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posterior subacromial bursa injection

Elle Põldoja, Madis Rahu, Kristo Kask, Imke Weyers, Ivo Kolts
PURPOSE: Vascularity of the subacromial bursa and rotator cuff tendons is key factors in the pathogenesis of subacromial bursitis and impingement syndrome, rotator cuff tendinitis, and rotator cuff tears. The purpose of this study was to investigate and describe blood supply to the cranial and caudal parts of the subacromial bursa and the vascularity of the rotator cuff tendons on the bursal side. METHODS: Fourteen fresh cadaveric shoulders from six females and eight males with a mean age of 71...
July 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
H Chen
Objective: Compare the efficacy of two approaches to ultrasound-guided subacromial-subdeltoid bursa injections and to assess whether shoulder impingement tests acts as a predictive factor for efficacy of the injection. Design: Retrospective chart review and telephone survey of 40 patients who received ultrasound-guided subacromial-subdeltoid injections using 4cc 1% lidocaine and 80 mg methylprednisolone from January 2011 to December 2011. Outcome measures included: number of positive shoulder impingement tests (Neer, Hawkin, Yocum), pain level (10-Point VAS) and duration of pain relief (< 4 weeks, 4-12 weeks, > 12 weeks)...
October 16, 2015: West Indian Medical Journal
João Madruga Dias, Maria Manuela Costa, Artur Duarte, José A Pereira da Silva
Pigmented Vilonodular Synovitis is a rare clinical entity characterized as a synovial membrane benign tumour, despite possible aggressive presentation with articular destruction. The localized variant is four times less frequent and the shoulder involvement is uncommon. We present the case of a Caucasian 59 year-old patient, who presented with left shoulder pain, of uncharacteristic quality, with local swelling and marked functional limitation of 1 month duration. Shoulder ultrasonography showed subacromial bursitis...
July 2013: Acta Médica Portuguesa
Richard A Marder, Sunny H Kim, Jerry D Labson, John C Hunter
BACKGROUND: Rotator cuff syndrome is often treated with subacromial injection of corticosteroid and local anesthetic. It has not been established if the common injection routes of the bursa are equally accurate. METHODS: We conducted a prospective clinical trial involving seventy-five shoulders in seventy-five patients who were randomly assigned to receive a subacromial injection through an anterior, lateral, or posterior route with respect to the acromion. An experienced physician performed the injections, which contained radiopaque contrast medium, corticosteroid, and local anesthetic...
August 15, 2012: Journal of Bone and Joint Surgery. American Volume
Matthew Sardelli, Robert T Burks
PURPOSE: The purpose of this study was to assess the distance for a standard needle to reach the subacromial bursa through 3 commonly used approaches. METHODS: Thirty patients without associated rotator cuff tears underwent arthroscopic evaluation of the shoulder. The bursa was entered without shaving or altering of the bursa. By use of standard arthroscopic portals, a spinal needle was inserted from an anterior, lateral, and posterior position and measured to define the distance to the subacromial bursa from the skin...
September 2008: Arthroscopy: the Journal of Arthroscopic & related Surgery
Hans-Erik Henkus, Lodewijck P J Cobben, Emile G Coerkamp, Rob G H H Nelissen, Ewoud R A van Arkel
PURPOSE: To assess the accuracy of shoulder infiltrations in the subacromial bursa (SAB) by a posterior or an anteromedial approach. Magnetic resonance imaging (MRI) and clinical outcome were used for evaluation. TYPE OF STUDY: A prospective randomized study. METHODS: Thirty-three patients (22 women, 11 men; average age, 46 years; range, 25 to 64 years) with clinical signs of subacromial impingement were infiltrated with a mixture of bupivacaine, methylprednisolone, and gadolinium-DTPA directly followed by MRI to determine the actual site of injection...
March 2006: Arthroscopy: the Journal of Arthroscopic & related Surgery
F Alan Barber
The suprascapular nerve (SSN) originates from the C5 and C6 nerve roots and provides sensation for the posterior shoulder capsule, acromioclavicular joint, subacromial bursa, and coracoclavicular ligament. Blocking it provides pre-emptive anesthesia, decreased intraoperative pain, and postoperative pain relief in shoulder arthroscopy. Under general anesthesia, 25 mL of 0.5% bupivacaine is injected by a spinal needle placed 1 cm medial to the convergence of the spine and clavicle, angling toward the coracoid...
August 2005: Arthroscopy: the Journal of Arthroscopic & related Surgery
Peter V Mathews, Ronald E Glousman
Subacromial bursa injection is commonly performed via an anterolateral or posterior approach. No study has compared the accuracy rates of these approaches. Twenty cadaveric shoulders were injected with radiocontrast in the subacromial bursa via an anterolateral approach and twenty via a posterior approach. Ten shoulders were injected with methylene blue via each technique for dissection. The anterolateral approach was accurate by fluoroscopy in 18 shoulders (90%), but dissection of 10 shoulders revealed successful injection in only 6 (60%)...
March 2005: Journal of Shoulder and Elbow Surgery
J Chae, D Yu, M Walker
This case report describes the first survivor with chronic stroke who was treated with percutaneous, intramuscular neuromuscular electrical stimulation (NMES) for shoulder subluxation and pain. The patient developed shoulder subluxation and pain within 2 mo of his stroke. After discharge from acute inpatient rehabilitation, he developed shoulder and hand pain, which was treated with subacromial bursa steroid injection and ibuprofen with eventual resolution. The patient remained clinically stable until approximately 15 mo after his stroke-when he developed severe shoulder pain associated with shoulder abduction, external rotation, and downward traction...
April 2001: American Journal of Physical Medicine & Rehabilitation
R K Kerlan, R E Glousman
The use of corticosteroids in the treatment of athletic injuries can provide dramatic relief of pain and inflammation. The proper use of injectable steroids must be carefully understood to avoid complications. It is critical to know the anatomy and use your needle as carefully as you would a scalpel. Bring the anatomy close to you so that you can use the shortest delivery system and the smallest caliber needle. Have the patient in an optimal position: sitting up for subacromial injections, lying supine for anterior shoulder injections with rotation of the anatomy under your fingers until the area is specifically identified, lying prone for posterior shoulder problems, and sitting up for knee injections, especially for the tibial collateral ligament bursa...
July 1989: Clinics in Sports Medicine
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