Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
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A case report on a patient with Dupuytren's contracture improved by acupuncture, moxibustion and bee venom pharmacopuncture

침, 뜸, 봉약침으로 호전된 듀피트렌 구축 환자 증례 보고

  • Bang, Chan Hyuck (Department of Acupuncture and Moxibustion Medicine, Dongsuwon Oriental Medical Hospital) ;
  • Sohn, Soo Ah (Department of Acupuncture and Moxibustion Medicine, Dongsuwon Oriental Medical Hospital) ;
  • Lee, Kyung Yun (Department of Acupuncture and Moxibustion Medicine, Dongsuwon Oriental Medical Hospital) ;
  • Ok, So Yoon (Department of Oriental Rehabilitation Medicine, Dongsuwon Oriental Medical Hospital) ;
  • Choi, Yu Na (Department of Acupuncture and Moxibustion Medicine, Dongguk University Bundang Oriental Hospital)
  • 방찬혁 (동수원한방병원 침구의학과) ;
  • 손수아 (동수원한방병원 침구의학과) ;
  • 이경윤 (동수원한방병원 침구의학과) ;
  • 옥소윤 (동수원한방병원 재활의학과) ;
  • 최유나 (동국대학교 분당한방병원 침구의학과)
  • Received : 2016.04.09
  • Accepted : 2016.06.17
  • Published : 2016.06.20
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Abstract

Objectives : To treat the progression of fibroproliferative disease that affects the flexion contracture of the fingers for patients with Dupuytren's contracture, the purpose of this study is to report a case of a patient with Dupuytren's contracture after complex Korean medical treatment. Methods : A patient was treated with acupuncture, moxibustion and bee venom pharmacopuncture on their left palmar aponeurosis. Six rounds of acupuncture and moxibustion were administered from November 30, 2015 through to January 2, 2016. Three rounds of bee venom pharmacopuncture was administered from December 14, 2015 through to January 2, 2016. The degree of flexion contracture and the Tubiana's stage were measured to evaluate the clinical improvement. Results : After 30 treatment sessions the flexion contracture degrees of the 4th finger's metacarpophalangeal joint and proximal interphalangeal joint improved as much as $25^{\circ}$, $15^{\circ}$, respectively. And the flexion contracture degrees of the 5th finger's metacarpophalangeal joint, proximal interphalangeal joint and distal interphalangeal joint improved as much as $15^{\circ}$, $10^{\circ}$, $5^{\circ}$, respectively. The Tubiana's stage of each finger decreased from 4 to 3. Conclusion : This study suggests that acupuncture, moxibustion and bee venom pharmacopuncture could be effective for patients with Dupuytren's contracture.

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References

  1. Korean Acupuncture and Moxibustion Society Text book Compilation Committee. The acupuncture and moxibustion medicine. Gyeonggi : Jipmoondang. 2012 : 249-54, 412-6, 483, 637-8.
  2. Bayat A, McGrouther DA. Management of dupuytren's disease-clear advise for an elusive condition. Ann R coll Surg Engl. 2006 ; 88(1) : 3-8.
  3. The Korean academy of oriental rehabilitation medicine. Oriental rehabilitation medicine. 3rd ed. Seoul : Koonja. 2011 : 148.
  4. Han TR, Bang MS, Chung SG et al. Rehabilitaion Medicine. 5th ed. Seoul : Koonja. 2014 : 11-3, 184-5, 331.
  5. Tubiana R, Michon J, Thomine JM. Scheme for the assessment of deformities in Dupuytren's disease. Surg Clin North Am. 1968 ; 48(5) ; 979-84. https://doi.org/10.1016/S0039-6109(16)38630-3
  6. Worrel M. Dupuytren's disease. Orthopedics. 2012 ; 35(1) : 52-60. https://doi.org/10.3928/01477447-20111122-23
  7. Gabbiani G, Majno G. Dupuytren's contracture : fibroblast contraction? An ultrastructural study. Am J Pathol. 1972 ; 66(1) : 131-46.
  8. Te′treault P, Ouellette H. (Trans. Park SW, Park JH). Orthopedics made ridiculously simple. Seoul : Medbook. 2010 : 58-9.
  9. Honner R, Lamb DW, James JI. Dupuytren's contracture-Long term results after fasciectomy. J Bone Joint Surg Br. 1971 ; 53(2) : 240-6.
  10. Lee BG, Lee DY, Lee KH. Progression of dupuytren's contracture after partial fasciectomy. J Korean Soc Surg Hand. 2009 ; 14(2) : 67-73.
  11. Denkler K. Surgical complications associated with fasciectomy for dupuytren's disease : a 20-year review of the English literature. Eplasty. 2010 ; 10 : e15.
  12. Hurst LC, Badalamente MA, Hentz VR et al. Injectable collagenase clostridium histolyticum for Dupuytren's contracture. N Engl J Med. 2009 ; 361(10) : 968-79. https://doi.org/10.1056/NEJMoa0810866
  13. Amadio PC. What's new in hand surgery. J Bone Joint Surg Am. 2014 ; 96(6) : 522-6. https://doi.org/10.2106/JBJS.M.01477
  14. Lee BH, Lee YK, Lee KM et al. The Comparative Study on the Myofascial Pain Syndrome vs Twelve-Meridian Muscle System and the Interpretation through Yook Kyong Theory. The Acupuncture. 2007 ; 24(5) : 33-41.
  15. Lee GM, Lee KS, Lee SH et al. The study of standardization plan and usefulness of Moxa combustion. The Acupuncture. 2003 ; 20(6) : 63-79.
  16. Lee HS, Lee JD, Koh HK. The Review on the Study of Bee Venom in the domestic papers. The Acupuncture. 2003 : 20(3) : 154-65.
  17. Kim HJ, Ji YS, Lee SM, Jeon JH, Kim YI. A Systemic Review of Clinical Study of Bee Venom Acupuncture. The Acupuncture. 2013 ; 20(4) : 151-9.
  18. Park SH, Cho HJ, Jeong YJ et al. Melittin inhibits TGF-$\beta$-induced pro-fibrotic gene expression through the suppression of the $TGF{\beta}$ RII-Smad, ERK1/2 and JNK-mediated signaling pathway. Am J Chin Med. 2014 ; 42(5) : 1139-52. https://doi.org/10.1142/S0192415X14500712
  19. Rayan GM. Dupuytren disease : Anatomy, pathology, presentation and treatment. J Bone Joint Surg Am. 2007 ; 89(1) : 189-98. https://doi.org/10.2106/00004623-200701000-00026
  20. Jung HJ, Kim DW, Chung SL, Kim TH. A study on the skin thickness of koreans by ultrasound. Korean J Dermatol. 1990 ; 28(2) : 121-9.
  21. Guilhen TA, Vieira AB, de Castro MC, Hirata HH, Machado IR. Evaluation of surgical treatment of Dupuytren's disease by modified open palm technique. Rev Bras Ortop. 2014 ; 49(1) : 31-6. https://doi.org/10.1016/j.rbo.2013.05.004
  22. Badois FJ, Lermusiaux JL, Masse′C, Kuntz D. Nonsurgical treatment of Dupuytren's disease using needle fasciotomy. Rev. Rhum. Engl Ed. 1993 ; 60(11) : 692-7.
  23. Jeon SW, Nam HJ, Kim JM, Lee WG, Kim YB. Review on mechanism and efficacy of acupuncture stimulation-Relationship between acupuncture stimulation and autonomic nervous system. Korean J. Oriental Physiology & Pathology. 2010 ; 24(5) : 748-52.