한방재활의학과학회지 (Journal of Korean Medicine Rehabilitation)

  • 제20권4호
  • /
  • Pages.241-254
  • /
  • 2010
  • /
  • 1229-1854(pISSN)
  • /
  • 2288-4114(eISSN)
한방재활의학과학회 (The society of Korean Medicine Rehabilitation)
권호 표지

슬관절의 전방십자인대파열에 대한 한방치료와 봉추나의 치료효과 증례 2

Effectiveness of Oriental Medical Therapy and Bongchuna on Anterior Cruciate Ligament Rupture of Knee, Two Case Reports

  • 오원교 (교정재생한의원) ;
  • 권영달 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 송용성 (원광대학교 한의과대학 한방재활의학과교실)
  • Oh, Won-Kyo (Kyojeong-Jaesaeng Oriental Medicine Clinic) ;
  • Kwon, Young-Dal (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Song, Yung-Sun (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Won-Kwang University)
  • 투고 : 2010.09.14
  • 심사 : 2010.10.07
  • 발행 : 2010.10.30
⟨ 이전 논문 다음 논문 ⟩

초록

Anterior cruciate ligament tear is a common disease of knee injury. We report 1 case of anterior cruciate ligament complete tear diagnosed by MRI(magnetic resonance imaging) imaging and 1 case after reconstruction. Outcomes were measured by visual analogue scale(VAS) and Lysholm knee scoring scale. We applied acupuncture treatment, bee venom injection, bongchuna and prescribed herbal medication. Patients who treated by oriental medical treatments had a significant effect on the pain decrease and range of motion and knee function. Oriental medical treatments are very useful on pain reduction and prevention of muscle contraction, leading to satisfied rehabilitation, as wee as diminishing recurrence after operation.

