A Case Report of Patient with Recurrent Patellar Dislocation Treated by Korean Medicine Treatment in Combination with Intra-articular Bee Venom Injection and Needle-embedding Therapy

관절강내 봉약침과 매선요법을 병행한 슬개골 재발성 탈구 증례보고

  • Published : 2013.10.31

Abstract

The purpose of this study is to observe the effect of Korean medicine treatment in combination with intra-articular bee venom injection and needle-embedding therapy on recurrent patellar dislocation in patient. The Patient, diagnosed as recurrent patellar dislocation, was treated by Korean medicine treatment in combination with intra-articular bee venom injection and needle-embedding therapy. Visual analogue scale (VAS), knee flexion range of motion (ROM), Korean Western Ontario and Mcmaster Universities arthritis index (K-WOMAC) were used to measure changes during treatment. After treatment, VAS, knee flexion ROM, K-WOMAC were improved significantly. The Korean medicine treatment in combination with intra-articular bee venom injection and needle-embedding therapy was proved to be helpful to improve the symptoms of the recurrent patellar dislocation.

Keywords

Patellar dislocation;Bee venom;Needle-embedding therapy

References

  1. 안종국, 이창수. 슬개골 재발성 탈구와 아탈구에 대한 수술적 치료. 인제의학. 2002;23(2):521-6.
  2. 김미려, 허수영, 박기현. 퇴행성 슬관절염에 대한 동서의학적 비교. 제한동의학술원 논문집. 1999;4(1):711-22.
  3. 임홍철, 윤정로, 민경구, 김성연, 최병섭. 슬개골 재발성 탈구와 아탈구의 수술적 치료. 대한슬관절학회지. 1999;11(1):96-100.
  4. 대한정형외과학회. 정형외과학 제5판. 최신의학사. 1999:518-9.
  5. 王冰. 新編 黃帝內經 素問. 서울:대성출판사. 1994:82, 268.
  6. 許浚 著 동의보감국역위원회 編. 對譯東醫寶鑑. 서울:법인문화사. 1999:759, 761, 1512-36.
  7. 김덕원, 안종호, 이강, 이은군, 김진구. Elmslie-Trillat-Marquet 시술식으로 치료한 재발성 슬개골 아탈구 또는 탈구의 중장기 추시 결과. 대한슬관절학회지. 2006;18(2):207-13.
  8. Weiss LD, Silver JK, Lennard TA, Weiss JM. 쉽게 익히는 근골격계 주사치료. 서울:대한의학서적. 2009:43-6.
  9. Brazier JE, Harper R, Munro J, Walters SJ, Snaith ML. Generic and condition-specific outcome measures for people with osteoarthritis of the knee. Rheumatology (Oxford). 1999;38(9):870-7. https://doi.org/10.1093/rheumatology/38.9.870
  10. Bellamy N. Outcome measurement in osteoarthritis clinical trials. J Rheumatol Suppl. 1995;43:49-51.
  11. Dougados M. Monitoring osteoarthritis progression and therapy. Osteoarthritis Cartilage. 2004;12:Suppl A:S55-60. https://doi.org/10.1016/j.joca.2003.09.009
  12. Blackburne JS, Peel TE. A new method of measuring patellar height. J of Bone and Joint Surg. 1977;59B(2):241-2.
  13. Williams PE. Quadriceps contracture. J Bone and Joint Surg. 1968;50B:278-84.
  14. Ober FR. Recurrent dislocation of the patella. Am J of Surgery. 1954;43:497-508.
  15. Jeffrey TE. Recurrent dislocation of the patella due to abnormal attachment of the iliotibial tract. J Bone and Joint Surg. 1963;45B;740-3.
  16. Nikku R, Nietosvaara Y, Kallio PE, Aalto K, Nichelsson JE. Operative versus closed treatment of primary dislocation of the patella, similar 2-year results in 125 randomised patient. Acta Orthop Scand. 1997;68:419-23. https://doi.org/10.3109/17453679708996254
  17. Depalma AF. Disease of the knee. Philadelphia, London, Montreal:J.B. Lippincott Company 1954.
  18. Macnab I. Recurrent dislocation of the patella. J Bone and Joint Surg. 1952;34A:957-68.
  19. Mckeeveer DC. Recurrent dislocation of the patella. Clin Orthop. 1954;3:55-60.
  20. Hawkins RJ, Bell RH, Anisette G. Acute patellar dislocations: the natural history. Am J Sports Med 1986;14:117-20. https://doi.org/10.1177/036354658601400204
  21. 조재호. 슬개골 재발성 탈구의 관절경적 치료(관절경적 내측 지대 보강술 및 외측 지대 이완술). 연세대학교 대학원. 2000:15.
  22. Canale ST. Campbell's operative orthopaedics. 10th ed. Tennessee:Msby. 2003:2377-93.
  23. 洪元植. 精校黃帝內經營樞. 서울:大星出版社. 1992:24-8.
  24. 전국한의과대학 침구경혈학교실 편저. 鍼灸學(下). 2판. 서울:집문당. 2008:110.
  25. 한방재활의학과학회. 한방재활의학 제3판. 서울:군자출판사. 2011:321-2.
  26. 김동은, 유덕선, 염승룡, 권영달, 송용선. 반월상 연골손상에 관한 관절강내 봉약침 치료 증례보고 4례. 한방재활의학과학회지. 2010;20(1):219-30.
  27. 허동석, 금동호. 급성 외상성 주관절염에 대한 관절강내 봉약침 치험 2례. 한방재활의학과학회지. 2005;15(1):171-80.
  28. Kwon YB, Kang MS, Han HJ, Beitz AJ, Lee JH. Visceral antinociception produced by bee venom stimulation of the Zhonwan acupuncture point in mice: role of alpha(2) adrenoceptors. NeurosciLett. 2001;308(2):133-7.
  29. 서동민, 박동석, 강성길. 봉독약침이 Adjuvant 유발 관절염에 미치는 진통효과 및 그 기전에 관한 연구. 대한침구학회지. 2003;20(2):85-97.
  30. 박영업. 약실자입요법. 서울:행림출판. 2003:19, 21, 29, 66.
  31. 이현재, 국길호, 이은정, 안순선, 허동석. 발목 인대 손상에 대한 전열침과 매선요법 및 한방요법 병행치험 2례. 한방재활의학과학회지. 2012;22(4):185-98.
  32. 이승민, 이창우, 전주현, 김영일. 매선치료의 안면 주름 개선 효과 10례. 대한침구학회지. 2001;28(4):143-7.