DOI QR코드

DOI QR Code

Korean Medicine Treatment for Developmental Dysplasia of the Hip in Adults: A Case Report

성인의 발달성 고관절 이형성증에 대한 한방치료: 증례보고

  • Kim, Euibyeol (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Woosuk University) ;
  • Kang, Kiwan (Department of Internal Medicine, College of Korean Medicine, Woosuk University) ;
  • Kim, Minwoo (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Woosuk University) ;
  • Jo, Dongchan (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Woosuk University) ;
  • Ko, Younseok (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Woosuk University)
  • 김의별 (우석대학교 한의과대학 한방재활의학교실) ;
  • 강기완 (우석대학교 한의과대학 한방내과학교실) ;
  • 김민우 (우석대학교 한의과대학 한방재활의학교실) ;
  • 조동찬 (우석대학교 한의과대학 한방재활의학교실) ;
  • 고연석 (우석대학교 한의과대학 한방재활의학교실)
  • Received : 2020.03.13
  • Accepted : 2020.03.30
  • Published : 2020.04.30

Abstract

The purpose of this study is to report the effect of korean medicine treatment for developmental dysplasia of the hip (DDH) in adults. A patient diagnosed with DDH had been treated with acupuncture, electroacupuncture, cupping therapy and chuna manual therapy for 8 weeks. The patient was evaluated by using range of motion (ROM) of hip joint, muscle strength of lower extremity, leg length, numeric rating scale (NRS) and Korean version of hip disability and osteoarthritis outcome score (K-HOOS). After the treatment, the patient had an improvement in the symptoms, pain, and activities of daily living of K-HOOS, especially the quality of life. In addition, NRS decreased from 7 to 4 points, and ROM and muscle strength also improved. The results of this study show that korean medicine treatment is effective and meaningful as one of the conservative treatment for DDH in adults.

Keywords

References

  1. Frank JS, Gambacorta PL, Eisner EA. Hip pathology in the adolescent athlete. J Am Acad Orthop Surg. 2013;21(11):665-74. https://doi.org/10.5435/JAAOS-21-11-665
  2. Beltran LS, Rosenberg ZS, Mayo JD, De Tuesta MD, Martin O, Neto LP, Bencardino JT. Imaging evaluation of developmental hip dysplasia in the young adult. AJR Am J Roentgenol. 2013;200(5):1077-88. https://doi.org/10.2214/AJR.12.9360
  3. Gosvig KK, Jacobsen S, Sonne-Holm S, Palm H, Troelsen A. Prevalence of malformations of the hip joint and their relationship to sex, groin pain, and risk of osteoarthritis: a population-based survey. J Bone Joint Surg Am. 2010;92(5):1162-9. https://doi.org/10.2106/JBJS.H.01674
  4. Nunley RM, Prather H, Hunt D, Schoenecker PL, Clohisy JC. Clinical presentation of symptomatic acetabular dysplasia in skeletally mature patients. J Bone Joint Surg Am. 2011;93(Suppl 2):17-21. https://doi.org/10.2106/JBJS.J.01735
  5. Murphy SB, Ganz R, Muller ME. The prognosis in untreated dysplasia of the hip. A study of radiographic factors that predict the outcome. J Bone Joint Surg Am. 1995;77(7):985-9. https://doi.org/10.2106/00004623-199507000-00002
  6. Schmitz MR, Murtha AS, Clohisy JC. Developmental dysplasia of the hip in adolescents and young adults. J Am Acad Orthop Surg. 2020;28(3):91-101. https://doi.org/10.5435/jaaos-d-18-00533
  7. Zaltz I, Baca G, Kim YJ, Schoenecker P, Trousdale R, Sierra R, Sucato D, Sink E, Beaule P, Millis MB, Podeszwa D, Clohisy JC. Complications associated with the periacetabular osteotomy: a prospective multicenter study. J Bone Joint Surg Am. 2014;96(23):1967-74. https://doi.org/10.2106/JBJS.N.00113
  8. Parvizi J, Bican O, Bender B, Mortazavi SM, Purtill JJ, Erickson J, Peters C. Arthroscopy for labral tears in patients with developmental dysplasia of the hip: a cautionary note. J Arthroplast. 2009;24(Suppl 6):110-3.
  9. Mei-Dan O, McConkey MO, Brick M. Catastrophic failure of hip arthroscopy due to iatrogenic instability: can partial division of the ligamentum teres and iliofemoral ligament cause subluxation? Arthroscopy. 2012;28(3):440-5. https://doi.org/10.1016/j.arthro.2011.12.005
  10. Park JH, Oh EY, Park SA, Shin YB, Kim YJ. A case report on a patient of bilateral avascular necrosis of femur head, treated with Korean medicine and hip joint fascia chuna therapy. The Journal of Korea Chuna Manual Medicine for Spine & Nerves. 2014;9(1):115-24.
  11. Ha WB, Lee JH, Ko YS, Lee JH. A rehabilitation for total hip replacement in Korean medicine: a report of three cases. J Korean Med Rehabil. 2016;26(3):153-64. https://doi.org/10.18325/jkmr.2016.26.3.153
  12. Korean Society of Chuna Manual Medicine for Spine & Nerves. Chuna manual medicine. 2nd ed. Seoul:Korean Society of Chuna Manual Medicine for Spine & Nerves. 2015:4-5, 98-100, 184-5, 289-91.
  13. The Society of Korean Medicine Rehabilitation. Korean rehabilitation medicine. 4th ed. Paju:Koonja Publishing. 2015:100, 413-5.
  14. Nilsdotter AK, Lohmander LS, Klassbo M, Roos EM. Hip disability and osteoarthritis outcome score (HOOS)--validity and responsiveness in total hip replacement. BMC Musculoskelet Disord. 2003;4:10. https://doi.org/10.1186/1471-2474-4-10
  15. Lee YK, Chung CY, Koo KH, Lee KM, Lee DJ, Lee SC, Park MS. Transcultural adaptation and testing of psychometric properties of the Korean version of the hip disability and osteoarthritis outcome score (HOOS). Osteoarthritis Cartilage. 2011;19(7):853-7. https://doi.org/10.1016/j.joca.2011.02.012
  16. Sankar WN, Duncan ST, Baca GR, Beaule PE, Millis MB, Kim YJ, Peters CL, Podeszwa DA, Schoenecker PL, Sierra RJ, Sink EL, Sucato DJ, Trousdale RT, Zaltz I, Clohisy JC. Descriptive epidemiology of acetabular dysplasia: the academic network of conservational hip outcomes research (ANCHOR) periacetabular osteotomy. J Am Acad Orthop Surg. 2017;25(2):150-9. https://doi.org/10.5435/JAAOS-D-16-00075
  17. Jacqueline F, Adrian W, Mike C. Medical acupuncture: a western scientific approach. 2nd ed. Seoul:Hanmi Medical Publishing Co.. 2019:307-33.
  18. Schamberger W. The malalignment syndrome. 2nd ed. Seoul:Elsevier Korea. 2013:7.