Small knife with the partial closure of 79 cases of frozen shoulder injection

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To summarize the small knife with the partial closure of the effect of frozen shoulder injection. Method with the local block with a small knife treatment of 79 cases of frozen shoulder. Results 79 cases are all effective, total effective rate was 100%. Conclusion small needle Treatment of frozen shoulder blade with partial closure of satisfactory outcome, the method is simple, inexpensive, worth the grassroots clinical use.
[Keywords:] periarthritis; small knife; closed injection

Frozen shoulder is the strain, trauma caused by local inflammation, adhesions, limited mobility, especially in outreach, external rotation was blocked, accompanied by pain, falling into frozen shoulder can be formed in recent years, with the partial closure of the use of small needle-knife injection for frozen shoulder in 79 cases, a significant effect, the final report is as follows.

1 Clinical data

1.1 General information on outpatient cases in 79 patients, 54 patients hospitalized for other diseases in 25 cases, 79 cases treated were mainly manifested as pain around the shoulder joint, shoulder pain, the nature of pain, dull pain, physical examination see the shoulder on the move, outreach, internal and external rotation, extension dysfunction, shoulder tender point obviously, are affecting the daily work and life, this group of 31 male and female 48 cases; age of 31 to 68 years, mean 41 age, duration of 1 month to 2 years, X-ray examination no obvious pathological changes, 79 cases were found periarthritis diagnostic criteria, including previous years, received hospital treatment of 23 cases closed, one of the 13 patients treated, 2 6 cases, 3 of 4 cases.

1.2 Treatment of 20 patients with normal blood test and the clotting time were within the normal range. According to the painful area in patients with conventional take seats in the shoulder around the midpoint of a sensitive point tenderness in the biceps tubercle between ditch stab knife, cut a release induration induration, no sclerosis of bone lysis when the surface of the radial attachment of soft tissue lesions, pull out the knife after about 5min after the press a little outreach to the shoulder, at the bottom of one outside the coracoid process ~ 2cm Department, that the inside edge of the humerus into the needle, the intra-articular injection, prednisolone acetate injection in medicine 25 ~ 50mg, Vitamin B12 Injection 100 ~ 500mg, Vitamin B1 Injection 100 ~ 200mg, 0.155 Lido cocaine injection 5ml ,654-2 injection 10mg, diluted with water for injection, 12ml, piercing the injection site, patients experience soreness, no blood, the liquid will Withdrawing according to need and pain points into the joint cavity. For those poor results can be carried out in 10 days after the 2nd treatment, the total number of treatment no more than 3 times.

1.3 Higher standards of care teaching materials according to the National Science Seventh Edition therapeutic purposes relieve pain, restore function of the development of standards, clinical cure: clinical symptoms and signs disappeared, shoulder function returned to normal; markedly effective: Clinical symptoms and signs disappeared, shoulder function returned to normal; effect: the symptoms disappeared, and pain relief, functional improvement in daily work slightly affected; invalid: no change of clinical symptoms, improvement of joint function due to [1].

1.4 The results of 79 patients treated by 1 to 3 times, treat, cure 71 cases, effective in 6 patients, improved in 2 cases, the total effective rate was 100%.

2 Discussion

Periarthritis referred to as frozen shoulder, the shoulder muscles, tendons, bursa, joint capsule and other organizations of the degenerative changes and chronic non-specific inflammation. Motherland medicine known as "leakage shoulder wind" that is virtual doing more blood due to insufficient, tendons and not soft, the wind cold dampness evil outside, or because of the labor force over, dampen long treatment walls have exogenous wind cold dampness evil is the main incentive, collaterals barrier is the main pathogenesis, the use of small needle-knife pass notes meridian, antispasmodic adhesive removal, use of medicine to improve local tissue metabolism of vitamin B1, regulate nerve function, which will help local repair of damaged tissue, because the long-acting local anesthetic bupivacaine, local organizations can improve blood circulation, increase pain threshold, to promote tissue edema ,654-2 has the function of regulating nerve function, relieve muscle spasms, dilate blood vessels, improving circulation and anti-inflammatory to the swollen, prednisolone is a kind of anti-inflammatory and antiallergic effects of strong and lasting adrenocorticotropic hormone drug, can inhibit and the prevention of proliferation of fibroblasts and connective tissue, eliminating nerve root and surrounding tissue adhesions and reduce the permeability of capillaries and cell membranes, reducing inflammatory exudation and accelerate absorption of inflammation and promote tissue repair and regeneration of injured [2], these small needle Western closed the knife and the injection is the motherland of modern medicine, acupuncture and medicine combination of surgery and pharmacology, they complement each other, low cost, results were satisfactory, simple, worthy of this year, Gansu Provincial health Department's "Western clinical primary health care institutions active "and" Chinese characteristics township hospitals to create "in the application.

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