BACKGROUND The radial nerve(RN)splits into two main branches at the elbow:The superficial branch of RN(SBRN)and the deep branch of RN.The SBRN can be easily damaged in acute trauma due to its superficial feature.CASE ...BACKGROUND The radial nerve(RN)splits into two main branches at the elbow:The superficial branch of RN(SBRN)and the deep branch of RN.The SBRN can be easily damaged in acute trauma due to its superficial feature.CASE SUMMARY A 55-year-old male patient injured his right wrist 10 mo ago.Debridement,suturing and bandaging were performed in the emergency room.Six months after the scar had healed,he felt numbness and tingling in the dorsal surface of the thumb of the right hand.So the surgery of resection and SBRN anastomosis were performed.The pathological findings showed it as traumatic neuroma.Four months after surgery,the patient felt numbness and tingling in the right dorsal surface of the thumb again.The tenderness was marked in the operated area.Ultrasound indicated that the SBRN was adhered to the surrounding tissue.The patient refused further surgical treatment and underwent ultrasound-guided needle release plus corticosteroid injection of the SBRN.Four weeks later,the tenderness in the surgical area was reduced by 70%,the numbness in the dorsal surface of the thumb of the right hand was reduced by 40%and the nerve swelling evaluated by ultrasound was reduced.Four months passed,he did not feel any numbness or tingling sensation of his right wrist.This is the first report of ultrasound-guided needle release plus corticosteroid injection of the SBRN.CONCLUSION Ultrasound can evaluate the condition of the RN,and the relationship with surrounding tissues.Ultrasound-guided needle release plus corticosteroid injection is an effective and safe treatment for SBRN adhesion.展开更多
Objective:To observe the clinical effect on superior cluneal nerve(SCN)entrapment syndrome treated with the release technique of long round-sharp needle.Methods:The syndrome differentiation based on meridian muscle re...Objective:To observe the clinical effect on superior cluneal nerve(SCN)entrapment syndrome treated with the release technique of long round-sharp needle.Methods:The syndrome differentiation based on meridian muscle region was adopted.The release technique of the long round-sharp needle was used at the lesions of meridian tendon region,Yāoyícì(Beside Yaoyi)and the transverse process of the third lumbar vertebra in 34 patients with SCN entrapment syndrome.The treatment was given once a week,4 treatments made one course.After one course treatment,the therapeutic effect was observed.The results of pain rating index(PRI),the visual analogy scores(VAS)and the present pain intensity(PPI)were compared before and after treatment.Results:Of 34 patients,28 cases(82%)were cured,6 cases(18%)effective and 0 case(0%)failed.The total effective rate was 100%.The scores of PRI,VAS and PPI were(10.78±1.98),(5.98±1.19)and(3.91±1.68)successively in 34 cases before treatment and they were(1.98±1.79),(0.89±1.12)and(0.82±0.79)after treatment.The score of every evaluation scale after treatment was lower significantly than that before treatment(all P<0.01).Conclusion:The release technique of long round-sharp needle achieves the satisfactory clinical effect on SCN entrapment syndrome.Hence,this therapeutic method deserves to be promoted.展开更多
目的:评价松解筋膜触发点(MTrPs)针刺法治疗小学生近视的疗效,并探讨MTrPs针刺灭活与裸眼视力(UCVA)缓解程度的相关性。方法:选取小学生(年龄6~12周岁)近视患者83例(159眼)为研究对象;按随机数字表法分为观察组42例(80眼)与对照组41例(7...目的:评价松解筋膜触发点(MTrPs)针刺法治疗小学生近视的疗效,并探讨MTrPs针刺灭活与裸眼视力(UCVA)缓解程度的相关性。方法:选取小学生(年龄6~12周岁)近视患者83例(159眼)为研究对象;按随机数字表法分为观察组42例(80眼)与对照组41例(79眼),观察组选取风池、大杼穴,采用针刺、行针和固定留针方法,松解MTrPs,每日针刺1次;对照组给予患眼0.01%阿托品滴眼,每日1次,夜间给药;均14 d 1个疗程,1个疗程结束休息2 d,治疗2个疗程。治疗后根据UCVA、屈光度、眼轴长度、调节灵敏度(AS)和总有效率进行疗效评价,比较针刺前、后MTrPs的数量、压痛、面积及周长。结果:两组患者治疗后在UCVA、屈光度与AS比较差异均有统计学意义(P<0.05),眼轴长度比较差异无统计学意义(P>0.05);观察组总有效率为93.75%(75/80),对照组总有效率为84.81%(67/79),两组比较差异有统计学意义(P<0.05);观察组可以有效改变近视小学生患者MTrPs的数量、压痛、面积及周长,差异有统计学意义(P<0.01);近视小学生患者MTrPs的数量、压痛、面积及周长与近视UCVA差值成正相关(P<0.01)。结论:松解筋膜触发点针刺法治疗小学生近视疗效显著,MTrPs的灭活程度与耳鸣症状的改善程度呈正相关,可将MTrPs的数量、压痛、面积及周长指标用于近视的预防及治疗。展开更多
