Myotendinous Junction Anesthesia: An Alternative Infiltration Site for Ultrasound‐Guided Injections

The myotendinous junction is a highly specialized and complex structure between muscle and tendon. In recent years, various procedures have directly targeted the tendon, with corticosteroid, platelet-rich plasma, or biological therapy infiltrations being prominent. However, these interventions are painful, corticosteroids have demonstrated tendon damage, and anesthesia negatively impacts tenocyte proliferation and viability when used with platelet-rich plasma in the same injection site. There is a need to adapt the injection site to improve therapy effectiveness and pain tolerance. This article presents a proposal for an ultrasound-guided anesthetic block procedure in the myotendinous junction.

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Publication Details

Journal
Arthroscopy Techniques
Published
2024-08-30
DOI
https://doi.org/10.1016/j.eats.2024.103195
Primary Topic
Shoulder Injury and Treatment
Type
article
Field-Weighted Citation Impact
0.00

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Myotendinous Junction Anesthesia: An Alternative Infiltration Site for Ultrasound‐Guided Injections

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Myotendinous Junction Anesthesia: An Alternative Infiltration Site for Ultrasound‐Guided Injections

Guillermo Droppelmann, Anthony Saravia, Julio Rosales, Carlos Jorquera, Nicolás García, Claudio Molina
article en

Abstract

The myotendinous junction is a highly specialized and complex structure between muscle and tendon. In recent years, various procedures have directly targeted the tendon, with corticosteroid, platelet-rich plasma, or biological therapy infiltrations being prominent. However, these interventions are painful, corticosteroids have demonstrated tendon damage, and anesthesia negatively impacts tenocyte proliferation and viability when used with platelet-rich plasma in the same injection site. There is a need to adapt the injection site to improve therapy effectiveness and pain tolerance. This article presents a proposal for an ultrasound-guided anesthetic block procedure in the myotendinous junction.

Arthroscopy TechniquesVol. 14(2)
Universidad Mayor (CL), Harvard University (US), Finis Terrae University (CL), Clínica MEDS (Chile) (CL)
Pontificia Universidad Católica de Valparaíso
Zero hunger
Openalex Percentile: Top 74%
Shoulder Injury and Treatment
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