The Effectiveness of Ultrasound-Guided Soyeom Pharmacopuncture Therapy at Acromioclavicular Joint of Shoulder in Patients with Anterior Shoulder Pain: A Retrospective Study

Introduction: The Sydney system proposal for the study and reporting of lymphadenopathy by fine-needle aspiration (FNA) constitutes one of the first attempts to standardize this procedure. Here, we review its applicability. Materials and Methods: A retrospective study in which all ultrasound-guided FNAs (USFNAs) of superficial lymphadenopathy (palpable or not) performed by interventional pathologists in 2 specialized hospital centers were quantified over 2 years. The procedure was systematized, and the diagnoses were reclassified according to the Sydney system categories. Results: We analyzed 363 USFNAs of lymphadenopathies. The distribution of cases by categories was as follows: insufficient (n = 13; 3.58%), benign (n = 208; 57.30%), atypia of uncertain significance (n = 7; 1.93%), suspicious (n = 21; 5.79), and malignant (n = 114; 31.40%). The risks of malignancy calculated for categories I, II, III, IV, and V were 27%, 3%, 50%, 100%, and 100%, respectively. Conclusion: The implementation of the Sydney system allows the systematization and standardization of the lymph node FNA methodology, with increased efficacy and efficiency. Assimilating the recommendations enables the qualification of the diagnostic procedure.

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Shoulder pain after natural orifice transluminal endoscopic surgery decreased with abdominal compression and pulmonary recruitment maneuver: A retrospective study

Taiwanese Journal of Obstetrics and Gynecology ◽

10.1016/j.tjog.2021.07.017 ◽

2021 ◽

Vol 60 (5) ◽

pp. 878-881

Author(s):

Pei-Chen Li ◽

Hsuan Chen ◽

Dah-Ching Ding

Keyword(s):

Retrospective Study ◽

Shoulder Pain ◽

Endoscopic Surgery ◽

Recruitment Maneuver ◽

Natural Orifice ◽

Abdominal Compression ◽

Pulmonary Recruitment Maneuver

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The GLAD lesion: Another cause of anterior shoulder pain

Arthroscopy The Journal of Arthroscopic and Related Surgery ◽

10.1016/s0749-8063(05)80339-1 ◽

1993 ◽

Vol 9 (1) ◽

pp. 22-23 ◽

Cited By ~ 117

Author(s):

Thomas J. Neviaser

Keyword(s):

Shoulder Pain ◽

Anterior Shoulder Pain

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Is coracohumeral distance associated with pain-function, and shoulder range of movement, in chronic anterior shoulder pain?

BMC Musculoskeletal Disorders ◽

10.1186/s12891-017-1498-0 ◽

2017 ◽

Vol 18 (1) ◽

Cited By ~ 4

Author(s):

S. Navarro-Ledesma ◽

F. Struyf ◽

M. T. Labajos-Manzanares ◽

M. Fernandez-Sanchez ◽

A. Luque-Suarez

Keyword(s):

Shoulder Pain ◽

Range Of Movement ◽

Shoulder Range ◽

Anterior Shoulder Pain

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Diagnostic block and radiofrequency ablation of the acromial branches of the lateral pectoral and suprascapular nerves for shoulder pain: a 3D cadaveric study

Regional Anesthesia and Pain Medicine ◽

10.1136/rapm-2020-102300 ◽

2021 ◽

Vol 46 (4) ◽

pp. 305-312

Author(s):

John Tran ◽

Philip Peng ◽

Anne Agur ◽

Nimish Mittal

Keyword(s):

Radiofrequency Ablation ◽

Shoulder Pain ◽

Coracoid Process ◽

Electrode Position ◽

Anatomical Landmarks ◽

Ultrasound Guided ◽

Pectoral Nerve ◽

Diagnostic Block ◽

Superior Surface ◽

Capture Rates

Background and objectivesAcromial branches of the lateral pectoral and suprascapular nerves have been proposed as targets for diagnostic block and radiofrequency ablation to treat superior shoulder pain; however, the nerve capture rates of these procedures have not been investigated. The objectives of this study were to use dissection and 3D modeling technology to determine the course of these acromial branches, relative to anatomical landmarks, and to evaluate nerve capture rates using ultrasound-guided dye injection and lesion simulation.MethodsUltrasound-guided dye injections, targeting the superior surface of coracoid process and floor of supraspinous fossa, were performed (n=5). Furthermore, needles targeting the superior and posterior surfaces of the coracoid process were placed under ultrasound guidance to simulate needle electrode position (n=5). Specimens were dissected, digitized, and modeled to determine capture rates of acromial branches of lateral pectoral and suprascapular nerves.ResultsThe course of acromial branches of lateral pectoral and suprascapular nerves were documented. Dye spread capture rates: acromial branches of lateral pectoral and suprascapular nerves were captured in all specimens. Lesion simulation capture rates: (1) when targeting superior surface of coracoid process, the entire acromial branch of lateral pectoral nerve was captured in all specimens and (2) when targeting posterior surface of coracoid process, the acromioclavicular and bursal branches of acromial branch of suprascapular nerve were captured in all specimens; coracoclavicular branch was captured in 3/5 specimens.ConclusionsThis study supports the anatomical feasibility of ultrasound-guided targeting of the acromial branches of lateral pectoral and suprascapular nerves. Further clinical investigation is required.

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