Volume 21 Issue 8
Aug.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(8): 1393-1396
SHAN Lingling, XU Qiong, WANG Pengfei, ZHANG Li, DU Xin, DU Fenfei. Comparison of the effects of ultrasound-guided injection of anti-inflammatory and analgesic mixture into the rotator cuff space and pain points in the treatment of rotator cuff injuries[J]. Chinese Journal of General Practice, 2023, 21(8): 1393-1396. doi: 10.16766/j.cnki.issn.1674-4152.003130
Citation: SHAN Lingling, XU Qiong, WANG Pengfei, ZHANG Li, DU Xin, DU Fenfei. Comparison of the effects of ultrasound-guided injection of anti-inflammatory and analgesic mixture into the rotator cuff space and pain points in the treatment of rotator cuff injuries[J]. Chinese Journal of General Practice, 2023, 21(8): 1393-1396. doi: 10.16766/j.cnki.issn.1674-4152.003130
shu

Comparison of the effects of ultrasound-guided injection of anti-inflammatory and analgesic mixture into the rotator cuff space and pain points in the treatment of rotator cuff injuries

doi: 10.16766/j.cnki.issn.1674-4152.003130

  • Rehabilitation Department of Dongyang People ' s Hospital, Jinhua, Zhejiang 322100, China

Funds:

 2022ZH065

 2022-3-026

  • Received Date: 2023-03-30
    Available Online: 2023-09-13
    Abstract
  •   Objective  Shoulder joint injection therapy, as the main treatment for rotator cuff injuries, can be divided into ultrasound-guided rotator cuff space injection therapy and traditional pain point injection therapy. This study mainly compares the therapeutic differences between the two treatments.  Methods  From April 2020 to October 2022, 92 patients with rotator cuff injury who received conservative treatment with drug injection in Dongyang People ' s Hospital were divided into ultrasound-guided injection group (n=46) and traditional pain spot injection group (n=46) using the random number table method. The anti-inflammatory and analgesic mixture was injected into the rotator cuff space under ultrasound guidance and according to the traditional pain spot injection method once every 2 weeks and continuously 3 times, respectively. The visual analogue pain (VAS) score, serum C-reactive protein (CRP), Constant Murley shoulder joint score, need for oral analgesics and incidence of subcutaneous ecchymosis were compared between the two groups before and after treatment.  Results  VAS scores and serum CRP levels were lower in the two groups at 2, 4 and 6 weeks of treatment than before treatment (all P < 0.05), and VAS scores and serum CRP levels at the above-mentioned time points were significantly lower in the ultrasound guided injection group than in the traditional pain point injection group (all P < 0.05). The shoulder joint Constant-Murley score in the two groups at 2, 4, 6 weeks of treatment was higher than that before treatment (all P < 0.05), and the shoulder joint Constant-Murley score in the ultrasound-guided injection group at 4, 6 weeks of treatment was significantly higher than that in the traditional pain point injection group (all P < 0.05).In the ultrasound-guided injection group, 21.74% (10/46) of oral analgesic drugs were less than 41.30% (19/46) in the traditional pain point injection group (P < 0.05), and there was no statistically significant difference in the incidence of subcutaneous ecchymosis between groups (P>0.05).  Conclusion  Ultrasound-guided injection of an anti-inflammatory and analgesic mixture into the rotator cuff space and pain points has a good effect in the treatment of rotator cuff injuries, however, the former has significant clinical advantages in reducing rotator cuff pain, lowering serum CRP levels, promoting the recovery of shoulder joint function and reducing oral analgesic drugs.

     

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    • References(16)
  • [1]
    张清, 向明, 李一平, 等. 肩袖损伤保守治疗失败的危险因素分析[J]. 中华肩肘外科电子杂志, 2022, 10(2): 129-134. doi: 10.3877/cma.j.issn.2095-5790.2022.02.007

    ZHANG Q, XIANG M, LI Y P, et al. Risk factors for failure of conservative treatment of rotator cuff injury[J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2022, 10(2): 129-134. doi: 10.3877/cma.j.issn.2095-5790.2022.02.007
    [2]
    AMROODI M N, SALARIYEH M. Predictors of failure after conservative treatment of symptomatic partial-thickness rotator cuff tear[J]. J Shoulder Elbow Surg, 2020, 29(1): 113-120. doi: 10.1016/j.jse.2019.05.009
    [3]
    杨璐铭, 杨延砚, 周谋望. 超声引导下注射治疗在肩袖损伤中的应用[J]. 中国康复医学杂志, 2021, 36(12): 1606-1612. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKF202112013.htm

    YANG L M, YANG Y Y, ZHOU M W. The application of ultrasound guided injection therapy in rotator cuff injury[J]. Chinese Journal of Rehabilitation Medicine, 2021, 36(12): 1606-1612. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKF202112013.htm
    [4]
    LAFRANCE S, DOIRON-CADRIN P, SAULNIER M, et al. Is ultrasound-guided lavage an effective intervention for rotator cuff calcific tendinopathy? A systematic review with a meta-analysis of randomised controlled trials[J]. BMJ Open Sport Exerc Med, 2019, 5(1): e000506. DOI: 10.1136/bmjsem-2018-000506.
    [5]
    SENGODAN V C, KURIAN S, RAMASAMY R. Treatment of partial rotator cuff tear with ultrasound-guided platelet-rich plasma[J]. J Clin Imaging Sci, 2017, 7(1): 32.
    [6]
    盛静, 闫应朝, 孙瑜, 等. 丁丙诺啡透皮贴剂在肩关节镜下肩袖修补术后的镇痛效果及安全性[J]. 中华全科医学, 2021, 19(3): 398-401. doi: 10.16766/j.cnki.issn.1674-4152.001820

