Acta chirurgiae orthopaedicae
et traumatologiae Čechoslovaca

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.1):9-13 | DOI: 10.55095/achot2025/017

Sonograficky navigované intervence ramenaSouborný referát

KAMAL MEZIAN¹, TOMÁŠ NOVOTNÝ^{2, 3}, ONDŘEJ NAŇKA⁴

¹ Klinika rehabilitačního lékařství 1. lékařské fakulty Univerzity Karlovy a Všeobecné fakultní nemocnice, Praha

² Ortopedická klinika Fakulty zdravotnických studií Univerzity J. E. Purkyně v Ústí nad Labem a Krajské zd ravotní, a. s. - Masarykovy nemocnice v Ústí nad Labem

³ Ortopedická klinika, Lékařská fakulta v Hradci Králové, Univerzita Karlova, Praha

⁴ Anatomický ústav 1. lékařské fakulty Univerzity Karlovy, Praha

Ultrasound imaging of the shoulder is a highly valuable modality that enhances diagnostic accuracy and facilitates precise injection therapy for a variety of shoulder conditions. This article provides a review of ultrasound-guided interventions, including intra-articular injections of the glenohumeral joint, subacromial-subdeltoid bursa, injections into the biceps tendon recess, and acromioclavicular joint. Comprehensive guidance is presented on probe selection, patient positioning, and step-by-step procedural protocols tailored to specific anatomical targets. Emphasis is placed on optimizing needle placement using in-plane and out-of-plane techniques, minimizing risks such as neurovascular injury or inadvertent intratendinous injection, and ensuring effective delivery of therapeutic agents. Additional considerations include the use of advanced techniques like capsular hydrodilatation in management of adhesive capsulitis. Text is supplemented with anatomical notes.

Přijato: 14. květen 2025; Zveřejněno: 1. srpen 2025  Zobrazit citaci