BAASIK technique: an innovative single needle technique of performing shoulder corticosteroid injections.

Biceps tendon Injection SASD bursa Shoulder

Journal

Journal of ultrasound
ISSN: 1876-7931
Titre abrégé: J Ultrasound
Pays: Italy
ID NLM: 101315005

Informations de publication

Date de publication:
22 Aug 2024
Historique:
received: 07 07 2024
accepted: 24 07 2024
medline: 23 8 2024
pubmed: 23 8 2024
entrez: 22 8 2024
Statut: aheadofprint

Résumé

The novel BAASIK (B-Botchu,Bipin, A-Agrawal, A-Ankit, S- Sindhura, I-Iyengar, K- Kapil) technique is a combined ultrasound-guided injection into the subacromial-subdeltoid (SASD) bursa and the biceps tendon sheath to treat shoulder pain associated with biceps tendonitis/tendinopathy, subacromial bursitis, rotator cuff impingement or to determine the source of shoulder pain. This technique aims in reducing shoulder pain, improving functional activities and enhancing treatment delivery. A single-entry supine ultrasound-guided injection of the subacromial-subdeltoid (SASD) bursa and biceps tendon sheath involves using a single needle insertion point to access both structures for therapeutic injection. This technique could become a favoured alternative technique, rather than  subjecting patients to two needlesticks and preparing two separate injections to address often concomitant pathologies.

Identifiants

pubmed: 39174809
doi: 10.1007/s40477-024-00948-y
pii: 10.1007/s40477-024-00948-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).

