추나로 발생된 통증으로 오인된 만성 기침에 의해 유발된 늑골골절 1례

Clinical Observation of Cough-induced Rib Fracture Mimicking Chuna Therapy-induced Rib Fracture

  • 최영두 (동국대학교 일산한방병원 침구과) ;
  • 조수정 (동국대학교 일산한방병원 침구과) ;
  • 정찬영 (동국대학교 일산한방병원 침구과) ;
  • 김경호 (동국대학교 일산한방병원 침구과) ;
  • 김갑성 (동국대학교 일산한방병원 침구과) ;
  • 이승덕 (동국대학교 일산한방병원 침구과)
  • Choi, Young-Doo (Department of Acupuncture & Moxibustion, Dongguk University Ilsan International Hospital) ;
  • Jo, Su-Jeong (Department of Acupuncture & Moxibustion, Dongguk University Ilsan International Hospital) ;
  • Jung, Chan-Yung (Department of Acupuncture & Moxibustion, Dongguk University Ilsan International Hospital) ;
  • Kim, Kyung-Ho (Department of Acupuncture & Moxibustion, Dongguk University Ilsan International Hospital) ;
  • Kim, Kap-Sung (Department of Acupuncture & Moxibustion, Dongguk University Ilsan International Hospital) ;
  • Lee, Seung-Deok (Department of Acupuncture & Moxibustion, Dongguk University Ilsan International Hospital)
  • 투고 : 2015.11.17
  • 심사 : 2015.12.03
  • 발행 : 2015.12.30

초록

Objectives: The purpose of this study is to discriminate the cough-induced rib fracture with chest pain occurred after chuna therapy. Methods: A 68-year-old female patient who is suffering from left chest wall pain with chronic cough was treated by Korean medical treatment and chuna therapy from November 11th 2014 to November 15th 2014. The improvement of the patient's pain was measured by 100 mm Visual Analog Scale (VAS). For diagnosis the rib fracture, we conducted the radiography, computed tomography (CT), and bone scan. Results: After treatment, pain intensity was decreased and the rib fracture was negative in radiography and CT. But, in bone scan, the 5th-8th rib fractures in left side were detected. Conclusions: When the patient with chest pain visit the hospital after chuna therapy, a doctor keep in mind the possibility of coughinduced rib fracture.

키워드

참고문헌

  1. Lee BY, Jang G, Lee GJ, Song YK, Lim HH. A report of present situation about the adverse reactions of chuna manipulation in Korea. J Korean Chuna Man Med Spine Nerves. 2007;2(2):161-70.
  2. Lee ES, Oh JY, Cho HS, et al. Study about the Status and Prevention of Oriental Medical Dispute. J Korean Med. 2014; 35(1):58-67. https://doi.org/10.13048/jkm.14006
  3. Yonsei University. The Asian Institute for Bioethics and Health Law. The Study on the Establishment of the Korea Medical Dispute Arbitration and Mediation Agency; 2011:9.
  4. Oliphant D. Safety of spinal manipulation in the treatment of lumbar disk herniations: a systematic review and risk assessment. J Manip Physiol Ther. 2004;27(3):197-210. https://doi.org/10.1016/j.jmpt.2003.12.023
  5. Roberge RJ, Morgenstern MJ, Osborn H. Cough fracture of the ribs. Am J Emerg Med. 1984;2(6):513-7. https://doi.org/10.1016/0735-6757(84)90077-9
  6. Mitchell J. Cough fracture. Brit Med J. 1951;2(4746):1492-3. https://doi.org/10.1136/bmj.2.4746.1492
  7. Hanak V, Hartman TE, Ryu JH. Coughinduced rib fractures. Mayo Clin Proc. 2005;80(7):879-82. https://doi.org/10.4065/80.7.879
  8. Wynn-Williams N. Cough fracture unassociated with pulmonary tuberculosis. Brit Med J. 1951;2(4746):1494-6. https://doi.org/10.1136/bmj.2.4746.1494
  9. Park SH, Ko YS, Lee JH. A Study for Indication and Adopted Techniques of Chuna Treatment-Focusing on Domestic Clinical Studies. J Korean Chuna Man Med Spine Nerves. 2013;8(2):57-66.
  10. Guyatt G, Bombardier C, Tugwell P. Measuring disease-specific quality of life in clinical trials. Can Med Assoc J. 1986; 134(8):889-95.
  11. Hadler N, Curtis P, Gillings D, Stinnett S. A benefit of spinal manipulation as adjunctive therapy for acute low-back pain: a stratified controlled trial. Spine. 1987;12(7):702-6.
  12. Krismer M, Haid C, Rabl W. The contribution of anulus fibers to torque resistance. Spine. 1996;21(22):2551-7. https://doi.org/10.1097/00007632-199611150-00004
  13. Stevinson C, Ernst E. Risks associated with spinal manipulation. Am J Med. 2002;112(7):566-71. https://doi.org/10.1016/S0002-9343(02)01068-9
  14. Kong JC, Park TY, Ko YS, Won JK, Park DS, Shin BC. Cervical Dural Tear induced by Cervical Chuna Manipulation Treatment : A Case report. J Korean Chuna Man Med Spine Nerves. 2006;1(1):45-50.
  15. Kim HS, Ha JW, Park JO, Park HW, Han DY, Hur JH. Ruptured Lumbar Disc in Patients Undergoing Manipulation of the Lumbar Spine. J Korean Orthop Assoc. 1998 10;33(5):1326-33.
  16. Lee SH, Lee JL, Kim SS. Stroke Following Cervical Chuna Treatment by Nonprofessinal Therapist: A Case Reprot. J Korean Oriental Med. 2000;21(4):264-70.
  17. Yoon CJ, Lim HW, Lee SG. A Case Report of Spinal Scoliosis Patient with Congenital Muscular Torticollis. J Oriental Rehab Med. 2009;19(4):229-36
  18. Yeh CF, Su SC. Cough-induced rib fracture in a young healthy man. J Formos Med Assoc. 2012;111(3):179-80. https://doi.org/10.1016/j.jfma.2011.07.020
  19. Kawahara H, Baba H, Wada M, Azuchi M, Ando M, Imura S. Multiple rib fractures associated with severe coughing-a case report. Int Orthop. 1997;21(4):279-81. https://doi.org/10.1007/s002640050168
  20. Connolly LP, Connolly SA. Rib stress fractures. Clin Nucl Med. 2004;29(10): 614-6. https://doi.org/10.1097/00003072-200410000-00002
  21. Warmington W. Four cases of cough fracture. Ulster Med J. 1966;35(1):72.
  22. Shameem M, Bhargava R, Ahmed Z, Naveed. Multiple bilateral rib fractures associated with severe coughing (Case report and review of literature). JK Practitioner. 2005;12(4):199-20.