Application of percutaneous pie-crusting deep medial collateral ligament release for posterior horn surgery of medial meniscus / 中国骨伤

OBJECTIVE@#To explore clinical and radiographic effects of percutaneous pie-crusting deep medial collateral ligament release in patients with posterior horn tear of medial meniscus combined with tight medial compartment.@*METHODS@#From January 2012 to December 2016, 35 patients with medial meniscus posterior horn injury were treated with percutaneous pie crusting deep medial collateral ligament release technique, including 21 males and 14 females, aged from 21 to 55 years old with an average of (39.1±6.5) years old. Degree of meniscus extrusion were recorded before and 24 months after operation. The knee valgus stress test was performed to evaluate stability of medial collateral ligament, and compared difference between healthy and affected side. Lysholm and IKDC functional scores were compared before and 24 months after operation.@*RESULTS@#All patients were followed up from 27 to 60 months with an average of (36.7±6.8) months. All patients were underwent operation, the wound healed well without complications. Operative time ranged from 0.5 to 1.2 h with an average of (0.8±0.4) h. Nineteen patients were performed partial meniscectomy, 16 patients were performed repair suture. Convex of meniscus before operation was (1.5±0.7) mm, and (1.7±0.4) mm after operation;had no statistical difference(@*CONCLUSION@#For patients with medial meniscus tear of posterior horn combined with tight medial compartment, percutaneous pie-crusting deep medial collateralligament release could improve medial compartment space, and Knee valgus instability and meniscus extrusion are not affected.

Arthroscopic pullout suture repair of posterior root tear of the medial meniscus via the double tibial tunnels / 中国骨伤

OBJECTIVE@#To evaluate the surgical technique and clinical effect of arthroscopic pullout suture repair of posterior root tear of the medial meniscus via the double tibial tunnels.@*METHODS@#From May 2014 to May 2017, 22 patients with posterior root tear of medial meniscus were treated by pullout suture repair via the double tibial tunnels, including 8 males and 14 females, aged 34 to 53 years old, with a mean of averaged(45.7±4.7) years old. The patients were followed up for 12 to 24 months, with a mean of (16.4±5.2) months.@*RESULTS@#The Lysholm score of knee joint before operation was 61.8±4.3, IKDC score before operation was 59.9±2.9, Lysholm score at the latest follow-up was 89.1±3.0, and IKDC score was 89.0±2.5. The difference was statistically significant.@*CONCLUSIONS@#Arthroscopic pullout suture repair via the double tibial tunnelsis an effective treatment for symptomatic posterior root tear of medial meniscus, and it can significantly improve the knee functional outcome.

Ultrasound-guided suprascapular nerve block combined with acupuncture for the treatment of calcified tendinitis of rotator cuff / 中国骨伤

OBJECTIVE@#To explore the method and effect of ultrasound-guided suprascapular nerve block combined with acupuncture in the treatment of calcified tendinitis of rotator cuff.@*METHODS@#From January 2015 to December 2017, total 30 patients with calcified tendinitis, including 23 cases of supraspinatus tendon, 5 cases of infraspinatus tendon and 2 cases of subscapular tendon, were treated with ultrasound-guided suprascapular nerve block combined with acupuncture. There were 7 males and 23 females, ranging in age from 36 to 71 years old, with an average of 51.6 years old. There were 17 cases on the right and 13 cases on the left. VAS pain score, Constant-murley score, UCLA score and X-ray examination were used to evaluate the clinical results before and after surgery.@*RESULTS@#The mean follow-up was 14.3 months (6 to 30 months). The preoperative VAS score was 3.82±1.13, Constant-Murley score was 36.91±7.95 and UCLA score was 11.35±2.17. The final follow-up scores were 1.32±1.06, 90.61±2.89 and 33.22±1.51, respectively. The final follow-up scores were improved significantly(<0.05).@*CONCLUSIONS@#Conservative treatment of calcified rotator cuff tendinitis is ineffective. Suprascapular nerve block guided by ultrasound combined with acupuncture has a good therapeutic effect. It is a minimally invasive, economic, safe and effective method, which is worth promoting.

Prevention and Control of Children Myopia with Massage Combined with Wearing Personalized Myopia-lens Based on Theory of Treating Disease Before Its Onset / 广州中医药大学学报

Objective To observe the effect of massage combined with wearing personalized myopia-lens on the prevention and control of children myopia based on the theory of treating disease before its onset. Methods A total of 117 non-myopia students (involving with 234 eyes)aged 7-8 years old were divided into three groups. Group A was treated with massage combined with wearing personalized myopia-lens,group B was treated with wearing personalized myopia-lens, and group C had no any treatment. Eyesight examination was performed for the 3 groups every 6 months in the following 6 continuous years. Six years later,the incidence of myopia,diopter and eye axis difference were compared among the 3 groups. Results (1)The incidence of myopia in group A, B and C was 24.3％,32.1％,56.3％ respectively. The incidence of group A and B was lower than that of group C (P < 0.05), and group A showed a decreasing trend of incidence of myopia as compared with group B (P >0.05).(2)The diopter difference of group A,B,C in the 6 years was(-0.5642 ± 0.1759)D,(-1.3156 ± 0.7267) D,(-2.4125 ± 1.4842) D respectively, and the differences between group A and B, and those between group A and C were statistically significant (P < 0.01). The axial growth in group A,B and C in the 6 years was (1.1577 ± 0.3332)mm,(1.2955 ± 0.4011)mm,(1.5545 ± 0.6067) mm respectively,and the differences between group A and B,and those between group A and C were statistically significant (P < 0.01). Conclusion The myopia comprehensive therapy of massage combined with wearing personalized myopia-lens is effective on preventing the occurrence of myopia and reducing the incidence of myopia.