2019, Number 4
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Acta Ortop Mex 2019; 33 (4)
Ultrasound-guided infiltration results in chronic brachial biceps tendinitis
Triviño‑Carrillo AJ, Aucique‑Rodríguez J, Colmenares‑Mejía CC
Language: Spanish
References: 14
Page: 237-240
PDF size: 151.33 Kb.
ABSTRACT
Introduction: Anterior shoulder pain is one of the most common symptoms in the orthopedic consultation, much of it is associated with the pathology of the long head biceps tendon; in general, its management is conservative, including injections which are performed blindly as a common clinical practice. With the advent of imaging support in the performance of these procedures such as ultrasound can improve the accuracy of biceps tendon sheath injections to obtain a better clinical result.
Objective: To describe the clinical results of patients with chronic biceps tendinitis who were injected by ultrasound guidance.
Material and methods: Observational single-cohort study with prospective follow-up which included patients with chronic tendonitis of the long biceps brachii who were candidates for ultrasound-guided infiltration. The presence of pain (Visual Analogue Scale) and functionality (Constant-Murley Test) was evaluated after two weeks. Quantitative variables are reported as averages and standard deviation.
Results: The study comprised 18 patients with an average age of 59.6 years, the EVA score decreased from 7.2 (SD 1.6) before-injection to 3.7 (2.7) post-injection. The Constant-Murley score improved from 51.1 (SD 9.5) before injection to 65.9 (15.7) at follow-up. No complications were reported.
Discussion: Ultrasound-guided infiltration is a safe procedure that results in improvement of pain and functionality of patients with tendonitis of the biceps brachial.
REFERENCES
Schickendantz M, King D. Nonoperative management (including ultrasound-guided injections) of proximal biceps disorders. Clin Sports Med. 2016; 35(1): 57-73.
Wilk KE, Hooks TR. The painful long head of the biceps brachii: nonoperative treatment approaches. Clin Sports Med. 2016; 35(1): 75-92.
Carr RM, Shishani Y, Gobezie R. How accurate are we in detecting biceps tendinopathy? Clin Sports Med. 2016; 35(1): 47-55.
Hashiuchi T, Sakurai G, Morimoto M, Komei T, Takakura Y, Tanaka Y. Accuracy of the biceps tendon sheath injection: ultrasound-guided or unguided injection? A randomized controlled trial. J Shoulder Elbow Surg. 2011; 20(7): 1069-73.
Ding DY, Garofolo G, Lowe D, Strauss EJ, Jazrawi LM. The biceps tendon: from proximal to distal: AAOS exhibit selection. J Bone Joint Surg Am. 2014; 96(20): e176.
Khazzam M, George MS, Churchill RS, Kuhn JE. Disorders of the long head of biceps tendon. J Shoulder Elbow Surg. 2012; 21(1): 136-45.
Ben Kibler W, Sciascia AD, Hester P, Dome D, Jacobs C. Clinical utility of traditional and new tests in the diagnosis of biceps tendon injuries and superior labrum anterior and posterior lesions in the shoulder. Am J Sports Med. 2009; 37(9): 1840-7.
Aly AR, Rajasekaran S, Ashworth N. Ultrasound-guided shoulder girdle injections are more accurate and more effective than landmark-guided injections: a systematic review and meta-analysis. Br J Sports Med. 2015; 49(16): 1042-9.
Zhang J, Ebraheim N, Lause GE. Ultrasound-guided injection for the biceps brachii tendinitis: results and experience. Ultrasound Med Biol. 2011; 37(5): 729-33.
ME. Barra-López, El test de Constant-Murley. Una revisión de sus características. Rehabilitacion. 2007; 41: 228-35.
Malavolta EA, Assunção JH, Guglielmetti CL, de Souza FF, Gracitelli ME, Ferreira NA. Accuracy of preoperative MRI in the diagnosis of disorders of the long head of the biceps tendon. Eur J Radiol. 2015; 84(11): 2250-4.
Stone TJ, Adler RS. Ultrasound-guided biceps peritendinous injections in the absence of a distended tendon sheath: a novel rotator interval approach. J Ultrasound Med. 2015; 34(12): 2287-92.
Patel KV, Bravman J, Vidal A, Chrisman A, McCarty E. Biceps tenotomy versus tenodesis. Clin Sports Med. 2016; 35(1): 93-111.
Takahashi N, Sugaya H, Matsumoto M, Miyauchi H, Matsuki K, Tokai M, et al. Progression of degenerative changes of the biceps tendon after successful rotator cuff repair. J Shoulder Elbow Surg. 2017; 26(3): 424-9.