Anatomy And Clinical Application Of Needle Kinfe In The Treatment Of Scapulohumeral Periarthitis

Scapulohumeral periarthritis is a shoulder pain,shoulder movement disorders as the main feature of the tendon injury,the disease occurred in the50-year-old patients,the age of the middle of the work,the current early diagnosis of frozen shoulder,Early treatment research has made great progress,but the medical standards are still controversial,China's large population,the incidence of patients accounted for 1% of orthopedic patients,need to find a simple and easy,easy to promote the diagnosis and treatment is extremely important.Knee minimally invasive treatment of frozen shoulder is an ideal technology,the need to analyze the relevant needle knife approach,from the theoretical and clinical rational demonstration,in order to better use in the admissions.OBJECTIVE: To comprehensively review the theory of traditional Chinese and western medicine of shoulder and shoulder,as well as the various treatment regimens,and to analyze the mechanism and clinical application of minimally invasive treatment of needle knife.Through the measurement of human body specimens and the size of the relevant specimen parts of the measurement and research,the relevant data used to guide the screening to determine the clinical application of needle knife approach,observe the knife minimally invasive treatment technology in the shoulder Clinical symptoms of inflammation include VAS pain,activity angle and the effect of L‘Insalata assessment,through standardized needle knife treatment regimen.To evaluate the risk and efficacy of acupuncture therapy in the treatment of frozenshoulder,and to explore the mechanism and clinical specification of minimally invasive treatment of needle knife.Methods: The local anatomy of the upper limb specimens of adult cadavers was carried out.The muscles,blood vessels and nerves were observed to observe the bony signs in 15 adult specimens,and guide the safe and effective approach to the treatment of frozen shoulder.Combined with 60 cases of clinical patients were divided into two groups,30 groups of acupuncture and moxibustion group,needle knife group of 30 people,the clinical study of needle knife treatment comparison.The patients were divided into two groups randomly: acupoint group and acuPuncture group,acupuncture group using anatomical data to determine the safe needle knife release therapy,weekly treatment 1 times,4 times for the course of treatment after the end of treatment to observe the results.Acupuncture group acupoints,once a day,5 times a course of treatment,interval 2,for 4 courses.The three aspects of L‘Insalata shoulder function evaluation scale,shoulder joint VAS pain score and shoulder joint function were analyzed and evaluated.Results: 15 adult cadaver specimens provided a large number of images and data,and visual display of the needle into the human body after the release of the nerve and muscle tissue related to the impact of the shoulder,on the basis of the researchers combined with needle knife theory 13 patients were treated with acupuncture and moxibustion treatment,and the comparison between acupuncture and moxibustion treatment in 60 patients was compared with the VAS score group of acupuncture and moxibustion group.1 month?3months after follow-up,6 months follow-up,P refers to 0.019?0.036 and0.001,needle knife group P was significantly better than acupuncture group;needle knife group and acupuncture group between the outreach group 1month,3 months follow-up,6 months follow-up,P refers to 0.000,0.036 and0.032,needle knife group was significantly better than acupuncture group;needle knife group and acupuncture group between the flexion angle group in the follow-up period of 1 month,3 months follow-up,6 months follow-up,P refers to 0.000,0.000 and 0.014,the needle knife group was significantly better than acupuncture group;needle knife group and acupuncture group in the follow-up period of 1 month,3 months follow-up,6 months follow-up,P was 0.010,0.002 and 0.000 respectively,and the needle-knife group was superior to acupuncture and moxibustion group.The patients were followed up for 1 month,3 months follow-up,6 months follow-up,P = 0.000,0.000 and 0.001?respectively,and the needle group was superior to acupuncture and moxibustion group.Evaluation of the score between the groups in the treatment of 1 month,3 months after the follow-up,6 months of follow-up,P refers to 0.002?0.003 and 0.030,needle knife group was significantly better than acupuncture group.There were no reports of injury in the patients before and after treatment with acupoint group and acupuncture group.There were no significant differences in the VAS score,shoulder function and L‘Insalata evaluation table in acuPuncture group.