Blind subacromial injection from the anterolateral approach: The ballooning sign

Park, Jin‐Young; Siti, Hawa-Tahir; Kyung-Soo, O; Chung, Kyung-Tae; Lee, Jee Young; Oh, Jeong-Hwan

doi:10.1016/j.jse.2010.05.004

Cited by 7 publications

(3 citation statements)

References 15 publications

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“…There is good evidence that ultrasound enables a more accurate delivery of the pharmacological agent at the correct anatomical site. Blind subacromial injections are intrabursal in only 7-29% of cases [2][3][4][5]. However, the impact on therapeutic effect is controversial.…”

Section: Image Guidancementioning

confidence: 99%

Radiological interventions for soft tissue injuries in sport

Campbell

Dunn²

2012

The British Journal of Radiology

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ABSTRACT. Injection therapy has played an integral role in the rehabilitation of sports injuries for many years. The athlete's primary goal is a rapid return to sporting activity. This may be achieved by a combination of either a temporary or permanent reduction in pain, and by a pharmacological or physiological effect that promotes or accelerates a healing response. A wide variety of pharmacological agents are used. However, there is often a lack of good evidence that quantifiable effects can be achieved. There are restrictions on the use of some pharmaceutical agents. This article reviews the various pharmacological agents and bioactive substrates that are available, and discusses the current evidence base of their use in common sports injuries.

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Section: Image Guidancementioning

confidence: 99%

Radiological interventions for soft tissue injuries in sport

Campbell

Dunn²

2012

The British Journal of Radiology

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“…In studies where the blind procedures were performed by very experienced orthopedic surgeons and shoulder specialists, the confidence correlation (the accuracy rate when the practitioners were very confident that they were accurate) ranged from 42% to 66%. 105 The imaging methods used for validation were mostly by xray, 69,107,109 although MRI 105,112 and ultrasound 104 were also used. Mathews and Glousman 111 found that x-ray was an unreliable method in confirming the location of contrast in the subacromial space when the result was validated with cadaver dissection.…”

Section: Accuracy Of Landmark-based Versus Ultrasound-guided Techniquesmentioning

confidence: 99%

Ultrasound-Guided Interventional Procedures in Pain Medicine

Peng

Cheng

2011

Regional Anesthesia and Pain Medicine

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Application of ultrasound for musculoskeletal injections is increasingly popular. The common targets for shoulder injection are the subacromial subdeltoid bursa, glenohumeral joint, acromioclavicular joint, and the long head of biceps tendon. This review describes and summarizes the anatomy and sonoanatomy relevant to the injection of these structures. The feasibility, accuracy, and effectiveness of the injections into and around these shoulder structures, as well as the injection techniques, are also described in detail.

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“…ubacromial injection of local anesthetic is commonly performed to precisely localize the source of pain about the shoulder 1 , to assess strength uninfluenced by pain, and to simulate a potential benefit of a surgical procedure 2 .If shoulder abduction strength remains decreased despite pain relief, structural failure of the rotator cuff and/or suprascapular nerve dysfunction are suspected. If performed without radiographic guidance, however, only 50% to 80% of injections intended to be subacromial have been reported to actually be strictly subacromial [3][4][5] , and extrabursal diffusion of local anesthetic has been reported to occur in up to 87%. It is therefore not unlikely that a so-called subacromial injection of local anesthetic might affect the axillary or the suprascapular nerve and thus affect shoulder strength measurements.…”

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confidence: 99%