Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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Trends in Domestic and International Clinical Research on Korean Medicine Treatments for Triangular Fibrocartilage Complex Injury

삼각섬유연골 복합체 손상의 한의학 치료에 대한 국내외 임상 연구 동향

  • Sang-Min Park (Department of Korean Medicine Rehabilitation, Dosol Korean Medicine Hospital) ;
  • Tae-Gyeong Kwon (Department of Korean Medicine Neuropsychiatry, Dosol Korean Medicine Hospital) ;
  • Jee-Hoon Baek (Department of Acupuncture and Moxibustion Medicine, Dosol Korean Medicine Hospital) ;
  • Min-Joo Lee (Department of Korean Medicine Neuropsychiatry, Dosol Korean Medicine Hospital) ;
  • Sae-Rom Choi (Department of Internal Korean Medicine, Dosol Korean Medicine Hospital) ;
  • Jee-Yeun Choi (Department of Acupuncture and Moxibustion Medicine, Dosol Korean Medicine Hospital)
  • 박상민 (도솔한방병원 한방재활의학과) ;
  • 권태경 (도솔한방병원 한방신경정신과) ;
  • 백지훈 (도솔한방병원 침구의학과) ;
  • 이민주 (도솔한방병원 한방신경정신과) ;
  • 최새롬 (도솔한방병원 한방내과) ;
  • 최지연 (도솔한방병원 침구의학과)
  • Received : 2024.03.18
  • Accepted : 2024.04.12
  • Published : 2024.04.30
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Abstract

Objectives The purpose of this study is to analyze the trends in domestic and international clinical research on the Korean medicine for triangular fibrocartilage complex (TFCC) injuries and to contribute to future domestic research. Methods In this study, clinical studies on TFCC injuries treated with Korean medicine were searched through databases such as Research Information Sharing Service, ScienceON, DBpia, China National Knowledge Infrastructure, PubMed, Medline, and Embase. Fifteen clinical studies were selected, of which publication years, intervention methods, assessment tools, and various other factors were analyzed, including potential side effects. Results Among the selected 15 studies, total of 13 intervention methods were used. Electroacupuncture was the most frequently used method (40%), followed by herbal medicine (33%), acupuncture (26.7%), chuna manual therapy (26.7%), pharmacopuncture (20%), acupotomy (13%), herbal ointment (13%), hot medicinal compress therapy (13%) and etc. Most studies showed that Korean medicine treatments effectively alleviated TFCC injuries, with visual analogue scale being the most commonly used assessment tool. Conclusions Korean medicine treatments for TFCC injuries appears to be effective; however, further research is needed to enhance understanding. Large-scale clinical trials comparing the efficacy of Korean medicine treatments, along with investigations into side effects and recurrence rates are necessary. By doing so, the safety and efficacy of Korean medicine treatments for TFCC injuries can be further established.

