Abstract： Objective： To systematically evaluate the clinical efficacy of acupuncture combined with joint mobilization in patients with rotator cuff injury using meta-analysis，and to provide evidence-based medical evidence for clinical decision-making. Methods：CNKI，Wanfang，VIP，CBM，Web of Science，PubMed，Embase，and Cochrane Library were searched for randomized controlled trials （RCTs） on acupuncture combined with joint mobilization for rotator cuff injury. The search period covered from each database's inception to December 31， 2025. Two reviewers independently screened literature， extracted data， and assessed risk of bias. Meta-analysis of the extracted outcome indicator data was performed using RStudio 2026 software. Results：Eight RCTs met the inclusion criteria. The meta-analysis results showed that there were statistically significant differences between the two groups in the following outcomes （all P＜0.01）：Visual Analogue Scale （VAS） score for pain [MD = −1.92，95% CI （−2.62，−1.21）， P＜0.001]， the University of California at Los Angeles （UCLA） shoulder rating scale [MD = 6.63， 95% CI （6.10，7.15），P＜0.001]，shoulder range of motion （ROM） in abduction [MD=21.86，95% CI （18.34，25.37）， P＜0.000 1]，ROM in external rotation [MD= 9.33，95% CI （7.12，11.54），P＜0.000 1]，ROM in forward flexion [MD=18.75， 95% CI （14.24， 23.36）， P＜0.000 1]， ROM in extension [MD=7.70， 95% CI （3.76，11.64）， P＜ 0.000 1]，and clinical efficacy rate [RR=1.20，95% CI （1.08，1.32），P＜0.000 1]. High heterogeneity was observed for VAS scores and forward flexion ROM， and the results should be interpreted with caution. Conclusion： Available evidence suggests that acupuncture combined with joint mobilization may be superior to joint mobilization alone or joint mobilization plus non-acupuncture therapy in treating rotator cuff injury. This combined therapy can effectively relieve pain and improve shoulder function and range of motion.