[Effects of adhesion releasing under nerve block and arthrolysis on adhesive scapulohumeral periarthritis: a comparative study].
OBJECTIVE
To compare the effects of adhesion releasing under nerve block and arthrolysis on adhesive scapulohumeral periarthritis.


METHODS
Sixty patients with adhesive scapulohumeral periarthritis 24 males and 36 females, aged 52.5 (40 - 67), were randomly divided into 4 equal groups: Group I, undergoing adhesion releasing under brachial plexus block, Group II, undergoing adhesion releasing under stellate ganglion block, Group III, undergoing limited adhesion releasing under stellate ganglion block, and Group IV undergoing arthrolysis under stellate ganglion block. The clinical effects were recorded and compared.


RESULTS
The short-term effect of Group IV was significantly superior to the other 3 groups (all P < 0.05). The frequency of block + manipulation treatment of Group I was significantly less than those of the other 3 groups (all P < 0.01), and the frequency of pain point injection of Group I was significantly higher than those of the other 3 groups (all P < 0.01).


CONCLUSIONS
The 4 methods are all effective for the treatment of adhesive scapulohumeral periarthritis. In particular, arthrolysis under stellate ganglion block shows greater improvement in the joint function and less uncomfortableness caused by numbness and weakness of the arm.
Wang
Qing-Hua
QH
Department of Anesthesia, Changping District Hospital, Beijing 102200, China.
DU
Peng-Bin
PB
Gong
Hai-Tao
HT
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007404:Intervertebral Disc Chemolysis / Q000379:methods; D008297:Male; D008875:Middle Aged; D009407:Nerve Block; D010489:Periarthritis / Q000473:pathology* / Q000601:surgery*; D000267:Tissue Adhesions; D016896:Treatment Outcome