DOI QR코드

DOI QR Code

후방 발목 충돌 증후군 환자의 복합 한의진료 경과: 증례보고

Complex Korean Medicine Treatment for Posterior Ankle Impingement Syndrome: Case Report

  • 박지원 (대전자생한방병원 침구의학과) ;
  • 경다현 (대전자생한방병원 한방안이비인후피부과) ;
  • 구지은 (대전자생한방병원 한방재활의학과) ;
  • 배준효 (대전자생한방병원 한방재활의학과) ;
  • 김수진 (대전자생한방병원 한방부인과) ;
  • 배지은 (대전자생한방병원 한방내과)
  • Park, Ji-won (Department of Acupuncture & Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Kyung, Da-hyun (Ophthalmology & Otolaryngology & Dermatology of Korean Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Koo, Ji-eun (Department of Rehabilitation Medicine of Korean Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Bae, Jun-Hyo (Department of Rehabilitation Medicine of Korean Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Kim, Su-jin (Department of Korean Medicine Obstetrics and Gynecology, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Bae, Ji-eun (Department of Korean Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine)
  • 투고 : 2022.07.19
  • 심사 : 2022.08.22
  • 발행 : 2022.09.27

초록

Posterior ankle impingement syndrome is one of the impingement syndromes characterized by posterior ankle pain that occurs during forced plantar flexion. This report presents a case of a 48-year-old PAIS patient with os trigonum syndrome accompanied by tenosynovitis of flexor hallucis longus. She was treated with complex Korean medicine to a good effect. The Numeric Rating Scale and the EuroQol 5-Dimension 5-Level were used to measure the impact of Korean medicine on the patient's pain and quality of life. Decreased NRS and increased EQ-5D-5L scores reflected improvement in her symptoms within 25 days. This study suggests complex Korean medicine treatment for PAIS may be beneficial for alleviating pain and improving quality of life.

키워드

참고문헌

  1. Yasui Y, Hannon CP, Hurley E, Kennedy JG. Posterior ankle impingement syndrome: A systematic four-stage approach. World J Orthop. 2016 ; 7(10) : 657-63. https://doi.org/10.5312/wjo.v7.i10.657
  2. Niek van Dijk C. Anterior and posterior ankle impingement. Foot Ankle Clin. 2006 ; 11(3) : 663-83. https://doi.org/10.1016/j.fcl.2006.06.003
  3. Ribbans WJ, Ribbans HA, Cruickshank JA, Wood EV. The management of posterior ankle impingement syndrome in sport: a review. Foot Ankle Surg. 2015 ; 21(1) : 1-10. https://doi.org/10.1016/j.fas.2014.08.006
  4. Zwiers R, Baltes T, Opdam K, Wiegerinck J, Dijk C. Prevalence of os trigonum on CT imaging. Foot Ankle Int. 2018 ; 39(3) : 338-42. https://doi.org/10.1177/1071100717740937
  5. Rungprai C, Tennant JN, Phisitkul P. Disorders of the flexor hallucis longus and os trigonum. Clin Sports Med. 2015 ; 34(4) : 741-59. https://doi.org/10.1016/j.csm.2015.06.005
  6. Chinnakkannu K, Femino JE, Glass N, Phisitkul P, Amendola A. Posterior ankle and hindfoot arthroscopy: complications and posterior ankle impingement pathologies. Foot & Ankle Orthopaedics. 2019 ; 4(4) : 2473011419S00018. https://doi.org/10.1177/2473011419S00018
  7. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011 ; 63 : Suppl 11 : S240-52. https://doi.org/10.1002/acr.20543
  8. Herdman M, Gudex C, Lloyd A, Janssen Mf, Kind P, Parkin D, et al. Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L) Qual Life Res. 2011 ; 20(10) : 1727-36. https://doi.org/10.1007/s11136-011-9903-x
  9. Wiegerinck JI, Vroemen JC, van Dongen TH, Sierevelt IN, Maas M, van Dijk CN. The posterior impingement view: an alternative conventional projection to detect bony posterior ankle impingement. Arthroscopy. 2014 ; 30(10) : 1311-6. https://doi.org/10.1016/ j.arthro.2014.05.006
  10. LiMarzi GM, Khan O, Shah Y, Yablon CM. Imaging manifestations of ankle impingement syndromes. Radiol Clin North Am. 2018 ; 56(6) : 893-916. https://doi.org/org/10.1016/j.rcl.2018.06.005
  11. Trinh K, Belski N, Zhou F, Kuhad A, Luk D, Youn E. The efficacy of acupuncture on foot and ankle for pain intensity, functional status, and general quality of life in adults: a systematic review. Med Acupunct. 2021 ; 33(6) : 386-95. https://doi.org/10.1089/acu.2021.0006
  12. Lin JG, Chen WL. Acupuncture analgesia: a review of its mechanisms of actions. Am J Chin Med 2008 ; 36(4) : 635-45. https://doi.org/10.1142/S0192415X08006107
  13. Park J, Lee H, Shin BC, Lee MS, Kim B, Kim JI. Pharmacopuncture in Korea: a systematic review and meta-analysis of randomized controlled trials. Evid Based Complement Alternat Med. 2016 ; 2016 : 4683121. https://doi.org/10.1155/2016/4683121
  14. Lee SY, Kwon HK, Lee SM. Retracted article: Shinbaro, a new herbal medicine with multifunctional mechanism for joint disease: First therapeutic application for the treatment of osteoarthritis. Arch Pharm Res. 2011 ; 34(11) : 1773-7. https://doi.org/10.1007/s12272-011-1121-0
  15. Kim TH, Yoon SJ, Lee WC, Kim JK, Shin J, Lee S, et al. Protective effect of GCSB-5, an herbal preparation, against peripheral nerve injury in rats. J Ethnopharmacol. 2011 ; 136(2) : 297-304. https://doi.org/10.1016/j.jep.2011.04.037
  16. Baik IH, Kim KH, Lee KA. Antioxidant, Anti-inflammatory and antithrombotic effects of ginsenoside compound K enriched extract derived from ginseng sprouts. Molecules. 2021 ; 26(13) : 4102. https://doi.org/10.3390/molecules26134102
  17. Lu T, Mao C, Zhang L, Xu W. The research on analgestic and antiinflammatory action of different processed products of Achyranthes bidentata. Zhong Yao Cai. 1997 ; 20(10) : 507-9. PMID:12572519.
  18. Kim SH, Yook TH, Kim JU. Rehmanniae radix, an effective treatment for patients with various inflammatory and metabolic diseases: results from a review of Korean publications. J Pharmacopuncture. 2017 ; 20(2) : 81-8. https://doi.org/10.3831/KPI.2017.20.010
  19. Lin YH, Chen C, Zhao X, Mao YF, Xiang GX, Yang MQ, et al. Efficacy and safety of banxia formulae for insomnia: a systematic review and meta-analysis of high-quality randomized controlled trials. Evid Based Complement Alternat Med. 2021 ; 2021 : 8833168. https://doi.org/10.1155/2021/8833168
  20. Shergis JL, Ni X, Sarris J, Zhang AL, Guo X, Xue CC, et al. Ziziphus spinosa seeds for insomnia: a review of chemistry and psychopharmacology. Phytomedicine 2017 ; 34 : 38-43. https://doi.org/10.1016/j.phymed.2017.07.004