手法配合小针刀治疗肱骨外上髁炎45例

肱骨外上髁炎是临床常见病、多发病。近年来笔者采用手法配合小针刀治疗本病４５例，获得满意疗效，现报道如下。１　一般资料本组４５例，男３１例，女１４例；年龄最小２０岁，最大６０岁；病程最短半个月，最长１年；单侧发病３９例，双侧发病６例。２　治疗方法２－１　手法治疗２－１－１　分筋理筋法　患者端坐位，曲肘９０°，医生坐于患者病侧，一手扶住患肢，另一手拇指指腹垂直按压于肘外侧伸腕肌附着点处行左右弹拔，再顺肌纤维走向理筋，以局部皮肤微热为度。２－１－２　擦法　上述手法完毕后，用擦法自下而上搓擦肱骨外上髁处…

45 Cases ofExternal Humeral Epicondylitis Treatedwith Manipulation and Knife-Needle

Abstract 45 cases of external humeral epicondylitis were treated with manipulation to separate and restore soft tissues and to rub around the external epicondyle of humerus first, then the cutting edge of the needle was made to parallel to the fibrous running direction of extensor carpus and was perpendicularly inserted from the subcutaneous area of external epicondyle of humerus into the surface of bone to trip adhesion longitudinally and horizontally. The cutting edge was turned to make 2 to 3 cuts when vertical to the fibrous running direction of extensor carpus. Among the 45 cases, 37 cases proved cured with one treatment and 27 with two treatments. 6 cases showed obviously improved, but 2 remained ineffective result. The total effective rate was 95.6%. In the half a year follow up survey for the 37 cases with cure effect, recurrence was found in 2 cases.