키워드

참고문헌

  1. Jennifer MH, Randall D, Julie A. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007;42(2):311-9.
  2. Nogalski MP, Bach BR Jr. A review of early anterior cruciate ligament surgical repair or reconstruction. Orthop Review. 1993;22:1213-23.
  3. P Kannus, M Jarvinen. Conservatively treated tears of the anterior cruciate ligament: long-term results. The J of bone and joint surgery. 1987;69(7):1007-12. https://doi.org/10.2106/00004623-198769070-00008
  4. Heme SL, Markolf KL, Hunter DM, Oakes DA, Zoric B. Effects of notchplasty and femoral tunnel position on excursion patterns of an anterior cruciate ligament graft. Arthorplasty. 2003;19(4):340-5.
  5. Georgoulis AD, Ristanis S, Chouliaras V, Moraiti C, Stergiou N. Tibial rotation is not restored after ACL reconstruction with a hamstring graft. Clin Orthop Relat Res. 2007;454:89-94. https://doi.org/10.1097/BLO.0b013e31802b4a0a
  6. Tashiro T, Kurosawa H, Kawakami A, Hikita A, Fukui N. Influence of medial hamstring tendon harvest on knee flexor strength after anterior cruciate ligament reconstruction: a detailed evaluation with comparison of single and double tendon harvest. Am J Sports Med. 2003;31(4):522-9. https://doi.org/10.1177/31.4.522
  7. 이병일, 천동일. 전방십자인대 재건술 - 잔류조직 보존술식. 대한관절경학회지. 2009;13(2):97-104.
  8. Masahiro kurosaka, Shinichi yoshiya, Toshiyuki mizuno, Kosaku mizuno. Spontaneous healing of a tear of the anterior cruciate ligament: a report of two cases. The journal of bone and joint surgery. 1998;80:1200-3. https://doi.org/10.2106/00004623-199808000-00015
  9. 정영복, 태석기, 염재광, 김진수. 손상된 전방 십자 인대의 보존적 치료 - 증례보고. 대한 관절경 학회지. 1997;1(1):112-5.
  10. Murray MM, Spindler KP, Devin C, Snyder BS, Muller J, Takahashi M, Ballard P, Nanney LB, Zurakowski D. Use of collagen-platelet rich plasma scaffold to stimulate healing of a control defect in the canin ACL. J Orthop Res. 2006;24(4):820-30. https://doi.org/10.1002/jor.20073
  11. 오원교, 신병철. 봉추나요법의 개요. 척추신경추나의학회지. 2007;2(1):99-114.
  12. 오원교, 신병철. 봉추나요법과 한방치료를 병행한 후하방장골 변위 교정 3예. 한방재활의학과학회지. 2008;18(1):63-75.
  13. 오원교, 신병철. 거북목증후군의 경추만곡 호전에 대한 봉추나요법과 침술의 효과와 방사선학적 평가방법 연구. 2009;19(1):113-24.
  14. Pap G, Machner A, Nebelung W, Awiszus F. Detailed analysis of proprioception in normal and ACL-deficient knees. J Bone Joint Surg Br. 1999;81:764-8. https://doi.org/10.1302/0301-620X.81B5.9352
  15. Clayton G, Lane, et al. The pivot shift. Journal of the american academy of orthopaedic surgeons. 2008;16(12):679-88. https://doi.org/10.5435/00124635-200812000-00001
  16. Viskontas DG, Giuffe BM, Duggal N. Bone bruises associated with ACL rupture: correlation with injury mechanism. Am J Sports Med. 2008;36:927-33. https://doi.org/10.1177/0363546508314791
  17. 최영준, 안형선, 김정환, 황재광, 이기원, 최지호, 한희돈, 이선우. 슬관절 퇴행성 관절염에 속발된 관절의 변화와 전방십자인대 기능 소실과의 연관성에 관한 연구. 대한슬관절학회지. 2008;20(2):103-9.
  18. Odensten M, Hamberg P, Nordin M, Lysholm J, Gillquist J. Surgical or conservative treatment of the acutely tom anterior cruciate ligament: a randomized study with short-term follow-up observations. Clin Orthop. 1985;198:87-93.
  19. 조우신, 빈성일, 조용선, 한영길, 차호인. 전방 십자인대손상의 보존적 치료. 대한정형외과학회지. 1997;32(2):282-7.
  20. Giove T, Miller SJ, Kent BE, Sanford TL, Garrick JG. Non-operative isolated anterior cruciate ligament. J Bone Joint Surg. 1983;65A:184-92.
  21. Cohen M, Amaro IT, Ejnisman B. Anterior cruciate ligament reconstruction after 10 to 15 years: association between meniscectomy and osteoarthrosis. Arthroscopy. 2007;23:629-34. https://doi.org/10.1016/j.arthro.2007.03.094
  22. Williams RJ 3rd, Kelly BT, Wickiewicz TL, Altchek DW, Warren RF. The short-term outcome of surgical treatment for painful varus arthritis association with chronic ACL deficiency. J Knee Surg. 2003;16:9-16.
  23. Boden BP, Torg JS, Knowles SB. Mechanism of anterior of cruciate ligament injury: abnormalities in hip and ankle kinematics. Am J Sports Med. 2009;37:252-9. https://doi.org/10.1177/0363546508328107
  24. Sgaglione NA, Del Pizzo W, Fox JM, Friedman MJ. Arthroscopically assisted anterior cruciate ligament reconstruction with the pes anserine tendons: comparison of results in acute and chronic ligament deficiency. Am J Sports Med. 1993;21:249-56. https://doi.org/10.1177/036354659302100215
  25. Kernozek TW, Torry MR, H VH. Gender difference in frontal and sagittal plane biomechanics during drop landings. Med Sci Sports Exerc. 2005;37:1003-12.
  26. Steadman JR. Rehabilitation of acute injuries of the anterior cruciate ligament. Clinical orthopaedics & related research. 1983;172:129-32.
  27. Blomstrand E, Radegran G, Saltin B. Maximum rate of oxygen uptake by human muscle in relation to the activi쇼 of enzymes in the kreb cycle. J Physiol. 1997;501:455-60. https://doi.org/10.1111/j.1469-7793.1997.455bn.x
  28. Mikkelsen C, Werner S, Eriksson E. Closed kinetic chain alone compared to combined open and CKC exercises for quads strengthening after ACL reconstruction with respect to return to sports: a prospective matched follow-up study. Knee Sur, Sports Trau, Arthr. 2000;8:337-42. https://doi.org/10.1007/s001670000143
  29. 서경호, 임재영, 정선근, 백남종, 김태균. 자가 이식건 종류에 따른 전방십자인대 재건술 후근기능 회복 양상의 차이. 대한스포츠학회지. 2005;23(1):41-8.
  30. Keays SL, Bullock-saxton JE. Newcombe P, Keay AC. The relationship between knee strength and functional stability before and after anterior cruciate ligament reconstruction. J Orthop Res. 2003;21:231-7. https://doi.org/10.1016/S0736-0266(02)00160-2
  31. Bonamo JJ, Fay C, Firestone T. The conservative treatment of the anterior cruciate deficient knee. Am J Sports Med. 1990;18:618-23. https://doi.org/10.1177/036354659001800611
  32. 이주홍, 배현경, 김기범, 황병연, 임영진, 송지훈, 정명국. 급성 및 만성 전방십자인대 재건 술의 비교. 대한정형외과학회지. 2010;45(4):281-6.
  33. 최종혁, 윤한국, 김형식. 급성 전방십자인대 파열의 관절경적 봉합술. 대한관절경학회지. 2005;9(2):137-42.
  34. 송은규, 김종석. 전방십자인대 재건시 이식건의 대퇴골측 고정에 대한 주기성 인장부하의 효과. 대한정형외과스포츠의학회지. 2003;2(1):28-36.
  35. Paessler HH, Deneke J, Dahners LE. Augmented repair and early mobilization of acute anterior cruciate ligament injuries. Am J Spots Med. 1992;20:667-74. https://doi.org/10.1177/036354659202000607
  36. Schutte MJ, Dabezies J, Zimny ML, Happel LT. Neural anatomy of the human anterior cruciate ligament. J Bone Joint Surg. 1987;69A:243-7.
  37. 류수민, 이종수, 김성수, 정석희. 관절강내 봉독요법이 퇴행성 슬관절염에 미치는 임상적 효과. 한방재활의학과학회지. 2004;14(1):35-52.
  38. Lephart SM, Perrin DH, Mingner K, Fu FH. Functional performance test for the anterior cruciate ligament insufficient athlete. J Athl Train. 1991;26:44-50.
  39. 김상규, 빈성일, 김철준. 전방십자인대손상 환자 재활에서 슬관절 등속성 근력 측정의 유용성. 대한스포츠의학회지. 1997;15(2):225-34.
  40. Gobbi A, Franscisso R. Factors affecting return to sports after anterior cruciate ligament reconstruction with patellar and hamstring graft: a prospective clinical investigation. Knee Surg Sports Traumatol Arthrosc. 2006;14:1021-8. https://doi.org/10.1007/s00167-006-0050-9