肩部疼痛注射技术的比较：一项双盲随机研究的结果
Comparison of injection techniques for shoulder pain: results of a double blind, randomised study.
作者信息
Hollingworth G R, Ellis R M, Hattersley T S
出版信息
Br Med J (Clin Res Ed). 1983 Nov 5;287(6402):1339-41. doi: 10.1136/bmj.287.6402.1339.
Abstract
Seventy seven patients with soft tissue shoulder lesions including adhesive capsulitis and disorders of the rotator cuff and acromioclavicular joint were admitted to a trial comparing two different methods of corticosteroid injection with local anaesthetic in a randomly allocated double blind study. The method of anatomical injection after diagnosis by the technique of selective tissue tension gave 60% success compared with the method using tender or trigger point localisation, giving 20% success (p less than 0.001).
摘要
77例患有肩部软组织病变（包括粘连性关节囊炎、肩袖损伤和肩锁关节疾病）的患者被纳入一项试验，该试验在随机分配的双盲研究中比较了两种不同的皮质类固醇与局部麻醉剂联合注射方法。通过选择性组织张力技术进行诊断后采用解剖学注射方法的成功率为60%，而采用压痛或触发点定位方法的成功率为20%（p<0.001）。
相似文献
1
Comparison of injection techniques for shoulder pain: results of a double blind, randomised study.肩部疼痛注射技术的比较：一项双盲随机研究的结果
Br Med J (Clin Res Ed). 1983 Nov 5;287(6402):1339-41. doi: 10.1136/bmj.287.6402.1339.
2
A double-blind randomised controlled study comparing subacromial injection of tenoxicam or methylprednisolone in patients with subacromial impingement.一项比较在肩峰下撞击症患者中肩峰下注射替诺昔康或甲基强的松龙的双盲随机对照研究。
J Bone Joint Surg Br. 2010 Jan;92(1):77-82. doi: 10.1302/0301-620X.92B1.22137.
3
Is the Anterior Injection Approach Without Ultrasound Guidance Superior to the Posterior Approach for Adhesive Capsulitis of the Shoulder? A Sequential, Prospective Trial.前路注射法在超声引导下是否优于后路治疗粘连性肩关节囊炎？一项序贯前瞻性试验。
Clin Orthop Relat Res. 2021 Nov 1;479(11):2483-2489. doi: 10.1097/CORR.0000000000001803.
4
A double-blind trial comparing subacromial methylprednisolone and lignocaine in acute rotator cuff tendinitis.
Br J Rheumatol. 1993 Aug;32(8):743-5. doi: 10.1093/rheumatology/32.8.743.
5
Effects of local microwave diathermy on shoulder pain and function in patients with rotator cuff tendinopathy in comparison to subacromial corticosteroid injections: a single-blind randomized trial.局部微波透热治疗与肩峰下皮质类固醇注射治疗肩袖肌腱病的疗效比较：一项单盲随机试验。
J Orthop Sports Phys Ther. 2012 Apr;42(4):363-70. doi: 10.2519/jospt.2012.3787. Epub 2012 Jan 25.
6
Corticosteroid injections in adhesive capsulitis: investigation of their value and site.皮质类固醇注射治疗肩周炎：对其价值和注射部位的研究
Arch Phys Med Rehabil. 1991 Jan;72(1):20-2.
7
Corticosteroid injection for adhesive capsulitis in primary care: a systematic review of randomised clinical trials.基层医疗中皮质类固醇注射治疗粘连性肩周炎：随机临床试验的系统评价
Singapore Med J. 2016 Dec;57(12):646-657. doi: 10.11622/smedj.2016146. Epub 2016 Aug 29.
8
Adhesive capsulitis of the shoulder, treatment with corticosteroid, corticosteroid with distension or treatment-as-usual; a randomised controlled trial in primary care.肩部粘连性关节囊炎，皮质类固醇治疗、皮质类固醇联合扩张术治疗或常规治疗；一项初级保健中的随机对照试验
BMC Musculoskelet Disord. 2016 May 26;17:232. doi: 10.1186/s12891-016-1081-0.
9
Acromioclavicular joint pain in patients with adhesive capsulitis: a prospective outcome study.肩周炎患者的肩锁关节疼痛：一项前瞻性结局研究。
Orthopedics. 2011 Sep 9;34(9):e556-60. doi: 10.3928/01477447-20110714-05.
引用本文的文献
1
Managing acromio-clavicular joint pain: a scoping review.肩锁关节疼痛的管理：一项范围综述
Shoulder Elbow. 2018 Jan;10(1):4-14. doi: 10.1177/1758573217700839. Epub 2017 Apr 9.
2
Review of diabetic frozen shoulder.糖尿病性肩周炎综述
Eur J Orthop Surg Traumatol. 2018 Apr;28(3):363-371. doi: 10.1007/s00590-017-2068-8. Epub 2017 Nov 1.
