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J Acupunct Res > Volume 31(1); 2014 > Article
Kim, Heo, Hyun, Kim, and Gang: Four Case of Partial Tear of Supraspinatus Tendon Treated by Acupotomy Combined Oriental Medical Treatments

Abstract

Objectives :

The purpose of this study is to report the improvement of acupotomy in patients with partial tear of supraspinatus tendon.

Methods :

We treated 4 patients having shoulder pain due to partial tear of supraspinatus tendon with acupotomy combined with oriental medical treatments. We checked visual analog scale(VAS) and range of movement(ROM).

Results :

There are remarkable improvement in VAS and ROM.

Conclusions :

This report shows acupotomy has a effectiveness on partial tear of supraspinatus tendon. Follow-up study is needed.

Fig. 1.
Point 1 of acupotomy
acupunct-31-1-167-17f1.gif
Fig. 2.
Point 2 of acupotomy
acupunct-31-1-167-17f2.gif
Fig. 3.
Point 3 of acupotomy
acupunct-31-1-167-17f3.gif
Fig. 4.
Point 4 of acupotomy
acupunct-31-1-167-17f4.gif
Fig. 5.
Shoulder MRI, T2 fat suppression image of case 1
acupunct-31-1-167-17f5.gif
Fig. 6.
Shoulder MRI, T1 weighted image of case 1
acupunct-31-1-167-17f6.gif
Fig. 7.
Shoulder MRI, T2 fat suppression image of case 2
acupunct-31-1-167-17f7.gif
Fig. 8.
Shoulder MRI, T1 weighted Image of case 2
acupunct-31-1-167-17f8.gif
Fig. 9.
Shoulder MRI, T2 fat suppression image of case 3
acupunct-31-1-167-17f9.gif
Fig. 10.
Shoulder MRI, T1 weighted image of case 3
acupunct-31-1-167-17f10.gif
Fig. 11.
Shoulder MRI, T2 fat suppression image of case 4
acupunct-31-1-167-17f11.gif
Fig. 12.
Shoulder MRI, T1 weighted image of case 4
acupunct-31-1-167-17f12.gif
Table 1.
Progress in the Treatment of Case 1
9. 10 9. 20 9. 30 10. 10 10. 19
VAS(static) 7 4 3 2 0
VAS(kinetic) 10 7 5 3 1
Flexion 45° 135° 150° 170° 180°
Abduction 60° 120° 160° 180° 180°
Painful arc sign (+) (+) (−) (−) (−)
Neer test (+) (+) (+) (+/−) (−)
Hawkin’s test (+) (+) (+) (+/−) (−)
Mouth to wrap test (+) (+) (+) (+/−) (−)
Hand to shoulder blade test (+) (+) (+) (+/−) (−)
Table 2.
Progress in the Treatment of Case 2
10. 23 11. 1 11. 15 11. 29 12. 13
VAS(static) 3 2 1 0 0
VAS(kinetic) 10 7 5 3 2
Flexion 60° 100° 120° 135° 140°
Abduction 60° 90° 120° 130° 135°
Painful arc sign (+) (+) (+/−) (−) (−)
Neer test (+) (+) (+) (+/−) (+/−)
Hawkin’s test (+) (+) (+) (+/−) (+/−)
Mouth to wrap test (+) (+) (+) (+/−) (+/−)
Hand to shoulder blade test (+) (+) (+) (+/−) (+/−)
Table 3.
Progress in the Treatment of Case 3
10. 25 11. 8 11. 22 12. 6 12. 20
VAS(static) 2 2 1 0 0
VAS(kinetic) 10 7 5 3 2
Flexion 90° 120° 135° 145° 150°
Abduction 90° 100° 120° 135° 140°
Painful arc sign (+) (+) (+/−) (−) (−)
Neer test (+) (+) (+) (+/−) (+/−)
Hawkin’s test (+) (+) (+/−) (+/−) (−)
Mouth to wrap test (+) (+) (+/−) (+/−) (+/−)
Hand to shoulder blade test (+) (+) (+/−) (+/−) (+/−)
Table 4.
Progress in the Treatment of Case 4
10. 15 10. 20 10. 25
VAS(static) 5 1 0
VAS(kinetic) 10 4 0
Flexion 120° 160° 180°
Abduction 135° 160° 180°
Painful arc sign (−) (−) (−)
Neer test (+) (+/−) (−)
Hawkin’s test (+) (+/−) (−)
Mouth to wrap test (+/−) (−) (−)
Hand to shoulder blade test (+/−) (−) (−)

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