Nonsurgical Management of Shoulder Pain in Rotator Cuff Tears: Ultrasound-Guided Biceps Tenotomy Combined With Corticosteroid Injection

Nicolás García; Guillermo Droppelmann; Nicolás Oliver; Carlos Jorquera; Julio Rosales

doi:10.1016/j.eats.2023.09.022

Nonsurgical Management of Shoulder Pain in Rotator Cuff Tears: Ultrasound-Guided Biceps Tenotomy Combined With Corticosteroid Injection

Arthrosc Tech. 2024 Jan 1;13(2):102847. doi: 10.1016/j.eats.2023.09.022. eCollection 2024 Feb.

Authors

Nicolás García¹, Guillermo Droppelmann^{2

3}, Nicolás Oliver⁴, Carlos Jorquera⁵, Julio Rosales¹

Affiliations

¹ Department of Radiology, MEDS Clinic, Santiago, Chile.
² Research Center on Medicine, Exercise, Sport and Health, MEDS Clinic, Santiago, Chile.
³ Principles and Practice of Clinical Research, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, U.S.A.
⁴ Department of Orthopaedics, MEDS Clinic, Santiago, Chile.
⁵ Facultad de Ciencias, Escuela de Nutrición y Dietética, Universidad Mayor, Santiago, Chile.

Abstract

Traditionally, the management of rotator cuff tears in elderly individuals has involved surgical intervention, specifically biceps tenotomy. However, surgical procedures come with inherent medical risks and significant financial costs. As an alternative, ultrasound-guided biceps tenotomy combined with corticosteroid has emerged as a highly effective, well-tolerated, and cost-efficient option. This article aims to describe the procedural technique of nonsurgical management using ultrasound-guided biceps tenotomy combined with corticosteroid injection.