Efficacy of musculoskeletal ultrasound-guided acupotomy with tendon release in patients with iliotibial bundle syndrome

JIN Wei; WANG Haidong; HAN Hongsheng; CHEN Dongyu; ZHAN Hongsheng; ZHU Fuxiang

doi:10.16766/j.cnki.issn.1674-4152.003730

Volume 22 Issue 10

Oct. 2024

Turn off MathJax

Article Contents

Article Navigation > Chinese Journal of General Practice > 2024 > 22(10): 1769-1773

JIN Wei, WANG Haidong, HAN Hongsheng, CHEN Dongyu, ZHAN Hongsheng, ZHU Fuxiang. Efficacy of musculoskeletal ultrasound-guided acupotomy with tendon release in patients with iliotibial bundle syndrome[J]. Chinese Journal of General Practice, 2024, 22(10): 1769-1773. doi: 10.16766/j.cnki.issn.1674-4152.003730

Citation:

JIN Wei, WANG Haidong, HAN Hongsheng, CHEN Dongyu, ZHAN Hongsheng, ZHU Fuxiang. Efficacy of musculoskeletal ultrasound-guided acupotomy with tendon release in patients with iliotibial bundle syndrome[J]. Chinese Journal of General Practice, 2024, 22(10): 1769-1773. doi: 10.16766/j.cnki.issn.1674-4152.003730

Citation:

JIN Wei, WANG Haidong, HAN Hongsheng, CHEN Dongyu, ZHAN Hongsheng, ZHU Fuxiang. Efficacy of musculoskeletal ultrasound-guided acupotomy with tendon release in patients with iliotibial bundle syndrome[J]. Chinese Journal of General Practice, 2024, 22(10): 1769-1773. doi: 10.16766/j.cnki.issn.1674-4152.003730

PDF( 457 KB)

Efficacy of musculoskeletal ultrasound-guided acupotomy with tendon release in patients with iliotibial bundle syndrome

doi: 10.16766/j.cnki.issn.1674-4152.003730

1.
Traditional Chinese Medicine Orthopedics, Jiaxing Traditional Chinese Medicine Hospital, Jiaxing, Zhejiang 314001, China

Funds:

2022ZB348

Received Date: 2024-02-02
Available Online: 2024-12-28

Abstract

Abstract

Objective To explore the effects of musculoskeletal ultrasound-guided acupotomy via tendon release on pain, lower limb function, anxiety, postoperative complications, and recovery in patients with iliotibial band syndrome, and to analyze the therapeutic effectiveness. Methods A total of 90 patients with iliotibial band syndrome, treated at the Orthopedics and Traumatology Department of Jiaxing Hospital of Traditional Chinese Medicine from January 2022 to May 2023, were randomly divided into the ultrasound group, the release operation group, and the control group, with 30 cases in each group. The ultrasound group was treated with musculoskeletal ultrasound-guided needle-knife transtendon release, while the release operation group was treated with unoriented and unguided needle-knife transtendon release. The control group was treated with local pain point blocking. The clinical efficacy of the three groups was observed, and the effects on visual analogue scale (VAS), lower extremity functional scale (LEFS), and self-rating anxiety scale (SAS) scores were statistically analyzed. Complications and recurrence of surgery were compared among there groups. Results The total effective rate of the ultrasound group, the release group, and the control group was 96.67%, 83.33%, and 66.67%, respectively, with statistically significant differences (χ²=9.274, P=0.010). The total effective rate of the ultrasound group was higher than that of the control group (P < 0.05). After 2, 4, and 6 weeks of treatment, VAS and SAS scores in all 3 groups were decreased compared with the baseline, the ultrasound group showing the lowest scores, followed by the release group, and the control group (P < 0.05). After 2, 4, and 6 weeks of treatment, LEFS scores increased over the same time points, with the ultrasound group showing the highest improvement, followed by the release group, and the control group (P < 0.05). No complications were found in 3 groups. The recurrence rates of the ultrasound group, the release group, and the control group were 6.67%, 26.67%, and 36.67%, respectively, with statistically significant differences between groups (χ²=7.826, P=0.020). The recurrence rate of the ultrasound group was lower than that of the control group (P < 0.05). Conclusion Musculoskeletal ultrasound-guided acupotomy via tendon release demonstrates excellent efficacy in the treatment of patients with iliotibial band syndrome, helping to relieve pain, improve lower limb function, and alleviate anxiety, with a high safety profile.
- Musculoskeletal ultrasound,
- Needle-knife release through tendon,
- Iliotibial band syndrome,
- VAS score

FullText(HTML)

References(24)

