Periarthritis Of Shoulder Research Articles

Application of microwave ablation assisted degradation therapy in surgical treatment of intramedullary chondrosarcoma of extremities

AimClinical diagnosis and surgical treatment of chondrosarcoma (CS) are continuously improving. The purpose of our study is to evaluate the effectiveness of microwave ablation (MWA) assisted degradation therapy in the surgical treatment of intramedullary chondrosarcoma of the extremities, to provide a new reference and research basis for the surgical treatment of CS.MethodsWe recruited 36 patients with intramedullary CS who underwent MWA assisted extended curettage. Preoperative patient demographics and clinical data were recorded. Surgery was independently assisted by a medical team. Patients were followed up strictly and evaluated for oncological prognosis, radiological results, limb joint function, pain, and complications.ResultsWe included 15 men and 21 women (mean age: 43.5 ± 10.1). The average length of the lesion was 8.1 ± 2.5 cm. Based on preoperative radiographic, clinical manifestations, and pathological results of puncture biopsy, 28 patients were preliminarily diagnosed with CS-grade I and eight patients with CS-grade II. No recurrence or metastasis occurred in the postoperative follow-up. The average Musculoskeletal Tumor Society score was 28.8 ± 1.0, significantly better than presurgery. Secondary shoulder periarthritis and abduction dysfunction occurred in early postoperative stage CS of the proximal humerus in some, but returned to normal after rehabilitation exercise. Secondary bursitis occurred at the knee joint in some due to the internal fixation device used in treatment; however, secondary osteoarthritis and avascular necrosis of the femoral head were not observed. Overall, oncological and functional prognoses were satisfactory.ConclusionsThe application of MWA assisted degradation therapy in intramedullary CS can achieve satisfactory oncology and functional prognosis, providing a new option for the limited treatment of CS.

Progress of Clinical Research on Treatment of Periarthritis of Shoulder with Traditional Chinese and Western Medicine

Progress of Clinical Research on Treatment of Periarthritis of Shoulder with Traditional Chinese and Western Medicine

Progress in Traditional Chinese and Western Medicine Treatment of Shoulder Periarthritis

Progress in Traditional Chinese and Western Medicine Treatment of Shoulder Periarthritis

On the issue of exoskeletal rehabilitation of shoulder periarthritis after a gunshot wound of the scapular area

Modern comprehensive treatment of wounded and injured with combat injuries of limbs should include not only surgical treatment itself, but also effective rehabilitation for maximum restoration of the function of injured limbs. The use of exoskeletons in the rehabilitation of patients with shoulder blade and shoulder joint injuries can accelerate muscle strengthening, restore motor activity and range of motion, as well as improve the results of treatment and the quality of life of patients. The use of exoskeletons in the rehabilitation of patients with shoulder blade and shoulder joint injuries is an effective and promising approach.

Topical Chinese patent medicines for chronic musculoskeletal pain: systematic review and trial sequential analysis

PurposeChronic musculoskeletal pain (CMP) is defined as persistent or recurrent pain that occurs in the joints, musculo-soft tissue, spine or bones for more than three months and is not completely curable. Although topical Chinese patent medicine (CPM) is the most extensively utilized medication in Asia and is widely used for pain management, its efficacy remains controversial. This article presents a systematic review of clinical studies on the therapeutic properties of topical CPM for CMP patients to better inform clinical decision-making and provide additional and safer treatment options for patients with CMP.MethodWe performed a comprehensive search on PubMed, Cochrane Library, web of science and Chinese databases (CNKI and WanFang data) from 2010 to 2022. In all the studies, knee osteoarthritis, cervical spondylosis, low back pain, and periarthritis of shoulder met the International Pain Association definition of chronic musculoskeletal pain. We included only randomized controlled trials (RCTs) using topical CPM primarily for chronic musculoskeletal pain in adults. To determine the effect of topical CPM on clinical symptoms, we extracted the Visual Analog Scale (VAS, range 0–10) and the Western Ontario and McMaster Universities Arthritis Index pain scores (WOMAC pain, range 0–20), in which the lower the score, the better the results. We also accepted the comprehensive outcome criteria developed by the Chinese National Institute of Rheumatology as an endpoint (total effectiveness rate, range 0–100%, higher score = better outcome), which assesses the overall pain, physical function and wellness. Finally, trial sequential analysis of VAS pain score and total effectiveness rate was performed using TSA software.ResultsTwenty-six randomized controlled trials (n = 3180 participants) compared topical CPM with oral Nonsteroidal Anti-inflammatory Drugs (NSAIDs) (n = 15), topical NSAIDs (n = 9), physiotherapy (n = 5), exercise therapy (n = 4), and intra-articular Sodium hyaluronate injection (n = 2). Sixteen studies found that topical CPM was statistically significant in improving CMP pain (measured by VAS pain and Womac pain scores)(p < 0.05), and 12 studies found topical CPMs to be more clinically effective (assessed by ≥ 30% reduction in symptom severity) in treating patients with CMP (p < 0.05). Trial sequential analysis indicates that the current available evidence is robust, and further studies cannot reverse this result. In most of the studies, randomisation, allocation concealment and blinding were not sufficiently described, and no placebo-controlled trials were identified.ConclusionMost studies showed superior analgesic effects of topical CPM over various control treatments, suggesting that topical CPM may be effective for CMP and is an additional, safe and reasonable treatment option. These reported benefits should be validated in higher-quality RCTs.

