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<p>Anterior shoulder approach of hydro-dilation technique by Yoong et al. had few issue rises from this technique; (i) administering an intra-articular shoulder injection through a thickened coracohumeral ligament result in significant resistance and patient discomfort, and (ii) risk of injecting into long head of biceps tendon is higher. This technical report is to describe a new approach using subacromial subdeltoid (SASD) bursa hydro-dilation at rotator interval instead of intra-articular injection. This technique utilizes fenestration of coracohumeral ligament followed by SASD hydro-dilation. Thirteen patients underwent the procedures reported significant outcomes in pain score (from mean VAS of 5.61 to 2, <i>p</i> value &lt; 0.001) and range of motion (mean forward flexion from 76.61 degree to 149.07, <i>p</i> value &lt; 0.001, and mean abduction from 60.61 degree to 94.61, <i>p</i> value &lt; 0.001). This method presents a potentially less technically demanding and time-efficient alternative to existing treatments.</p>

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A modified Yoong ultrasound guided injection for hydrodilation of subacromial subdeltoid bursa at the rotator interval for frozen phase of adhesive capsulitis

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月28日

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  • Azwan Aziz Mohamad,
  • Norlelawati Mohamad,
  • Badrul Akmal Hisham Md Yusoff

摘要

Anterior shoulder approach of hydro-dilation technique by Yoong et al. had few issue rises from this technique; (i) administering an intra-articular shoulder injection through a thickened coracohumeral ligament result in significant resistance and patient discomfort, and (ii) risk of injecting into long head of biceps tendon is higher. This technical report is to describe a new approach using subacromial subdeltoid (SASD) bursa hydro-dilation at rotator interval instead of intra-articular injection. This technique utilizes fenestration of coracohumeral ligament followed by SASD hydro-dilation. Thirteen patients underwent the procedures reported significant outcomes in pain score (from mean VAS of 5.61 to 2, p value < 0.001) and range of motion (mean forward flexion from 76.61 degree to 149.07, p value < 0.001, and mean abduction from 60.61 degree to 94.61, p value < 0.001). This method presents a potentially less technically demanding and time-efficient alternative to existing treatments.