The Biceps Long‐Head Tendon: An Overlooked Pain Origin for Ultrasound‐Guided Injection

Chang, Ke‐Vin; Wu, Wei‐Ting

doi:10.1002/jum.15109

Cited by 3 publications

(5 citation statements)

References 6 publications

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“…When properly performed, ultrasound-guided aspirations and injections are safe and efficacious. 2 , 4 , 6 , 11 , 20 Dave et al retrospectively reviewed their 18 years of experience with 128 ultrasound-guided procedures on American football players; they found that these techniques are safe and effective in improving injury outcomes. 4 Unlike fluoroscopy, roentgenogram, and CT, ultrasound does not subject the patient to harmful radiation.…”

Section: Discussionmentioning

confidence: 99%

“… 4 Unlike fluoroscopy, roentgenogram, and CT, ultrasound does not subject the patient to harmful radiation. Ultrasound-guided shoulder injections are highly accurate and have been found to be 87.6% successful in the biceps sheath 2 and 96% successful in the acromioclavicular joint. 6 Ultrasound is a valuable tool that can be performed in an office setting.…”

Section: Discussionmentioning

confidence: 99%

“… 4 , 7 , 17 It is commonly used to assess the rotator cuff but has also been used for image-guided injections into the acromioclavicular joint 1 , 6 , 11 and the long head of the biceps tendon sheath. 2 The use of ultrasound has also been described as a tool for image-guided injections into the sternoclavicular joint; 17 however, there are no studies that describe the clinical efficacy of ultrasound-guided sternoclavicular injections. The aim of this case series is to discuss our results using ultrasound-guided sternoclavicular joint injections in the clinic to diagnose and treat sternoclavicular pathology.…”

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confidence: 99%

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Ultrasound-guided sternoclavicular joint injection: technique and case series

Min

López

Powlan

et al. 2021

JSES Reviews, Reports, and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Ultrasound-guided sternoclavicular joint injection: technique and case series

Min

López

Powlan

et al. 2021

JSES Reviews, Reports, and Techniques

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“…Shoulder pathologies are commonplace in musculoskeletal medicine and, currently, ultrasound (US) imaging is an established tool to promptly optimize the diagnosis 1 and guided interventions 2 in its management. Among others, disorders of the proximal segment of the long head of the biceps brachii tendon (LHBT) 3 and adhesive capsulitis (AC) 2 are widely recognized to be challenging in terms of diagnosis and treatment.…”

Section: Figurementioning

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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“…An important–but easily overlooked–structure is the long head of the biceps tendon (LHBT), which has been reported as an important pain generator and a common location of anterior shoulder pain ( 27 – 30 ). Previous studies have shown that biceps tendon disorders are associated with rotator cuff tears, subacromial bursitis, and dynamic shoulder instability.…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Ultrasound-Guided Subacromial-Subdeltoid Bursa Combined With Long Head of the Biceps Tendon Sheath Corticosteroid Injection for Hemiplegic Shoulder Pain: A Randomized Controlled Trial

Hou

Zhang²,

Liu³

et al. 2022

Front. Neurol.

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BackgroundSubacromial-subdeltoid (SASD) bursa and long head of the biceps tendon (LHBT) sheath corticosteroid injection are commonly used to treat shoulder pain associated with arthritic shoulder conditions, but effectiveness in the stroke population is unclear. This study aimed to investigate the clinical effectiveness of ultrasound-guided SASD bursa combined with LHBT sheath corticosteroid injection for hemiplegic shoulder pain (HSP) compared with SASD bursa injection alone.Methods60 patients with HSP were randomly allocated to the dual-target group (n = 30) and single-target group (n = 30). The single-target group received SASD bursa corticosteroid injection alone, and the dual-target group received SASD bursa and LHBT sheath corticosteroid injection. The primary endpoint was pain intensity measured on a visual analog scale (VAS). The secondary endpoint was passive range of motion (PROM) of the shoulder, Upper Extremity Fugl-Meyer assessment (UEFMA) score, and Modified Barthel Index (MBI) score. PROM and pain intensity VAS were assessed at baseline and weeks 1, 4, and 12 post-treatment. UEFMA and MBI were recorded at baseline and weeks 4 and 12 post-treatment.ResultsA total of 141 patients with HSP were screened, and 60 patients were included. Significant differences in the VAS, PROM, UEFMA and MBI were observed at all follow-ups in both groups. The dual-target group showed a significant difference in VAS score compared with the single-target group (3.3 vs. 3.7, p = 0.01) at week 4 and week 12 (2.5 vs. 3.2, p < 0.001). Moreover, the dual-target group showed statistically significant differences in flexion (p < 0.001) at week 12, extension rotation (p < 0.001) at week 12, and abduction at week 1 (p = 0.003) and weeks 4 and 12 (p < 0.001) compared with the single-target group. There were significant differences in FMA and MBI scores in the two groups before and after treatment (p < 0.001), with a more significant increase in the dual-target group compared with the single-target group (p < 0.001) at week 12.ConclusionThe combination of SASD bursa and LHBT sheath corticosteroid injection is superior to SASD bursa injection alone in reducing shoulder pain and improving functional activities in patients with HSP.Clinical Trial Registrationwww.chictr.org.cn, Unique identifier: ChiCTR2100047125.

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The Biceps Long‐Head Tendon: An Overlooked Pain Origin for Ultrasound‐Guided Injection

Cited by 3 publications

References 6 publications

Ultrasound-guided sternoclavicular joint injection: technique and case series

Ultrasound-guided sternoclavicular joint injection: technique and case series

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

The Effectiveness of Ultrasound-Guided Subacromial-Subdeltoid Bursa Combined With Long Head of the Biceps Tendon Sheath Corticosteroid Injection for Hemiplegic Shoulder Pain: A Randomized Controlled Trial

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