Point-of-Care Ultrasound Unveiling Rotator Cuff Injuries in the Emergency Department: A Case Series

被引:1
作者
Selame, Lauren [1 ]
Walsh, Lindsay [2 ,3 ]
Schwid, Madeline [2 ]
Al Jalbout, Nour [2 ]
Gray, Morgan R. [2 ]
Dashti, Munaa [4 ]
Shokoohi, Hamid [2 ]
机构
[1] Harvard Med Sch, Brigham & Womens Hosp, Emergency Med, Boston, MA USA
[2] Harvard Med Sch, Massachusetts Gen Hosp, Emergency Med, Boston, MA 02115 USA
[3] Harvard Med Sch, Brigham & Womens Hosp, Emergency Med, Boston, MA 02115 USA
[4] Amiri Hosp, Emergency Med, Kuwait, Kuwait
关键词
emergency department utilization; arthrocentesis; shoulder joint pain; rotator cuff tears; point-of-care-ultrasound; DIAGNOSTIC-ACCURACY; SHOULDER ULTRASOUND; SUPRASPINATUS; PAIN; TEAR; HEMARTHROSIS; PREVALENCE; ANATOMY; ELBOW;
D O I
10.7759/cureus.47665
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acute shoulder pain is a common ED presentation with a wide range of pathologies that are often initially investigated with radiography. However, diagnosing rotator cuff injuries often requires further imaging for proper diagnosis and management. Bedside shoulder ultrasound is an application that allows for the evaluation of ligaments and tendons in addition to bony structures, all while utilizing direct patient feedback of focally tender areas, expediting diagnosis and therapeutic intervention. In this case series, we discuss our evaluation of patients with suspected rotator cuff pathology and the practice of using the stepwise shoulder ultrasound protocol. Four cases are presented that illustrate the use of shoulder ultrasound in diagnosing biceps tendon injury, supraspinatus tear, chronic supraspinatus tear with hemarthrosis, and subacromial-subdeltoid bursitis. This narrative highlights the valuable role of shoulder ultrasound for the expedited diagnosis and management of patients whose initial shoulder radiographs do not indicate any bony abnormalities.
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页数:7
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共 39 条
  • [1] Ultrasound-guided shoulder girdle injections are more accurate and more effective than landmark-guided injections: a systematic review and meta-analysis
    Aly, Abdel-Rahman
    Rajasekaran, Sathish
    Ashworth, Nigel
    [J]. BRITISH JOURNAL OF SPORTS MEDICINE, 2015, 49 (16) : 1042 - 1049
  • [2] American College of Radiology ACR Appropriateness Criteria Chronic Shoulder Pain, 2022, ABOUT US
  • [3] American College of Radiology ACR Appropriateness Criteria Shoulder Pain-Traumatic, 2017, ABOUT US
  • [4] [Anonymous], 2015, Shoulder Pain in the Urgent Care
  • [5] POINT-OF-CARE ULTRASOUND FOR THE DETECTION OF HIP EFFUSION AND SEPTIC ARTHRITIS IN ADULT PATIENTS WITH HIP PAIN AND NEGATIVE INITIAL IMAGING
    Boniface, Keith
    Pyle, Matthew
    Jaleesah, Najlaa
    Shokoohi, Hamid
    [J]. JOURNAL OF EMERGENCY MEDICINE, 2020, 58 (04) : 627 - 631
  • [6] ULTRASOUND-GUIDED ARTHROCENTESIS OF THE ELBOW: A POSTERIOR APPROACH
    Boniface, Keith S.
    Ajmera, Kunal
    Cohen, Joanna S.
    Liu, Yiju Teresa
    Shokoohi, Hamid
    [J]. JOURNAL OF EMERGENCY MEDICINE, 2013, 45 (05) : 698 - 701
  • [7] Ultrasound-guided interventions for painful shoulder: from anatomy to evidence
    Chang, Ke-Vin
    Mezian, Kamal
    Nanka, Ondrej
    Wu, Wei-Ting
    Lin, Chih-Peng
    Ozcakar, Levent
    [J]. JOURNAL OF PAIN RESEARCH, 2018, 11 : 2311 - 2322
  • [8] Shoulder ultrasonography performed by orthopedic surgeons increases efficiency in diagnosis of rotator cuff tears
    Chiu, Chih-Hao
    Chen, Poyu
    Chen, Alvin Chao-Yu
    Hsu, Kuo-Yao
    Chang, Shih-Sheng
    Chan, Yi-Sheng
    Chen, Yeung-Jen
    [J]. JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 2017, 12
  • [9] Improving Injection Accuracy of the Elbow, Knee, and Shoulder Does Injection Site and Imaging Make a Difference? A Systematic Review
    Daley, Erika L.
    Bajaj, Sarvottam
    Bisson, Leslie J.
    Cole, Brian J.
    [J]. AMERICAN JOURNAL OF SPORTS MEDICINE, 2011, 39 (03) : 656 - 662
  • [10] Delayed Diagnosis of Shoulder Septic Arthritis and Osteomyelitis During the COVID-19 Pandemic: The Role of Point-of-Care Ultrasound
    Driver, Lachlan
    McFadden, Kathleen
    Al Jalbout, Nour
    Shokoohi, Hamid
    [J]. CUREUS JOURNAL OF MEDICAL SCIENCE, 2023, 15 (02)