Acta Ortopédica Mexicana

Triviño‑Carrillo AJ, Aucique‑Rodríguez J, Colmenares‑Mejía CC
Ultrasound-guided infiltration results in chronic brachial biceps tendinitis
Acta Ortop Mex 2019; 33 (4)

Language: Español
References: 14
Page: 237-240
PDF: 151.33 Kb.

[Fulltext - PDF]

ABSTRACT

Introduction: Anterior shoulder pain is one of the most common symptoms in the orthopedic consultation, much of it is associated with the pathology of the long head biceps tendon; in general, its management is conservative, including injections which are performed blindly as a common clinical practice. With the advent of imaging support in the performance of these procedures such as ultrasound can improve the accuracy of biceps tendon sheath injections to obtain a better clinical result. Objective: To describe the clinical results of patients with chronic biceps tendinitis who were injected by ultrasound guidance. Material and methods: Observational single-cohort study with prospective follow-up which included patients with chronic tendonitis of the long biceps brachii who were candidates for ultrasound-guided infiltration. The presence of pain (Visual Analogue Scale) and functionality (Constant-Murley Test) was evaluated after two weeks. Quantitative variables are reported as averages and standard deviation. Results: The study comprised 18 patients with an average age of 59.6 years, the EVA score decreased from 7.2 (SD 1.6) before-injection to 3.7 (2.7) post-injection. The Constant-Murley score improved from 51.1 (SD 9.5) before injection to 65.9 (15.7) at follow-up. No complications were reported. Discussion: Ultrasound-guided infiltration is a safe procedure that results in improvement of pain and functionality of patients with tendonitis of the biceps brachial.


Key words: Tendons, tendinopathy, local anesthesia, ultrasonography.


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