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[Ultrasound-guided infiltration results in chronic brachial biceps tendinitis]
A J Triviño-Carrillo1, J Aucique-Rodríguez2, C C Colmenares-Mejía3
1Departamento de Ortopedia Cirugía de Hombro. Clínica Universitaria Colombia. Bogotá, Colombia.
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.
