[超声引导的肩部干预]。

IF 0.4 4区 医学 Q4 ORTHOPEDICS
Kamal Mezian, Tomáš Novotný, Ondřej Naňka
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引用次数: 0

摘要

肩部超声成像是一种非常有价值的方式,可以提高诊断的准确性,促进对各种肩部疾病的精确注射治疗。本文综述了超声引导下的介入治疗,包括肩关节内注射、肩峰下-三角下滑囊注射、肱二头肌肌腱隐窝注射和肩锁关节注射。全面的指导提出了探针的选择,病人的定位,并逐步程序协议量身定制的具体解剖目标。重点是使用平面内和平面外技术优化针头放置,最大限度地降低神经血管损伤或不经意的肌腱内注射等风险,并确保有效地递送治疗剂。其他考虑因素包括使用先进的技术,如包膜水扩张术来治疗粘连性包膜炎。文中附有解剖注释。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Ultrasound-Guided Interventions for the Shoulder].

Ultrasound imaging of the shoulder is a highly valuable modality that enhances diagnostic accuracy and facilitates precise injection therapy for a variety of shoulder conditions. This article provides a review of ultrasound-guided interventions, including intra-articular injections of the glenohumeral joint, subacromial-subdeltoid bursa, injections into the biceps tendon recess, and acromioclavicular joint. Comprehensive guidance is presented on probe selection, patient positioning, and step-by-step procedural protocols tailored to specific anatomical targets. Emphasis is placed on optimizing needle placement using in-plane and out-of-plane techniques, minimizing risks such as neurovascular injury or inadvertent intratendinous injection, and ensuring effective delivery of therapeutic agents. Additional considerations include the use of advanced techniques like capsular hydrodilatation in management of adhesive capsulitis. Text is supplemented with anatomical notes.

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来源期刊
CiteScore
0.70
自引率
25.00%
发文量
53
期刊介绍: Editorial Board accepts for publication articles, reports from congresses, fellowships, book reviews, reports concerning activities of orthopaedic and other relating specialised societies, reports on anniversaries of outstanding personalities in orthopaedics and announcements of congresses and symposia being prepared. Articles include original papers, case reports and current concepts reviews and recently also instructional lectures.
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