文摘BACKGROUND The radial nerve(RN)splits into two main branches at the elbow:The superficial branch of RN(SBRN)and the deep branch of RN.The SBRN can be easily damaged in acute trauma due to its superficial feature.CASE SUMMARY A 55-year-old male patient injured his right wrist 10 mo ago.Debridement,suturing and bandaging were performed in the emergency room.Six months after the scar had healed,he felt numbness and tingling in the dorsal surface of the thumb of the right hand.So the surgery of resection and SBRN anastomosis were performed.The pathological findings showed it as traumatic neuroma.Four months after surgery,the patient felt numbness and tingling in the right dorsal surface of the thumb again.The tenderness was marked in the operated area.Ultrasound indicated that the SBRN was adhered to the surrounding tissue.The patient refused further surgical treatment and underwent ultrasound-guided needle release plus corticosteroid injection of the SBRN.Four weeks later,the tenderness in the surgical area was reduced by 70%,the numbness in the dorsal surface of the thumb of the right hand was reduced by 40%and the nerve swelling evaluated by ultrasound was reduced.Four months passed,he did not feel any numbness or tingling sensation of his right wrist.This is the first report of ultrasound-guided needle release plus corticosteroid injection of the SBRN.CONCLUSION Ultrasound can evaluate the condition of the RN,and the relationship with surrounding tissues.Ultrasound-guided needle release plus corticosteroid injection is an effective and safe treatment for SBRN adhesion.
文摘Objective:To observe the clinical effect on superior cluneal nerve(SCN)entrapment syndrome treated with the release technique of long round-sharp needle.Methods:The syndrome differentiation based on meridian muscle region was adopted.The release technique of the long round-sharp needle was used at the lesions of meridian tendon region,Yāoyícì(Beside Yaoyi)and the transverse process of the third lumbar vertebra in 34 patients with SCN entrapment syndrome.The treatment was given once a week,4 treatments made one course.After one course treatment,the therapeutic effect was observed.The results of pain rating index(PRI),the visual analogy scores(VAS)and the present pain intensity(PPI)were compared before and after treatment.Results:Of 34 patients,28 cases(82%)were cured,6 cases(18%)effective and 0 case(0%)failed.The total effective rate was 100%.The scores of PRI,VAS and PPI were(10.78±1.98),(5.98±1.19)and(3.91±1.68)successively in 34 cases before treatment and they were(1.98±1.79),(0.89±1.12)and(0.82±0.79)after treatment.The score of every evaluation scale after treatment was lower significantly than that before treatment(all P<0.01).Conclusion:The release technique of long round-sharp needle achieves the satisfactory clinical effect on SCN entrapment syndrome.Hence,this therapeutic method deserves to be promoted.
文摘目的:评价松解筋膜触发点(MTrPs)针刺法治疗小学生近视的疗效,并探讨MTrPs针刺灭活与裸眼视力(UCVA)缓解程度的相关性。方法:选取小学生(年龄6~12周岁)近视患者83例(159眼)为研究对象;按随机数字表法分为观察组42例(80眼)与对照组41例(79眼),观察组选取风池、大杼穴,采用针刺、行针和固定留针方法,松解MTrPs,每日针刺1次;对照组给予患眼0.01%阿托品滴眼,每日1次,夜间给药;均14 d 1个疗程,1个疗程结束休息2 d,治疗2个疗程。治疗后根据UCVA、屈光度、眼轴长度、调节灵敏度(AS)和总有效率进行疗效评价,比较针刺前、后MTrPs的数量、压痛、面积及周长。结果:两组患者治疗后在UCVA、屈光度与AS比较差异均有统计学意义(P<0.05),眼轴长度比较差异无统计学意义(P>0.05);观察组总有效率为93.75%(75/80),对照组总有效率为84.81%(67/79),两组比较差异有统计学意义(P<0.05);观察组可以有效改变近视小学生患者MTrPs的数量、压痛、面积及周长,差异有统计学意义(P<0.01);近视小学生患者MTrPs的数量、压痛、面积及周长与近视UCVA差值成正相关(P<0.01)。结论:松解筋膜触发点针刺法治疗小学生近视疗效显著,MTrPs的灭活程度与耳鸣症状的改善程度呈正相关,可将MTrPs的数量、压痛、面积及周长指标用于近视的预防及治疗。