    SHENG J, YAN Y Z, SUN Y, et al. The efficacy and safety of transdermal buprenorphine patch for postoperative analgesia after arthroscopic rotator cuff repair[J]. Chinese Journal of General Practice, 2021, 19(3): 398-401. doi: 10.16766/j.cnki.issn.1674-4152.001820
    [7]
    李春明, 解卓, 窦志, 等. 超声引导在肩袖损伤注射治疗中的应用研究进展[J]. 湖北医药学院学报, 2022, 41(1): 105-108. https://www.cnki.com.cn/Article/CJFDTOTAL-YYYX202201024.htm

    LI C M, XIE Z, DOU Z, et al. Progress in the application of ultrasound guided injection therapy for rotator cuff injury[J]. Journal of Hubei University of Medicine, 2022, 41(1): 105-108. https://www.cnki.com.cn/Article/CJFDTOTAL-YYYX202201024.htm
    [8]
    WOOLF S K. Editorial commentary: steroid injections prior to arthroscopic rotator cuff repair-Is it time to rethink a conservative treatment paradigm?[J]. Arthroscopy, 2019, 35(3): 714-716. doi: 10.1016/j.arthro.2018.12.017
    [9]
    ZHANG T, DUAN Y J, CHEN J, et al. Efficacy of ultrasound-guided percutaneous lavage for rotator cuff calcific tendinopathy: a systematic review and meta-analysis[J]. Medicine(Baltimore), 2019, 98(21): e15552. DOI: 10.1097/MD.0000000000015552.
    [10]
    易庆丰, 胡华刚, 张天元, 等. 超声引导下PRP注射治疗肩袖损伤对局部炎症因子表达的影响[J]. 浙江临床医学, 2021, 23(3): 383-385.

    YI Q F, HU H G, ZHAN T Y, et al. The effect of PRP injection on the expression of local inflammatory factors in rotator cuff injury under ultrasound guidance[J]. Zhejiang Clinical Medical Journal, 2021, 23(3): 383-385.
    [11]
    IBRAHIM D H, EL-GAZZAR N M, EL-SAADANY H M, et al. Ultrasound-guided injection of platelet rich plasma versus corticosteroid for treatment of rotator cuff tendinopathy: effect on shoulder pain, disability, range of motion and ultrasonographic findings[J]. Egypt Rheumatol, 2019, 41(2): 157-161. doi: 10.1016/j.ejr.2018.06.004
    [12]
    米亚儒, 邓荷萍, 陆博, 等. 超声成像新技术在诊断肩袖撕裂中的应用进展[J]. 中华超声影像学杂志, 2020, 29(5): 458-461.

    MI Y R, DENG H P, LU B, et al. Development of the applications of new ultrasound techniques in the diagnosis of rotator cuff tears[J]. Chinese Journal of Ultrasonography, 2020, 29(5): 458-461.
    [13]
    杨砥, 陈顺玲, 孙权, 等. 舒筋活络汤结合针灸对肩袖损伤肩关节功能及炎症因子水平的影响[J]. 中华中医药学刊, 2022, 40(10): 202-205. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYHS202210047.htm

    YANG D, CHEN S L, SUN Q, et al. Effect of Shujin Huoluo Decoction Combined with Acupuncture on Shoulder Joint Function and Inflammatory Factors of Patients with Rotator Cuff Injury[J]. Chinese Archives of Traditional Chinese Medicine, 2022, 40(10): 202-205. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYHS202210047.htm
    [14]
    AZADVARI M, EMAMI-RAZAVI S Z, TORFI F, et al. Ultrasound-guided versus blind subacromial bursa corticosteroid injection for paraplegic spinal cord injury patients with rotator cuff tendinopathy: a randomized, single-blind clinical trial[J]. Int J Neurosci, 2021, 131(5): 445-452.
    [15]
    华强, 夏文广, 李婧, 等. 超声引导下肩袖三角间隙注射结合常规康复技术治疗部分及全层小撕裂型肩袖损伤[J]. 中国康复, 2020, 35(9): 467-471. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF202009007.htm

    HUA Q, XIA W G, LI J, et al. Injection of triangular space of rotator cuff under the guidance of ultrasound combined with conventional rehabilitation techniques for partial and full-thickness small tear rotator cuff injury[J]. Chinese Journal of Rehabilitation, 2020, 35(9): 467-471. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF202009007.htm
    [16]
    查晓亮, 王进, 罗奇, 等. 超声引导肩关节腔灌注联合肩峰下滑囊注射治疗肩袖损伤的中短期疗效分析[J]. 广东医学, 2022, 43(6): 735-739. https://www.cnki.com.cn/Article/CJFDTOTAL-GAYX202206015.htm

    ZHA X L, WANG J, LUO Q, et al. Analysis of the short and mid term efficacy of shoulder articular cavity perfusion combined with subacromial bursa injection guided by ultrasound on the treatment of rotator cuff injury[J]. Guangdong Medical Journal, 2022, 43(6): 735-739. https://www.cnki.com.cn/Article/CJFDTOTAL-GAYX202206015.htm
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