References

[1]	FRIEDE M C, INNERHOFER G, FINK C, et al. Conservative treatment of iliotibial band syndrome in runners: are we targeting the right goals[J]. Phys Ther Sport, 2022, 54: 44-52. doi: 10.1016/j.ptsp.2021.12.006
[2]	徐培福, 赵丽娜, 任树军, 等. 超声引导下小针刀治疗髂胫束综合征60例[J]. 中国中医骨伤科杂志, 2022, 30(10): 57-60. XU P F, ZHAO L N, REN S J, et al. 60 Cases Clinical Observation on Acupotomy under Ultrasound Guidance on the Treatment of Iliotibial Band Syndrome[J]. Chinese Journal of Traditional Medical Traumatology & Orthopedics, 2022, 30(10): 57-60.
[3]	吴强, 张红梅, 吴和熙, 等. 经筋排刺法对髂胫束综合征下肢功能的影响[J]. 中华针灸电子杂志, 2023, 12(3): 91-94. WU Q, ZHAO H M, WU H X, et al. The effect of acupuncture on meridian sinew on lower limb function in iliotibial band syndrome[J]. Chinese Journal of Acupuncture and Moxibustion(Electronic Edition), 2023, 12(3): 91-94.
[4]	MCKAY J, MAFFULLI N, AICALE R, et al. Iliotibial band syndrome rehabilitation in female runners: a pilot randomized study[J]. J Orthop Surg Res, 2020, 15(1): 188. doi: 10.1186/s13018-020-01713-7
[5]	BOLIA I K, GAMMONS P, SCHOLTEN D J, et al. Operative versus nonoperative management of distal iliotibial band syndrome-Where do we stand? A systematic review[J]. Arthrosc Sports Med Rehabil, 2020, 2(4): e399-e415. doi: 10.1016/j.asmr.2020.04.001
[6]	王均玉, 宋梦歌, 高欢欢, 等. 基于经筋理论针刀治疗髂胫束综合征临床研究[J]. 针灸临床杂志, 2021, 37(4): 36-41. WANG J Y, SONG M G, GAO H H, et al. Clinical Study of Acupotomy in the Treatment of ITBS Based on Theory of Meridian Sinew[J]. Journal of Clinical Acupuncture and Moxibustion, 2021, 37(4): 36-41.
[7]	罗渊, 刘婷, 陈晓英. 小针刀"丰"字形松解髂胫束治疗外侧型弹响髋的临床观察[J]. 中国中医骨伤科杂志, 2021, 29(2): 56-59. LUO Y, LIU T, CHEN X Y, et al. Clinical Observation of Acupotomy Release with "Feng" Glyph for Iliotibial Band in Treating of Lateral Snapping Hip[J]. Chinese Journal of Traditional Medical Traumatology & Orthopedics, 2021, 29(2): 56-59.
[8]	YANG J, MA B, ZHONG H, et al. Ultrasound-guided percutaneous A1 pulley release by acupotomy (Needle-Knife): a cadaveric sudy of safety and efficacy[J]. J Pain Res, 2022, 15: 413-422. doi: 10.2147/JPR.S349869
[9]	芮立宁, 费燕强. 超声引导下弧刃针刀治疗椎间孔镜术后腰椎关节突关节源性疼痛的疗效分析[J]. 实用临床医药杂志, 2023, 27(12): 18-22, 26. RUI L N, FEI Y Q. Clinical Efficacy of ultrasound-guided arc-edge needle-knife therapy in the treatment of arthrogenic pain of lumbar facet joint pain of lumbar facet joint after foraminoscopy[J]. Journal of Clinical Medicine in Practice, 2023, 27(12): 18-22, 26.
[10]	聂志新. 配偶支持联合正性暗示在甲状腺癌患者淋巴结清扫术后的应用价值[J]. 河南医学研究, 2020, 29(25): 4774-4775. NIE Z X. Application value of spousal support combined with positive suggestion after lymph node dissection in patients with thyroid cancer[J]. Henan Medical Research, 2020, 29(25): 4774-4775.
[11]	JIMÉNEZ DÍAZ F, GITTO S, SCONFIENZA L M, et al. Ultrasound of iliotibial band syndrome[J]. J Ultrasound, 2020, 23(3): 379-385. doi: 10.1007/s40477-020-00478-3
[12]	王磊, 张盛. 排刺法结合电针治疗髂胫束摩擦综合征27例[J]. 浙江中医杂志, 2018, 53(6): 460. WANG L, ZHANG S. Treatment of 27 cases of iliotibial band friction syndrome by row acupuncture combined with electroacupuncture[J]. Zhejiang Journal of Traditional Chinese Medicine, 2018, 53(6): 460.
[13]	SHAFSHAK T S, ELNEMR R. The visual analogue scale versus numerical rating scale in measuring pain severity and predicting disability in low back pain[J]. J Clin Rheumatol, 2021, 27(7): 282-285. doi: 10.1097/RHU.0000000000001320
[14]	CHIAROTTO A, MAXWELL L J, OSTELO R W, et al. Measurement properties of visual analogue scale, numeric rating scale, and pain severity subscale of the brief pain inventory in patients with low back pain: a systematic review[J]. J Pain, 2019, 20(3): 245-263. doi: 10.1016/j.jpain.2018.07.009
