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使用改良后入路的超声引导下肩关节腔注射

Ultrasound-Guided Glenohumeral Joint Injection using a Modified Posterior Approach.

作者信息

Vassalou Evangelia E, Klontzas Michail E, Triantafyllou Matthaios, Kakkos Georgios A, Spanakis Konstantinos, Karantanas Apostolos H

机构信息

Department of Medical Imaging, University Hospital of Heraklion, Heraklion, Crete, Greece.

Department of Radiology, School of Medicine, University of Crete, Voutes Campus, Heraklion, Greece.

出版信息

Mediterr J Rheumatol. 2025 Jan 22;36(1):63-68. doi: 10.31138/mjr.200424.uig. eCollection 2025 Mar.

DOI:10.31138/mjr.200424.uig
PMID:40557181
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12183444/
Abstract

Glenohumeral joint injections serve diagnostic and therapeutic purposes in a wide spectrum of shoulder disorders. Various techniques have been described, depending on the injection site, needle orientation and utilisation of image or landmark-based guidance. The accuracy of needle placement and clinical effectiveness vary by the injection route and the method of guidance and largely depend on operator's expertise, clinical indication and patient's profile. Herein, we describe an alternative ultrasound-guided glenohumeral joint injection technique through a modified posterior approach for routine use in clinical practice.

摘要

肩关节注射在多种肩部疾病中具有诊断和治疗作用。根据注射部位、进针方向以及基于图像或体表标志的引导方式,已描述了多种技术。进针位置的准确性和临床效果因注射途径和引导方法而异,并且很大程度上取决于操作者的专业技能、临床适应症和患者情况。在此,我们描述一种通过改良后入路的超声引导肩关节注射技术,用于临床实践中的常规操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b34f/12183444/68c9856c5bd1/MJR-36-1-63-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b34f/12183444/a4b579ca15ca/MJR-36-1-63-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b34f/12183444/179b4c539e36/MJR-36-1-63-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b34f/12183444/ab984315d820/MJR-36-1-63-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b34f/12183444/68c9856c5bd1/MJR-36-1-63-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b34f/12183444/a4b579ca15ca/MJR-36-1-63-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b34f/12183444/179b4c539e36/MJR-36-1-63-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b34f/12183444/ab984315d820/MJR-36-1-63-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b34f/12183444/68c9856c5bd1/MJR-36-1-63-g004.jpg

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本文引用的文献

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Accuracy of shoulder joint injections with ultrasound guidance: Confirmed by magnetic resonance arthrography.超声引导下肩关节注射的准确性:经磁共振关节造影证实。
World J Orthop. 2022 Mar 18;13(3):259-266. doi: 10.5312/wjo.v13.i3.259.
2
In shoulder adhesive capsulitis, ultrasound-guided anterior hydrodilatation in rotator interval is more effective than posterior approach: a randomized controlled study.在肩粘连性囊炎中,超声引导下的旋转间隔前水扩张比后入路更有效:一项随机对照研究。
Clin Rheumatol. 2020 Dec;39(12):3805-3814. doi: 10.1007/s10067-020-05131-2. Epub 2020 May 8.
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Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)-part I, shoulder.
骨骼肌肉系统影像引导介入操作的临床适应证:基于德尔菲法的欧洲骨骼肌肉放射学会(ESSR)共识文件——第 1 部分,肩部。
Eur Radiol. 2020 Feb;30(2):903-913. doi: 10.1007/s00330-019-06419-x. Epub 2019 Sep 16.
4
Comparison Between Image-Guided and Landmark-Based Glenohumeral Joint Injections for the Treatment of Adhesive Capsulitis: A Cost-Effectiveness Study.影像引导与基于体表标志的肩峰下滑囊注射治疗粘连性肩关节囊炎的成本效果比较。
AJR Am J Roentgenol. 2018 Jun;210(6):1279-1287. doi: 10.2214/AJR.17.19011. Epub 2018 Apr 9.
5
Are blind injections of gleno-humeral joint (GHJ) really less accurate imaging-guided injections? A narrative systematic review considering multiple anatomical approaches.肩关节(GHJ)的盲目注射真的比影像引导注射的准确性低吗?一项考虑多种解剖学入路的叙述性系统评价。
Radiol Med. 2017 Sep;122(9):656-675. doi: 10.1007/s11547-017-0772-4. Epub 2017 May 18.
6
Comparing the accuracy and efficacy of ultrasound-guided versus blind injections of steroid in the glenohumeral joint in patients with shoulder adhesive capsulitis.比较超声引导下与盲目注射类固醇于肩周炎患者盂肱关节中的准确性和疗效。
Clin Rheumatol. 2017 Apr;36(4):933-940. doi: 10.1007/s10067-016-3393-8. Epub 2016 Aug 26.
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Fundamentals of Joint Injection.关节注射基础
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8
Ultrasound-guided shoulder girdle injections are more accurate and more effective than landmark-guided injections: a systematic review and meta-analysis.超声引导肩部注射比体表标志引导注射更准确、更有效:系统评价和荟萃分析。
Br J Sports Med. 2015 Aug;49(16):1042-9. doi: 10.1136/bjsports-2014-093573. Epub 2014 Nov 17.
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