Analysis of the value of artificial intelligence combined with musculoskeletal ultrasound in the differential diagnosis of pain rehabilitation of scapulohumeral periarthritis

To explore the value of artificial intelligence combined with musculoskeletal ultrasound in the differential diagnosis of pain rehabilitation of scapulohumeral periarthritis. A total of 165 patients with periarthritis of the shoulder, who were admitted to our hospital from January 2020 to January 2022, were selected. Konica SONIMAGE HS1 PLUS color Doppler ultrasound diagnostic instrument was used to detect muscles and bones of patients with scapulohumeral periarthritis. This study proposed an intelligent clustering analysis algorithm with musculoskeletal ultrasound parameters. The neural network was trained on a GeForce RTX 3060 with the Adam W optimizer, a batch size of 12, and an initial learning rate of 5E-4. Each batch of 2 types of trained samples was input into the network in a specific proportion. Pain was assessed on a 10-point visual analogue scale. On the affected side of scapulohumeral periarthritis, the mild pain group showed thickening of the shoulder posterior capsule (2.02 ± 0.72) mm with clear edges. In the moderate pain group, the thickness of the shoulder posterior capsule gradually narrowed (1.01 ± 0.38) mm and became even thinner than that of the unaffected side, with irregular and blurred edges. In the severe pain group, the thickness of the shoulder posterior capsule largely returned to normal (1.21 ± 0.42) mm, and the edge was clear. Multivariate logistic regression showed that in addition to musculoskeletal ultrasound parameters, the length of service, work nature, and the busy degree of work of patients with periarthritis of the shoulder were significant factors that influenced shoulder periarthritis pain (P < .05). The performance of the proposed intelligent auscultation algorithm was further examined in a clinical setting, in which we used 165 clinical musculoskeletal ultrasound samples (including 81 positive and 84 negative samples) as a test set. The accuracy, sensitivity, and specificity were 0.833, 0.872, and 0.801, respectively. Musculoskeletal ultrasound combined with artificial intelligence algorithm is a new diagnostic and staging tool for scapulohumeral periarthritis.

Clinical Experiences of shoulder periarthritis of Yin Pattern Successfully Treated with Kampo Medicine

Clinical Experiences of shoulder periarthritis of Yin Pattern Successfully Treated with Kampo Medicine

Ultrasonographic Findings of Periarthritis of Shoulder Joint in the Out Patients Department

