Sternal Fracture occurred after Thai Massage : A Case Report

마사지 시술 후 발생한 흉골골절 환자 증례보고

  • Song, Young-Il (Department of Rehabilitation Medicine of Korean Medicine, Dong-Eui University Hospital of Oriental Medicine) ;
  • Kim, Dong-Eun (Department of Rehabilitation Medicine of Korean Medicine, Dong-Eui University Hospital of Oriental Medicine)
  • 송영일 (동의대학교 부속 한방병원 한방재활의학과) ;
  • 김동은 (동의대학교 부속 한방병원 한방재활의학과)
  • Received : 2015.12.09
  • Accepted : 2015.12.16
  • Published : 2015.12.30

Abstract

Objectives: The purpose of this study is to investigate the safety, injury mechanism, complication and adverse reactions associated with Chuna manual theraphy(CMT), to report one case of adverse reaction with Thai Massage(TM). Methods: A 76-year-old woman presented with chest pain and dorsalgia. The patient undertook a TM. The patient's chest pain didn't improve by Korean medecine. In MRI study, sternal fracture was diagnosed. Results and Conclusions : It is supposed that this patient suffered chest pain and dorsalgia due to a TM. From this case, we can understand the etiology of sternal fracture to some extent and consider the complication of Chuna manual theraphy through TM. In addition, This study raises the awareness of the possibility of a sternal fracture caused by a low-energy CMT technique.

Keywords

References

  1. 척추신경추나의학회 편저. 추나의학. 제2판. 서울:척추신경추나의학회. 2014:4, 46-7.
  2. Jung SY, Lee CR. Research about Adverse Effect of Spinal Manipulation Therapy: Systemic Review of Literature in Korea and Pubmed. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2015;10(1):15-33.
  3. Kim JH, Yang JS, Han MG, Jung SP, Kang JR, Song YS. Correlation Between Body Composition, Lipid Metabolic Indicator and Bone Mineral Density in Old Patients. The Journal of the Korea Institute of Oriental Medical Informatics. 2005;11(2);32-9.
  4. 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
  5. Oliphant D. Safety of spinal manipulation in the treatment of lumbar disk herniations: a systemic review and risk assessment. J Manipulative Physiol Ther. 2004;37(3): 197-210.
  6. Senstad O, Leboeuf-Yde C, Borchgrevink C. Frequency and Characteristics of Side Effects of Spinal Manipulative Therapy. Spine. 1997;22(4):435-41. https://doi.org/10.1097/00007632-199702150-00017
  7. Haldermans S, Rubinstein SM. Cauda equina syndrome in patients undergoing manipulation of the lumbar spine. Spine. 1992;17:1469-73. https://doi.org/10.1097/00007632-199212000-00005
  8. 김영신. 한방수기요법(推拿, 指壓)과 마사지의 比較. J Oriental Sports Med 2004;5(1): 77-87.
  9. Bae SS, Choi YW, Lee YK. A Study of Clinical Application of the Thailand Massage. The Journal of Rehabilitation Science Research. 2007;25(1):45-56.
  10. Restrepo CS, Martinez S, Lemos DF, Washington L, McAdams HP, Vargas D, et al. Imaging appearances of the sternum and sternoclavicular joints. Radiographics. 2009;29:839-59. https://doi.org/10.1148/rg.293055136
  11. Budd JS. Effect of seat belt legislation on the incidence of sternal fractures seen in the accident department. Br Med J(Clin Res Ed)1985;291:785.
  12. Otremski I, Wilde BR, Marsh JL, McLardy-Smith PD, Newman RJ. Fracture of the sternum in motor vehicle accidents and its association with mediastinal injury. Injury. 1990;21:81-3. https://doi.org/10.1016/0020-1383(90)90059-4
  13. Porter RS, Zhao N. Patterns of injury in belted and unbelted individuals presenting to a trauma center after motor vehicle crash: seat belt syndrome revisited. Ann Emerg Med. 1998;32:418-24. https://doi.org/10.1016/S0196-0644(98)70169-6
  14. Stark P. Radiology of thoracic trauma. Invest Radiol. 1990;25:1265-75. https://doi.org/10.1097/00004424-199011000-00024
  15. Harley DP, Mena I. Cardiac and vascular sequelae of sternal fractures. J Trauma. 1986;26:553-5. https://doi.org/10.1097/00005373-198606000-00011
  16. KIM HY. A Study on the Incidence, Causes, and CT Features of Sternal Fracture. 순천향대학교 석사논문. 2015:1-20.
  17. Gibson LD, Carter R, Hinsaw DB. Surgical significance of sternal fracture. Surg Gynecol Obstet 1962;114:443-8.
  18. Fowler AW. Flexion-compression injury of the sternum. J Bone Joint Surg 1957; 34B:487-97.
  19. KIM TY. Trend of osteoporosis and osteoporotic fractures using national big data. 중앙대학교 박사논문. 2015:1-53.
  20. 장선미. 골다공증질환의 의료이용 및 약제처방 양상에 관한 연구. 건강보험심사평가원. 2010:1-249.