Evidence map›Paper›PMID 38703325›Full record

ArticleJournal of ultrasound2024

Ultrasound definition of subacromial chronic "fibro-adhesive" bursitis and its treatment via ultrasound guided hydrodilation: a prospective pilot study.

Suhel G Al Khayyat, Salvatore Massimo Stella, Cesare Trentanni, Paolo Falsetti, Bruno Frediani, Andrea Del Chiaro, Stefano Galletti

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Article in Journal of ultrasound, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Suhel G Al KhayyatDepartment of Medicine, Surgery and Neurosciences, Rheumatology Unit, University of Siena, Siena, Italy. alkhayyatsuhelg@gmail.com.ORCID http://orcid.org/0000-0003-0035-6632
Salvatore Massimo StellaDepartment of Clinical and Experimental Medicine, SIUMB Advanced School for Musculoskeletal Ultrasound, University Post-Graduate Course, Santa Chiara University Hospital, Pisa, Italy.
Cesare TrentanniAdvanced Musculoskeletal Ultrasound, SIUMB School of Pisa, Pisa, Italy.
Paolo FalsettiDepartment of Medicine, Surgery and Neurosciences, Rheumatology Unit, University of Siena, Siena, Italy.
Bruno FredianiDepartment of Medicine, Surgery and Neurosciences, Rheumatology Unit, University of Siena, Siena, Italy.
Andrea Del ChiaroAdvanced Musculoskeletal Ultrasound, SIUMB School of Pisa, Pisa, Italy.
Stefano GallettiAdvanced Musculoskeletal Ultrasound, SIUMB School of Bologna, Maggiore Hospital, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe shoulder pain is one of the main causes that lead the patient to medical evaluation. Today, the ultrasound (US) represents an essential tool in the orthopaedical, rheumatological and rehabilitative setting to address the musculoskeletal causes of pain. Amongst the commonest causes of shoulder complains lay the frequent subacromial chronic bursitis (SACB). In this condition, the thickening of the bursal walls and subsequent fusion of the two synovial sheets leads to the reciprocal loss of bursal walls gliding under the subacromial space and consequently pain. This condition represents a common cause of shoulder pain and may be easily addressed by musculoskeletal sonographers. The purpose of this paper will be to describe the US appearance of SACB and to evaluate the efficacy of US-guided hydrodilation in its treatment.

methodsWe included patients with painful shoulder attending our outpatient clinic for shoulder complains with the diagnosis of SACB with a bursal wall > 1.5 mm. A group was treated via US-guided hydrodilation, while the control group was treated via a classical blind approach using triamcinolone acetonide. Both groups underwent the same rehabilitation program following the injections. The shoulder functionality was assessed via qDASH questionnaire at baseline, days 3, 7, 14, 30, 60, and 90. A p <0.05 was considered significant.

resultsBoth groups displayed a significant reduction of pain; nevertheless, in the group treated with US-hydrodilation, there was no need for re-treatment.

conclusionsThe US-guided hydrodilation for SACB should be the preferred technique to detach bursal walls and improve patient symptoms, since it requires fewer invasive maneuvers.

Indexed as

BursitisUltrasonography, InterventionalAdultAgedChronic DiseaseFemaleHumansMaleMiddle AgedPilot ProjectsProspective StudiesShoulder JointShoulder PainTreatment OutcomeTriamcinolone AcetonideTriamcinolone AcetonideFibro-adhesive bursitisImpingementInterventional ultrasoundMusculoskeletal ultrasoundShoulderSubacromial bursitis

Identifiers

PMID38703325
PMCPMC11333400

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.