Background: To detect periarticular lesions around the shoulder, musculoskeletal ultrasonography is very much useful. Recent improvements in Ultrasonographic technology have led to a higher sensitivity and accuracy of musculoskeletal sonography. Objective: To present the distribution and representation of shoulder ultrasonographic (US) examination findings in patients with clinical diagnosis of shoulder periarthritis. Materials and Methods: A cross sectional descriptive type of study at Single center setting conducted in OPD of department of Physical Medicine&amp; Rehabilitation, BSMMU, Dhaka on thirty-five patients with the clinical diagnosis of periarthritis of shoulder. Data was collected using an interview- administered questionnaire. All baseline investigations were done. Ultrasonogram was done by experienced Sonologists who were unaware about clinical data. Results: The primary end point was reached in 85 percent of patient presented sonographic alteration suffering from periathritis of shoulder. The structure most frequently involved was bicipital tendinitis (32%) and Supraspinatus tendinitis (28%). Sub acromial Bursitis (14%) and Acromioclavicular Osteoathritis (11%) were also involved. About 15% individual presents no abnormalities. Different varieties of changes in the various structures had been detected. Conclusion: Proper identification and assessment of the alteration of periarticular structure helps to approach for management and rehabilitation of Periarthritis of shoulder thus disability can be reduced. KYAMC Journal Vol. 13, No. 03, October 2022: 134-138

ADDED EFFECT OF PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION TECHNIQUE WITH MAITLAND MOBILISATION TECHNIQUE IN PERIARTHRITIS OF SHOULDER

Background: Periarthritis of shoulder is a chronic inammatory disorder of shoulder and surrounding soft tissues, characterized by insidious and progressive pain &amp; restriction of both active and passive glenohumeral joint motion in all planes. To assess the effect of Proprioceptive Neuromuscular Facilitati Objective: on &amp; Maitland Mobilisation in Periarthritis of shoulder. To compare the added effect of PNF with Maitland Mobilisation in Periarthritis of shoulder. 30 Patients diagnosed with stage I &amp; II Method: periarthritis of shoulder were included in the study. Group A which is control group received IFT for 10 minutes, hot pack, Maitland grade 3&amp; 4 end range mobilization for shoulder to improve external rotation, abduction, and exion. Group B which is experimental group received same conventional treatment as group A along with PNF technique for 3 weeks. At the end of 3rd week, posttest evaluation comprising of active ROM measurements, strength by taking MMT, &amp; SPADI was taken for both the groups. It was found that ther Results: e was signicant increase in ROM and decrease in SPADI score within both the groups i. e. control and experimental. Study proved Conclusion: that PNF combined with conventional treatment helps to improve range of motion and function of shoulder joint in stage I &amp; II of periarthritis of shoulder. So the technique can be incorporated with the conventional protocol for the management of above condition.

Comparison of the Efficacy of Platelet-Rich Plasma (PRP) and Local Corticosteroid Injection in Periarthritis Shoulder: A Prospective, Randomized, Open, Blinded End-Point (PROBE) Study.

BackgroundPeriarthritis or frozen shoulder, also called adhesive capsulitis, is characterized by stiffness and pain along with gradual loss of active and passive movement in the glenohumeral joint. More than 2-5% of the population suffers from periarthritis with a higher incidence in the age group of 40-60 years. The various treatment modalities used for its management include simple physiotherapy, short-wave therapy, ultrasonic therapy, transcutaneous electrical nerve stimulation, hydrotherapy, analgesics, intra-articular injections, manipulation under general anesthesia (MUA), and surgical management. The application of intra-articular steroid injection has been a common and efficacious option in rapidly diminishing shoulder pain and disability. Some recent studies reported a better outcome using platelet-rich plasma (PRP) injections in frozen shoulder cases. Hence, this randomized controlled trial was conducted to compare the efficacy of intra-articular injections of PRP and triamcinolone in patients of shoulder periarthritis in a population from the eastern region of IndiaMethodologyA total of 60 patients with periarthritis shoulder were allocated into two groups after randomization. Group A received 2 mL autologous PRP, and Group B received 2 mL of triamcinolone (40 mg/mL) intra-articular injection. Patients were followed up on the 4th week, 12th week, and 24th week. The assessment of pain and function using the visual analog scale (VAS) score and the Disabilities of Arm, Shoulder, and Hand (DASH) score, respectively, was done at each follow-up. The primary analyses of both primary and secondary outcomes were conducted in the intention-to-treat (ITT) population. SPSS version 24 (IBM Corp., Armonk, NY, USA) was used for data analysis.ResultsThe mean VAS score in the PRP and triamcinolone groups was 14.33 ± 3.79 and 31.63 ± 7.62, respectively (p = 0.0001) after 24 weeks. The mean DASH score in the PRP and triamcinolone groups was 18.08 ± 8.08 and 31.76 ± 3.63, respectively (p = 0.0001), which shows significant improvement in both pain and disability scores in the PRP group after 24 weeks.ConclusionsThe triamcinolone group showed better short-term outcomes whereas PRP showed better long-term outcomes in reducing pain and disability scores in terms of VAS and DASH scores.

