Four Case of Partial Tear of Supraspinatus Tendon Treated by Acupotomy Combined Oriental Medical Treatments

Article information

Acupunct. 2014;31(1):167-176
Publication date (electronic) : 2014 March 20
doi : https://doi.org/10.13045/acupunct.2014017
1Department of Acupuncture & Moxibustion Medicine, Dongseo Oriental Medical Hospital
2Department of Oriental Rehabilitation Medicine, Bu-Cheon Jaseng Oriental Medical Hospital
*Corresponding author : Department of Acupuncture & Moxibustion Medicine, Dongseo Oriental Medical Hospital, 365-14, Seongsan-ro, Seodaemun-gu, Seoul, 120-830 Republic of Korea, Tel : 82-2-337-1110 E-mail : dlcmal0302@naver.com
Received 2014 January 21; Revised 2014 March 05; Accepted 2014 March 10.

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

Fig. 2.

Point 2 of acupotomy

Fig. 3.

Point 3 of acupotomy

Fig. 4.

Point 4 of acupotomy

Fig. 5.

Shoulder MRI, T2 fat suppression image of case 1

Fig. 6.

Shoulder MRI, T1 weighted image of case 1

Fig. 7.

Shoulder MRI, T2 fat suppression image of case 2

Fig. 8.

Shoulder MRI, T1 weighted Image of case 2

Fig. 9.

Shoulder MRI, T2 fat suppression image of case 3

Fig. 10.

Shoulder MRI, T1 weighted image of case 3

Fig. 11.

Shoulder MRI, T2 fat suppression image of case 4

Fig. 12.

Shoulder MRI, T1 weighted image of case 4

Progress in the Treatment of Case 1

Progress in the Treatment of Case 2

Progress in the Treatment of Case 3

Progress in the Treatment of Case 4

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Article information Continued

Fig. 1.

Point 1 of acupotomy

Fig. 2.

Point 2 of acupotomy

Fig. 3.

Point 3 of acupotomy

Fig. 4.

Point 4 of acupotomy

Fig. 5.

Shoulder MRI, T2 fat suppression image of case 1

Fig. 6.

Shoulder MRI, T1 weighted image of case 1

Fig. 7.

Shoulder MRI, T2 fat suppression image of case 2

Fig. 8.

Shoulder MRI, T1 weighted Image of case 2

Fig. 9.

Shoulder MRI, T2 fat suppression image of case 3

Fig. 10.

Shoulder MRI, T1 weighted image of case 3

Fig. 11.

Shoulder MRI, T2 fat suppression image of case 4

Fig. 12.

Shoulder MRI, T1 weighted image of case 4

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 (+/−) (−) (−)