The infiltration of the AC joint performed by one specialist: Ultrasound versus palpation a prospective randomized pilot study

Sabeti-Aschraf, Manuel; Ochsner, A; Schueller-Weidekamm, Claudia; Schmidt, Maximilian; Funovics, Philipp; Skrbensky, Gobert von; Göll, A.; Schatz, Klaus

doi:10.1016/j.ejrad.2009.06.018

Cited by 42 publications

(38 citation statements)

References 9 publications

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“…Seventy-four per cent (17/23) of the studies evaluated injections into a single joint8 63–65 67–70 72–80 and 26% (6/23) assessed injections into multiple joints 16 26 31 52 66 71. Injections into the following joints were evaluated: sternoclavicular (SC; 1/23 (4%)),79 acromioclavicular (AC; 7/23 (30%)),26 63 69 70 72 73 78 elbow (3/23 (13%)),16 26 31 wrist (4/23 (17%)),8 16 26 31 distal radioulnar (DRU; 1/23 (4%)),77 scaphotrapeziotrapezoidal (STT; 1/23 (4%)),74 proximal tibiofibular (TF; 1/23 (4%)),76 tibiotalar (TT; 7/23 (30%)),16 26 31 65 66 71 80 subtalar (ST; 5/23 (22%)),66–68 71 75 and midfoot (1/23 (4%)) 64…”

Section: Resultsmentioning

confidence: 99%

“…16 26 64 73 One was a level 2 study,73 another was a level 3 study26 and the remaining two were level 4 studies 16 64. Sabeti-Aschraf et al 73 found no difference in efficacy between AC joint USGIs and LMGIs. Jones et al 26 found no difference in efficacy between accurate and inaccurate injections into the AC, elbow, wrist and ankle joints, but the conclusions of this study are limited due to the study design.…”

Section: Resultsmentioning

confidence: 99%

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American Medical Society for Sports Medicine (AMSSM) position statement: interventional musculoskeletal ultrasound in sports medicine

Finnoff

Hall

Adams³

et al. 2014

Br J Sports Med

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Background The use of diagnostic and interventional ultrasound has significantly increased over the past decade. A majority of the increased utilisation is by nonradiologists. In sports medicine, ultrasound is often used to guide interventions such as aspirations, diagnostic or therapeutic injections, tenotomies, releases and hydrodissections. Objective Critically review the literature related to the accuracy, efficacy and cost-effectiveness of ultrasoundguided injections (USGIs) in major, intermediate and small joints; and soft tissues. Design Systematic review of the literature. Results USGIs are more accurate than landmark-guided injections (LMGIs; strength of recommendation taxonomy (SORT) Evidence Rating=A). USGIs are more efficacious than LMGIs (SORT Evidence Rating=B). USGIs are more cost-effective than LMGIs (SORT Evidence Rating=B). Ultrasound guidance is required to perform many new procedures (SORT Evidence Rating=C). Conclusions The findings of this position statement indicate there is strong evidence that USGIs are more accurate than LMGI, moderate evidence that they are more efficacious and preliminary evidence that they are more cost-effective. Furthermore, ultrasound-guided (USG) is required to perform many new, advanced procedures and will likely enable the development of innovative USG surgical techniques in the future. BACKGROUND

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

American Medical Society for Sports Medicine (AMSSM) position statement: interventional musculoskeletal ultrasound in sports medicine

Finnoff

Hall

Adams³

et al. 2014

Br J Sports Med

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show abstract

“…In cases of persisting pain condition, steroids, lidocaine or hyaluronic acid injections are helpful in improving clinical outcome, especially in the first week after therapy. 12 A prospective and randomized study by Sabeti-Aschraf et al 54 showed significant clinical improvement in pain and function up to 1 week post injection, with ultrasound guidance allowing for an easier procedure than blind injection.…”

Section: Acromion-clavicular Joint Injectionmentioning

confidence: 99%

Ultrasound-guided interventional procedures around the shoulder

Messina¹,

Banfi²,

Orlandi³

et al. 2016

BJR

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“…Physical therapy modalities, analgesics, non-steroid antiinflammatory drugs (NSAIDs), and corticosteroid (CS) injections to the ACJ can be applied [5]. Corticosteroid injections are commonly used in the management of shoulder pain thanks to their potent anti-inflammatory effects and rapid response to injection [6]. However, the use of these injections is limited due to pain, vasovagal reactions, altered serum glucose levels, facial flushing, and systemic side effects such as osteoporosis [7].…”

Section: Introductionmentioning

confidence: 99%

Comparison the effectiveness of corticosteroid and pulsed radiofrequency in chronic shoulder pain

Ökmen¹

2018

Ann Clin Anal Med

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Aim: Acromioclavicular joint (ACJ) disorders are particularly common in patients with impingement syndrome. We aim to evaluate the effectiveness of corticosteroid (CS) injections and pulsed radiofrequency (PRF) therapies applied to the Acromioclavicular joint (ACJ) and the subacromial area in the long-term in patients with impingement syndrome. Material and Method: 40 patients were analyzed in 2 different groups; CS(n=20) and PRF(n=20). Pre-treatment (W0) and post-treatment follow-ups at one (W1), four (W4), 12 (W12) and 24 weeks (W24) were carried out using Visual Analogue Scale (VAS), Shoulder Pain And Disability Index (SPADI) scores and Beck Depression Inventory (BDI) Scale tests. Results: There was a statistically significant improvement in all the evaluation parameters at W1, W4, W12, and W24 compared to W0 in both groups (p<0.05). The comparison of the groups with each other there was no statistically significant difference between the VAS, SPADI and BDI values at W1, W4, W12, W24 (p>0.05). Discussion: Our study results showed that CS injections and PRF therapy applied to the ACJ and subacromial area were effective during six-month follow-up in patients with chronic shoulder pain due to impingement syndrome. But statistical significance superiority to each other was not determined.

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The infiltration of the AC joint performed by one specialist: Ultrasound versus palpation a prospective randomized pilot study

Cited by 42 publications

References 9 publications

American Medical Society for Sports Medicine (AMSSM) position statement: interventional musculoskeletal ultrasound in sports medicine

American Medical Society for Sports Medicine (AMSSM) position statement: interventional musculoskeletal ultrasound in sports medicine

Ultrasound-guided interventional procedures around the shoulder

Comparison the effectiveness of corticosteroid and pulsed radiofrequency in chronic shoulder pain

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