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

Author:

Quintero Daniel1ORCID,Singer Adam2,Greif Dylan N.1,Baraga Michael1,Perez Jose1,Jose Jean3

Affiliation:

1. Department of Orthopedic Surgery, UHealth Sports Medicine Institute, University of Miami Miller School of Medicine, Miami, FL, USA

2. Department of Radiology, Emory University, Atlanta, GA, USA

3. Department of Radiology, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL, USA

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.

Publisher

SAGE Publications

Subject

Radiology, Nuclear Medicine and imaging,Radiological and Ultrasound Technology

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