Case Report about Postoperative Rehabilitation of Oriental Medicine for the Distal Clavicular Fracture

쇄골 골절 환자의 수술 후 한방 재활 치료에 대한 증례 보고

  • Jo, Dong-Chan (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Moon, Su-Jeong (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Kong, Jae-Cheol (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Lee, Sam-Youn (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Wonkwang University) ;
  • Song, Young-Sun (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Ko, Youn-Suk (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Woosuk University) ;
  • Lee, Jung-Han (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Wonkwang University)
  • 조동찬 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 문수정 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 공재철 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 이삼윤 (원광대학교 의과대학 흉부외과학교실) ;
  • 송용선 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 고연석 (우석대학교 한의과대학 한방재활의학과교실) ;
  • 이정한 (원광대학교 한의과대학 한방재활의학과교실)
  • Received : 2012.02.02
  • Accepted : 2012.02.14
  • Published : 2012.02.25

Abstract

The objective of this study is to report the effectiveness of active postoperative rehabilitation on clavicular fracture by oriental medical interventions and to suggest the importance of proper rehabilitation after operation. A female patient, 43 years old, who had operation for right distal clavicular fracture was treated by oriental medical rehabilitation. We evaluated the consequence by checking numeric rating scale(NRS), shoulder range of motion and shoulder pain and disability index(SPADI). The pain of the patient was decreased and the shoulder range of motion was advanced. SPADI score was decreased. Postoperative-oriental medical rehabilitation can be effectively used for a patient on postoperative state of clavicular fracture. Further studies are needed to set up a rehabilitation protocol with oriental medical interventions after operation.

Keywords

References

  1. Nowak, J., Mallmin, H., Larsson, S. The aetiology and epidemiology of clavicular fractures A prospective study during a two-year period in Uppsala, Sweden. Injury. 31(5):353-358, 2000. https://doi.org/10.1016/S0020-1383(99)00312-5
  2. Johnson, E.W. Jr, Collins, H.R. Nonunion of the clavicle. Arch Surg. 7: 963-966, 1963.
  3. Robinson, C.M., Court-Brown, C.M., McQueen, M.M., Wakefield, A.E. Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture. J Bone Joint Surg Am. 86-A(7):1359-1365, 2004.
  4. Smekal, V., Irenberger, A., Struve, P., Wambacher, M., Krappinger, D., Kralinger, F.S. Elastic stable intramedullary nailing versus nonoperative treatment of displaced midshaft clavicular fractures-a randomized, controlled, clinical trial. J Orthop Trauma. 23(2):106-112, 2009. https://doi.org/10.1097/BOT.0b013e318190cf88
  5. 손훈상, 조병철. 불안정성 쇄골 원위부 골절에 대한 Hook 금속판 고정술의 치료 결과. 대한골절학회지 4(4):335-340, 2011.
  6. 박철현, 손욱진, 서재성. 불안정 원위 쇄골 골절의 치료에서 장력대 강선 고정술과 Hook 금속판 고정술의 결과의 비교. 대한골절학회지 24(1):55-59, 2011.
  7. 이황열, 이병렬. 肩臂痛의 鍼灸治療穴에 關한 文獻的 考察. 대한침구학회지 16(3):139-154, 1999.
  8. Nakajima, A., Kaneyama, R., Watanabe, H., Murakami, M., Nakagawa, K., Aoki, Y., Yamazaki, M., Furufu, T., Suguro, T. Acupuncture needle-associated prosthetic knee infection after total knee arthroplasty. Mod Rheumatol. 20(6):627-631, 2010. https://doi.org/10.1007/s10165-010-0331-5
  9. 尹用甲. 東醫方劑와 處方解說. 3판. 서울, 의성당. p 133, 621, 790, 2004.
  10. 척추신경추나의학회. 추나의학. 초판. 서울, 척추신경추나의학회. pp 490-529, 2011.
  11. 심성윤, 박히준, 이준무, 이향숙. 통증평가도구에 관한 고찰. 대한경락경혈학회지 24(2):77-97, 2007.
  12. Roach, K.E., Budiman-Mak, E., Songsiridej, N., Lertratanakul, Y. Development of a shoulder pain and disability index. Arthritis Care Res. 4(4):143-149, 1991. https://doi.org/10.1002/art.1790040403
  13. 석세일, 이춘기, 안종국, 양규현, 이수용, 이중명, 정영기, 조재림. 정형외과학. 제 6판. 서울, 최신의학사, 2: 839-842, 2006.
  14. Charles, F., Preston, M.D., Kenneth, A., Egol, M.D. Midshaft Clavicle Fractures in Adults. Bulletin of the NYU Hospital for Joint Diseases. 67(1):52-57, 2009.
  15. Neer, C.S. 2nd. Nonunion of the clavicle. JAMA. 172: 1006-1011, 1960. https://doi.org/10.1001/jama.1960.03020100014003
  16. Rowe, C.R. An atlas of anatomy and treatment of midclavicular fractures. Clin Orthop Relat Res. 58: 29-42, 1968.
  17. McKee, M.D., Pedersen, E.M., Jones, C. Deficits following non-operative treatment of displaced midshaft clavicular fractures. J Bone Joint Surg Am. 88(1):35-40, 2006. https://doi.org/10.2106/JBJS.D.02795
  18. Davids, P.H., Luitse, J.S., Strating, R.P., van der Hart, C.P. Operative treatment for delayed union and nonunion of midshaft clavicular fractures: AO reconstruction plate fixation and early mobilization. J Trauma. 40(6):985-986, 1996. https://doi.org/10.1097/00005373-199606000-00021
  19. Friemert, B., Bach, C., Schwarz, W., Gernqross, H., Schmidt, R. Benefits of active motion for joint sense. Knee Surgery Sports Traumatology, Arthroscopy. 14(6):564-570, 2006. https://doi.org/10.1007/s00167-005-0004-7
  20. Myers, J.B., Lephart, S.M. The role of the sensorimotor system in the athletic shoulder. J Athl Train. 35: 351-363, 2000.
  21. Longo, U.G., Banerjee, S., Barber, J., Chambler, A., Cobiella, C., Corbett, S., Crowther, M., Drew, S., Francis, A., Lee, M., Garlick, N., Packham, I., Pearse, Y., Richards, A., Roberts, C., Tennent, D., Tims, E., Ahrens, P.M. Conservative management versus open reduction and internal fixation for mid-shaft clavicle fractures in adults-the Clavicle Trial: study protocol for a multicentre randomized controlled trial. Trials. 12(57), 2011.
  22. David, E. Clavicle Fractures. The Athletic Advisor 10(7):1-3, 2005.
  23. Rabe, S.B., Oliver, G.D. Clavicular Fracture in a Collegiate Football Player: A Case Report of Rapid Return to Play. Journal of Athletic Training 46(1):107-111, 2011. https://doi.org/10.4085/1062-6050-46.1.107