Therapeutic effect of extracorporeal shock wave combined with ultrasound therapy on stenosing tenosynovitis of thumb flexor tendon
Objective To explore clinical outcomes of extracorporeal shock wave and therapeutic ultrasound in the treatment of stenosing tenosynovitis of thumb flexor tendon.Methods A total of 138 patients with stenosing tenosynovitis of thumb flexor tendon admitted to the PLA General Hospital from January 2019 to December 2022 were enrolled in this study.They were divided into research group and control group,with 69 patients in each group.Patients in the control group were given injection of medication,and the patients in the research group were treated with extracorporeal shock wave combined with therapeutic ultrasound.Clinical effects,Quinnell grade and visual analogue scale(VAS)score before and 3 months after treatment were recorded.Results All the patients were followed up for 3 months.The total effective rate of the research group was 95.65%,which was significantly higher than that of the control group(69.56%,P<0.05).Quinnell grade was significantly decreased in both groups after treatment,especially in the research group(P<0.05).The pain was decreased in both groups after treatment,and the VAS score of the research group was significantly lower than that of the control group one week,one month,and three months after treatment(P<0.05).Conclusion The therapy of extracorporeal shock wave combined with ultrasound is safe,acceptable,effective and non-invasive in the treatment of stenosing tenosynovitis of thumb flexor tendon which is worthy of popularization and application.
Stenosing tenosynovitis of thumb flexor tendonExtracorporeal shock waveUltrasound
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