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Progress of clinical research on stenosing tenosynovitis of flexor tendon with different selection points of needle knife

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DOI: 10.23977/medcm.2024.060401 | Downloads: 15 | Views: 760

Author(s)

Xiao Yan 1, Hui Jianrong 1,2, Huang Jing 1

Affiliation(s)

1 Shaanxi University of Chinese Medicine, Xianyang, 712046, China
2 Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang, 712000, China

Corresponding Author

Hui Jianrong

ABSTRACT

As a minimally invasive technique, needle knife therapy has shown remarkable efficacy in the treatment of stenosing tenosynovitis of flexor tendons. The accuracy of point selection directly affects the success rate of needle knife treatment, in which palpation is the traditional and critical means to determine the treatment point. As the main basis for point selection, hard nodules and pressure points help doctors identify the lesion area. With the development of medical technology, modern imaging techniques, such as ultrasound guidance, have been introduced into needle knife treatment, improving the accuracy of point selection and the safety of treatment. This review discusses the improved ideas of point selection in needle knife therapy, emphasizing the combination of modern imaging techniques and anatomical basic research to achieve more accurate lesion localisation. At the same time, it is proposed to look for areas free of nerves and blood vessels when selecting points in order to follow the principle of minimal damage and reduce the impact on the surrounding normal tissues. With this approach, a more personalized and precise treatment plan can be provided to patients, thus improving the treatment effect and reducing postoperative complications. 

KEYWORDS

Needle knife; different selection points; stenosing tenosynovitis of flexor tendons

CITE THIS PAPER

Xiao Yan, Hui Jianrong, Huang Jing, Progress of clinical research on stenosing tenosynovitis of flexor tendon with different selection points of needle knife. MEDS Chinese Medicine (2024) Vol. 6: 1-7. DOI: http://dx.doi.org/10.23977/medcm.2024.060401.

