A Retrospective Case-Series of Patient-Reported Response to Ultrasound-Guided Corticosteroid Injection of the Long Head of Biceps Tendon in Orthopedic Surgery. (November 2022)

• Record Type: Journal Article
• Authors: Quintero, Daniel; Singer, Adam; Greif, Dylan N.; Baraga, Michael; Perez, Jose; Jose, Jean
• Is Part Of: Journal of diagnostic medical sonography. Volume 38:Number 6(2022)
• Page Start: 549
• Page End: 557
• Publication Date: 2022-11
• Subjects: musculoskeletal imaging -- connective tissue (bones/cartilage/fascia/ligaments) -- joint diseases (bursitis/contracture/synovitis/impingement syndromes) -- tendinopathy -- upper extremity (shoulder/elbow/wrist/hand); Diagnostic ultrasonic imaging -- Periodicals; Ultrasonic imaging -- Periodicals; Échographie -- Périodiques; Échographie; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 616.07543
• DOI: 10.1177/87564793221107553
• Languages: English
• ISSNs: 8756-4793

Abstract

Objective: Identify factors predictive of therapeutic success following ultrasound-guided sheath injection of the long head of the biceps tendon. Materials and Methods: A total of 162 cases were divided into three groups based on clinical responses: complete, partial, or no relief. The presence or absence of clinical symptoms, glenohumeral joint structural pathology, and treatment method was compared. Results: Of the 115 injections with follow-up, 19.1% reported no clinical response while 53.0% had a complete response. Patients with fibromyalgia or chronic spine pain were strongly associated with a poor outcome (odds ratio [OR] = 5.7, P < .001). Conclusion: Ultrasound-guided intra-sheath injection is an effective method of non-surgical management for biceps tendinopathy.