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Semin Musculoskelet Radiol 2022; 26(05): 611-620
DOI: 10.1055/s-0042-1759735
Review Article

Interventional Radiology Procedures of the Shoulder

Richard Fawcett
1   Department of Musculoskeletal Radiology, Leeds Teaching Hospitals, Leeds, United Kingdom
2   Department of Musculoskeletal Radiology, Clarendon Wing, B floor, Leeds General Infirmary, Great George Street, Leeds, United Kingdom
,
Emma Rowbotham
1   Department of Musculoskeletal Radiology, Leeds Teaching Hospitals, Leeds, United Kingdom
3   NIHR Biomedical Research Centre, Leeds, Leeds, United Kingdom
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Abstract

Using imaging guidance to perform procedures around the shoulder girdle has become established practice in musculoskeletal radiology. Whether it be therapeutic injections for intra-articular pathology, rotator cuff or subacromial/subdeltoid bursal pathology, or injections for diagnostic purposes, such as magnetic resonance or computed tomography arthrography, a range of techniques and imaging modalities can be used. This article discusses the techniques for commonly performed procedures.

Keywords

ultrasound - fluoroscopy - corticosteroid - rotator cuff


Publication History

Article published online:
19 December 2022

© 2022. Thieme. All rights reserved.

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  • References

  • 1 Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: diagnosis and management in primary care. BMJ 2005; 331 (7525): 1124-1128
    CrossrefPubMedSearch in Google Scholar
  • 2 Ekeberg OM, Bautz-Holter E, Tveitå EK, Juel NG, Kvalheim S, Brox JI. Subacromial ultrasound guided or systemic steroid injection for rotator cuff disease: randomised double blind study. BMJ 2009; 338: a3112
    CrossrefPubMedSearch in Google Scholar
  • 3 Haghighat S, Taheri P, Banimehdi M, Taghavi A. Effectiveness of blind & ultrasound guided corticosteroid injection in impingement syndrome. Glob J Health Sci 2015; 8 (07) 179-184
    CrossrefPubMedSearch in Google Scholar
  • 4 Johnson TS, Mesfin A, Farmer KW. et al. Accuracy of intra-articular glenohumeral injections: the anterosuperior technique with arthroscopic documentation. Arthroscopy 2011; 27 (06) 745-749
    CrossrefPubMedSearch in Google Scholar
  • 5 Gross C, Dhawan A, Harwood D, Gochanour E, Romeo A. Glenohumeral joint injections: a review. Sports Health 2013; 5 (02) 153-159
    CrossrefPubMedSearch in Google Scholar
  • 6 Colen S, van den Bekerom MP, Mulier M, Haverkamp D. Hyaluronic acid in the treatment of knee osteoarthritis: a systematic review and meta-analysis with emphasis on the efficacy of different products. BioDrugs 2012; 26 (04) 257-268
    CrossrefPubMedSearch in Google Scholar
  • 7 Gobbi A, Fishman M. Platelet-rich plasma and bone marrow-derived mesenchymal stem cells in sports medicine. Sports Med Arthrosc Rev 2016; 24 (02) 69-73
    CrossrefPubMedSearch in Google Scholar
  • 8 Fortier C, Cole B. The effects of platelet rich plasma on cartilage: basic science and clinical application. Oper Tech Sports Med 2011; 19: 154-159
    CrossrefPubMedSearch in Google Scholar
  • 9 Smith TO, Drew BT, Toms AP. A meta-analysis of the diagnostic test accuracy of MRA and MRI for the detection of glenoid labral injury. Arch Orthop Trauma Surg 2012; 132 (07) 905-919
    CrossrefPubMedSearch in Google Scholar
  • 10 Yoon JP, Chung SW, Kim JE. et al. Intra-articular injection, subacromial injection, and hydrodilatation for primary frozen shoulder: a randomized clinical trial. J Shoulder Elbow Surg 2016; 25 (03) 376-383
    CrossrefPubMedSearch in Google Scholar
  • 11 Lee DH, Yoon SH, Lee MY, Kwack KS, Rah UW. Capsule-preserving hydrodilatation with corticosteroid versus corticosteroid injection alone in refractory adhesive capsulitis of shoulder: a randomized controlled trial. Arch Phys Med Rehabil 2017; 98 (05) 815-821
    CrossrefPubMedSearch in Google Scholar
  • 12 Yoong P, Duffy S, McKean D, Hujairi NP, Mansour R, Teh JL. Targeted ultrasound-guided hydrodilatation via the rotator interval for adhesive capsulitis. Skeletal Radiol 2015; 44 (05) 703-708
    CrossrefPubMedSearch in Google Scholar
  • 13 Sabeti-Aschraf M, Lemmerhofer B, Lang S. et al. Ultrasound guidance improves the accuracy of the acromioclavicular joint infiltration: a prospective randomized study. Knee Surg Sports Traumatol Arthrosc 2011; 19 (02) 292-295
    CrossrefPubMedSearch in Google Scholar
  • 14 Fan D, Liu X, Ma J. et al. Ultrasound guidance is not superior in subacromial bursa and intraarticular injections but superior in bicipital groove: a meta-analysis of randomized controlled trials. Arthroscopy 2022; 38 (05) 1642-1657
    CrossrefPubMedSearch in Google Scholar
