Ultrasound-guided aspiration of a large subacromial subdeltoid bursitis

Year 2024, Volume: 1 Issue: 2, 139 - 143, 14.06.2024

Ebru Erden , Sule Sahin Onat

Abstract

Today, ultrasonography (US) is used for diagnosis in many areas of medicine (such as abdomen,
cardiac, urological, gynecological, cerebrovascular and pediatric examinations). In the field of
physical medicine and rehabilitation, it is the most important development in the diagnosis of muscle,
joint, nerve, ligament and tendon lesions in recent years. At the same time, various injections (local
anesthetic, corticosteroid, platelet-rich plasma and botulinum toxin, etc.), fluid aspiration and biopsy
procedures (soft tissue, muscle, joint cavities, nerve sheath) are practiced with US.
In this medical case report, the importance of US in the diagnosis of subacromial subdeltoid bursitis
and aspiration of this fluid will be discussed.

Keywords

shoulder, ultrasound, Subacromial subdeltoid bursitis

References

• Fodor D, Rodriguez-Garcia SC, Cantisani V, et al. The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part I: Extraarticular Pathologies. Ultraschall Med. 2022;43(1):34-57. https://doi.org/10.1055/a-1562-1455.
• Onat ŞŞ, Ata AM, Serrano S, et al. Ultrasonographic measurements of the metacarpophalangeal and talar cartilage thicknesses: A reliability study in healthy subjects. J Back Musculoskelet Rehabil. 2018;31:253-257. https://doi.org/10.3233/BMR-169606
• Manske RC, Voight M, Page P, Wolfe C. The Application of Musculoskeletal Ultrasound in the Diagnosis of Supraspinatus Injuries. Int J Sports Phys Ther. 2023;18(5):88377. https://doi.org/10.26603/001c.88377.
• Özçakar L, Tok F, De Muynck M, Vanderstraeten G. Musculoskeletal ultrasonography in physical and rehabilitation medicine. J Rehabil Med. 2012;44:310-318. https://doi.org/10.2340/16501977-0959
• Hodgetts CJ, Leboeuf-Yde C, Beynon A, Walker BF. Shoulder pain prevalence by age and within occupational groups: a systematic review. Arch Physiother. 2021;11(1):24. https://doi.org/10.1186/s40945-021-00119-w
• Greenberg DL. Evaluation and treatment of shoulder pain. Med Clin North Am. 2014;98:487-504. https://doi.org/10.1016/j.mcna.2014.01.016
• Yang S, Kim TU, Kim DH, Chang MC. Understanding the physical examination of the shoulder: a narrative review. Ann Palliat Med. 2021;10(2):2293-2303. https://doi.org/10.21037/apm-20-1808
• Liu F, Cheng X, Dong J, et al. Comparison of MRI and MRA for the diagnosis of rotator cuff tears: A meta-analysis. Medicine (Baltimore). 2020;99(12):e19579. https://doi.org/10.1097/MD.0000000000019579
• Hirji Z, Hunjun JS, Choudur HN. Imaging of the bursae. J Clin Imaging Sci. 2011;1:22. https://doi.org/10.4103/2156-7514.80374
• Stokes M, Hides, J, Nassiri DK. Musculoskeletal ultrasound imaging: Diagnostic and treatment aid in rehabilitation. Phys Ther Rev. 1997;2:73-92. https://doi.org/10.1179/ptr.1997.2.2.73
• McNally EG. Practical Musculoskeletal Ultrasound. 2nd ed. London: Churchill Livingstone, 2014.
• Allen GM. The diagnosis and management of shoulder pain. J Ultrason. 2018;18:234-239. https://doi.org/10.15557/JoU.2018.0034
• Cadogan A, McNair PJ, Laslett M, Hing WA. Diagnostic accuracy of clinical examination and imaging findings for identifying subacromial pain. PLoS One. 2016;11:e0167738. https://doi.org/10.1371/journal.pone.0167738
• Oyar O. Magnetik rezonans görüntülemenin klinik uygulamaları ve endikasyonları. Harran Üniversitesi Tıp Fakültesi Dergisi. 2008;5:31-40.
• Wu T, Song HX, Dong Y, Li JH. Ultrasound-guided versus blind subacromial- subdeltoid bursa injection in adults with shoulder pain: A systematic review and meta-analysis. Semin Arthritis Rheum. 2015;45(3):374-378. https://doi.org/10.1016/j. semarthrit.2015.05.011
• Azadvari M, Emami-Razavi SZ, Torfi F, et al. Ultrasoundguided versus blind subacromial bursa corticosteroid injection for paraplegic spinal cord injury patients with rotator cuff tendinopathy: a randomized, single-blind clinical trial. Int J Neurosci. 2021;131(5):445-452. https://doi.org/10.1080/00207454.2020.1748620
• Cunnington J, Marshall N, Hide G, et al. A randomized, doubleblind, controlled study of ultrasound-guided corticosteroid injection into the joint of patients with inflammatory arthritis. Arthritis Rheum. 2010;62:1862-1869. https://doi.org/10.1002/art.27448
• Özcakar L, Önat SS, Gürcay E, Kara M. Are blind injections ethical or historical?:Think twice with ultrasound. Am J Phys Med Rehabil. 2016;95:158-160. https://doi.org/10.1097/PHM.0000000000000377
• Daniels EW, Cole D, Jacobs B, Phillips SF. Existing Evidence on Ultrasound-Guided Injections in Sports Medicine. Orthop J Sports Med. 2018;6(2):2325967118756576. https://doi.org/10.1177/2325967118756576
• Wu T, Song HX, Dong Y, Li JH. Ultrasound-guided versus blind subacromial-subdeltoid bursa injection in adults with shoulder pain: A systematic review and meta-analysis. Semin Arthritis Rheum. 2015;45(3):374-378. https://doi.org/10.1016/j.semarthrit.2015.05.011