Ultrasound-guided sternoclavicular joint injection: technique and case series

Sternoclavicular joint pathology can be an uncommon cause of pain and discomfort around the neck and shoulder region. Typically, patients localize their pain deep to the joint and experience referred pain to the ipsilateral neck and shoulder; however, it often presents as a diffuse nonspecific pain....

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Autores principales:	Kyong S. Min, MD, Andrew Lopez, MD, Franklin J. Powlan, MD, Brandon Pham, BS, Greg Lause, MD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Level IV Case Series Surgery RD1-811
Acceso en línea:	https://doaj.org/article/52c23b07a916435cacd658d9f2ffa566
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spelling	oai:doaj.org-article:52c23b07a916435cacd658d9f2ffa5662021-11-22T04:32:45ZUltrasound-guided sternoclavicular joint injection: technique and case series2666-639110.1016/j.xrrt.2021.08.010https://doaj.org/article/52c23b07a916435cacd658d9f2ffa5662021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S266663912100081Xhttps://doaj.org/toc/2666-6391Sternoclavicular joint pathology can be an uncommon cause of pain and discomfort around the neck and shoulder region. Typically, patients localize their pain deep to the joint and experience referred pain to the ipsilateral neck and shoulder; however, it often presents as a diffuse nonspecific pain. Given the paucity of this pathology and atypical presentation, the use of injections can be helpful to confirm the diagnosis of sternoclavicular arthropathy. Currently, most injections are done via computed tomography. Although this method is accurate, it exposes patients to radiation and burdens the patient with the requirement of multiple appointments. This case series outlines the use of ultrasound-guided sternoclavicular joint injections conducted in the clinic. The patients in this series underwent an ultrasound-guided injection in the affected sternoclavicular joint, which confirmed the diagnosis, and they were subsequently treated with resection arthroplasty. The use of ultrasound-guided injections of the sternoclavicular joint is a safe and accurate alternative diagnostic method, which saves the patient from harmful radiation and additional appointments. Limitations and efficacy may vary depending on skill and comfort level of the operator.Kyong S. Min, MDAndrew Lopez, MDFranklin J. Powlan, MDBrandon Pham, BSGreg Lause, MDElsevierarticleLevel IVCase SeriesSurgeryRD1-811ENJSES Reviews, Reports, and Techniques, Vol 1, Iss 4, Pp 393-397 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Level IV Case Series Surgery RD1-811
spellingShingle	Level IV Case Series Surgery RD1-811 Kyong S. Min, MD Andrew Lopez, MD Franklin J. Powlan, MD Brandon Pham, BS Greg Lause, MD Ultrasound-guided sternoclavicular joint injection: technique and case series
description	Sternoclavicular joint pathology can be an uncommon cause of pain and discomfort around the neck and shoulder region. Typically, patients localize their pain deep to the joint and experience referred pain to the ipsilateral neck and shoulder; however, it often presents as a diffuse nonspecific pain. Given the paucity of this pathology and atypical presentation, the use of injections can be helpful to confirm the diagnosis of sternoclavicular arthropathy. Currently, most injections are done via computed tomography. Although this method is accurate, it exposes patients to radiation and burdens the patient with the requirement of multiple appointments. This case series outlines the use of ultrasound-guided sternoclavicular joint injections conducted in the clinic. The patients in this series underwent an ultrasound-guided injection in the affected sternoclavicular joint, which confirmed the diagnosis, and they were subsequently treated with resection arthroplasty. The use of ultrasound-guided injections of the sternoclavicular joint is a safe and accurate alternative diagnostic method, which saves the patient from harmful radiation and additional appointments. Limitations and efficacy may vary depending on skill and comfort level of the operator.
format	article
author	Kyong S. Min, MD Andrew Lopez, MD Franklin J. Powlan, MD Brandon Pham, BS Greg Lause, MD
author_facet	Kyong S. Min, MD Andrew Lopez, MD Franklin J. Powlan, MD Brandon Pham, BS Greg Lause, MD
author_sort	Kyong S. Min, MD
title	Ultrasound-guided sternoclavicular joint injection: technique and case series
title_short	Ultrasound-guided sternoclavicular joint injection: technique and case series
title_full	Ultrasound-guided sternoclavicular joint injection: technique and case series
title_fullStr	Ultrasound-guided sternoclavicular joint injection: technique and case series
title_full_unstemmed	Ultrasound-guided sternoclavicular joint injection: technique and case series
title_sort	ultrasound-guided sternoclavicular joint injection: technique and case series
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/52c23b07a916435cacd658d9f2ffa566
work_keys_str_mv	AT kyongsminmd ultrasoundguidedsternoclavicularjointinjectiontechniqueandcaseseries AT andrewlopezmd ultrasoundguidedsternoclavicularjointinjectiontechniqueandcaseseries AT franklinjpowlanmd ultrasoundguidedsternoclavicularjointinjectiontechniqueandcaseseries AT brandonphambs ultrasoundguidedsternoclavicularjointinjectiontechniqueandcaseseries AT greglausemd ultrasoundguidedsternoclavicularjointinjectiontechniqueandcaseseries
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Ultrasound-guided sternoclavicular joint injection: technique and case series

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