Keywords

References

  1. Palmer AK, Werner FW. The triangular fibrocartilage complex of the wrist-anatomy and function. The Journal of Hand Surgery. 1981;6(2):153-62.
  2. Nakamura T, Yabe Y, Horiuchi Y. Functional anatomy of the triangular fibrocartilage complex. Journal of Hand Surgery. 1996;21(5):581-6.
  3. Wu WT, Chang KV, Mezian K, Nanka O, Yang YC, Hsu YC, Hsu PC, Ozcakar L. Ulnar wrist pain revisited: ultrasound diagnosis and guided injection for triangular fibrocartilage complex injuries. Journal of Clinical Medicine. 2019;8(10):1540.
  4. Palmer AK. Triangular fibrocartilage complex lesions: a classification. The Journal of Hand Surgery. 1989;14(4):594-606.
  5. Chan JJ, Teunis T, Ring D. Prevalence of triangular fibrocartilage complex abnormalities regardless of symptoms rise with age: systematic review and pooled analysis. Clinical Orthopaedics and Related Research. 2014;472(12):3987-94.
  6. Pang L, Yao ZC, Huang JG, Jin QH. Analysis of the clinical effect of 27 cases of acute wrist triangulation cartilage damage. Ningxia Medical Journal. 2013;35(8):740-1.
  7. Watanabe A, Souza F, Vezeridis PS, Blazar P, Yoshioka H. Ulnar-sided wrist pain. II. Clinical imaging and treatment. Skeletal Radiology. 2010;39(9):837-57.
  8. Lee KH, Ryu YJ, Sun SH, Kwon KR. A case report of intra-articular bee venom pharmacopuncture for partial tear of triangular fibrocartilage complex. Journal of Pharmacopuncture. 2009;12(4):127-34.
  9. Jeon SH, Cho YK, Gang BG, Koh WI, Lee KJ, Yoon YS. A case report of combined acupuncture treatment for sports injury of triangular fibrocartilage complex. Journal of Sports Korean Medicine & Clinical Pharmacopuncture. 2018;18(1):15-22.
  10. Ha JJ, Yang MY, Kim JS, Choi HW, Lee GB, Yoon DJ, Kim DJ, Kim DY. Efficacy of integrated Korean medicines in the treatment of partial triangular fibrocartilage complex tears: a case report. Journal of Acupuncture Research. 2023;40(4):382-8.
  11. Lu CY, Han LT, Wang PT, Dong JH, Zhang LF, Wang XH. Clinical efficacy of Yangxue Zhitong pills combined with wrist arthroscopy in the treatment of triangular fibrocartilage complex injury. Chinese Journal of Medicinal Guide. 2021;23(11):805-8.
  12. Li J, Xu WD, Yin HW. Clinical observation of the postoperative synthetic rehabilitation therapies after arthroscopy repair of triangular fibrocartilage complex injuries. Chinese Journal of Rehabilitation. 2014;29(1):32-4.
  13. Chang CM, Hsu CE, Lee YC, Yeh CW, Chiu YC. Short-term effect of electroacupuncture on rehabilitation after arthroscopic triangular fibrocartilage complex repair: a randomised study. Journal of Orthopaedic Surgery and Research. 2021;16(1):211.
  14. Bi J, Li S, Liu H, Mi ZX. Effects of XiaoZhong ZhiTong mixture and XiaoDing ointment on acute traumatic TFCC injury. Western Journal of Traditional Chinese Medicine. 2018;31(11):32-4.
  15. Liu HX, Bi JW, Mi ZX, Chen ZW. Clinical effect of Longzhong Xading cream combined with anti-inflammatory painkiller on acute traumatic TFCC injury. The Journal of Medical Theory and Practice. 2017;30(12):1784-6.
  16. Wang XL, Huang SB, Zhu PH, Hou JF, Xiong BM, Luo JH. Treatment of 56 cases of chronic triangular fibrocartilage complex injury by comprehensive TCM therapy. Journal of Practical Traditional Chinese Medicine. 2017;33(10):1141-2.
  17. Jia DF, Feng CQ, Du DD. Treatment of old triangular fibrocartilage complex injury with massage and electro-acupuncture in 57 cases. Chinese Acupuncture & Moxibustion. 2002;22(12):62.
  18. Zhang NN, Guo CL, Zhang HY, Lu ZN, He M, Chen C, Wang HJ. Effects of electro-acupuncture in wrist triangular fibrocartilage complex repair. Chinese Acupuncture & Moxibustion. 2021;10(4):133-9.
  19. Yuan S, Zhao MY, Lian J, Zhang XD. Jin Zhi Gu Cuo Under the guidance of the theory of TFCC injury treatment clinical curative effect observation. World Journal of Complex Medicine. 2016;2(2):66-8.
  20. Zhong WK, Any UP, Yu J, Zhang HM, Liu XJ. Analysis of wrist joint function and efficacy after treatment of triangular fibrocartilage complex injury by local injection of ozone combined with needle knife relaxation. For all Health. 2015;9(10):133.
  21. Zhong WK, Zhang HY, Liu XJ, Yu J, Lu S, Miao Q. Effect of soft tissue relaxation with needle knife combined with local injection of medical ozone on injury of triangular fibrocartilage complex. Shandong Medical Journal. 2014;54(38):88-9.
  22. Zhang L. Observation on 31 cases of triangular fibrocartilage complex injury treated by combination of Chinese and Western medicine. Shanxi Journal of Traditional Chinese Medicine. 2009;25(5):31-2.
  23. Yang M, Yang J, Zeng F, Liu P, Lai Z, Deng S, Fang L, Song W, Xie H, Liang F. Electroacupuncture stimulation at sub-specific acupoint and non-acupoint induced distinct brain glucose metabolism change in migraineurs: a PET-CT study. Journal of Translational Medicine. 2014;12:351.
  24. Acosta-Olivo C, Siller-Adame A, Tamez-Mata Y, Vilchez-Cavazos F, Pena-Martinez V, Acosta-Olivo C. Laser treatment on acupuncture points improves pain and wrist functionality in patients undergoing rehabilitation therapy after wrist bone fracture. a randomized, controlled, blinded study. Acupuncture & Electro-Therapeutics Research. 2017;42(1):11-25.
  25. National Oriental Medicine College Collaborative Textbook Compilation Committee. Bonchohak. 4th rev. ed. Seoul: Young Lim Publishing Co. 2020:234-623.
  26. Chen YF, Tsai HY, Wu TS. Anti-inflammatory and analgesic activities from roots of Angelica pubescens. Planta Medica. 1995;61(1):2-8.
  27. Yin L, Guan E, Zhang Y, Shu Z, Wang B, Wu X, Chen J, Liu J, Fu X, Sun W, Liu M. Chemical profile and anti-inflammatory activity of total flavonoids from Glycyrrhiza uralensis fisch. Iranian Journal of Pharmaceutical Research. 2018;17(2):726-34.
  28. Ye YJ, Kim YS, Kang MS. Effects of citri reticulatae viride pericarpium on 4-hydroxynonenal-induced inflammation in PC12 cells. Journal of Korean Medicine for Obesity Research. 2016;16(2):79-84.
  29. The Korean Society of Chuna Manual Medicine for Spine and Nerves. Chuna manual medicine. 2.5th ed. Seoul:The Korean Society of Chuna Manual Medicine for Spine and Nerves. 2017:4-101.
  30. Changulani M, Okonkwo U, Keswani T, Kalairajah Y. Outcome evaluation measures for wrist and hand: which one to choose? International Orthopaedics. 2008;32(1):1-6.
  31. Laine L. Gastrointestinal effects of NSAIDs and coxibs. Journal of Pain and Symptom Management. 2003;25(2 Suppl):S32-40.
  32. Grennan D, Wang S. Steroid side effects. Journal of the American Medical Association. 2019;322(3):282.
  33. de Lissovoy G, Fraeman K, Hutchins V, Murphy D, Song D, Vaughn BB. Surgical site infection: incidence and impact on hospital utilization and treatment costs. American Journal of Infection Control. 2009;37(5):387-97.