Our study investigated the therapeutic efficacy of small needle knife in patients with frozen shoulders and evidence that the improvement of pain function and the life ability. Our protocol addresses the detailed operation process of small needle knife in frozen shoulder patients. Our protocol has the advantages of quicker and definite therapeutic effects, high repeatability, broad availability.
Also, the less physical injury in patients. Begin the preoperative preparations by gathering all the necessary materials. Then proceed to check the basic information of each patient, including name, age, and the affected shoulder.
Once the patient assumes a sitting position, fully exposed the affected shoulder and mark the obvious tenderness points on the shoulder. Then pour Type 2 skin disinfectant on cotton balls, and with those, disinfect the affected area in circular motions, starting from about 15 centimeters around each marked point, and gradually reducing the diameter. Next, load five milliliters of 2%lidocaine into a 10 milliliter syringe with a 22-gauge needle.
Then load five milliliters of sterile water into the same syringe to prepare 10 milliliters of 1%lidocaine working solution. Replace the 22-gauge needle with a 25-gauge needle. While wearing sterile gloves on the left hand, hold the syringe in the right hand.
Insert the needle into a marked point, and ensure no blood enters the syringe after suction. Perpendicularly inject one to two milliliters of 1%lidocaine working solution at the marked point. To perform the small needle knife insertion, hold the small needle in the right hand while wearing sterile gloves.
Rapidly insert the small needle knife into the lidocaine injection site perpendicularly, maintaining a depth of about one to three centimeters. Then perform the three step manipulation, beginning with the longitudinal incision, followed by stripping, and finally releasing the adhesion. Withdraw the needle when there is a feeling of looseness under the knife.
Using a dry sterile dressing block, press the injection site for one minute. Then cover the operating area with a sterile self-adhesive dressing. After assisting the patient in dressing properly, ask the patient to sit still for about 15 minutes before leaving the operating room to avoid post-operative discomfort.
After the small needle knife therapy, the visual analog score was significantly lower in the treatment group than in the control group. The Constant-Murley score was significantly higher in the treatment group than in the control group. To begin assessing the range of motion of the shoulder of the patients who received the small needle therapy intervention, first ask the patient to lift the shoulder to the maximum angle possible.
Then press the on button to switch on the assessment instrument. Rotate the measuring ruler and obtain the measured value. Set the measuring instrument scale back to zero before repeating the measurement two times.
Press and hold off to turn the power off. To measure the thickness of the Coracohumeral ligament, first turn on the ultrasound machine by pressing the power button. Then open the ultrasound software.
Press the patient button and enter the name of the subject. Ask the patient to fully expose the affected shoulder in a seated position. Move the patient's shoulder joint passively to locate the Coracohumeral ligament.
After applying an appropriate amount of medical coupler to the probe, align the ultrasound probe with the Coracohumeral ligament. Press the Freeze button to freeze the screen and then press the Store button to save the ultrasound image. Continue to record two different images as demonstrated.
After pressing the patient button, look for the recorded images in the study list. Press the Caliper button to enter the measurement mode and assess the Coracohumeral ligament thickness. Finally, after recording the measurements turn off the machine.
After the treatment, the Coracohumeral ligament thickness was significantly decreased in the treatment group compared to the control group.
