International Journal of Frontiers in Medicine, 2021, 3(3); doi: 10.25236/IJFM.2021.030306.
Yingying Shao1, Chen Tang1, Bin Chen2, Xudong Jiang3
1School of Science, Guangxi University of Science and Technology, Liuzhou 545006, Guangxi, China
2Liuzhou Workers' Hospital, Liuzhou 545005, Guangxi, China
3School of Medicine, Guangxi University of Science and Technology, Liuzhou 545005, Guangxi, China
To systematically evaluate the safety and effectiveness of acupotomology united with hyaluronic acid injection in diagnosis and treatment of scapulohumeral periarthritis. All RCTs of acupotomology united with hyaluronic acid injection in diagnosis and treatment of scapulohumeral periarthritis since the establishment of databases (CNKI, VIP, PubMed, Web of Science, etc.) were searched by computer. 13 RCTs studies were included. Meta-analysis was performed with Revman 5.4 software, Egger and Begg tests were performed with R software. The clinical effective rate (OR=6.4, %CI [3.7,11.08], P<0.00001), VAS pain score(MD=-1.05, %CI [-1.16,-0.94], P<0.00001) and Constant- Murley shoulder function score(MD=13.42,% CI [9.3,17.54], P<0.00001) improvement in the trial group were superior to the control group, and the above results showed significant statistical differences;. The existing clinical studies have shown that acupotomology united with hyaluronic acid injection in diagnosis and treatment of scapulohumeral periarthritis is an effective and safe method, which can improve the clinical effectiveness, relieve the pain of the patient's shoulder and improve the function of the shoulder.
Scapulohumeral periarthritis, Treatment, Acupotomy, Intra-articular sodium hyaluronate, Meta-analysis
Yingying Shao, Chen Tang, Bin Chen, Xudong Jiang. Acupotomology Combined with Intra-articular Injection of Sodium Hyaluronate in the Treatment of Capulohumeral Periarthritis: A Systematic Review and Meta-analysis. International Journal of Frontiers in Medicine (2021), Vol. 3, Issue 3: 28-34. https://doi.org/10.25236/IJFM.2021.030306.
 Wang SY, Cai SL, et al. Clinical Research Progress of External Treatment of Scapulohumeral Periarthritis in Recent Ten Years [J]. Guangming Journal of Chinese Medicine. 2020, 35 (09): 1435-1437.
 Zuckerman JD, Rokito A. Frozen Shoulder: A Consensus Definition [J]. J Shoulder Elbow Surg. 2011, 20: 322-5.
 Hand G, Athanasou N A, Matthews T, et al. The Pathology of Frozen Shoulder [J]. The Journal of Bone and Joint Surgery. British volume, 2007, 89-B(7): 928-932.
 Liu CQ, Zhang Na, Guo Xin, et al. Discussion on the Treatment of Scapulohumeral Periarthritis from the Perspective of "Pivot Fracture" [J]. Chinese Acupuncture and Moxibustion. 2015, 35(12): 1214.
 Franz A, Klose M, Beitzel K. Conservative Treatment of Frozen Shoulder. Unfallchirurg 2019, 122: 934-40.
 Pereira H, Sousa DA, Cunha A, et al. Hyaluronic Acid [J]. Adv Exp Med Biol. 2018.
 Li F, Jiang TX. Needle-knife Therapy Combined with Moxa Stick Pressure Moxibustion for Cervical Vertigo: A Randomized Controlled Trial [J]. Chinese Acupuncture and Moxibustion. 2018, 38(9): 936-939.
 Schulz KF, Chalmers I, Hayes RJ, et al. Empirical Evidence of Bias. Dimensions of Methodological Quality Associated with Estimates of Treatment Effects in Controlled Trials [J]. Jama, 1995, 273(5): 408-12.
 Zhang S, Zhang H, et al. Clinical Observation of Sodium Hyaluronate Combined with Acupotomy in the Treatment of Frozen Periarthritis of Shoulder [A]. The 4th China Information Conference on Traditional Chinese Medicine Proceedings [C]. China Information Association For Traditional Chinese Medicine and Pharmacy: China Information Association of Traditional Chinese Medicine. 2017: 4.
