Ultrasound is a fast, accessible, reliable, and radiation-free imaging modality routinely used to assess the soft tissues around the shoulder. It enables to identify a wide range of pathological conditions. Furthermore, most ultrasound-guided musculoskeletal interventional procedures around the shoulder produce better results in terms of accuracy and clinical efficacy than those performed in a blinded fashion. Indeed, intra-articular and peri-articular interventional procedures can be easily performed under continuous ultrasound monitoring to ensure the correct position of the needle and to deliver the medication to a specific target. Several technical approaches and medications can be used to treat different causes of painful shoulder. Intra-articular injections are applied to treat acromioclavicular osteoarthritis as well as glenohumeral joint osteoarthritis and adhesive capsulitis. Subacromial-subdeltoid bursitis, either presenting as a primary inflammatory condition or secondary to rotator cuff disorders, can be easily approached using ultrasound guidance to aspirate synovial effusion and to inject medications. Ultrasound-guided percutaneous irrigation is a well-established technique increasingly applied to treat patients with rotator cuff calcific tendinopathy. Also, degenerative rotator cuff tendinopathy can be conservatively treated by image-guided interventions, specifically with needling under ultrasound guidance that can be associated with injections of platelet-rich plasma. Lastly, periarticular peripheral nerve block can be quickly and safely performed under ultrasound guidance, particularly in conditions involving the suprascapular nerve in the setting of pre-operative analgesia or pain treatment in glenohumeral osteoarthritis and adhesive capsulitis. In this article, the most common ultrasound-guided procedures around the shoulder have been reviewed to discuss indications and techniques.
Ultrasound-guided musculoskeletal interventional procedures around the shoulder / S. Tortora, C. Messina, S. Gitto, V. Chianca, F. Serpi, A. Gambino, L. Pedone, G. Carrafiello, L.M. Sconfienza, D. Albano. - In: JOURNAL OF ULTRASONOGRAPHY. - ISSN 2084-8404. - 21:85(2021 Jun 07), pp. e162-e168. [10.15557/JoU.2021.0026]
Titolo: | Ultrasound-guided musculoskeletal interventional procedures around the shoulder | |
Autori: | SCONFIENZA, LUCA MARIA (Penultimo) | |
Parole Chiave: | injections; interventional radiology; shoulder; ultrasound | |
Settore Scientifico Disciplinare: | Settore MED/36 - Diagnostica per Immagini e Radioterapia | |
Data di pubblicazione: | 7-giu-2021 | |
Rivista: | ||
Tipologia: | Article (author) | |
Digital Object Identifier (DOI): | http://dx.doi.org/10.15557/JoU.2021.0026 | |
Appare nelle tipologie: | 01 - Articolo su periodico |
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