[15]	尚娅萌, 刘芳丽, 李佳欣, 等. 间质性肺疾病患者疲劳管理的研究进展[J]. 中华护理杂志, 2023, 58(15): 1821-1825. SHANG Y M, LIU F L, LI J X, et al. Research review of fatigue recognition and management in patients with interstitial lung disease[J]. Chinese Journal of Nursing, 2023, 58(15): 1821-1825.
[16]	ZHANG C, LIU Y, YUAN S, et al. Cross-Cultural adaptation and validation of the simplified Chinese version of the lower extremity functional scale[J]. Biomed Res Int, 2020, 2020: 1421429. DOI: 10.1155/2020/1421429.
[17]	赵耀, 孟庆慧, 伊璠, 等. 针刺配合物理疗法治疗髂胫束摩擦综合症29例[J]. 针灸临床杂志, 2015, 31(10): 34-36. ZHAO Y, MENG Q H, YI F, et al. Clinical Observation of Acupuncture Combined with Physiotherapy on Patients with Iliotibial Band Friction Syndrome[J]. Journal of Clinical Acupuncture and Moxibustion, 2015, 31(10): 34-36.
[18]	王春燕, 王勇军, 曾晖, 等. 氟哌噻吨美利曲辛片联合甜梦口服液对失眠伴焦虑患者睡眠质量及负性情绪的影响[J]. 实用临床医药杂志, 2020, 24(9): 33-36. WANG C Y, WANG Y J, ZENG H, et al. Effects of flupentixol and melitracen tablets combined with Tianmeng Oral Liquid on sleep quality and negative emotions of insomnia patients with anxiety[J]. Journal of Clinical Medicine in Practice, 2020, 24(9): 33-36.
[19]	江莉, 翟从芳, 尹建华, 等. 基于时机理论的照护模式对血液透析患者的影响[J]. 海军医学杂志, 2023, 44(2): 191-195. JIANG L, ZHAI C F, YIN J H, et al. Effects of timing theory? based nursing mode on the patients with hemodialysis[J]. Journal of Clinical Medicine, 2023, 44(2): 191-195.
[20]	谢娇, 吴安林, 杨程, 等. 论中医经筋学说与肌筋膜链理论的关联性[J]. 湖南中医杂志, 2019, 35(4): 113-114. XIE J, WU A L, YANG C, et al. The correlation between the theory of traditional Chinese medicine and the theory of myofascial chain[J]. Hunan Journal of Traditional Chinese Medicine, 2019, 35(4): 113-114.
[21]	蔡焕昭, 苏维维, 颜智权, 等. 《黄帝内经》关刺结合手法治疗髂胫束综合征临床观察[J]. 中国中医急症, 2020, 29(11): 2011-2013. CAI H Z, SU W W, YAN Z Q, et al. Clinical Observation on Articular Needling from Huangdi Neijing combined with Massage on ITBS[J]. Journal of Emergency in Traditional Chinese Medicine, 2020, 29(11): 2011-2013.
[22]	刘晶, 赵红佳, 林巧璇, 等. 超声可视化经筋弓弦针刀松解术治疗膝骨关节炎的效果[J]. 中国医药导报, 2022, 19(9): 153-156, 172. LIU J, ZHAO H J, LIN Q X, et al. Effect of ultrasonic visualization of jingjin bowstring acupotomy dissolution technique in treatment of knee osteoarthritis[J]. China Mediceal Herald, 2022, 19(9): 153-156, 172.
[23]	王珊珊, 刘勇, 曾昕. 不同剂量利多卡因静脉滴注治疗带状疱疹后神经痛的疗效和安全性及对镇痛药用量的影响[J]. 中国医院用药评价与分析, 2020, 20(7): 769-772, 777. WANG S S, LIU Y, ZENG X. Efficacy and Safety of Different Doses of Lidocaine Intravenous Infusion on Postherpetic Neuralgia and Its Effects on Dosage of Analgesic Drugs[J]. Evaluation and Analysis of Drug-Use in Hospitals of China, 2020, 20(7): 769-772, 777.
[24]	王程, 吕亚南, 邓享强, 等. 超声引导下针刀治疗腰背部肌筋膜炎的临床效果[J]. 中国医药导报, 2021, 18(9): 168-171. WANG C, LV Y N, DENG X Q, et al. Clinical efficacy of ultrasound -guided akupotomye in the treatment of thoracolumbar fascitis[J]. China Mediceal Herald, 2021, 18(9): 168-171.

Relative Articles

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Tables(5)

Get Citation

PDF

XML

Article Metrics

Article views (39) PDF downloads(3)

Efficacy of musculoskeletal ultrasound-guided acupotomy with tendon release in patients with iliotibial bundle syndrome

doi: 10.16766/j.cnki.issn.1674-4152.003730

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Efficacy of musculoskeletal ultrasound-guided acupotomy with tendon release in patients with iliotibial bundle syndrome

doi: 10.16766/j.cnki.issn.1674-4152.003730

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content