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      Ultrasound-guided interventions for painful shoulder: from anatomy to evidence

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          Abstract

          Shoulder pain is a common musculoskeletal disorder of variable etiology, ranging from rotator cuff pathology to peripheral nerve entrapment. Advances in ultrasound (US) technology have allowed static and dynamic evaluation of shoulder problems and most importantly, offer real-time, radiation-free guidance for interventions. The present review aims to describe shoulder anatomy in detail using information from cadaveric models and to illustrate US-guided techniques using clearly labeled figures and videos. The review will also present evidence of specific US-guided therapies for shoulder pain by summarizing landmark studies, systematic reviews, and meta-analyses. The following shoulder structures will be covered: 1) the biceps long head tendon, 2) the acromioclavicular joint, 3) the subacromial–subdeltoid bursa, 4) the glenohumeral joint, 5) the suprascapular nerve, and 6) the axillary nerve.

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          Most cited references 41

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          Static and Dynamic Shoulder Imaging to Predict Initial Effectiveness and Recurrence After Ultrasound-Guided Subacromial Corticosteroid Injections.

          To explore factors contributing to initial effectiveness and recurrence after ultrasound (US)-guided subacromial corticosteroid injections by assessing clinical measurements and static and dynamic shoulder US images.
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            Comparison of the Effectiveness of Suprascapular Nerve Block With Physical Therapy, Placebo, and Intra-Articular Injection in Management of Chronic Shoulder Pain: A Meta-Analysis of Randomized Controlled Trials.

            To explore the effectiveness of suprascapular nerve block (SSNB) at different timing after administration compared with physical therapy, placebo, and intra-articular injections in patients with chronic shoulder pain.
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              Effect of ultrasonographically guided axillary nerve block combined with suprascapular nerve block in arthroscopic rotator cuff repair: a randomized controlled trial.

              The aim of this study was to compare the results of ultrasonographically guided axillary nerve block (ANB) combined with suprascapular nerve block (SSNB) with those of SSNB alone on postoperative pain and satisfaction within the first 48 hours after arthroscopic rotator cuff repair.
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                Author and article information

                Journal
                J Pain Res
                J Pain Res
                Journal of Pain Research
                Journal of Pain Research
                Dove Medical Press
                1178-7090
                2018
                11 October 2018
                : 11
                : 2311-2322
                Affiliations
                [1 ]Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan, kvchang011@ 123456gmail.com
                [2 ]Department of Physical Medicine and Rehabilitation, National Taiwan University, College of Medicine, Taipei, Taiwan, kvchang011@ 123456gmail.com
                [3 ]Department of Rehabilitation Medicine, Charles University, First Faculty of Medicine, Prague, Czech Republic
                [4 ]Institute of Anatomy, Charles University, First Faculty of Medicine, Prague, Czech Republic
                [5 ]Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan, cplin0123@ 123456gmail.com
                [6 ]Department of Anesthesiology, National Taiwan University, College of Medicine, Taipei, Taiwan, cplin0123@ 123456gmail.com
                [7 ]Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey
                Author notes
                Correspondence: Ke-Vin Chang, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch and National Taiwan University College of Medicine, Taipei, Taiwan, Email kvchang011@ 123456gmail.com
                Chih-Peng Lin, Department of Anesthesiology, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan, Email cplin0123@ 123456gmail.com
                Article
                jpr-11-2311
                10.2147/JPR.S169434
                6188188
                © 2018 Chang et al. This work is published and licensed by Dove Medical Press Limited

                The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.

                Categories
                Review

                Anesthesiology & Pain management

                rehabilitation, pain, injection, joint, tendon, sonography

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