REFERENCES

[1] Deng Yuqin, Zhang Man, Huang Caifeng, et al. The efficacy of medicinal ironing combined with fire dragon pot moxibustion in the treatment of early stenosing tenosynovitis of finger flexor tendons[J]. Journal of Traditional Chinese Medicine, 2023, 32(06):3-6.
[2] XU Weimin. Application of Sitou Tang in combination with extracorporeal shock wave in the treatment of stenosing tenosynovitis of the radial tuberosity[J]. Medical theory and practice, 2024, 37(09):1510-1512.
[3] Lu Qiurong, Pan Yongqin, Xu Yigao, et al. Exploring the idea of acupuncture in the treatment of acute stenosing tenosynovitis from the theory of Huang Di's internal acupuncture[J]. China TCM Emergencies, 2024, 33(04):621-624.
[4] Jill J, Hresko AM, Wes AC. Current status of trigger finger treatment in adults[J]. American Arco Orthopaedic Surgery, 2020, 28(15):e642-e650.
[5] Fei O, Sun H, Li S, et al. Observation on the efficacy of extracorporeal shock wave combined with ultrasound in the treatment of stenosing tenosynovitis of the flexor tendon of the thumb[J]. Journal of Naval Medicine, 2024, 45(03):260-264.
[6] WU Huangchao, SUN Jin, ZHANG Zhongwen. Progress in the treatment of stenosing tenosynovitis of finger flexor tendons [J]. China Medicine Herald, 2024, 21(01):68-71.
[7] Scott WW, Robert NH, William CP, et al. Greene's hand surgery [M]. Beijing: Peking University Medical Press, 2022. 
[8] Ma WL, Cheng CH, Cha JQ, et al. Cheng Chunsheng on the application of the theory of ‘tendon and bone balance’ in the diagnosis and treatment of stenosing tenosynovitis of flexor tendon[J]. Chinese folk therapy, 2022, 30(01):21-23.
[9] YUAN Xue-feng, XUE Jue-ming. Clinical observation on 39 cases of thumb tenosynovitis treated by shallow prick plus moxibustion method[J]. Hunan Journal of Traditional Chinese Medicine, 2016, 32(11):94-96.
[10] Deng Changmao, Huang Al, Wu Xingxing. Clinical observation on the treatment of stenotic tenosynovitis of middle and advanced bunion flexor tendon by hydroentanglement[J]. Modern Hospital, 2019, 19(05):761-763.
[11] Fu LX. Treatment of finger flexor tendonitis by tendon needle[J]. Chinese Electronic Journal of Acupuncture and Moxibustion, 2022, 11(03):133.
[12] XU Shao-Ting, GE Bao-Feng, XU Yin-Kan. Practical Orthopaedics [M].3 ed. Beijing: People's Military Medical Press, 2005:1587.
[13] Xu Fei. Treatment of 40 cases of stenosing tenosynovitis of the radial tuberosity with traditional Chinese medicine fumigation combined with FUTALIN emulsion[J]. China Traditional Chinese Medicine Science and Technology, 2023, 30(04): 795-798. 
[14] WANG Shuang, QI Renjing, YUAN Chaoqun, et al. Application of WALANT technique in surgery of stenosing tenosynovitis of hand[J]. Journal of Practical Hand Surgery, 2022, 36(04):464-466.
[15] LIU Qiqi, GONG Yuecheng, ZHU Junshen. Clinical effect of small needle knife in the treatment of stage II and III stenosing tenosynovitis of the thumb[J]. Chinese Medicine Herald, 2021, 18(27):146-149.
[16] Zhang Hongzhen. Evaluation of the efficacy of small needle knife for stenosing tenosynovitis of flexor tendon[J]. Electronic Journal of Clinical Medicine Literature, 2016, 3(14):2756-2757.
[17] Jiao YS. Observation on the efficacy of 38 cases of stenosing tenosynovitis treated with small needle knife[J]. Hebei Traditional Chinese Medicine, 2015, 37(09):1379-1380.
[18] XU Ying, WAN Bijiang, XIAO Qian. Clinical study on modified needle knife procedure for the treatment of stenosing tenosynovitis of II and III degree bunion flexor tendon[J]. Acupuncture and Moxibustion Clinical Journal, 2020, 36(03): 28-33.
[19] Tai Shulin. Finger flexor tendon tenosynovitis[J]. Rheumatism and Arthritis, 2013, 2(03):75-77.
[20] Yan Pengpeng. Clinical study on stenosing tenosynovitis of flexor tendon [J]. Guangming Traditional Chinese Medicine, 2021, 36(17): 2977-2979.
[21] Xie Zhongling. Treatment of 108 cases of stenosing tenosynovitis with small needle knife and sealing[J]. Jiangsu Traditional Chinese Medicine, 2002, (11):48.
[22] WANG Lie, MA Shuai, MA Tieming et al. The identification of excitation pain points and A-shi points, pressure pain points, acupoints, meridian points and junction foci[J]. Research on Combination of Chinese and Western Medicine, 2021, 13(06):415-417.
[23] Yu Chuan, Wang Qingfu, Zong Chenzhong et al. Clinical effect of ultrasound-guided needle knife combined with bunion flexor excitation point inactivation in the treatment of stenosing tenosynovitis of the thumb [J]. China Medical Journal, 2023, 20 (15): 146-150.
[24] ZUAN Yunhua, ZHANG Lan, LI Peiyu et al. Clinical study of ultrasound-guided mini-needle knife in the treatment of stenosing tenosynovitis of flexor digitorum tendon in adults[J]. Journal of Clinical Ultrasound Medicine, 2019, 21(12): 940-943.
[25] WANG Baojian, HU Huang, CHANG Qing et al. Clinical observation on flexor tendon stenosing tenosynovitis treated by needle knife under the guidance of musculoskeletal ultrasound[J]. Chinese Journal of Traditional Chinese Medicine and Orthopaedics, 2019, 27(03):29-32.
[26] Chen Hongjian, Cao Rui, Mao Zaimei. Clinical efficacy of musculoskeletal ultrasound-guided mini-needle knife in the treatment of stenosing tenosynovitis of flexor tendon[J]. Imaging Research and Medical Application, 2023, 7(12): 194-196.
[27] Jiang Xiwen, Zhou Long. Clinical study of ultrasound-guided needle knife treatment of stenosing tenosynovitis of flexor digitorum brevis[J]. Modern Medical Imaging, 2022, 31(3):581-584. 
[28] Zhang WB, Yao DW, Wu WX. Observation on the efficacy of ultrasound-guided mini-needle knife in the treatment of stenosing tenosynovitis of flexor tendon[J]. Chinese Acupuncture and Moxibustion, 2019, 39(8):867-870. 
[29] Ouyang J, Li YK, Yue YB. Study on the damage of local anatomical structures on the palmar side of fingers by the operation method of trigger finger in needle knife treatment[J]. Chinese Journal of Rehabilitation Medicine, 2010, 25(06): 523-526.
[30] Ouyang J. Anatomical safety study of needle knife treatment of stenosing tenosynovitis[D]. Southern Medical University, 2010.
[31] Zhong Weixing, Ou Yangjie, Chen Zujiang, Li Junhua, Zhang Xuan, Li Yikai. Clinical efficacy of acupuncture in treating patients with stenosing tenosynovitis of the flexor digitorum longus tendon[J]. Journal of Traditional Chinese Medicine, 2023, 32(06):30-32. 

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