Exploration of the development direction of contemporary acupuncture-moxibustion school: acupuncture-moxibustion treatment for periarthritis of shoulder

Taking acupuncture-moxibustion for periarthritis of shoulder as an example, the characteristics of contemporary acupuncture-moxibustion school are analyzed in terms of the theories of syndrome treatment, acupoint selection, needle devices and acupuncture techniques, as well as the encountered questions during its development; and the exploratory suggestions are proposed. The contemporary acupuncture-moxibustion school should be developed in three aspects, i.e. constructing data platform, expanding inheritance model and formulating acupuncture-moxibustion standard.

Design of Portable Moxibustion Heating Instrument for Periarthritis of Shoulder and Rotator Cuff Diseases

Design of Portable Moxibustion Heating Instrument for Periarthritis of Shoulder and Rotator Cuff Diseases

Upgrading and Prophylactic Effect of Exercise in Shoulder Periarthritis

There is a consensus about the benefit of exercise in shoulder periarthritis. However, there is uncertainty about the optimal combination of physical factors, the upgrading effect of exercise over physiotherapy and about the exercise parameters, such as frequency, intensity and duration. The aim of this study is to assess the upgrading effect of exercise. A two-week effect between two combinations of physical factors without exercise was compared versus the same double combinations of physical factors with exercise. To estimate the better combination between these two double physical factors, their two-week effect was compared. To evaluate the prophylactic effect of the frequency, the intensity and the duration of the home-prescribed exercise, these parameters were analysed after six months in all patients. Forty-eight outpatients (age 56.2±15.69 years) with shoulder periarthritis (pain initiation 3.39±3.15 months before recruitment) were treated for two weeks and followed up six months later. They were divided into four treatment groups of 12 patients. The first group was treated with magnetic field and electrophoresis with lidocaine. The second group received the same combination and exercise. The third group was treated with interferential current and laser. The fourth group received the same combination and exercise. The pain was recorded before and after the daily procedures by visual-analogue scale. Before and after the two-week treatment course, shoulder range of motion and manual muscle testing were performed. After the treatment course, each patient was instructed to perform home-exercises. After six months follow-up the frequency, the intensity and the duration of the pain were recorded, as well as the frequency, the intensity and the duration of the home-exercises. ANOVA, correlation and regression analysis were applied in the statistical analysis. After the treatment course in all patients there was significant improvement regarding pain (P &lt; 0.05), muscle strength (P &lt; 0.05) and shoulder mobility (P &lt; 0.05). The most significant results were recorded in the combination of interferential current, laser and exercises (P &lt; 0.05); followed by the combination of interferential current and laser (P &lt; 0.05); followed by the combination of electrophoresis, magneto-therapy and exercises (P &lt; 0.05); and finally by the combination of electrophoresis and magneto-therapy (P &lt; 0.05). There was an upgrading effect of exercise over physiotherapy (P &gt; 0.05). There was a correlation between pain frequency and home-exercise frequency (P &lt; 0.05). The pain frequency tended to zero at more than five times daily home-exercises (P &lt; 0.05). Over the two-week therapeutic course the lowest pain and the highest mobility and strength showed the combination of interferential current, laser and exercises; followed by the combination of interferential current and laser; followed by the combination of electrophoresis, magneto-therapy and exercises; and finally the combination of electrophoresis and magneto-therapy. There was an upgrading effect of exercise over physiotherapy. Only the frequency of the exercise had a prophylactic effect. The incidence of pain tended to zero at exercise frequency over five times daily.

Retrospective study of therapeutic effect of Tongbi paste vs Fufangzhuifeng paste for shoulder periarthritis.

