179 results match your criteria: "Injection Acromioclavicular Joint"
Ann Palliat Med
July 2024
Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Background: Radiofrequency ablation (RFA) is a treatment modality that has been increasingly used for the management of chronic shoulder pain. Serious conditions that can identified as the cause of chronic shoulder pain include rotator cuff disorders, adhesive capsulitis, osteoarthritis, glenohumeral instability, and acromioclavicular joint disorders. Treatment of chronic shoulder pain typically consists of physical therapy, oral and topical medications, intra-articular corticosteroid injections, and even surgery.
View Article and Find Full Text PDFShoulder Elbow
April 2024
Trauma & Orthopaedics, Great Western Hospitals NHS Foundation Trust, Swindon, UK.
Background: This systematic review aims to comprehensively summarise and present the available evidence for the treatment of primary acromioclavicular joint (ACJ) osteoarthritis (OA).
Methods: Five databases were searched for studies investigating the management of ACJ OA. Included were studies with participants with clinical/radiological signs of primary ACJ OA, an intervention and included a functional outcome measure.
Eur J Orthop Surg Traumatol
May 2024
Department of Orthopedic Surgery, Ain Shams University, Cairo, Egypt.
Purpose: The most common cause of shoulder pain originating from the acromioclavicular (AC) joint is osteoarthritis, causing pain and disability. Operative Management of AC arthritis includes arthroscopic distal clavicle resection (DCR) and open clavicle resection. This study was conducted to evaluate the outcomes of isolated rotator cuff repair with conservative treatment of ACJ arthritis versus the combined resection of the distal clavicle with the repair of a rotator cuff tear, in cases with acromioclavicular arthritis.
View Article and Find Full Text PDFClin Shoulder Elb
March 2024
Department of Orthopedic Surgery, Spaarne Gasthuis, Hoofddorp, the Netherlands.
Background: It is essential to distinguish between symptomatic- and asymptomatic radiographic acromioclavicular (AC) osteoarthritis (OA) because AC-targeted physical examinations are dubious. This study aimed to determine the diagnostic value of a preoperative AC injection in discriminating between symptomatic- and asymptomatic radiographic AC OA based on patient arthroscopic distal clavicle resection (aDCR) outcomes.
Methods: Forty-eight patients who underwent aDCR for AC OA were included.
Clin J Sport Med
May 2024
David Grant Medial Center, Travis Air Force Base, California.
Atraumatic distal clavicular osteolysis (DCO) is a cause of shoulder pain in younger athletes, often resulting from weightlifting and activities with repetitive pressing and overhead lifting. Athletes will present with shoulder pain localized to the acromioclavicular (AC) joint, with tenderness to palpation over the joint exacerbated by provocative testing on examination. Conservative management often includes activity modification, oral analgesics, physical therapy, and corticosteroid injection.
View Article and Find Full Text PDFRheumatology (Oxford)
August 2024
Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
Objectives: Shoulder pain is common but current clinical classification has limited utility. We aimed to determine whether groups of ultrasound-based shoulder pathologies exist and to evaluate outcomes according to identified groups and individual pathologies.
Methods: This was a prospective study of a community-based cohort with shoulder pain referred for their first ultrasound scan at a single radiology unit, with subsequent routine clinical care.
Shoulder Elbow
September 2023
Melbourne Shoulder and Elbow Centre, Brighton, Victoria, Australia.
Background: Acromioclavicular joint (ACJ) Osteoarthritis (OA) is very common in the general population. Despite this, there is little mention of concomitant glenohumeral and ACJ arthropathy in the literature, and no documented incidence of symptomatic ACJ OA post total shoulder arthroplasty (TSA). We present the incidence and timescale of the problem, and the response to treatments.
View Article and Find Full Text PDFSkeletal Radiol
February 2024
Department of Radiodiagnosis, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Ultrasound (US)-guided musculoskeletal intervention of small joints or joints other than the shoulder, elbow, hip, knee, and ankle can be technically challenging. Small joints produce a narrower landing zone for the needle and a smaller target that may be made even more inaccessible by bulky osteophytes. Sonographic (US) guidance offers important advantages including near-field visualization of the joint and soft tissues, ease of access, portability, ability to compare with the contralateral side, and lack of ionization radiation.
View Article and Find Full Text PDFClin Shoulder Elb
June 2023
Department of Orthopedics, Spaarne Gasthuis, Hoofddorp, Netherlands.
Background: Acromioclavicular (AC) osteoarthritis (OA) is a frequent pathology of the shoulder in elderly patients. Drug injection plays an important role in treatment of AC OA. Literature has demonstrated excellent short-term results regarding shoulder function and pain.
View Article and Find Full Text PDFCurr Sports Med Rep
June 2023
Department of Rehabilitation, Weill Cornell Medical Center, NewYork-Presbyterian, New York, NY.
J Shoulder Elbow Surg
November 2023
Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.
