Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
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Comparative Study between MRI and pain, duration, physical examination in 20 patients with knee joint pain

20례 슬통환자의 통증, 이환기간, 물리적 검사법과 MRI소견과의 비교 고찰

  • Yang, Myung-bok (Department of Acupuncture & Moxibustion Gun-Po Oriental Medicine, Won-Kwang University) ;
  • Jang, Byung-sun (Department of Acupuncture & Moxibustion Collage of Oriental Medicine, Won-Kwang University) ;
  • Lee, Dae-yong (Department of the Third medicine, Professional Graduate School of Oriental Medicine Won-Kwang University) ;
  • Lee, Seung-hoon (Department of the Third medicine, Professional Graduate School of Oriental Medicine Won-Kwang University) ;
  • Hwang, Byung-chun (Department of the Third medicine, Professional Graduate School of Oriental Medicine Won-Kwang University) ;
  • Park, Jung-un (Department of the Third medicine, Professional Graduate School of Oriental Medicine Won-Kwang University) ;
  • Guk, Ui-suk (Department of the Third medicine, Professional Graduate School of Oriental Medicine Won-Kwang University) ;
  • Lee, Geon-mok (Department of the Third medicine, Professional Graduate School of Oriental Medicine Won-Kwang University)
  • 양명복 (원광대학교 군포한방병원 침구과) ;
  • 장병선 (원광대학교 한의과대학 침구학교실) ;
  • 이대용 (원광대학교 한의학전문대학원 제3의학과) ;
  • 이승훈 (원광대학교 한의학전문대학원 제3의학과) ;
  • 황병천 (원광대학교 한의학전문대학원 제3의학과) ;
  • 박정운 (원광대학교 한의학전문대학원 제3의학과) ;
  • 국의석 (원광대학교 한의학전문대학원 제3의학과) ;
  • 이건목 (원광대학교 한의학전문대학원 제3의학과)
  • Received : 2002.11.01
  • Accepted : 2002.11.23
  • Published : 2002.12.20
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Abstract

Background and Purpose : MRI(Magnetic Resonance Imaging) has become one of the most sensitive diagnostic tool no evaluate problems of the knee, because it enables us to identify not only osseous tissue but also soft tissues including muscle, fascia, tendon, ligament, meniscus and fat around the knee joint. Objective : To compare between MRI reading and pain, duration, physical examination in patients with pain of knee joint. Methods : 20 patients with pain of knee joint included in this study. This study researched pain-degree, duration, physical examination with pain of knee joint. Using MRI(Horizon Lx 1.0T-GE), we obtained the results. Results : 1. In the distribution of sex; Female rate was 80.0% and male rate was 20.0%. In the distribution of age, above sixty group was the largest group by each 55.0%. 2. In the distribution of MRI reading; 'Meniscus horm tear' was 70.0%, 'Osteoarthritis' was 55.5%, 'ACL partial tear' was 15.0%, 'Bone bruise at tibia, femur' was 15.0%. 3. Correlation between duration of pain and MRI reading showed that acute and subacute stage related various MRI reading, that chronic stage related 'Osteoarthritis' and 'Meniscus horn tear' by each 69.2%, 92.3%. 4. Correlation between pain and MRI reading showed that severe pain(GVI) related 'ACL partial tear, PCL partial tear' by each 100%, that mild pain(GII) related 'Osteoarthritis, Meniscus horn tear' by each 70.0%, 80.0%. 5. Correlation between physical examination and MRI reading showed that Drawer test related ACL partial tear by each 60.0%, that McMurray test related 'Meniscus horn tear' by each 75.0%. 6. Correlation between effect of treatment and MRI reading showed that 'Osteoarthritis, Meniscus horn tear' related good effect, that ACL partial tear related poor effect. Conclusions : These results suggest that acute and sever pain relate 'ACL partial tear, PCL partial tear', that chronic and mild pain related 'Osteoarthritis, Meniscus horn tear'. So it is responsibility to use MRI as a sensitive diagnostic tool in the knee problems.

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