DOI QR코드

DOI QR Code

침 치료 중심의 한의 복합 치료로 호전된 만성 신부전 환자의 제 1지 중족골 골절 치험 1례

A Case of the 1st Metatarsal Bone Fracture in a Patient with Chronic Kidney Disease Treated by Acupuncture with Complex Korean Medical Treatment

  • 투고 : 2024.07.19
  • 심사 : 2024.08.19
  • 발행 : 2024.09.27

초록

Objectives : The objective of this study is to report a case of a patient with a fracture of the 1st metatarsal bone, whose symptoms improved after receiving Complex Korean Medical treatment mainly focused on acupuncture. Methods : During admission treatment, the patient received 2 sessions of acupuncture treatment, 1 session of pharmacopuncture treatment, and electromoxibustion daily. To assess the patient's condition regarding the 1st metatarsal bone fracture, X-rays were performed on the affected area of the patient on a weekly basis, along with a daily follow up on the Numerical Rating Scale (NRS), degree of swelling (measured in cm via measuring tape), and the temperature of the affected area. The Foot Function Index (FFI) and Health Assessment Questionnaire (HAQ) were also used to add credibility in assessing the patient's current condition. Results : After 4 weeks of hospital admission treatment, the NRS of the pain in the affected area decreased from 4 to 1, with the night pain NRS of the affected area also being reduced from 8 to 0. There was a general improvement in the swelling and temperature of the affected area, as well as the FFI and HAQ of the patient. Conclusions : The study shows that complex Korean medical treatment can be effective in treating patients with bone fractures even without interventions involving traditional Korean herbal medicine.