3
Corticosteroid injection for adhesive capsulitis in primary care: a systematic review of randomised clinical trials.基层医疗中皮质类固醇注射治疗粘连性肩周炎：随机临床试验的系统评价
Singapore Med J. 2016 Dec;57(12):646-657. doi: 10.11622/smedj.2016146. Epub 2016 Aug 29.
4
High volume image guided injections and structured rehabilitation in shoulder impingement syndrome: a retrospective study.高容量图像引导下注射及结构化康复治疗肩峰撞击综合征：一项回顾性研究
Muscles Ligaments Tendons J. 2015 Oct 20;5(3):195-9. doi: 10.11138/mltj/2015.5.3.195. eCollection 2015 Jul-Sep.
5
Evaluating Clinical Practice Guidelines Based on Their Association with Return to Work in Administrative Claims Data.基于行政索赔数据中与重返工作岗位的关联来评估临床实践指南。
Health Serv Res. 2016 Jun;51(3):953-80. doi: 10.1111/1475-6773.12360. Epub 2015 Sep 14.
6
Predictors of success of corticosteroid injection for the management of rotator cuff disease.预测皮质类固醇注射治疗肩袖疾病的疗效。
HSS J. 2013 Feb;9(1):2-5. doi: 10.1007/s11420-012-9316-6. Epub 2013 Jan 5.
7
Optimal case definitions of upper extremity disorder for use in the clinical treatment and referral of patients.上肢疾病的最佳病例定义，用于临床治疗和转介患者。
Arthritis Care Res (Hoboken). 2012 Apr;64(4):573-80. doi: 10.1002/acr.21588.
8
Subacromial ultrasound guided or systemic steroid injection for rotator cuff disease: randomised double blind study.肩峰下超声引导或全身类固醇注射治疗肩袖疾病：随机双盲研究。
BMJ. 2009 Jan 23;338:a3112. doi: 10.1136/bmj.a3112.
9
Treatment of tendinopathy: what works, what does not, and what is on the horizon.肌腱病的治疗：哪些有效，哪些无效，以及未来的发展方向。
Clin Orthop Relat Res. 2008 Jul;466(7):1539-54. doi: 10.1007/s11999-008-0260-1. Epub 2008 Apr 30.
10
Corticosteroid injections for shoulder pain.用于肩部疼痛的皮质类固醇注射
Cochrane Database Syst Rev. 2003;2003(1):CD004016. doi: 10.1002/14651858.CD004016.
本文引用的文献
1
The myofascial genesis of pain.疼痛的肌筋膜成因。
Postgrad Med. 1952 May;11(5):425-34. doi: 10.1080/00325481.1952.11694280.
2
Periarthritis of the shoulder: a study of the disease and its treatment.肩周炎：疾病及其治疗的研究
Br Med J. 1959 Jun 20;1(5137):1569-71. doi: 10.1136/bmj.1.5137.1569.
3
Myofascial trigger point pain in the neck and shoulder girdle; report of 100 cases treated by injection of normal saline.颈肩带肌筋膜触发点疼痛；100例生理盐水注射治疗报告
Northwest Med. 1955 Sep;54(9):980-4.
4
Hydrocortone and soft-tissue lesions.氢化可的松与软组织病变
Br Med J. 1953 Oct 31;2(4843):966-8. doi: 10.1136/bmj.2.4843.966.
5
Intra-articular steroids in the treatment of rotator cuff tear: reappraisal by arthrography.关节内注射类固醇治疗肩袖撕裂：关节造影再评估
Arch Phys Med Rehabil. 1981 Nov;62(11):555-7.
6
Identification of myofascial trigger point syndromes: a case of atypical facial neuralgia.肌筋膜触发点综合征的识别：一例非典型面部神经痛病例
Arch Phys Med Rehabil. 1981 Mar;62(3):100-6.
7
Frozen shoulder (adhesive capsulitis).肩周炎（粘连性关节囊炎）。
J R Soc Med. 1982 Sep;75(9):688-9. doi: 10.1177/014107688207500902.
8
Myofascial trigger point syndromes: an approach to management.
Arch Phys Med Rehabil. 1981 Mar;62(3):107-10.
9
Periarthritis of the shoulder. Trial of treatments investigated by multivariate analysis.肩周炎。通过多变量分析对治疗方法进行试验研究。
Ann Rheum Dis. 1974 Mar;33(2):116-9. doi: 10.1136/ard.33.2.116.
10
The painful arc syndrome. Clinical classification as a guide to management.疼痛弧综合征。作为治疗指南的临床分类。
J Bone Joint Surg Br. 1977 May;59(2):166-72. doi: 10.1302/0301-620X.59B2.873977.
Zotero 插件