Treatment of Frozen Shoulder with Manual Release of Shoulder Joint Adhesion under Brachial Plexus Anesthesia: A Case Report

LI Zhengyan; YANG Guangyue; ZHAN Hongsheng

Suggestions

您当前的位置：

首页 >

文章列表页 >

Treatment of Frozen Shoulder with Manual Release of Shoulder Joint Adhesion under Brachial Plexus Anesthesia: A Case Report

Previous: 无

Next: 无

Treatment of Frozen Shoulder with Manual Release of Shoulder Joint Adhesion under Brachial Plexus Anesthesia: A Case Report
增强出版
1.Department of Traumatology & Orthopedics, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
DOI：

扫描看全文

LI Zhengyan, YANG Guangyue, ZHAN Hongsheng. Treatment of Frozen Shoulder with Manual Release of Shoulder Joint Adhesion under Brachial Plexus Anesthesia: A Case Report[DB/OL].（2023-02-27）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31398233&Fpath=home&index=0
DOI：

LI Zhengyan, YANG Guangyue, ZHAN Hongsheng. Treatment of Frozen Shoulder with Manual Release of Shoulder Joint Adhesion under Brachial Plexus Anesthesia: A Case Report[DB/OL].（2023-02-27）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31398233&Fpath=home&index=0 DOI：

摘要

病史摘要,2,患者周某某，女，48岁，2021年6月7日因“反复左肩部疼痛7月，加重伴活动受限5月”就诊。患者近7月反复出现肩部疼痛，并伴有进行性活动受限，外院诊断“冻结肩”并予口服止痛药物和外用膏药治疗，停药后反复，且肩关节活动受限逐渐加重，为求中医诊治遂至我院石氏伤科就诊。四诊信息：患者左肩部周围疼痛伴活动受限，胃纳可，二便调，夜寐欠安。舌暗，苔薄白，脉弦。中医诊断　肩痹（血瘀气滞证）。西医诊断　冻结肩（冻结期）。干预措施　臂丛神经麻醉下行肩关节粘连手法松解术并结合爬墙练功疗法。疗效转归　患者肩关节可灵活活动、无明显疼痛，可轻松完成日常家务劳作。

Abstract

Summary of case history ,The patient Zhou, female, 48 years old, visited the doctor on June 7, 2021 due to "recurrent left shoulder pain for 7 months, aggravated with activity limitation for 5 months". The patient had recurrent shoulder pain in recent July, accompanied by progressive activity limitation. The patient was diagnosed as "frozen shoulder" in another hospital and treated with oral analgesic drugs and external plaster. After withdrawal of medication, the shoulder joint activity limitation was repeated and gradually aggravated. Symptoms and signs: the patient had pain around the left shoulder with limited activity, gastric nakao, second stool adjustment, and sleep deprivation. Tongue dark, thin white moss, pulse chord.,TCM diagnosis ,Shoulder impediment (Blood stasis pattern and Qi stagnation),.Western medicine diagnosis ,Frozen shoulder (Frozen).,Therapeutic methods ,Shoulder joint adhesion manual release under brachial plexus anesthesia combined with exercise therapy.Clinical outcomes The patient's shoulder joint can be flexible, no obvious pain, and can easily complete the daily housework

关键词

冻结肩石氏伤科手法松解术个案报道

Keywords

Frozen shoulderShi's Center of Orthopedics and TraumatologyManipulation ReleaseCase reports

references

米淑琦,宋婷婷,孟旭,等.应用报刺法治疗漏肩风思路[J].中医杂志,2021,62(9):764-767.

陆军,王宸.冻结肩的诊疗进展[J].中华关节外科杂志:电子版, 2015,9(4):527-731.

尼佳提·吐尔逊,张克远.原发性冻结肩治疗的研究进展[J].实用骨科杂志, 2022,28(4):323-328.

邓德万,廖艳艳,王彬,等.原发性冻结肩病理机制的研究进展[J].按摩与康复医学,2022,13(16): 51-54.

SCHULTHEIS A, REICHWEIN F, NEBELUNG W. et al. Frozen shoulder. Diagnosis and therapy[J]. Orthopade.2008,37(11):1065-6, 1068-72. doi: 10.1007/s00132-008-1305-6http://dx.doi.org/10.1007/s00132-008-1305-6.

ZHANG J, ZHONG S, TAN T, et al. Comparative Efficacy and Patient-Specific Moderating Factors of Nonsurgical Treatment Strategies for Frozen Shoulder: An Updated Systematic Review and Network Meta-analysis[J]. Am J Sports Med. 2021,49(6):1669-1679. doi: 10.1177/0363546520956293http://dx.doi.org/10.1177/0363546520956293.

REX SS, KOTTAM L, MCDAID C, et al. Effectiveness of interventions for the management of primary frozen shoulder : a systematic review of randomized trials [J]. Bone Jt Open. 2021,2(9):773-784.

李会会,王翔,詹红生. "凝肩"的中西医诊治进展[J].中国中医骨伤科杂志,2019,27(9):85-88.

周肆华,欧阳伟,杨军,等.臂丛麻醉下不同次数手法松解治疗肩周炎的对比研究[J].中国康复医学杂志,2015,30(2):180-181, 98.

LIN P, YANG M, HUANG D, et al. Effect of proprioceptive neuromuscular facilitation technique on the treatment of frozen shoulder: a pilot randomized controlled trial [J].BMC Musculoskelet Disord. 2022,23(1):367.

JOHNSON AJ, GODGES JJ, ZIMMERMAN GJ, et al. The effect of anterior versus posterior glide joint mobilization on external rotation range of motion in patients with shoulder adhesive capsulitis [J]. J Orthop Sports Phys Ther, 2007,37(3):88-99.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

A Case Report on Treatment of Chemotherapy-related Diarrhea by Fuzhenghuaji Method

Related Author

No data

Related Institution

Department of Proctology, Zhongmeng Hospital, Wulanchabu

Department of Spleen and Gastroenterology, Inner Mongolia Autonomous Region Hospital of Traditional Chinese Medicine

Department of Proctology, Inner Mongolia Autonomous Region Traditional Chinese Medicine Hospital Hohhot

⁰