키워드

참고문헌

  1. Lee GJ. The textbook Compilation Committee of the Korean Medicine Rehabilitation. The Korean rehabilitation medicine. 5th ed. Paju : globooks publishing. 2020 : 214-17.
  2. Lee MJ. The textbook Compilation Committee of the Korean acupuncture and Moxibusion Society. The acupuncture and Moxubusion. 5th ed. Seoul : hanmibook. 2021 : 608-10.
  3. Jo MJ, Lee JY, Lee MJ, Kim HJ, Han KS. A review of Korean medicine treatment for managing the thoracolumbar compression fractures: a retrospective observational study. JKMR. 2023 ; 33(4) : 109-24. https://doi.org/10.18325/jkmr.2023.33.4.109
  4. Lee JW, Roh JA, Choi GC, Kim DJ, Hong JS, et al. 5 cases of patients with multiple fractures of ribs after a traffic accident who improved with the combination of Korean medical admission treatment: case series. Korean J Orient Int Med. 2019 ; 40(3): 506-16. https://doi.org/10.22246/jikm.2019.40.3.506
  5. Ku SH, Kim SH, M HW, An SJ, Choi HJ, Hwangbo SY, et al. Effect of integrative Korean medicine treatment for patient with acute pelvic fracture caused by traffic accident: case report. JKMR. 2023 ; 33(1): 97-108. https://doi.org/10.18325/jkmr.2023.33.1.97
  6. Cheon HS. A review of domestic and international clinical research trends on pharmacopuncture treatment for fractures. JPPKM. 2023 ; 37(6):185-92. https://https://doi.org/10.15188/kjopp.2023.12.37.6.185
  7. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res. 2011 ; 63: 240-52. https://doi.org/10.1002/acr.20543
  8. Elly BM, Kendon JC, Jessica M , Rodney MS. A review of the foot function index and the foot function index. Journal of Foot and Ankle Research. 2013 ; 6(5). https://doi.org/10.1186/1757-1146-6-5
  9. Bruce B, Fries JF. The health assessment questionnaire (HAQ). Clinical and experimental rheumatology, 2005 ; 23(5): 14-8.
  10. Rammelt S, Heineck J, Zwipp H. Metatarsal fractures. injury. 2004 ; 35(2): 77-86.
  11. Robertson GAJ, Sinha A, Hodkinson T, Koc, T. Return to sport following toe phalanx fractures: a systematic review. World J Orthop. 2023 ; 14(6) : 471-84. https://doi.org/10.5312/wjo.v14.i6.471
  12. Paik SW, Nam KH, Choi SK, Lee JH, Han YH. A review of case reports on the application of acupuncture as a treatment for fracture since 2013. JKMR. 2021 ; 31(4) : 49-63. https://doi.org/10.18325/jkmr.2021.31.4.49
  13. Jin BX, Jin LL, Jin GY. The anti-inflammatory effect of acupuncture and its significance in analgesia. World Journal of Acupuncture - Moxibustion. 2019 ; 29(1) : 1-6. https://doi.org/10.1016/j.wjam.2019.03.003
  14. Bae KJ, Jeong JW, Jung MY, Kim SJ. Reviewing research on the treatment and study of fracture in Korean journals objective - focus on domestic thesis. JKMR. 2015 ; 25(3) : 27-36. https://doi.org/10.18325/jkmr.2015.25.3.27
  15. Ahn HL, Shin MS, Kim SJ, Choi JB. Effects of neutral Eohyeol (Yuxue) herbal acupuncture and Dangkisoo-san(Dangguixusan) on fracture healing in the early stage in rats. JKMR. 2007 ; 17(1) : 1-16.
  16. Kee YB, Kim DH, Kang DH, Kim SJ, Choi JB. Effects of Yukmijihwang-tang(Liuweidihuang-tang) and Cervi Pantotrichum Cornu pharmacopuncture on fracture healing in diabetic rats. JKMR. 2012 ; 22(3) : 49-63.
  17. Seo BI, Lee ES, Park JH, Kim SC, Byun BH, Choi BH. A efficacy of Korean and Chinese Carthami Semen on analgesic effect, anti - inflammation and arthritis. Kor J Herbology. 2001 ; 16(1) : 1-9.
  18. Melo GAA, Agiuar LL, Silva Ra, Pereira FGF, Silva FLB, Caetano JA. Effects of acupuncture in patients with chronic kidney disease: a systematic review. Rev Bras Enferm. 2020 ; 73(4). https://doi.org/10.1590/0034-7167-2018-0784
  19. Kim KH, Lee MS, Kim TH, Kang JW, Choi TY, Lee JD. Acupuncture and related interventions for symptoms of chronic kidney disease. Cochrane Database Syst Rev. 2016 ; 6. https://doi.org/10.1002/14651858.CD009440.pub2
  20. Ku JS, Jung C, Hwang JH. Toxicological Study of SU-Eohyeol Pharmacopuncture in an In Vivo Micronucleus Test in SpragueDawley Rats. Korean J Acupunct. 2022 ; 39(2) ; 54-62. https://doi.org/10.14406/acu.2022.008
  21. Shin HD. Factors and surgical pitfalls causing nonunion. J Korean Fract Soc. 2008 ; 21(8): 180-185. https://doi.org/10.12671/jkfs.2008.21.2.180
  22. Bigsby E, Halliday R, Middleton RG, Case R, Harries W. Functional outcome of fifth metatarsal fractures. Injury. 2024 ; 45(12) : 2009-12. https://doi.org/10.1016/j.injury.2014.06.010
  23. Sarpong NA, Swindell HW, Trupia EP, Vosseller JT. Metatarsal fractures. Foot & Ankle Orthopaedics. 2018 ; 3(3) : 1-8. https://doi.org/10.1177/2473011418775094
  24. Lee BH, Moon SH, Lee HM. Clinical outcome of the operative treatment for lumbar degenerative spondylopathy in patients undergoing dialysis. J Korean Soc Spine Surg. 2010 ; 17(2) : 97-103. https://doi.org/10.4184/JKSS.2010.17.2.97
  25. Jang HD, Ahn JH, Lee JC, Choi SW, Hong SJ, Kang DW, et al. Outcomes of degenerative lumbar spine surgery in patients with chronic kidney disease undergoing hemodialysi. J Korean Soc Spine Surg. 2017 ; 24(3) : 154-61. https://doi.org/10.4184/jkss.2017.24.3.154