关键词: 肌骨超声, 诊断, 脑梗死, 肩周软组织损伤, 康复

Abstract: This paper discusses the value of musculoskeletal ultrasound (MSKUS) in the diagnosis of shoulder soft tissue injury after cerebral infarction and guiding clinical treatment. We selected 165 patients with hemiplegia after cerebral infarction and soft tissue injury around the shoulder who were admitted for clinical randomized study. There were 83 cases in the ultrasound guidance group and 82 cases in the routine group. According to MSKUS analysis, 74 cases (44.85%) of biceps tendinopathy, 117 cases (70.91%) of rotator cuff disease, 48 cases (29.09%) of SA-SD disease, 28 cases (16.97%) of acromioclavicular joint disease. The VAS scores of the ultrasound guidance group at 2 weeks of rehabilitation treatment and 8 weeks of rehabilitation treatment were lower than those of the conventional group (P<0.05); the ultrasound guidance group's flexion motion of the shoulder joint at 2 weeks of rehabilitation treatment and 8 weeks of rehabilitation treatment 1. The degree of movement of shoulder joint abduction function was greater than that of the conventional group (P<0.05). The scores of shoulder joint function in the ultrasound-guided group at 8 weeks of rehabilitation were higher than those in the conventional group (P<0.05). MSKUS has important value in diagnosing the soft tissue injury of the shoulder after cerebral infarction and guiding clinical treatment.

Key words: musculoskeletal ultrasound, diagnosis, cerebral infarction, soft tissue injury around the shoulder, rehabilitation