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염좌로 유발된 좌측 거골 골연골 병변 1례에 대한 한방 복합치료 증례 보고

A Case Report of Osteochondral Lesions of the Left Talus after Ankle Sprain Treated with Complex Traditional Korean Medical Care

  • 박준형 (경희대학교 한의과대학 침구의학교실) ;
  • 김성윤 (경희대학교 한의과대학 침구의학교실) ;
  • 안재현 (경희대학교 한의과대학 침구의학교실) ;
  • 조정재 (경희대학교 한의과대학 침구의학교실) ;
  • 김용석 (경희대학교 한의과대학 침구의학교실) ;
  • 김지혜 (경희대학교 한의과대학 침구의학교실) ;
  • 이상훈 (경희대학교 한의과대학 침구의학교실)
  • Park, Jun Hyeong (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Sung Yoon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Ahn, Jae Hyun (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Jo, Jung Jae (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Young Suk (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Ji Hye (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Sang Hoon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University)
  • 투고 : 2016.05.06
  • 심사 : 2016.05.26
  • 발행 : 2016.06.20

초록

Objectives : The purpose of this report is to introduce a case of osteochondral lesions of the left talus caused by ankle sprain and suggest complex traditional Korean medical care with warm needling therapy as a possible method of conservative treatment. Methods : A 20-year-old male with osteochondral lesions of the left talus complaining of ankle pain and restricted range of movement was treated mainly with warm needling therapy and other combined Korean medicine therapy from January 5, 2015 to January 12, 2015. Improvements of symptoms were measured by American Orthopaedic Foot & Ankle Society Score (AOFAS Score), Visual Analog Scale (VAS) and Range of movement (ROM). Results : During 8 days of treatment, the patient showed gradual improvement in AOFAS score, VAS at rest and at weight bearing position, as well as ROM of the ankle. Conclusion : According to the result, warm needling therapy is a possible conservative treatment for osteochondral lesions of the talus. Further studies are needed regarding possible longterm effects.

키워드

참고문헌

  1. Thanos B, Maria T, Nikolas S. Treatment principles for osteochondral lesions in foot and ankle. Int Orthop. 2013 ; 37(9) : 1697-706. https://doi.org/10.1007/s00264-013-2076-1
  2. Verhagen RA, Mass M, Dijkgraaf Mg, Tol JL, Krips R, Van Dijk CN. Prospective study on diagnostic strategies in osteochondral lesions of the talus : is MRI superior to helical CT?. J Bone Joint Surg Br. 2005 ; 87(1) : 41-6. https://doi.org/10.2106/00004623-200503001-00004
  3. Bruns J, Rosenbach B, Kahrs J. Etiopathogenetic aspects of medial osteochondrosis dissecans tali[German]. Sportverletz Sportschaden. 1992 ; 6(2) : 43-9. https://doi.org/10.1055/s-2007-993526
  4. Lee YC, Kim BN, Lee JM. The clinical observation of 1 case of the osteochondritis dissecans. J Daejeon Univ Oriental Medicine. 2013 ; 22(1) : 225-33.
  5. Kelvin TL C, Eileen T, Yue SW. Osteochondral lesions of talus. Ann Acad Med Singapore. 2008 ; 37(1) : 63-8.
  6. Mahamutha Affshana M. Healing mechanism in bone fracture. J Pharm Sci&Res. 2015 ; 7(7) : 441-2.
  7. Parisien JS. Arthroscopic treatment of osteochondral lesions of the talus. AM J Sports Med. 1986 ; 14(3) : 211-7. https://doi.org/10.1177/036354658601400306
  8. Hepple S, Wilson IG, Glew D. Osteochondral lesions of the talus : a revised classification. Foot Ankle Int. 1999 ; 20(12) : 789-93. https://doi.org/10.1177/107110079902001206
  9. Verhagen RA, Struijs PA, Bossuyt PM, Van Dijk CN. Systematic review of treatment strategies for osteochondral defects of the talar dome. Foot Ankle Clin. 2003 ; 8(2) : 233-42. https://doi.org/10.1016/S1083-7515(02)00064-5
  10. Aigner N, Petje G, Steinboeck G, Schneider W, Krasny C, Landsiedl F. Treatment of bonemarrow oedema of the talus with the prostacyclin analogue iloprost. An MRI-controlled investigation of a new method. J Bone Joint Surg Br. 2001 ; 83(6) : 855-8.
  11. Chung JY, Choi DY. Review of clinical trials on warming acupuncture for musculoskeletal pain diseases : A systamic review. The Acupuncture. 2009 ; 26(4) : 11-8.
  12. Canale St, Belding RH. Osteochondral lesions of the talus. J Bone Joint Surg. 1980 : 62(1) ; 97-102. https://doi.org/10.2106/00004623-198062010-00014
  13. Stefan M, Philipp S, Philip Z, Irena M, Jorg H, Siegfried T. Magnetic resonance observation of cartilage repair tissue(MOCART) for the evaluation of autologous chondrocyte transplantation : Determination of interobserver variability and correlation to clinical outcome after 2 years. Eur J Radiol. 2006 ; 57(1) : 16-25. https://doi.org/10.1016/j.ejrad.2005.08.007