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BAASIK技术:一种创新的单针进行肩部皮质类固醇注射的技术。

BAASIK technique: an innovative single needle technique of performing shoulder corticosteroid injections.

作者信息

Agrawal Nidhi, Shirodkar Kapil, Mettu Sindhura, Shah Ankit B, Shah Bipin R, Iyengar Karthikeyan P, Botchu Rajesh

机构信息

Department of Radiology, South Warwickshire NHS Foundation Trust, West Midlands, UK.

Department of Musculoskeletal Radiology, Royal Orthopedic Hospital, Bristol Road South, Northfield, Birmingham, UK.

出版信息

J Ultrasound. 2024 Aug 22. doi: 10.1007/s40477-024-00948-y.

DOI:10.1007/s40477-024-00948-y
PMID:39174809
Abstract

The novel BAASIK (B-Botchu,Bipin, A-Agrawal, A-Ankit, S- Sindhura, I-Iyengar, K- Kapil) technique is a combined ultrasound-guided injection into the subacromial-subdeltoid (SASD) bursa and the biceps tendon sheath to treat shoulder pain associated with biceps tendonitis/tendinopathy, subacromial bursitis, rotator cuff impingement or to determine the source of shoulder pain. This technique aims in reducing shoulder pain, improving functional activities and enhancing treatment delivery. A single-entry supine ultrasound-guided injection of the subacromial-subdeltoid (SASD) bursa and biceps tendon sheath involves using a single needle insertion point to access both structures for therapeutic injection. This technique could become a favoured alternative technique, rather than  subjecting patients to two needlesticks and preparing two separate injections to address often concomitant pathologies.

摘要

新型BAASIK(B代表Botchu,Bipin;A代表Agrawal,Ankit;S代表Sindhura;I代表Iyengar;K代表Kapil)技术是一种在超声引导下将药物联合注射到肩峰下-三角肌下(SASD)滑囊和肱二头肌肌腱鞘内的方法,用于治疗与肱二头肌肌腱炎/肌腱病、肩峰下滑囊炎、肩袖撞击相关的肩部疼痛,或确定肩部疼痛的来源。该技术旨在减轻肩部疼痛、改善功能活动并提高治疗效果。在仰卧位超声引导下对肩峰下-三角肌下(SASD)滑囊和肱二头肌肌腱鞘进行单次进针注射,即使用单一进针点进入这两个结构进行治疗性注射。该技术可能会成为一种更受青睐的替代技术,而不是让患者接受两次针刺并准备两次单独注射来治疗常常并存的病变。

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BAASIK technique: an innovative single needle technique of performing shoulder corticosteroid injections.BAASIK技术:一种创新的单针进行肩部皮质类固醇注射的技术。
J Ultrasound. 2024 Aug 22. doi: 10.1007/s40477-024-00948-y.
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本文引用的文献

1
Ultrasound-guided injection of the long head of the biceps tendon sheath with concomitant subacromial bursa injection through the same needlestick.超声引导下经同一穿刺针进行肱二头肌长头肌腱腱鞘注射并同时行肩峰下滑囊注射。
Clin Anat. 2023 Apr;36(3):400-405. doi: 10.1002/ca.23961. Epub 2022 Oct 17.
2
The Effectiveness of Ultrasound-Guided Subacromial-Subdeltoid Bursa Combined With Long Head of the Biceps Tendon Sheath Corticosteroid Injection for Hemiplegic Shoulder Pain: A Randomized Controlled Trial.超声引导下肩峰下-三角肌下滑囊联合肱二头肌长头肌腱鞘注射皮质类固醇治疗偏瘫肩痛的有效性:一项随机对照试验
Front Neurol. 2022 Jun 14;13:899037. doi: 10.3389/fneur.2022.899037. eCollection 2022.
3
Biceps Tendon Sheath Injection: An Anatomical Conundrum.
肱二头肌腱鞘注射:一个解剖学难题。
Pain Med. 2019 Jan 1;20(1):138-142. doi: 10.1093/pm/pny051.
4
Existing Evidence on Ultrasound-Guided Injections in Sports Medicine.运动医学中超声引导注射的现有证据。
Orthop J Sports Med. 2018 Feb 22;6(2):2325967118756576. doi: 10.1177/2325967118756576. eCollection 2018 Feb.
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Arthrographic Anatomy of the Biceps Tendon Sheath: Potential Implications for Selective Injection.肱二头肌肌腱鞘的关节造影解剖:对选择性注射的潜在影响。
Curr Probl Diagn Radiol. 2017 Nov-Dec;46(6):415-418. doi: 10.1067/j.cpradiol.2017.02.002. Epub 2017 Feb 16.
6
Rotator cuff related shoulder pain: Assessment, management and uncertainties.肩袖相关的肩部疼痛:评估、管理及不确定性
Man Ther. 2016 Jun;23:57-68. doi: 10.1016/j.math.2016.03.009. Epub 2016 Mar 26.
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Is ultrasound-guided injection more effective in chronic subacromial bursitis?超声引导下注射在慢性肩峰下滑囊炎中更有效吗?
Med Sci Sports Exerc. 2013 Dec;45(12):2205-13. doi: 10.1249/MSS.0b013e31829b183c.
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Accuracy of the biceps tendon sheath injection: ultrasound-guided or unguided injection? A randomized controlled trial.肱二头肌肌腱鞘注射的准确性:超声引导还是非超声引导注射?一项随机对照试验。
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A randomized comparative study of short term response to blind injection versus sonographic-guided injection of local corticosteroids in patients with painful shoulder.疼痛性肩部患者局部皮质类固醇激素盲目注射与超声引导注射短期反应的随机对照研究
J Rheumatol. 2004 Feb;31(2):308-14.