In many instances , no or minimal attempts to screen were undertaken or reported .
Background Subacromial shoulder pain is a common clinical presentation with much diagnostic uncertainty .
Some of this uncertainty relates to the involvement of the cervical spine as a source or contribution to subacromial shoulder pain .
Currently , there is no accepted method of screening of the cervical spine in the presence of subacromial shoulder pain , which risks patients receiving misguided and /or ineffective interventions .
Objective To evaluate approaches used to screen the cervical spine in patients with subacromial shoulder pain .
Blind or Ultrasound-Guided Corticosteroid Injections and Short-Term Response in Subacromial Impingement Syndrome: A Randomized, Double-Blind, Prospective Study
Objective The aim of this study was to compare the accuracy of blind vs. ultrasonography-guided corticosteroid injections in subacromial impingement syndrome and determine the correlation between accuracy of the injection location and clinical outcome . Design Forty-six patients with subacromial impingement syndrome were r and omized for ultrasonography-guided ( group 1 , n = 23 ) and blind corticosteroid injections ( group 2 , n = 23 ) . Magnetic resonance imaging analysis  was performed immediately after the injection . Changes in shoulder range of motion , pain , and shoulder function were recorded . All patients were assessed before the injection and 6 wks after the injection . Results Accurate injections were performed in 15 ( 65 % ) group 1 patients and in 16 ( 70 % ) group 2 patients . There was no statistically significant difference in the injection location accuracy between the two groups ( P > 0.05 ) . At the end of the sixth week , regardless of whether the injected mixture was found in the subacromial region or not , all of the patients showed improvements in all of the parameters evaluated ( P < 0.05 ) . Conclusions Blind injections performed in the subacromial region by experienced individuals were reliably accurate and could therefore be given in daily routines . Corticosteroid injections in the subacromial region were very effective in improving the pain and functional status of patients with subacromial impingement syndrome during the short-term follow-up
In many instances , no or minimal attempts to screen were undertaken or reported .
Background Subacromial shoulder pain is a common clinical presentation with much diagnostic uncertainty .
Some of this uncertainty relates to the involvement of the cervical spine as a source or contribution to subacromial shoulder pain .
Currently , there is no accepted method of screening of the cervical spine in the presence of subacromial shoulder pain , which risks patients receiving misguided and /or ineffective interventions .
Objective To evaluate approaches used to screen the cervical spine in patients with subacromial shoulder pain .