Efficacy of combination therapy treatment of frozen shoulder.docVIP

 PAGE \* MERGEFORMAT 6 Efficacy of combination therapy treatment of frozen shoulder Of: Xiaojian Li Li-Fang Zhang Liu Qiaoli [Keywords:] periarthritis; local injection; practices release; functional exercise Frozen shoulder due to trauma, exposure to cold, fatigue and chronic soft tissue shoulder caused by aseptic inflammation, adhesion, movement disorder appears to shoulder. Since 2000 we have treated 325 patients using combination therapy patients achieved satisfactory results. 1 Clinical data 1.1 General situation in 325 cases of frozen shoulder patients, 150 cases of male and female 175 cases, aged 46 to 70 years, 210 patients aged over 50. Left shoulder 142 cases, 183 cases of right shoulder, a history of 2 to 26 months, an average of 5.1 months. 1.2 The diagnostic criteria for the diagnosis of this disease is not very difficult, most patients is 50 years old, females more common, there is a history of shoulder pain, associated with a history of more cases with longer limited shoulder mobility, shoulder X-ray examination in general no bone disease, osteoporosis, occasionally humerus. depending on whether activities associated with restricted shoulder can be divided into acute and chronic adhesive frozen shoulder frozen shoulder. 1.3 The treatment of acute periarthritis of the use of local injection therapy: injection of 2% lidocaine formulation 3 ~ 5 ml, dexamethasone injection 10 mg, 654 2 injection 5 mg, gentamicin 80 000 U, 0.5 mg vitamin B12 injection water for injection added to 20 ml, for injection pre-determined lesions, such as the joint capsule, coracoid bursa, subacromial bursa, and the section between the greater tuberosity of humerus groove, deltoid bursa, supraspinatus, infraspinatus muscle, the size of circular muscle attachment points, each point of 4 ~ 5 ml, each 3 to 4 pain points, 1 times / week, 3 to 5 times as a course of treatment. For chronic adhesive periarthritis of the shoulder the first adhesion lysis: brac