Department of Physical Medicine and Rehabilitation, Lo-Hsu Medical Foundation, Inc., Lotung Poh-Ai Hospital, Yilan City, Taiwan.
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan.
J Rehabil Med. 2024 Aug 26;56:jrm40679. doi: 10.2340/jrm.v56.40769.
This umbrella review synthesizes systematic reviews and meta-analyses to reach a conclusion concerning the overall effectiveness of ultrasound-guided vs landmark-guided injections for treating musculoskeletal pain.
Umbrella review.
PubMed, EMBASE, MEDLINE, and Web of Science were searched for relevant systematic reviews and meta-analyses from inception to March 2024. Critical appraisal, data extraction, and synthesis were performed in accordance with the criteria for conducting an umbrella review.
Seventeen articles, comprising 4 systematic reviews and 13 meta-analyses, were included. Using the AMSTAR2 instrument for quality assessment, 3 articles were rated as high quality, 1 as moderate, 7 as low, and 6 as critically low. Generally, ultrasound-guided injections were found to be more accurate than landmark-guided injections, particularly in the shoulder joint, though the results for pain relief and functional outcomes varied. Ultrasound guidance was notably effective for injections into the bicipital groove, wrist, hip, and knee - yielding greater accuracy and improved pain management. Both ultrasound-guided and landmark-guided techniques showed low incidence of adverse effects.
This umbrella review offers an in-depth analysis of the comparative effectiveness of ultrasound-guided and landmark-guided injections across a range of musculoskeletal sites/conditions. The findings suggest that ultrasound-guided is a reliable method.
本伞状综述综合了系统评价和荟萃分析，以得出关于超声引导与解剖标志引导注射治疗肌肉骨骼疼痛的总体效果的结论。
伞状综述。
从建库到 2024 年 3 月，在 PubMed、EMBASE、MEDLINE 和 Web of Science 中搜索相关的系统评价和荟萃分析。按照进行伞状综述的标准进行关键评估、数据提取和综合。
共纳入 17 篇文章，包括 4 篇系统评价和 13 篇荟萃分析。使用 AMSTAR2 工具进行质量评估，3 篇文章被评为高质量，1 篇为中质量，7 篇为低质量，6 篇为极低质量。通常情况下，超声引导注射比解剖标志引导注射更准确，尤其是在肩关节，但在缓解疼痛和功能结果方面的结果有所不同。超声引导在肱二头肌沟、手腕、臀部和膝盖注射中效果显著，准确性更高，疼痛管理也得到改善。超声引导和解剖标志引导技术都显示出不良反应发生率低。
本伞状综述深入分析了超声引导和解剖标志引导注射在多种肌肉骨骼部位/疾病中的相对有效性。研究结果表明，超声引导是一种可靠的方法。
