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.
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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