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Ultrasound-guided shoulder injections in the treatment of subacromial bursitis

CHEN MJL; LEW HL; HSU TC; TSAI VC; LIN VC; TANG SFT; LEE YC; HSU RCH; CHEN CPC
AM J PHYS MED REHABIL , 2006, vol. 85, n° 1, p. 31-35
Doc n°: 122849
Localisation : Documentation IRR
Descripteurs : DD36 - TRAITEMENTS - EPAULE

Objective: To investigate the treatment effectiveness between ultrasound-guided and blind injection techniques in the treatment of subacromial bursitis. Design: A total of 40 patients with sonographic confirmation of subacromial bursitis were recruited into this study. These patients were divided into blind and ultrasound-guided injection groups. The shoulder abduction range of motion was compared before injections and 1 wk after the completion of injections in both groups. Results: The shoulder abduction range of motion before injection in the blind injection group was 71.03 +/- 12.38 degrees and improved to 100 +/- 18.18 degrees 1 wk after the injection treatments. However, the improvement did not reveal significant statistical differences (P > 0.05). The shoulder abduction range of motion before injection in the ultrasound guided injection group was 69.05 +/- 14.72 degrees and improved to 139.29 +/- 20.14 degrees 1 wk after the injection treatments (P < 0.05). Conclusions: Ultrasound may be used as an adjuvant tool in guiding the needle accurately into the inflamed subacromial bursa. The ultrasound-guided injection technique can result in significant improvement in shoulder abduction range of motion as compared with the blind injection technique in treating patients with subacromial bursitis.

Langue : ANGLAIS

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