Clinical Effect and Observation of Complication of Musculoskeletal Ultrasound-guided Fixed-point Release with Needle-knife in the Treatment of Adhesive Capsulitis with Blood Stasis Syndrome
LIU Tai
LI Shengwu
WANG Biao
ZHAO Chen
HU Rui
TANG Haochen
TANG Liugang
Abstract：Objective To investigate the efficacy and safety of musculoskeletal ultrasound-guided fixed-point release with needle-knife in the treatment of adhesive capsulitis with blood stasis syndrome.Methods A total of 120 pa-tients with adhesive capsulitis with blood stasis syndrome were enrolled from January 2021 to June 2022.According to the random number table method,they were divided into control group and observation group,with 60 patients in each group.The control group was treated with traditional anatomical positioning method and fixed-point release with needle-knife,and the observation group was treated with musculoskeletal ultrasound-guided fixed-point release with needle-knife,once a week for 4 weeks.The clinical effect and complications of the two groups were observed,and the changes of Constant shoulder scale score,visual analogue scale(VAS)score,erythrocyte sedimentation rate(ESR)and serum C reactive protein(CRP)before and after treatment were compared.Results At 4 weeks after treatment,the scores of Constant shoulder scale in the two groups were higher than those before treatment,while the VAS pain score,ESR and serum CRP levels were lower than those before treatment;the Constant shoulder scale score in the observation group was higher than that in the control group,while the VAS pain score,ESR and serum CRP levels were lower than those in the control group(P<0.05).The total clinical effective rate of the observation group was 96.67%(58/60),which was higher than 86.67%(52/60)of the control group(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Musculoskeletal ultrasound-guided fixed-point release with needle-knife has a good clinical effect on adhesive shoulder capsulitis with blood stasis syndrome,which can improve shoulder joint function,relieve pain,reduce inflammatory factor levels,and has good safety.
Keywords：Adhesive capsulitisStagnation syndromeMusculoskeletal ultrasoundFixed-point release with nee-dle-knifeConstant shoulder scalePainC reactive proteinErythrocyte sedimentation rate
Publication Date：2025-06-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 108-112 )