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Ultrasound-guided interventional procedures around the shoulder

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

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Not Enrolled
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Free
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Prof. Luca Maria Sconfienza

Professor of Radiology, Head of radiology unit

University of Milano; IRCCS Ospedale Galeazzi Sant’Ambrogio, Milano, Italy

Course 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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