Ultrasound (US) has become a first-line guidance modality for a wide range of interventional procedures around the shoulder, offering real-time visualization of target structures, needles, and adjacent neurovascular anatomy without ionizing radiation.
This presentation reviews practical indications, technique, and safety considerations for common US-guided interventions in the peri-shoulder region, with an emphasis on reproducible workflows and clinically meaningful outcomes. Key procedures include intra-articular glenohumeral injections, subacromial–subdeltoid bursa injections, acromioclavicular joint injections, long head of biceps tendon sheath injections, and ultrasound-guided barbotage for calcific tendinopathy with adjunct bursal steroid injection.
We will also discuss image-guided aspiration of joint or bursal effusions, targeted peri-neural injections (e.g., suprascapular nerve block), and emerging applications such as percutaneous tenotomy and biologic injectates, highlighting the evidence base and current controversies.
Workshop recording from ECR 2026

Prof. Luca Maria Sconfienza
Professor of Radiology, Head of radiology unit
University of Milano; IRCCS Ospedale Galeazzi Sant’Ambrogio, Milano, ItalyCourse Information
At the end of this lecture, delegates will:
- Take-home techniques you can use the next day: practical tips on sonoanatomy, probe/needle handling, patient positioning, and how to perform the most common shoulder injections/aspirations safely and efficiently (and troubleshoot the “hard” cases).
- Improve outcomes and confidence (with fewer complications): how to choose the right procedure and target, avoid key pitfalls (tendon/nerve/vessel injury, intratendinous injection, missed bursae), and standardize documentation and follow-up to make your practice more reproducible.
This educational talk was created on 4th March 2026. All information contained in this session was correct at the time of distribution.
Disclaimer: Appearing on the Canon Medical Academy does not represent a commercial partnership or interest from the speaker. The views herein do not represent the views of Canon Medical Systems Ltd.
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