To compare the therapeutic effects of Tongbi and Fufangzhuifeng pastes in shoulder periarthritis. The retrospective study was conducted at the Chongqing Traditional Chinese Medicine Hospital, China, and comprised data of shoulder periarthritis patients who were treated from December 2018 to June 2019. Group A had data of patients treated with Tongbi paste and group B had data of patients treated with Fufangzhuifeng paste. The groups were compared for effect on pain, shoulder flexion, abduction and extension. Data was analysed using SPSS 22. Of the 81 patients, 43(53%) were in group A; 18(42%) males and 25(58%) females with an overall mean age of 54.26±12.38 years (range: 28-79 years) who were suffering from shoulder periarthritis for a mean duration of 5.08±3.07 months (range: 0.25-13 months). There were 38(47%) patients in group B; 23(60.5%) females and 15(39.5%) males with an overall mean age of 53.08±11.08 years (range: 33-76 years) who were suffering from shoulder periarthritis for a mean duration of 4.96±2.77 months (range: 1-12 months). Mean pain, shoulder flexion, abduction and extension scores after two weeks of treatment were significantly better for group A compared to group B (p<0.001), but after three weeks of treatment, intergroup differences were different but not significant (p>0.05). Tongbi and Fufangzhuifeng pastes were found to have a positive effect in the treatment of shoulder periarthritis, with the former providing faster relief.

Functional outcome of intra-articular platelet-rich plasma in periarthritis shoulder

BACKGROUND: The annual incidence of periarthritis shoulder is between 3% and 5% among general population and as high as 20% among individuals with diabetes. A variety of treatment modalities have been advised but best modality of treatment is subjected to debate. Intra-articular injection of platelet-rich plasma (PRP) is an emerging treatment option and its efficacy needs to be examined and hence the study was conducted. MATERIALS AND METHODS: This prospective analytical study on 46 cases with frozen shoulder was conducted in the Department of Orthopedics, R L Jalappa Hospital, Kolar. The patients were injected intraarticularly with PRP with posterior approach. Patients were assessed at 3, 6, and 12 weeks. Outcome measures, visual analog scale (VAS) score for pain, and QuickDASH for functional ability were measured. RESULTS: Of 46 patients, 21 were men and 25 were women. Mean age of patients was 51 years. Nondominant shoulder was affected in 27 and dominant shoulder in 19 patients. Eleven patients had diabetes mellitus. Mean active abduction improved from the baseline of 65.1° to 133.04°, mean active flexion improved from 82.6° to 147.28°, mean active external rotation improved from 25.3° to 70.02°, and mean active internal rotation improved from 18.91° to 68.58° at the end of 6 weeks’ follow-up. VAS score improved from 6.19 to 1.84 at 12 weeks post-procedure. Functional ability assessed with QuickDASH score showed improvement with successive follow-ups from 81.5 to 22.9. Approximately 52.2% of study patients had excellent results, and 43.5% and 4.3% of patients had good and fair results, respectively. CONCLUSION: In this study, single injection of PRP resulted in significant improvement in range of motion of shoulder, pain, and function with long-term effects. Under total aseptic precautions, when performed with a right technique it has no side effects. This study observes that PRP injection is a reliable, productive, efficient, and safe mode of treatment in periarthritis of shoulder.

Treatment of Scapulohumeral Periarthritis with C-Shaped Needle Knife Release

To introduce one case of Scapulohumeral Periarthritis Treated by "C" needle knife loosening. [Methods] under local anesthesia, the patients were given the "C" needle knife release operation, and the patients were instructed to perform functional exercises such as shoulder joint activity. [results] after the "C" needle knife release treatment, the pain symptoms of shoulder joint disappeared, the activity disorder of shoulder joint improved obviously, and the follow-up was not recurred for 5 months. [Conclusion] the "C" needle knife has a significant effect on periarthritis of shoulder, simple operation, less complications, high safety and wide application range, which can effectively improve the symptoms and functional activities of shoulder joint of patients, and solve the problem of high effective rate and low cure rate of traditional needle knife treatment.

Operation rules of scraping technique

Traditional Chinese medicine scraping is a kind of natural therapy with a long history of simple and safe operation. It is easy to learn and tools are readily available, so that it has a very wide range of practical value. This paper introduces the definition and indications, function and standardization process of scraping technology, the technical operation specifications and matters needing attentions, as well as the application method of scraping technology, with a view to providing reference for clinical use of scraping technology in the treatment of cervical spondylosis, periarthritis of shoulder, lumbar muscle strain, hypertension, chloasma, and other diseases.