Références

Lewis J (2016) Rotator cuff related shoulder pain: assessment, management and uncertainties. Man Ther 23:57–68
doi: 10.1016/j.math.2016.03.009 pubmed: 27083390
Murthi AM, Vosburgh CL, Neviaser TJ (2000) The incidence of pathologic changes of the long head of the biceps tendon. J Shoulder Elbow Surg 9(5):382–385
doi: 10.1067/mse.2000.108386 pubmed: 11075320
Neer C (1972) Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am 54(1):41–50
doi: 10.2106/00004623-197254010-00003 pubmed: 5054450
Refior HJ, Sowa D (1995) Long tendon of the biceps brachii: sites of predilection for degenerative lesions. J Shoulder Elbow Surg 4(6):436–440
doi: 10.1016/S1058-2746(05)80035-7 pubmed: 8665288
Gofeld M, Hurdle MF, Agur A (2019) Biceps tendon sheath injection: an anatomical conundrum. Pain Med 20(1):138–142
doi: 10.1093/pm/pny051 pubmed: 29635324
Webb N, Bravman J, Jensen A, Flug J, Strickland C (2017) Arthrographic anatomy of the biceps tendon sheath: potential implications for selective injection. Curr Probl Diagn Radiol 46(6):415–418
doi: 10.1067/j.cpradiol.2017.02.002 pubmed: 28392204
Hou Y, Zhang T, Liu W, Lu M, Wang Y (2022) The effectiveness of ultrasound-guided subacromial-subdeltoid bursa combined with long head of the biceps tendon sheath corticosteroid injection for hemiplegic shoulder pain: a randomized controlled trial. Front Neurol 13:899037
doi: 10.3389/fneur.2022.899037 pubmed: 35775042 pmcid: 9237414
Naredo E, Cabero F, Beneyto P, Cruz A, Mondéjar B, Uson J, Palop MJ, Crespo M (2004) A randomized comparative study of short-term response to blind injection versus sonographic-guided injection of local corticosteroids in patients with painful shoulder. J Rheumatol 31(2):308–314
pubmed: 14760802
Chen MJ, Lew HL, Hsu TC, Tsai WC, Lin WC, Tang SF, Lee YC, Hsu RC, Chen CP (2006) Ultrasound-guided shoulder injections in the treatment of subacromial bursitis. Am J Phys Med Rehabilt 85(1):31–35
doi: 10.1097/01.phm.0000184158.85689.5e
Hashiuchi T, Sakurai G, Morimoto M, Komei T, Takakura Y, Tanaka Y (2011) Accuracy of the biceps tendon sheath injection: ultrasound-guided or unguided injection? A randomized controlled trial. J Shoulder Elbow Surg 20(7):1069–1073
doi: 10.1016/j.jse.2011.04.004 pubmed: 21782470
Burbank KM, Stevenson JH, Czarnecki GR, Dorfman J (2008) Chronic shoulder pain: part II. Treatment. Am Fam Phys 77(4):493–497
Soh E, Li W, Ong KO, Chen W, Bautista D (2011) Image-guided versus blind corticosteroid injections in adults with shoulder pain: a systematic review. BMC Musculoskelet Disord 12:1–6
doi: 10.1186/1471-2474-12-137
Casadei G. Procedimientos intervencionistas ecoguiados en hombro doloroso [Internet]. [cited 2024 Aug 2]. Available from: https://www.webcir.org/revistavirtual/articulos/2018/3_agosto/ur/procedimientos_esp.pdf ‌
Pujalte G, Hudspeth LJ, Troyer WD, Shapiro SA (2023) Ultrasound-guided injection of the long head of the biceps tendon sheath with concomitant subacromial bursa injection through the same needlestick. Clin Anat 36(3):400–405
doi: 10.1002/ca.23961 pubmed: 36210353
Buchbinder R, Green S, Youd JM, Cochrane Musculoskeletal Group (1996) Corticosteroid injections for shoulder pain. Cochrane Database Syst Re 2010(1):2. https://doi.org/10.1002/14651858.CD004016
Daniels EW, Cole D, Jacobs B, Phillips SF (2018) Existing evidence on ultrasound-guided injections in sports medicine. Orthop J Sports Med 6(2):2325967118756576
doi: 10.1177/2325967118756576 pubmed: 29511701 pmcid: 5826008
Koester MC, Dunn WR, Kuhn JE, Spindler KP (2007) The efficacy of subacromial corticosteroid injection in the treatment of rotator cuff disease: a systematic review. JAAOS-J Am Acad Orthop Surg 15(1):3–11
doi: 10.5435/00124635-200701000-00002
Marder RA, Kim SH, Labson JD, Hunter JC (2012) Injection of the subacromial bursa in patients with rotator cuff syndrome: a prospective, randomized study comparing the effectiveness of different routes. JBJS 94(16):1442–1447
doi: 10.2106/JBJS.K.00534
Hsieh LF, Hsu WC, Lin YJ, Wu SH, Chang KC, Chang HL (2013) Is ultrasound-guided injection more effective in chronic subacromial bursitis? Med Sci Sports Exerc 45(12):2205–2213
doi: 10.1249/MSS.0b013e31829b183c pubmed: 23698243
Bureau NJ, Dussault RG, Keats TE (1996) Imaging of bursae around the shoulder joint. Skeletal Radiol 25:513–517
doi: 10.1007/s002560050127 pubmed: 8865483
Snyder SJ (2003) Shoulder arthroscopy. Lippincott Williams & Wilkins, Philadelphia
Kim KC, Rhee KJ, Shin HD, Kim YM (2008) Modified single-portal type II SLAP repair. Arch Orthop Trauma Surg 128:1251–1254
doi: 10.1007/s00402-007-0455-z pubmed: 17917735

Auteurs

Nidhi Agrawal (N)

Department of Radiology, South Warwickshire NHS Foundation Trust, West Midlands, UK.

Kapil Shirodkar (K)

Department of Musculoskeletal Radiology, Royal Orthopedic Hospital, Bristol Road South, Northfield, Birmingham, UK.

Sindhura Mettu (S)

Department of Radiology, Himagiri Hospitals, Hyderabad, India.

Ankit B Shah (AB)

Eclat Imaging, Mumbai, India.

Bipin R Shah (BR)

Eclat Imaging, Mumbai, India.

Karthikeyan P Iyengar (KP)

Department of Orthopaedics, Southport and Ormskirk Hospital, West Lancashire Hospital NHS Trust, Southport, UK.

Rajesh Botchu (R)

Department of Musculoskeletal Radiology, Royal Orthopedic Hospital, Bristol Road South, Northfield, Birmingham, UK. drbrajesh@yahoo.com.

Classifications MeSH