DOI QR코드

DOI QR Code

Efficacy of Integrated Korean Medicines in the Treatment of Partial Triangular Fibrocartilage Complex Tears: A Case Report

  • Jae-Joon Ha (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Myeong-Yeol Yang (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Ji-Sun Kim (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Hong-Wook Choi (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Gyu-Bin Lee (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Dong-Ju Yoon (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Dong-Jin Kim (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Do-Young Kim (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine)
  • Received : 2023.07.20
  • Accepted : 2023.09.08
  • Published : 2023.11.30

Abstract

The triangular fibrocartilage complex (TFCC) is crucial for stabilizing the ulnar side of the wrist but can be partially torn due to degenerative changes, falling, or sudden injuries. However, only a few studies have focused on the use of Korean medicine treatments for TFCC-related wrist pain. This case report presents the successful outcomes of integrated Korean medicine treatment in a patient with a partial TFCC tear. The diagnosis was confirmed via magnetic resonance imaging, which revealed the tear. Subsequently, the patient received integrated Korean medicine treatments. The assessment of the pain scale scores revealed a significant reduction in wrist pain and an improvement in daily life activities. Based on the findings of this study, integrated Korean medicine treatments have been proven to be an effective treatment option for patients with a partial TFCC tear. However, further research is needed to determine the potential benefits and mechanisms of these treatments in managing TFCC-related wrist pain.

Keywords

References

  1. Lee KH, Ryu YJ, Sun SH, Kwon KR. A case report of intra-articular bee venom pharmacopuncture for partial tear of triangular fibrocartilage complex. J Pharmacopunct 2009;12:127-134. doi: 10.3831/KPI.2009.12.4.127
  2. Ng AWH, Tong CSL, Hung EHY, Griffith JF, Tse WL, Wong CWY, et al. Top-ten tips for imaging the triangular fibrocartilaginous complex. Semin Musculoskelet Radiol 2019;23:436-443. doi: 10.1055/s-0039-1688715
  3. Wu WT, Chang KV, Mezian K, Nanka O, Yang YC, Hsu YC, et al. Ulnar wrist pain revisited: ultrasound diagnosis and guided injection for triangular fibrocartilage complex injuries. J Clin Med 2019;8:1540. doi: 10.3390/jcm8101540
  4. Jawed A, Ansari MT, Gupta V. TFCC injuries: how we treat? J Clin Orthop Trauma 2020;11:570-579. doi: 10.1016/j.jcot.2020.06.001
  5. Tang JB, Ryu J, Kish V. The triangular fibrocartilage complex: an important component of the pulley for the ulnar wrist extensor. J Hand Surg Am 1998;23:986-991. doi: 10.1016/S0363-5023(98)80004-X
  6. Jeon SJ, Moon CS, Jeon HS, Noh HK, Kim SH. Arthroscopic repair for traumatic peripheral tear of triangular fibrocartilage complex. J Korean Fract Soc 2007;20:330-334. doi: 10.12671/jkfs.2007.20.4.330
  7. Pang EQ, Yao J. Ulnar-sided wrist pain in the athlete (TFCC/DRUJ/ECU). Curr Rev Musculoskelet Med 2017;10:53-61. doi: 10.1007/s12178-017-9384-9
  8. Flaherty SA. Pain measurement tools for clinical practice and research. AANA J 1996;64:133-140.
  9. EuroQol Group. EuroQol--a new facility for the measurement of health-related quality of life. Health Policy 1990;16:199-208. doi: 10.1016/0168-8510(90)90421-9
  10. Rhee PC, Sauve PS, Lindau T, Shin AY. Examination of the wrist: ulnar-sided wrist pain due to ligamentous injury. J Hand Surg Am 2014;39:1859-1862. doi: 10.1016/j.jhsa.2014.07.004
  11. Takeshige C, Sato T, Mera T, Hisamitsu T, Fang J. Descending pain inhibitory system involved in acupuncture analgesia. Brain Res Bull 1992;29:617-634. doi: 10.1016/0361-9230(92)90131-g
  12. Lin JG, Chen WL. Acupuncture analgesia: a review of its mechanisms of actions. Am J Chin Med 2008;36:635-645. doi: 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. doi: 10.1155/2016/4683121
  14. Lee SY, Kwon HK, Lee SM. SHINBARO, a new herbal medicine with multifunctional mechanism for joint disease: first therapeutic application for the treatment of osteoarthritis. Arch Pharm Res 2011;34:1773-1777. doi: 10.1007/s12272-011-1121-0 Retraction in: Arch Pharm Res 2012;35:755.
  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;136:297-304. doi: 10.1016/j.jep.2011.04.037
  16. Kim JK, Park SW, Kang JW, Kim YJ, Lee SY, Shin J, et al. Effect of GCSB-5, a herbal formulation, on monosodium iodoacetate-induced osteoarthritis in rats. Evid Based Complement Alternat Med 2012;2012:730907. doi: 10.1155/2012/730907
  17. Chung HJ, Lee HS, Shin JS, Lee SH, Park BM, Youn YS, et al. Modulation of acute and chronic inflammatory processes by a traditional medicine preparation GCSB-5 both in vitro and in vivo animal models. J Ethnopharmacol 2010;130:450-459. doi: 10.1016/j.jep.2010.05.020
  18. Shin JS, Park N, Ra J, Kim Y, Shin M, Hong M, et al. Panax ginseng C.A. Meyer modulates the levels of MMP3 in S12 murine articular cartilage cell line. J Ethnopharmacol 2009;124:397-403. doi: 10.1016/j.jep.2009.05.036
  19. Lee BY, Song YK, Lim HH. Literature investigation regarding cupping therapy and analysis of current professional's cupping treatment. J Korean Med Rehabil 2008;18:169-191.
  20. Lee YJ, Kim MR, Lee EJ, Kim EJ, Nam D, Jang BH, et al. An evidence-based approach for the development of a clinical practice guideline for the treatment of neck pain using traditional Korean medicine. Eur J Integr Med 2021;44:101337. doi: 10.1016/j.eujim.2021.101337