临床放射学预先确定患者特异性多部位类固醇注射在初级冷肩部的结果:一项前性研究
Ayyappan V Nair1, Maythilisharan Rambhojun1, M S Bharath Bharadhwaj1
1Department of Orthopaedics, Manipal Whitefield Hospital, Bengaluru, Karnataka, India.
Journal of orthopaedic case reports
|February 11, 2026
概括
患者特定的类固醇注射与物理治疗相结合,显著改善了结肩部 (FS) 症状. 这种治疗增强了运动范围并减少了疼痛,为FS管理提供了有效的非手术选择.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 物理疗法物理治疗
背景情况:
- 结肩膀 (FS) 呈现出疼痛和运动限制,需要有效的非手术治疗.
- 由于研究设计的多样性,目前FS的非手术选择缺乏明显的优势.
研究的目的:
- 为了评估患者特异性的多部位类固醇注射的疗效,结合标准化物理治疗方案来管理FS.
主要方法:
- 这是一项前性研究,涉及94名初级FS患者.
- 超声波和X射线证实了诊断.
- 内关节和多部位贝他他注射,然后进行为期8周的物理治疗方案.
- 在多个时间点使用ROM,VAS,ASES和SPADI得分进行评估.
主要成果:
- 显著改善了绑架 (124°到173°),向前曲 (123°到174°) 和外部旋转 (26°到55°).
- 平均ASES得分从28.8提高到92.5,VAS则从6.7降至0.4.4.
- 内部旋转改善了4个脊椎水平.
结论:
- 针对患者的多部位类固醇透是FS的有效治疗方法.
- 这种方法显著减少疼痛,增强运动范围和临床结果.
- 结合疗法提供了一个有前途的非手术治疗策略,用于冷的肩膀.
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