Abstract
Objective To compare the outcomes of visualized puncture needle and small needle-knife therapy in 68 patients with primary frozen shoulder. Method Sixty-eight patients with primary frozen shoulder were recruited and randomly divided into two groups, with 34 patients in each group. In the treatment group, an ultrasound-guided 18G-PTC puncture needle was inserted into the joint space, followed by a liquid injection until complete lysis and dissociation of the intraarticular adhesion were achieved. Then, the lesser tuberosity of the coracoid and humerus, the intertubercular groove of the humerus, and the greater tuberosity of the humerus were stripped, first vertically and then horizontally, by an amplitude ≦ 0.5 cm per treatment. This treatment procedure was performed once per week, and each cycle covered three treatments. The small needle-knife therapy was set as a control, and the efficacy was observed. Result The visualized puncture needle significantly outperformed the small needle-knife therapy in overall efficacy, UCLA scores of the shoulder joint, shoulder mobility, and muscle elasticity and thickness. Conclusion The efficacy of the visualized puncture needle for primary frozen shoulder was better compared to the small needle-knife therapy. The former was safer and more convenient, which caused less pain to patients and took effect more quickly. In a word, the visualized puncture needle for primary frozen shoulder is worthy of clinical popularization.
Highlights
Primary frozen shoulder is known as idiopathic periarthritis of the shoulder, and its etiology is not yet fully clarified. is disorder mainly presents with restricted mobility of the shoulder joint, osteoporosis of the glenohumeral joint, and ossifying myotenositis [1]
Is disorder is known as frozen shoulder or shoulder palsy, and falls into the category of arthralgia in traditional Chinese medicine. e primary pathogenesis of arthralgia includes stagnation of Qi and blood and blockage of vessels, resulting in pain
According to the syndrome differentiation in traditional Chinese medicine, the pathogenesis of frozen shoulder is attributed to the invasion of external evils or the damage of the meridiansinews, collaterals, and subcollaterals or even channels due to fatigue and internal injury. ere is an insufficient promotion of channel Qi to nourish the shoulder joint, which further results in Qi and blood stagnation
Summary
To compare the outcomes of visualized puncture needle and small needle-knife therapy in 68 patients with primary frozen shoulder. An ultrasound-guided 18G-PTC puncture needle was inserted into the joint space, followed by a liquid injection until complete lysis and dissociation of the intraarticular adhesion were achieved. E small needle-knife therapy was set as a control, and the efficacy was observed. E visualized puncture needle significantly outperformed the small needle-knife therapy in overall efficacy, UCLA scores of the shoulder joint, shoulder mobility, and muscle elasticity and thickness. E efficacy of the visualized puncture needle for primary frozen shoulder was better compared to the small needle-knife therapy. The visualized puncture needle for primary frozen shoulder is worthy of clinical popularization
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