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[Shoulder pain: image guided management]
O Loustau1, N Sans, M L Despeyroux-Ewers
1Service central d'imagerie médicale, CHU Purpan, 31059 Toulouse Cedex. loustau.o@chu-toulouse.fr
Journal De Radiologie
|September 20, 2007
Summary
This review covers image-guided interventional radiology procedures for painful shoulders, including injections, calcific deposit removal, and nerve decompression. These techniques offer minimally invasive options for managing various shoulder conditions.
Area of Science:
- Interventional Radiology
- Musculoskeletal Imaging
- Pain Management
Context:
- Shoulder pain has diverse etiologies, necessitating a range of treatment modalities.
- Image-guided procedures provide targeted and minimally invasive therapeutic options.
- Musculoskeletal radiologists play a key role in performing and interpreting these interventions.
Purpose:
- To review various image-guided interventional radiology techniques for managing shoulder pain.
- To describe specific procedures such as US and fluoroscopy-guided infiltrations.
- To discuss treatments for calcific tendinopathy, adhesive capsulitis, and nerve impingement.
Summary:
- Ultrasound (US) and fluoroscopy-guided intra-articular and bursal injections are detailed.
- Percutaneous techniques for calcific deposit removal and capsular distension are explained.
- US-guided aspiration of cysts and CT-guided radio-frequency ablation for bone metastases are covered.
Impact:
- Provides a comprehensive overview of minimally invasive image-guided procedures for shoulder pain.
- Enhances the knowledge base for musculoskeletal radiologists regarding interventional options.
- Facilitates improved patient outcomes through targeted and effective pain management strategies.
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