To observe the efficacy of ultrasound-guided small acupuncture combined with local closure in the treatment of stenosing tenosynovitis of the flexor pollicis longus tendon. 66 cases of thumb stenosing tenosynovitis were treated. Ultrasound-guided acupuncture combined with block therapy was used. All patients were evaluated with preoperative and postoperative VAS scales for pain scores and efficacy. There were 42 recovered patients, accounting for 63.4%, 19 patients, accounting for 28.8%, effective patients, 4 patients accounting for 6.1%, and 1 ineffective patient, accounting for 5.1%, accounting for 94.9%. The use of ultrasound-guided small needle knife combined with local closure to treat stenosing tenosynovitis of the flexor pollicis longus tendon has accurate positioning, definite efficacy, low trauma, low cost and high safety. It is worthy of promotion and application in clinical practice.

Chensheng Wu, Jun Tang, Shiqiang Zhu, Miaoying Tao, Liping Lei. Ultrasound-guided Small Acupunture Combined with Local Closure in the Treatment of Stenosing Tenosynovitis of the Flexor Pollicis Longus Tendon. Frontiers in Medical Science Research (2024), Vol. 6, Issue 5: 54-59. https://doi.org/10.25236/FMSR.2024.060508.

[1] State Administration of Traditional Chinese Medicine. Diagnostic Standards for Traditional Chinese Medicine Diseases [S] Beijing: People's Medical Publishing House, 1996

[2] Sun Kang, Tang Xin, Yang Kui, et al. Prospective study on the clinical treatment of stenosing tenosynovitis [J]. Chinese Journal of Orthopedics, 1999, 6(7): 490-491.

[3] Sun Chuanxing. Clinical disease diagnosis is based on treatment improvement standards[M]. Beijing People's Military Medical Publishing House 1999.

[4] Pan Shengde, Gu Yudong, Shi De, et al. Trial standards for upper limb partial function evaluation of the Chinese Medical Association Hand Surgery Society [J]. Chinese Journal of Hand Surgery, 2000, 16(3):130-135.

[5] Xu Shaoting, Ge Baofeng, Xu Yinkan, Practical Orthopedics [M] 3rd Edition, Beijing People’s Military Medical Press, 2005.

[6] Wan Hongwu. Comparison of 60 cases of stenosing tenosynovitis of fingers treated with crochet knife and open surgery [J]. Journal of Practical Integrated Traditional Chinese and Western Medicine 2018, 18 (9): 84-85.

[7] Huang Sufang, Wang Chaoliang, Xie Xuesheng, et al. Clinical observation of percutaneous loop incision surgery in the treatment of stenosing tenosynovitis [J]. Chinese Journal of Hand Surgery 2017, 33(3): 222-223.

[8] Chen Rongguo, Zeng Yi. Comparison of the efficacy of minimally invasive treatment with homemade hook knife and open surgery in the treatment of stenosing tenosynovitis of the finger flexor tendon[J]. Journal of Practical Hand Surgery 2017, 31(3):293-296.

[9] Yu Changhe, Luo Tao, Liu Changxin, et al. Clinical study on the treatment of stenosing tenosynovitis with push-knife percutaneous minimally invasive release [J]. Journal of Beijing University of Chinese Medicine 2018, 23(3):259-264.

[10] Dong Fuhui. Characteristics and advantages of acupotomy technology [J]. Traditional Chinese Medicine Bone Setting 2015, 27(9): 641-642

[11] Yao Xiaojun, Yin Fei, Shen Xiaofang. Treatment of stenosing tenosynovitis in children with ultrasound-guided tenosynovial release [J]. Chinese Journal of Hand Surgery 2022, 43(7): 663-666.

[12] Ning Jinbo, Liu Yu, Yao Mingmu, et al. Analysis of the efficacy of 32 cases of microscope-assisted thumb trigger finger release in children [J]. Chinese Journal of Hand Surgery 2017, 33(5):348

[13] Zhuang Ze, Yu Dongjie, Xiao Dahai, et al. Observation on the effect of arthroscopic minimally invasive surgery in the treatment of thumb stenosing tenosynovitis [J]. Chinese Journal of Bone and Joint Injury 2018, 33(7):701-703

[14] Wu Xiangdong, Jiang Hongfeng, Su Peng, et al. A preliminary study on different treatment methods for occupational stenosing tenosynovitis of the finger flexor tendons [J] Chinese Occupational Journal of Labor and Health. 2017, 35(4): 302-303.

[15] Wang Chaoliang, Huang Sufang, Wang Zhongqiu. et al. Clinical observation of minimally invasive circumcision surgery in the treatment of stenosing tenosynovitis [J]. Chinese Medical Journal 2017, 97(37): 2923-2927.

[16] Yu Changhe, Luo Tao, Weng Zhiwen, et al. Analysis of related factors affecting the efficacy of traditional Chinese medicine percutaneous minimally invasive release in the treatment of stenosing tenosynovitis [J]. International Journal of Traditional Chinese Medicine 2018, 40(4):314- 318.

[17] Hu Xianglin, Zhang Chang, Guo Wenxin. Analysis of reasons and countermeasures for failure of acupotomy treatment of stenosing tenosynovitis [J]. China Medical Herald 2018, 15(15):147-149.