ArticleOpen Access http://dx.doi.org/10.26855/ijcemr.2025.01.016
Efficacy Analysis of Ultrasound-Guided Multi-Site Injection for Treating Rotator Cuff Injury Combined with Shoulder Adhesive Capsulitis
Zhuhua Li1,#,*, Minghang Lin2,#, Yuxuan Chen3, Yanfen Wang1, Qize Chen1, Daiming Zhang1
1Department of Rehabilitation Medicine, Fuqing Hospital of Fujian Province, Fuqing 350300, Fujian, China.
2Department of Ultrasound, Fuqing Hospital of Fujian Province, Fuqing 350300, Fujian, China.
3School of Physical Education, Fujian Polytechnic Normal University, Fuqing 350300, Fujian, China.
#Both authors contributed equally to this manuscript.
*Corresponding author: Zhuhua Li
Published: February 26,2025
Abstract
Objective: To observe the efficacy of ultrasound-guided multi-site injection for treating rotator cuff injury combined with shoulder adhesive capsulitis. Methods: Sixty patients diagnosed clinically and radiologically were randomly divided into two groups: the three-site injection group (T group, 30 cases) involving the glenohumeral joint cavity, subacromial bursa, and rotator cuff interval, and the two-site injection group (B group, 30 cases) involving the glenohumeral joint cavity and the long head of the biceps tendon sheath. Visual analogue scale (VAS), University of California, Los Angeles (UCLA) shoulder score, and active range of motion (AROM) of the shoulder joint were observed before treatment and at 1 week, 1 month, and 3 months after treatment. Results: Both groups showed significant improvement in VAS, UCLA scores, and AROM after treatment compared to baseline (P < 0.05). At all follow-up time points, the T group showed significantly better VAS and UCLA scores than the B group (P < 0.05). At 1 week after treatment, no significant difference was observed in shoulder flexion between the two groups (P > 0.05), but the T group showed significantly better shoulder abduction and external rotation compared to the B group (P < 0.05). At 1 month and 3 months post-injection, the T group exhibited significantly better improvements in shoulder flexion, abduction, and external rotation compared to the B group (P < 0.05). Conclusion: Both ultrasound-guided injection protocols effectively improve shoulder joint function and mobility and reduce pain in patients with rotator cuff injury combined with shoulder adhesive cap-sulitis. However, the three-site injection protocol demonstrated superior effi-cacy.
Keywords
Rotator cuff injury; Shoulder adhesive capsulitis; Ultrasound guidance; Injection
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How to cite this paper
Efficacy Analysis of Ultrasound-Guided Multi-Site Injection for Treating Rotator Cuff Injury Combined with Shoulder Adhesive Capsulitis
How to cite this paper: Zhuhua Li, Minghang Lin, Yuxuan Chen, Yanfen Wang, Qize Chen, Daiming Zhang. (2025) Efficacy Analysis of Ultrasound-Guided Multi-Site Injection for Treating Rotator Cuff Injury Combined with Shoulder Adhesive Capsulitis. International Journal of Clinical and Experimental Medicine Research, 9(1), 95-100.
DOI: http://dx.doi.org/10.26855/ijcemr.2025.01.016