in an in-plane method from the anterior to the posterior.…”

Section: Acromioclavicular Joint Injectionmentioning

confidence: 99%

Ultrasonography and Ultrasound-guided Interventions of the Shoulder

Moon¹,

Ko²,

Baek³

et al. 2015

Clinics in Shoulder and Elbow

View full text Add to dashboard Cite

Nowadays shoulder ultrasound is commonly used in the assessment of shoulder diseases and is as accurate as magnetic resonance imaging in the detection of several pathologies. Operator dependence is the main disadvantage of shoulder ultrasound. After adhering to a strict examination protocol, good knowledge of normal anatomy and pathologic processes and an awareness of common pitfalls, it can be used as a focused examination providing rapid, real-time diagnosis, and treatment by ultrasound-guided interventions in desired clinical situations. Also shoulder ultrasound can help the surgeon decide whether treatment will be surgical or nonsurgical. If arthroscopy is planned, sonographic findings help to counsel patients regarding surgical and functional outcomes. If a nonsurgical approach is indicated, ultrasound can be used to follow patients. This review article presents the examination techniques, the normal sonographic appearances and the main pathologic conditions found in shoulder ultrasound. And also addresses a simplified approach to scanning and ultrasoundguided intervention. Knowledge of optimal techniques, normal anatomy, dynamic maneuvers, and pathologic conditions is essential for optimal performance and interpretation of images. (Clin Shoulder Elbow 2015;18(3):172-193)

show abstract

“…The emergence of these new treatments, combined with the needle tenotomy techniques, have been made possible by the ability to visualize the degenerative tendon, perform percutaneous needling of the tendon and accurately place the injectate into the desired area. While [79] Acromioclavicular joint [80] Glenohumeral joint [81] Biceps tendon sheath [13] Aspiration/lavage of calcific tendinitis [68] Elbow Medial and lateral epicondyle [82] Elbow joint [83] Hand/wrist Carpal tunnel [84] De Quervain's tenosynovitis [85] Carpometacarpal and trapeziometacarpal joint [86] Trigger finger [87] Scaphotrapeziotrapezoid joint [88] Distal radioulnar joint [89] Lower extremity…”

Section: Musculoskeletal Medicinementioning

confidence: 99%