The relationship between night pain and sleep disorders in patients with shoulder periarthritis

The relationship between night pain and sleep disorders in patients with shoulder periarthritis

Nanomaterials Combined with Sports Rehabilitation Therapy in the Treatment of Shoulder Arthritis of Volleyball Players

Shoulder arthritis is one of the most common injuries of professional volleyball players. It needs shoulder force to buckle, block, and bounce, which leads to frequent shoulder injuries. In addition, the late rehabilitation treatment is not in place, which will seriously affect the performance of volleyball players’ skills. Periarthritis of the shoulder is referred to as frozen shoulder, commonly known as congealed shoulder and fifty shoulder. The shoulder pain gradually develops, worse at night, and gradually increases, and the shoulder joint movement function is limited and increasingly aggravated. After reaching a certain level, it gradually relieves and finally fully recovers as the main manifestations of the shoulder joint capsule and its surrounding ligaments and tendons. Shoulder periarthritis is a common condition in which shoulder pain and inconvenience are the main symptoms. This paper studies the application of nanomaterials combined with sports rehabilitation therapy in the treatment of shoulder arthritis of volleyball players. We selected 50 volleyball players with shoulder arthritis injuries, randomly assigned nanomaterials combined with sports rehabilitation therapy as the experimental group and traditional sports rehabilitation therapy as the control group, 25 cases in each group. The experimental group was treated with nanomaterials combined with sports rehabilitation, while the control group was treated with traditional sports recovery methods for 5 weeks. Nanomaterials have a certain uniqueness. When the scale of matter is small to a certain extent, quantum mechanics must be used instead of traditional mechanics to describe its behavior. When the particle size of the powder is reduced from 10 microns to 10 nanometers, its particle size is 1000 times, and when converted into volume, it will be 10 times the 9th power, so there will be obvious differences in the behavior of the two. The physical examination of the two groups of volleyball players’ shoulder joint visual analogue scale (VAS) pain score and shoulder joint isokinetic detection (including shoulder joint extension and adduction, shoulder joint flexion and extension, and shoulder joint movement to 90° shape) is compared. The results showed that the VAS score of the experimental group was significantly lower than that of the control group (P &lt; 0.05), and the isokinetic test of the experimental group was better than that of the control group (P &lt; 0.05). After exercise rehabilitation training for shoulder joint dysfunction, the average strength and activation of 10 muscles were improved, among which the lower trapezius, the middle trapezius, and the serratus anterior were significantly improved. It can be seen that as an effective treatment of shoulder arthritis, nanomaterials combined with sports rehabilitation therapy can not only accelerate the rapid recovery of volleyball players after injury but also effectively prevent the occurrence of arthritis symptoms, so that volleyball players can give full play to their skills on the court.

Effectiveness of Sleeper and Cross Body Stretches and Muscle Energy Techniques for Periarthritis Shoulder: Comparative Study

Background: Periarthritis of shoulder typically is referred to as the spontaneous onset of gradually progressiveshoulder pain and severe limitation of movement. Recently Sleeper stretch and Cross body stretch are used tostretch the posterior shoulder tightness to improve internal rotation range of motion and they prove effective inimproving internal rotation range of motion of shoulder joint in posterior capsular tightness.Aim &amp; objectives of the study: To compare the effect of sleeper and cross body stretch versus muscle energytechniques in subjects with Periarthritis of shoulder.Data analysis and results: Data analysis and result of this study shows that there was statistically significantimprovement in the variable of pain in VAS and Shoulder Abduction ROM in pre post analysis of data afterthe intervention of Sleeper, cross body stretches in control group and Muscle Energy Techniques (MET) afterintervention in both groups. After intervention of treatment, the experimental group is showing statistically betterimprovement in reduction of Pain in VAS but not Shoulder Abduction ROM when compared to control group.Conclusion: It was concluded that both sleeper, cross body stretches of shoulder and Muscle Energy Techniquesfor Shoulder have statistically significant better reduction in Pain in VAS and Shoulder Abduction ROM in thetreatment of Periarthritis, whereas Muscle Energy Techniques have statistically slightly better results of painreduction and range increase in Periarthritis shoulder ROM when compared to sleeper and cross body stretchesof shoulder.