Échographie interventionnelle de l'épaule de la théorie à la pratique

Objectives : Musculoskeletal ultrasound has evolved throughout the last decade. This procedure allows accurate corticosteroid injections guidance. Precision is much higher than the infiltration performed blindly or under fluoroscopy. The purpose of our approach is to describe our technique in ultrasound-guided infiltration of the shoulder with an overview of the results. Material and method : 123 cases of ultrasound-guided infiltration of the shoulder were selected in our institution from July 2011 to June 2012. They are divided into sub-acromial sub-deltoid bursitis, biceps tenosynovitis, acromioclavicular osteoarthritis, adhesive capsulitis and calcific tendinosis lavage and aspiration. Results : The infiltration technique and the sonographic appearance in each condition are described. The rate of improvement is estimated between 70 and 80%. Conclusion : The ultrasound-guided infiltration provides an accurate and minimally invasive therapeutic option before any surgery. Recovery and socio-professional integration prove to be optimal and fast.