Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 2 , Pages 279-284 , February 2009

The Effects of Scapulothoracic Bursa Injections in Patients With Scapular Pain: A Pilot Study

  • Won Hyuk Chang, MD

      Affiliations

    • Department of Rehabilitation Medicine, Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, South Korea
    • ,
  • Sang Hee Im, MD

      Affiliations

    • Department of Rehabilitation Medicine, Cheju University Hospital, College of Medicine, South Korea
    • ,
  • Jeong Ah Ryu, MD, PhD

      Affiliations

    • Department of Radiology, Myongji Hospital, Kwandong University College of Medicine, Kyunggi, South Korea
    • ,
  • Sang Chul Lee, MD, PhD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Myongji Hospital, Kwandong University College of Medicine, Kyunggi, South Korea
    • Corresponding Author InformationCorrespondence to: Sang Chul Lee, MD, PhD, Dept of Rehabilitation Medicine, Myongii Hospital, Kwandong University College of Medicine, 697-24, Hwajung-dong, Dukyang-ku, Kyunggi 412-270, South Korea
    • ,
  • Ji Sung Kim, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Myongji Hospital, Kwandong University College of Medicine, Kyunggi, South Korea

  • Image Result

    Position adopted for scapulothoracic bursa injections; the patient was asked to try to reach the high spine with the affected arm while lying prone to place the arm in an extended, internally rotated,

    Position adopted for scapulothoracic bursa injections; the patient was asked to try to reach the high spine with the affected arm while lying prone to place the arm in an extended, internally rotated, adducted position.

  • Image Result
    Needle placement: visualization portal was placed midway between the spine of the scapula and the inferior angle of the scapula (a 6-cm spinal needle was used).

    Needle placement: visualization portal was placed midway between the spine of the scapula and the inferior angle of the scapula (a 6-cm spinal needle was used).

  • Image Result
    Changes in VAS pain scores during and after treatment. All follow-up checks were done after the first injection.

    Changes in VAS pain scores during and after treatment. All follow-up checks were done after the first injection.

  • Image Result
    Transverse high-resolution ultrasonographic image of the scapulothoracic bursa. The arrows show fluid collection in the bursa. Abbreviations: L, lung; R, rib; S.A, serratus anterior.

    Transverse high-resolution ultrasonographic image of the scapulothoracic bursa. The arrows show fluid collection in the bursa. Abbreviations: L, lung; R, rib; S.A, serratus anterior.

  • Image Result
    T2-weighted fat saturation magnetic resonance image, which failed to reveal the scalupulothoracic bursa. The arrows show the serratus anterior. Abbreviations: R, rib; S, scapula.

    T2-weighted fat saturation magnetic resonance image, which failed to reveal the scalupulothoracic bursa. The arrows show the serratus anterior. Abbreviations: R, rib; S, scapula.

  • Image Result
    Three-dimensional computed tomography image showing no bony abnormalities, such as osteochondroma or exostoses.

    Three-dimensional computed tomography image showing no bony abnormalities, such as osteochondroma or exostoses.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

 Reprints are not available from the author.

PII: S0003-9993(08)01606-7

doi: 10.1016/j.apmr.2008.07.027

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 2 , Pages 279-284 , February 2009

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