Original Article
http://dx.doi.org/10.3349/ymj.2014.55.3.792 pISSN: 0513-5796, eISSN: 1976-2437
Yonsei Med J 55(3):792-799, 2014
Application of Ultrasound-Guided Trigger Point Injection for Myofascial Trigger Points in the Subscapularis and Pectoralis Muscles to Post-Mastectomy Patients: A Pilot Study Hyuk Jai Shin,1 Ji Cheol Shin,2 Wan Sung Kim,1 Won Hyuk Chang,3 and Sang Chul Lee2 Department of General Surgery, Myongji Hospital, Kwandong University College of Medicine, Goyang; Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul; 3 Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. 1
2
Received: June 11, 2013 Revised: August 11, 2013 Accepted: August 16, 2013 Corresponding author: Dr. Sang Chul Lee, Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea. Tel: 82-2-2228-3711, Fax: 82-2-363-2795 E-mail: [email protected] ∙ The authors have no financial conflicts of interest.
Purpose: 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 postmastectomy 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
http://dx.doi.org/10.3349/ymj.2014.55.3.792 pISSN: 0513-5796, eISSN: 1976-2437
Yonsei Med J 55(3):792-799, 2014
Application of Ultrasound-Guided Trigger Point Injection for Myofascial Trigger Points in the Subscapularis and Pectoralis Muscles to Post-Mastectomy Patients: A Pilot Study Hyuk Jai Shin,1 Ji Cheol Shin,2 Wan Sung Kim,1 Won Hyuk Chang,3 and Sang Chul Lee2 Department of General Surgery, Myongji Hospital, Kwandong University College of Medicine, Goyang; Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul; 3 Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. 1
2
Received: June 11, 2013 Revised: August 11, 2013 Accepted: August 16, 2013 Corresponding author: Dr. Sang Chul Lee, Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea. Tel: 82-2-2228-3711, Fax: 82-2-363-2795 E-mail: [email protected] ∙ The authors have no financial conflicts of interest.
Purpose: 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 postmastectomy 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
