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Application of Ultrasound-Guided Trigger Point Injection for Myofascial Trigger Points in the Subscapularis and Pectoralis Muscles to Post-Mastectomy Patients: A Pilot Study

DC FieldValueLanguage
dc.contributor.author신지철-
dc.contributor.author이상철-
dc.date.accessioned2015-01-06T16:42:50Z-
dc.date.available2015-01-06T16:42:50Z-
dc.date.issued2014-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/98623-
dc.description.abstractPURPOSE: To investigate the therapeutic effectiveness of ultrasound (US)-guided trigger point injection for myofascial trigger points (MTrPs) in the internal rotator muscles of the shoulder in post-mastectomy patients. MATERIALS AND METHODS: This pilot study was a non-controlled, prospective, clinical trial. Nineteen post-mastectomy patients with a diagnosis of at least one active MTrP in the subscapularis and/or pectoralis muscles were included. We performed trigger point injections into the subscapularis muscle deep behind the scapula as well as the pectoralis muscle for diagnostic and therapeutic purpose by the newly developed US-guided method. RESULTS: Visual analogue scale and range of motion of the shoulder for external rotation and of abduction showed significant improvement immediately after the first injection and 3 months after the last injection compared with baseline (p<0.05 for both). Duration from onset to surgery and duration of myofascial pain syndrome in the good responder group were significantly shorter than in the bad responder group (p<0.05). Patients did not report any complications related to the procedure or serious adverse events attributable to the treatment. CONCLUSION: In post-mastectomy patients with shoulder pain, US-guided trigger point injections of the subscapularis and/or pectoralis muscles are effective for both diagnosis and treatment when the cause of shoulder pain is suspected to originate from active MTrPs in these muscles, particularly, the subscapularis.-
dc.description.statementOfResponsibilityopen-
dc.format.extent792~799-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAnesthetics, Local/administration & dosage-
dc.subject.MESHAnesthetics, Local/therapeutic use-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHInjections, Intramuscular/methods-
dc.subject.MESHLidocaine/administration & dosage-
dc.subject.MESHLidocaine/therapeutic use-
dc.subject.MESHMastectomy-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMuscle, Skeletal/diagnostic imaging-
dc.subject.MESHMuscle, Skeletal/drug effects-
dc.subject.MESHMyofascial Pain Syndromes/drug therapy-
dc.subject.MESHPectoralis Muscles/diagnostic imaging*-
dc.subject.MESHPectoralis Muscles/drug effects-
dc.subject.MESHTrigger Points/diagnostic imaging*-
dc.subject.MESHUltrasonography-
dc.titleApplication of Ultrasound-Guided Trigger Point Injection for Myofascial Trigger Points in the Subscapularis and Pectoralis Muscles to Post-Mastectomy Patients: A Pilot Study-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Rehabilitation Medicine (재활의학)-
dc.contributor.googleauthorHyuk Jai Shin-
dc.contributor.googleauthorJi Cheol Shin-
dc.contributor.googleauthorWan Sung Kim-
dc.contributor.googleauthorWon Hyuk Chang-
dc.contributor.googleauthorSang Chul Lee-
dc.identifier.doi10.3349/ymj.2014.55.3.792-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02832-
dc.contributor.localIdA02162-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid24719150-
dc.subject.keywordMyofascial pain syndrome-
dc.subject.keywordbreast cancer-
dc.subject.keywordpain-
dc.subject.keywordtrigger points-
dc.subject.keywordultrasound-
dc.contributor.alternativeNameShin, Ji Cheol-
dc.contributor.alternativeNameLee, Sang Chul-
dc.contributor.affiliatedAuthorLee, Sang Chul-
dc.contributor.affiliatedAuthorShin, Ji Cheol-
dc.citation.volume55-
dc.citation.number3-
dc.citation.startPage792-
dc.citation.endPage799-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.55(3) : 792-799, 2014-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers

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