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超声引导下颈神经根阻滞治疗糖尿病患者肩周炎的临床疗效

Clinical results of shoulder manipulation under ultrasound-guided cervical nerve root block for frozen shoulder in patients with diabetes.

作者信息

Takahashi Ryosuke, Kajita Yukihiro, Harada Yohei, Iwahori Yusuke, Deie Masataka

机构信息

Department of Orthopaedic Surgery, Ichinomiya Nishi Hospital, 1Jihira, Kaimei, Ichinomiya City, Aichi, 494-0001, Japan.

Department of Orthopaedic Surgery, Aichi Medical University, 21 Karimata, Yazako, Nagakute City, Aichi, 480-1195, Japan.

出版信息

J Orthop. 2020 May 29;21:297-301. doi: 10.1016/j.jor.2020.03.019. eCollection 2020 Sep-Oct.

DOI:10.1016/j.jor.2020.03.019
PMID:32565643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7298519/
Abstract

BACKGROUND

We investigated clinical results of manipulation under ultrasound-guided cervical nerveroot block (MUC) in frozen shoulder (FS).

METHODS

FS was defined refractory to conservative treatment and ≦100° in passive forward flexion. 15 shoulders were diabetes mellitus (DM) group and 81 were non-DM group. We evaluated ROM, JOA scores, Constant Shoulder Score, and UCLA scores pre and post-MUC.

RESULTS

Although there were significantly improved the forward flexion, internal rotation, JOA scores, Constant Shoulder Score, and UCLA scores between pre and post-MUC in both groups, external rotation after MUC in DM group were significantly inferior to those in non-DM group.

摘要

背景

我们研究了超声引导下颈椎神经根阻滞手法治疗（MUC）在冻结肩（FS）中的临床效果。

方法

FS定义为对保守治疗无效且被动前屈≦100°。15例肩部为糖尿病（DM）组，81例为非DM组。我们在MUC前后评估了关节活动度（ROM）、日本骨科学会（JOA）评分、肩关节常量评分和加州大学洛杉矶分校（UCLA）评分。

结果

虽然两组在MUC前后的前屈、内旋、JOA评分、肩关节常量评分和UCLA评分均有显著改善，但DM组MUC后的外旋明显低于非DM组。

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本文引用的文献

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Short-term clinical results of frozen shoulder treated with shoulder manipulation under ultrasound-guided cervical nerve root block at outpatient setting: A case series.门诊超声引导下颈神经根阻滞手法松解治疗肩周炎的短期临床疗效：病例系列
J Orthop Sci. 2017 Mar;22(2):275-280. doi: 10.1016/j.jos.2016.11.007. Epub 2016 Nov 25.
2
Clinical efficacy of hydrodistention with joint manipulation under interscalene block compared with intra-articular corticosteroid injection for frozen shoulder: a prospective randomized controlled study.与关节内注射皮质类固醇相比，肌间沟阻滞下关节松动术治疗肩周炎的临床疗效：一项前瞻性随机对照研究。
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Adhesive capsulitis of the shoulder and diabetes: a meta-analysis of prevalence.肩部粘连性关节囊炎与糖尿病：患病率的荟萃分析
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Magnetic resonance imaging and short-term clinical results of severe frozen shoulder treated with manipulation under ultrasound-guided cervical nerve root block.超声引导下颈神经根阻滞手法治疗重度肩周炎的磁共振成像及短期临床结果
J Shoulder Elbow Surg. 2016 Jan;25(1):e13-20. doi: 10.1016/j.jse.2015.06.019. Epub 2015 Aug 6.
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Treatment effects of ultrasound-guided capsular distension with hyaluronic acid in adhesive capsulitis of the shoulder.超声引导下透明质酸钠囊内扩张治疗肩关节粘连性囊炎的疗效。
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Manipulation under anaesthesia for frozen shoulder in patients with and without non-insulin dependent diabetes mellitus.麻醉下手法松解术治疗伴有和不伴有非胰岛素依赖型糖尿病的冻结肩。
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