 Wei CL Zhang LD, et al. Effect of Intraluminal Injection of Sodium Hyaluronate on Pain Symptoms and Limb Function Recovery of Patients with Scapulohumeral Periarthritis [J]. Journal of community medicine. 2018, 16 (04): 53-54.
 Tian ZG, Wang F, et al. Clinical Efficacy Analysis of Intra-Articular Injection of Sodium Hyaluronate Combined with Acupotomology Massage in the Treatment of Scapulo Humeral Periarthritis [J]. World latest medical information digest. 2015, 15 (63): 42-43.
 Li CG, Zhou L, et al. Clinical Efficacy of Intra-Articular Injection of Sodium Hyaluronate and Small Needle Knife in the Treatment of Scapulohumeral Periarthritis [J]. Chinese Journal of Traditional Medical Traumatology and Orthopedics.2013, 21(06): 19-20+24.
 AnQ. Clinical Observation of Hydroacupotomy Combined with Sodium Hyaluronate in the Treatment of Biceps Tendinitis [D]. Heilongjiang University of Traditional Chinese Medicine. 2015.
 Guan YJ, Cheng CH, Liang YM. Clinical Effect of Water Needle-Scalpel Combined with Intra-Articular Injection of Sodium Hyaluronate on Scapulohumeral Periarthritis [J]. The Journal of Traditional Chinese Orthopedics and Traumatology. 2016, 28(11): 13-16.
 Huang SJ. Clinical study of hydroacupotomology combined with sodium hyaluronate injection in treatment of scapulohumeral periarthritis [J]. Journal of North Pharmacy. 2017, 14(09): 109-110.
 Li L, Wang R, Cao Qihui. Clinical Study of Small Needle Knife Combined with Intra-Articular Injection of Sodium Hyaluronate in the Treatment of Scapulohumeral Periarthritis [J]. Modern Medicine and Health Research.2018, 2(07): 69.
 Liu JJ. Observation on the Curative Effect of Small Needle Knife Combined with Intra-Articular Sodium Hyaluronate Injection in the Treatment of Scapulohumeral Periarthritis [J]. Public Medical Forum Magazine. 2018, 22(11): 1533-1534.
 Jia XX, Liu RX, et al. Clinical Observation on the Treatment of Frozen Shoulder with New Comprehensive Sequential Therapy [J]. Guiding Journal of Traditional Chinese Medicine and Pharmacy. 2018, 24(09): 82-83.
 Xu CG, Gao JD. Clinical Observation on 40 Cases of Frozen Shoulder Treated with Needle Knife Combined With Sodium Hyaluronate [J]. Chinese Community Doctors.2010, 12(04): 86.
 Shen J. Efficacy Analysis of Acupotomology and Intra-Articular Injection in the Treatment of Scapulohumeral Periarthritis [J]. China Medical Herald.2010, 7(05): 83+86.
 Huang MJ, Huang ZJ. Clinical Observation on Comprehensive Treatment of Scapulohumeral Periarthritis [J]. Journal of Practical Traditional Chinese Medicine. 2009, 25(04): 234.
 Gao SZ, Yang J. Acupuncture and Moxibustion Therapy [M]. Beijing: China Press of Traditional Chinesse Medicine. 2012: 34.
 Keilani M, Stummvoll G, Kainberger F, et al. Intensive Ultrasound Treatment in Acute Calcificperiarthritis of the Wrist:a Case Report [J].Wien Klin Wochenschr, 2015, 127(15-16): 649-651.
 Dehghan A, Pishgooei N, Salami MA, et al. Comparison between NSAID and Intra-Articular Corticosteroid Injection in Frozen Shoulder of Diabetic Patients; A Randomized Clinical Trial [J]. Exp Clin Endocrinol Diabetes. 2013; 121(2): 75-79.
 Chan HBY, Pua PY, How CH. Physical Therapy in the Management of Frozen Shoulder [J]. Singapore Medical Journal. 2017 Dec; 58(12): 685-689.
 Peyron J G . Preliminary Clinical Assessment of Na-Hyaluronate Injection into Human Arthritic Joints [J]. Pathologie Biologie, 1974, 22(8): 731-736.