Background: The suprascapular nerve block (SSNB) is a commonly used procedure for the management of pain in various shoulder pathologies. Both image-guided and landmark-based techniques have been utilized successfully for SSNB, though more consensus is needed regarding the optimal method of administration. This study aims to evaluate the theoretical effectiveness of a SSNB at 2 distinct anatomic landmarks and propose a simple, reliable way of administration for future clinical use.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
September 2023
Rothman Orthopaedic Institute, Thomas Jefferson University Hospitals, Philadelphia, PA, USA.
Background: Treatment of Rockwood type III-V acromioclavicular (AC) joint injuries remains controversial. Numerous reconstruction techniques have been proposed. The purpose of this study was to describe the complication profile in a large cohort of patients who underwent surgical management of AC joint separations using a variety of reconstruction strategies.
View Article and Find Full Text PDFClin Anat
July 2023
Human Osteology Laboratory, Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, Georgia, USA.
The coracoclavicular joint (CCJ) is a synovial joint that forms between the conoid tubercle of the clavicle and the coracoid process of the scapula in approximately 2.5% of the population. The number of bilateral to unilateral cases is almost equal.
View Article and Find Full Text PDFClin Shoulder Elb
March 2023
Department of Orthopedic Surgery, New York University Langone Health, New York, NY, USA.
Int J Environ Res Public Health
November 2022
Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul 06229, Republic of Korea.
This study aimed to evaluate the reliability, overall quality, and educational value of online videos for learning the techniques related to shoulder injection treatments and analyzing the usability of video evaluation tools for musculoskeletal injections. Online video searches were performed in February 2022 using the terms "shoulder injection", "glenohumeral joint injection", "acromioclavicular joint injection", and "subacromial bursa injection." Included videos were scored by modified DISCERN (mDISCERN), global quality score (GQS), and shoulder injection score (SIS).
View Article and Find Full Text PDFBMC Musculoskelet Disord
November 2022
Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, USA.
Background: Acromioclavicular (AC) joint cysts are relatively rare. There are two distinct etiologies of AC cysts. Type 1 is isolated to the AC joint, while type 2, is related to a tear or rupture of the rotator cuff (RC).
View Article and Find Full Text PDFSkeletal Radiol
May 2023
Department of Radiology and Biomedical Imaging, University of California, San Francisco, 500 Parnassus Avenue, San Francisco, CA, 94143, USA.
Ultrasound guidance is valuable for performing precise joint interventions. Joint interventions may be requested for therapeutic and diagnostic pain injections, joint aspiration in the setting of suspected infection, or contrast injection for arthrography. In practice, interventions of the shoulder girdle, elbow, and hand/wrist joints may be performed without any imaging guidance.
View Article and Find Full Text PDFSkeletal Radiol
May 2023
Radiology and Medical Imaging, University of Virginia, 1st Floor 1215 Lee St Charlottesville, Charlottesville, VA, 22903, USA.
Fluoroscopy guidance is commonly utilized for injections in the upper extremity, with increased accuracy for injection placement compared to blind injection. Injection of the glenohumeral joint is the most commonly performed upper extremity procedure. However, there are a number of other sites which can be easily injected under fluoroscopy including the acromioclavicular joint, subacromial subdeltoid bursa, biceps tendon sheath, scapulothoracic bursa, elbow, wrist, first CMC joint, and pisotriquetral joint.
View Article and Find Full Text PDFJSES Rev Rep Tech
November 2022
Department of Orthopaedic Surgery, Aichi Medical University, Aichi, Japan.
Background: Acromioclavicular joint ganglion cysts are rare lesions that mainly arise from the degeneration of the acromioclavicular joint in elderly patients. Although surgical management may be required because of their high recurrence rate after aspiration, few reports have described arthroscopic surgical procedures to treat acromioclavicular ganglion cysts. We report the surgical results of arthroscopic ganglionectomy with color-aided visualization for massive acromioclavicular ganglion joint cysts.
View Article and Find Full Text PDFJ Clin Med
February 2022
Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Seoul 05355, Korea.
We investigated the complications and frequency of hook plate fixation in patients with shoulder trauma. We reviewed 216 cases of hook plate fixation use at our hospital between January 2010 and May 2020. Finally, we included 76 cases of acute distal clavicle fracture (DCF) and 84 cases of acute acromioclavicular joint dislocation (ACD).
View Article and Find Full Text PDFCurr Med Imaging
July 2022
Diagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Shoulder pain is an extremely common condition. The painful shoulder may be the result of a wide spectrum of underlying pathological conditions, including calcific tendinopathy of the rotator cuff, subacromial-subdeltoid bursitis, acromioclavicular or glenohumeral arthritis, tenosynovitis of the long biceps tendon, rotator cuff lesions, and many other less common conditions. Ultrasound imaging is an effective tool for the diagnosis and also for the image guidance of treatment of the majority of these conditions.
View Article and Find Full Text PDFJ Ultrason
June 2021
IRCCS Istituto Ortopedico Galeazzi, Milano, Italy.
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.
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