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Objective To evaluate the effectiveness of radial extracorporeal shockwave therapy(rESWT) for the treatment of superior lateral brachial cutaneous nerve(SLBCN) compression syndrome.Methods A total of 40 patients with SLBCN compression syndrome who were treated in our department from March 2013 to October 2015 were equally randomized into two groups according to random number table:rESWT group(treated with rESWT for 1 cycle) and control group(treated with local hormone injection for 1 cycle). Visual analogue scale(VAS) and Constant-Murley scale(CMS) were applied to evaluate the shoulder joint function before treatment and 1 month and 1 year after treatment. Results The average CMS scores were(66.7±0.9) and(65.7±1.1)scores in rESWT group and control group,respectively,before treatment(t=0.67,P=0.510) and were(86.9±1.0) and(86.4±1.1)scores one month after treatment(t=0.35,P=0.730);it increased to(89.7±0.7) scores in rESWT group one year later,which was significantly higher than that in control group[(85.3±0.8)scores](t=3.56,P=0.002). The improvement rate was 95% in rESWT group and only 75% in control group. Before treatment,the median VAS score in rESWT group and control group were 5.00(5.00,6.00) and 5.00(4.00,5.75)scores(u=1.13,P=0.29);one month after treatment,the median VAS score in these two groups were 2(1.00,2.75) and 2.00(1.00,2.00)scores(u=0.04,P=0.85);one year later,it was 1.00(0.00,1.00) scores in rESWT group,significantly lower than that in [2.00(1.00,2.00)scores] control group(u=5.09,P=0.02). Conclusion Compared with local hormone injection,rESWT can remarkably alleviate pain and restore shoulder joint function in patients with SLBCN compression syndrome after one year of treatment.
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Objective To study the effects on anterosuperior stability of the shoulder joint when the coracoacromial arch is damaged at different degrees. Methods Thirty-six specimens of the fresh frozen adult shoulder joints were randomly and evenly divided into 3 groups. Group 1, reserving integrity of the coracoacromial ligament of the shoulder joint; Group 2, dissecting half of the coracoacromial ligament attachment sector on the acromion; Group 3, grinding all the coracoacromial ligament attachment sector on the acromion. The specimens of the shoulder joint were fixed on test bench of the biomechanical testing machine. The axial pressure was applied on the humeral shaft, and the humeral head was pushed to move in anterosuperior direction. The displacement distance of the humeral head under 50 N pressure was then recorded. Results Under 50 N pressure, the displacement distance of the humeral head in Group 1, 2, 3 was (2.50±0.59), (5.38±0.71), (6.49±0.81) mm, respectively, which showed significantly statistic differences among 3 groups (P<0.05). Conclusions The damage to the coracoacromial arch will affect the anterosuperior stability of the shoulder joint. The greater damage to the coracoacromial arch will lead to the lower anterosuperior stability of the shoulder joint.
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Objective To investigate the epidemiological characteristics of shoulder injuries by training,and provide scientific evidence for effective intervention measures.Methods Through cluster random sampling method,a questionnaire survey was conducted on 1 080 trainers to analyze the occurrence of shoulder injury by training,the training courses lead to shoulder injuries and classification of shoulder injuries by training.The psychological status,shoulder symptoms,protective measures and other factors were compared between the injured group and the normal group to explore the influencing factors of injuries.Results Of 1 080 trainers,the incidence of shoulder injuries was 18.52％.The training course where injured were currently creeping forward (34.96％),push-ups (13.82％) and pull-ups (13.41％).The main types of injuries were soft tissue injuries(92.27％).The difference was statistically significant between two groups in the aspects of the mental state,shoulder protection measures and the presence of symptoms (P ＜ 0.01).Conclusion The shoulder injuries of training personnel were mainly caused by soft tissue injuries.Long time training,short time for rest,lack of control or confidence were the major risk factors.Shoulder symptoms during training and inadequate application of protective measures may lead to the incidence of training injuries increasing.
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OBJECTIVE@#To observe the effect of recombinant human bone morphogenetic protein 2/poly-lactide-co-glycolic acid (rhBMP-2/PLGA) with core decompression on repair of rabbit femoral head necrosis.@*METHOD@#Bilateral femoral head necrosis models of rabbit were established by steroid injection. A total of 48 rabbits (96 femoral head necrosis) were randomly divided into 4 groups: Group A, control group with12 rabbits, 24 femoral head necrosis; Group B, treated with rhBMP-2/PLGA implantation after core depression, with 12 rabbits, 24 femoral head necrosis; Group C, treated with rhBMP-2 implantation after core depression, with 12 rabbits, 24 femoral head necrosis; Group D treated with core depression group without implantation, with 12 rabbits, 24 femoral head necrosis. All animals were sacrificed after 12 weeks. The ability of repairing bone defect was evaluated by X-ray radiograph. Bone mineral density analysis of the defect regions were used to evaluate the level of ossification. The morphologic change and bone formation was assessed by HE staining. The angiogenesis was evaluated by VEGF immunohistochemistry.@*RESULTS@#The osteogenetic ability and quality of femoral head necrosis in group B were better than those of other groups after 12 weeks by X-ray radiograph and morphologic investigation. And the angiogenesis in group B was better than other groups. Group C had similar osteogenetic quality of femoral head necrosis and angiogenesis with group D.@*CONCLUSION@#The treatment of rhBMP-2/PLGA implantation after core depression can promote the repair of rabbit femoral head necrosis. It is a promising and efficient synthetic bone material to treat the femoral head necrosis.
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Objective: To observe the effect of recombinant human bone morphogenetic protein 2/poly-lactide-co-glycolic acid (rhBMP-2/PLGA) with core decompression on repair of rabbit femoral head necrosis. Method: Bilateral femoral head necrosis models of rabbit were established by steroid injection. A total of 48 rabbits (96 femoral head necrosis) were randomly divided into 4 groups: Group A, control group with12 rabbits, 24 femoral head necrosis; Group B, treated with rhBMP-2/PLGA implantation after core depression, with 12 rabbits, 24 femoral head necrosis; Group C, treated with rhBMP-2 implantation after core depression, with 12 rabbits, 24 femoral head necrosis; Group D treated with core depression group without implantation, with 12 rabbits, 24 femoral head necrosis. All animals were sacrificed after 12 weeks. The ability of repairing bone defect was evaluated by X-ray radiograph. Bone mineral density analysis of the defect regions were used to evaluate the level of ossification. The morphologic change and bone formation was assessed by HE staining. The angiogenesis was evaluated by VEGF immunohistochemistry. Results: The osteogenetic ability and quality of femoral head necrosis in group B were better than those of other groups after 12 weeks by X-ray radiograph and morphologic investigation. And the angiogenesis in group B was better than other groups. Group C had similar osteogenetic quality of femoral head necrosis and angiogenesis with group D. Conclusion: The treatment of rhBMP-2/PLGA implantation after core depression can promote the repair of rabbit femoral head necrosis. It is a promising and efficient synthetic bone material to treat the femoral head necrosis.