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Shoulder

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Atlas of Ultrasound Guided Musculoskeletal Injections

Part of the book series: Musculoskeletal Medicine ((MUM))

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Abstract

The shoulder is an excellent region for the use of ultrasound-guided diagnosis and intervention due to its high injury prevalence and the superficial nature of commonly injured structures (Peng P, Cheng P, Reg Anesth Pain Med 36:592–605, 2011). The shoulder girdle, composed of the scapula, clavicle, and proximal humerus, gives rise to the glenohumeral (GH), acromioclavicular (AC), and sternoclavicular joints. The deltoid, long head of the biceps brachii, and rotator cuff muscles (the supraspinatus, infraspinatus, teres minor, and subscapularis) facilitate shoulder movement in almost every plane (Chiang, YP, Feng, CF and Lew, HL, Am J Phys Med Rehabil 90:616–617, 2011). The biceps tendon sheath, AC and GH joints, and subacromial/subdeltoid bursa (SASDB) are common sites for injection. There are also newer promising interventions, including prolotherapy, percutaneous needle tenotomy, and platelet-rich plasma, targeting rotator cuff tendons with ultrasound guidance.

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Authors and Affiliations

  1. OSS Health, York, PA, USA

    Naimish Baxi MD

  2. Department of Anesthesiology – Pain Medicine, Arnold Pain Management Center, Beth Israel Deaconess Medical Center, Harvard Medical School, Brookline, MA, USA

    David A. Spinner DO, RMSK

Authors
  1. Naimish Baxi MD
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  2. David A. Spinner DO, RMSK
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Corresponding author

Correspondence to David A. Spinner DO, RMSK .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology - Pain Medicine, Harvard Medical School, Brookline, Massachusetts, USA

    David A. Spinner

  2. Department of Rehabilitation Medicine, Mount Sinai Medical Center, New York, New York, USA

    Jonathan S. Kirschner

  3. Department of Rehabilitation Medicine, Mount Sinai Medical Center, New York, New York, USA

    Joseph E. Herrera

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© 2014 Springer Science+Business Media, LLC

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Baxi, N., Spinner, D.A. (2014). Shoulder. In: Spinner, D., Kirschner, J., Herrera, J. (eds) Atlas of Ultrasound Guided Musculoskeletal Injections. Musculoskeletal Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8936-8_2

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  • DOI: https://doi.org/10.1007/978-1-4614-8936-8_2

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8935-1

  • Online ISBN: 978-1-4614-8936-8

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