  • 15 Fawcett R, Grainger A, Robinson P, Jafari M, Rowbotham E. Ultrasound-guided subacromial-subdeltoid bursa corticosteroid injections: a study of short- and long-term outcomes. Clin Radiol 2018; 73 (08) 760.e7-760.e12
    CrossrefPubMedSearch in Google Scholar
  • 16 Naredo E, Cabero F, Beneyto P. et al. A randomized comparative study of short term response to blind injection versus sonographic-guided injection of local corticosteroids in patients with painful shoulder. J Rheumatol 2004; 31 (02) 308-314
    PubMedSearch in Google Scholar
  • 17 Cole BF, Peters KS, Hackett L, Murrell GA. Ultrasound-guided versus blind subacromial corticosteroid injections for subacromial impingement syndrome: a randomized, double-blind clinical trial. Am J Sports Med 2016; 44 (03) 702-707
    CrossrefPubMedSearch in Google Scholar
  • 18 Eustace JA, Brophy DP, Gibney RP, Bresnihan B, FitzGerald O. Comparison of the accuracy of steroid placement with clinical outcome in patients with shoulder symptoms. Ann Rheum Dis 1997; 56 (01) 59-63
    CrossrefPubMedSearch in Google Scholar
  • 19 Arroll B, Goodyear-Smith F. Corticosteroid injections for painful shoulder: a meta-analysis. Br J Gen Pract 2005; 55 (512) 224-228
    PubMedSearch in Google Scholar
  • 20 Scarpone M, Rabago D, Snell E. et al. Effectiveness of platelet-rich plasma injection for rotator cuff tendinopathy: a prospective open-label study. Glob Adv Health Med 2013; 2 (02) 26-31
    CrossrefPubMedSearch in Google Scholar
  • 21 Ramírez J, Pomés I, Cabrera S, Pomés J, Sanmartí R, Cañete JD. Incidence of full-thickness rotator cuff tear after subacromial corticosteroid injection: a 12-week prospective study. Mod Rheumatol 2014; 24 (04) 667-670
    CrossrefPubMedSearch in Google Scholar
  • 22 Zafarani Z, Mirzaee F, Guity M, Aslani H. Clinical results of platelet-rich plasma for partial thickness rotator cuff tears: a case series. Arch Bone Jt Surg 2017; 5 (05) 328-331
    PubMedSearch in Google Scholar
  • 23 Andia I, Maffulli N. Use of platelet-rich plasma for patellar tendon and medial collateral ligament injuries: best current clinical practice. J Knee Surg 2015; 28 (01) 11-18
    Thieme ConnectPubMedSearch in Google Scholar
  • 24 Moraes VY, Lenza M, Tamaoki MJ, Faloppa F, Belloti JC. Platelet-rich therapies for musculoskeletal soft tissue injuries. Cochrane Database Syst Rev 2014; 4 (04) CD010071
    PubMedSearch in Google Scholar
  • 25 Osti L, Buda M, Buono AD, Osti R, Massari L. Clinical evidence in the treatment of rotator cuff tears with hyaluronic acid. Muscles Ligaments Tendons J 2016; 5 (04) 270-275
    CrossrefPubMedSearch in Google Scholar
  • 26 Bureau NJ. Calcific tendinopathy of the shoulder. Semin Musculoskelet Radiol 2013; 17 (01) 80-84
    Thieme ConnectPubMedSearch in Google Scholar
  • 27 De Conti G, Marchioro U, Dorigo A. et al. Percutaneous ultrasound-guided treatment of shoulder tendon calcifications: clinical and radiological follow-up at 6 months. J Ultrasound 2010; 13 (04) 188-198
    CrossrefPubMedSearch in Google Scholar
  • 28 Gatt DL, Charalambous CP. Ultrasound-guided barbotage for calcific tendonitis of the shoulder: a systematic review including 908 patients. Arthroscopy 2014; 30 (09) 1166-1172
    CrossrefPubMedSearch in Google Scholar
  • 29 Bazzocchi A, Pelotti P, Serraino S. et al. Ultrasound imaging-guided percutaneous treatment of rotator cuff calcific tendinitis: success in short-term outcome. Br J Radiol 2016; 89 (1057): 20150407
    CrossrefPubMedSearch in Google Scholar
  • 30 Petscavage-Thomas J, Gustas C. Comparison of ultrasound-guided to fluoroscopy-guided biceps tendon sheath therapeutic injection. J Ultrasound Med 2016; 35 (10) 2217-2221
    CrossrefPubMedSearch in Google Scholar
  • 31 Coory JA, Parr AF, Wilkinson MP, Gupta A. Efficacy of suprascapular nerve block compared with subacromial injection: a randomized controlled trial in patients with rotator cuff tears. J Shoulder Elbow Surg 2019; 28 (03) 430-436
    CrossrefPubMedSearch in Google Scholar
  • 32 Haque R, Baruah RK, Bari A, Sawah A. Is suprascapular nerve block better than intra-articular corticosteroid injection for the treatment of adhesive capsulitis of the shoulder? A randomized controlled study. Ortop Traumatol Rehabil 2021; 23 (03) 157-165
    Search in Google Scholar
  • 33 Liu HF, Wu CG, Tian QH, Wang T, Yi F. Application of percutaneous osteoplasty in treating pelvic bone metastases: efficacy and safety. Cardiovasc Intervent Radiol 2019; 42 (12) 1738-1744
    CrossrefPubMedSearch in Google Scholar
  • 34 Hoffmann RT, Jakobs TF, Trumm C, Weber C, Helmberger TK, Reiser MF. Radiofrequency ablation in combination with osteoplasty in the treatment of painful metastatic bone disease. J Vasc Interv Radiol 2008; 19 (03) 419-425
    CrossrefPubMedSearch in Google Scholar