Clinical effect of ultrasound-guided acupotomy combined with myofascial trigger point of flexor pollicis longus inactivation in treatment of thumb stenotic tenosynovitis
YU Chuan1 WANG Qingfu1 ZONG Chenzhong1 PENG Haoxuan2 TAO Qingchun1
1.The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China;
2.Acupuncture Hospital of China Academy of Chinese Medical Sciences, Beijing 100007, China
Abstract：Objective To explore the clinical effect of ultrasound-guided needle-knife combined with myofascial trigger of flexor pollicis longus inactivation （“myofascial trigger point of flexor pollicis” for short）in the treatment of thumb tenosynovitis stenosans. Methods A total of 100 patients with thumb stenotic tenosynovitis treated in the Third Affiliated Hospital of Beijing University of Chinese Medicine from January 2020 to December 2022 were divided into the observation group and the control group according to the random number table method, with 50 cases in each group. The treatment group was treated with ultrasound-guided acupotomy combined with myofascial trigger point of flexor pollicis longus inactivation, and the control group was treated with ultrasound-guided acupotomy. Visual analogue scale（VAS） and trigger finger scores of the two groups were compared at three different time points before treatment, one week and one month after treatment, the thickness of flexor pollicis longus tendon was measured before treatment and one month after treatment, and the efficacy was evaluated one month after treatment. Results There were statistically significant differences in VAS score, trigger finger score, time point comparison, and interaction between the two groups before treatment, one week and one month after treatment. Further pair comparison, intra-group comparison: VAS score and trigger finger score of both groups were lower than before treatment one week and one month after treatment (P＜0.05). Comparison between groups: VAS score and trigger finger score of observation group were lower than those of control group one month after treatment (P＜0.05). One month after treatment, the tendon thickness of flexor pollicis longus in both groups was lower than that before treatment, and the observation group was lower than the control group (P＜0.05). The clinical effect of observation group was better than control group (P＜0.05). Conclusion Ultrasound-guided acupotomy combined with myofascial trigger point of flexor pollicis longus inactivation can effectively improve pain, functional limitation and tendon thickness of flexor pollicis longus in patients with thumb tenosynovitis stenosans.
于川1 王庆甫1 宗晨钟1 彭浩轩2 陶庆春1. 超声引导下针刀联合拇长屈肌激痛点灭活治疗拇指狭窄性腱鞘炎的临床效果[J]. 中国医药导报, 2023, 20(15): 146-150.
YU Chuan1 WANG Qingfu1 ZONG Chenzhong1 PENG Haoxuan2 TAO Qingchun1. Clinical effect of ultrasound-guided acupotomy combined with myofascial trigger point of flexor pollicis longus inactivation in treatment of thumb stenotic tenosynovitis. 中国医药导报, 2023, 20(15): 146-150.
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