Comparison of ultrasound- vs. landmark-guided injections for musculoskeletal pain: an umbrella review.

IF 2.5 4区医学 Q1 REHABILITATION

Journal of Rehabilitation Medicine Pub Date : 2024-08-26 DOI:10.2340/jrm.v56.40769

Peng-Chieh Shen, Ting-Yu Lin, Wei-Ting Wu, Levent Özçakar, Ke-Vin Chang

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引用次数: 0

Abstract

Objective: 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.

Design: Umbrella review.

Methods: 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.

Results: 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.

Conclusion: 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.

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超声波与地标引导注射治疗肌肉骨骼疼痛的比较：综述。

目的：本综述综合了系统综述和荟萃分析，就超声引导注射与地标引导注射治疗肌肉骨骼疼痛的总体效果得出结论：设计：总括性综述：方法：在PubMed、EMBASE、MEDLINE和Web of Science上搜索从开始到2024年3月的相关系统综述和荟萃分析。根据总括性综述的标准进行了严格评估、数据提取和综合：结果：共纳入 17 篇文章，包括 4 篇系统综述和 13 篇荟萃分析。使用 AMSTAR2 质量评估工具，3 篇文章被评为高质量，1 篇为中等质量，7 篇为低质量，6 篇为极低质量。一般来说，超声引导下的注射比地标引导下的注射更准确，尤其是在肩关节，但疼痛缓解和功能结果各不相同。超声引导对肱二头肌沟、腕关节、髋关节和膝关节的注射效果显著，准确性更高，疼痛控制效果更好。超声引导和地标引导技术的不良反应发生率都很低：本综述深入分析了超声引导注射和地标引导注射在一系列肌肉骨骼部位/病症中的效果对比。研究结果表明，超声引导是一种可靠的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Rehabilitation Medicine 医学-康复医学

CiteScore

5.60

自引率

5.70%

发文量

102

审稿时长

4-8 weeks

期刊介绍： Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year. Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.