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| Discussion on hydraulic expansion combined with acupotomy in the treatment of frozen shoulder |
| ZHANG Chang1 HU Xianglin2 LIU Naigang3 XU Yao1 WANG Quangui4 |
1.Department of Traditional Chinese Medicine, Aerospace Center Hospital College of Aerospace Clinical Medicine of Beijing University, Beijing 100049, China; 2.Fengtai Fangzhuang Community Health Service Center of Beijing City, Beijing 100078, China;
3.Department of Acupuncture and Moxibustion, China-Japan Friendship Hospital, Beijing 100029, China;
4.the First Department of Orthopaedics, Beijing Chaoyang Emergency Center of Integrated Traditional Chinese and Western Medicine, Beijing 100123, China |
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Abstract This paper expounds the clinical manifestations, clinical stages, special physical examination, imaging examination, diagnosis and treatment of frozen shoulder. The pathological characteristics of this disease are contracture of shoulder joint capsule and significant decrease of joint volume. The clinical characteristics of this disease are limited active and passive movement of shoulder joint. According to the pathological mechanism and functional anatomic characteristics of shoulder joint, the author emphasizes to treat frozen shoulder by stages. In the pain stage, spasmolysis and pain relief should be given, and intra-articular injection is the first choice. In the freezing period, the first choice is the hydraulic expansion of joint cavity combined with acupotomy to relieve the contracture of joint capsule. The targets of acupotomy include the capsule of shoulder joint, coracobrachial ligament, the antagonistic muscle of shoulder joint movement and the method of stimulating cervical and shoulder nerves. The combination of hydraulic expansion and needle scalpel can achieve satisfactory clinical effect on most frozen shoulder patients, which is worthy of in-depth clinical research and further standardized clinical operation.
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