Browse > Article

Clinical Observation of Cough-induced Rib Fracture Mimicking Chuna Therapy-induced Rib Fracture  

Choi, Young-Doo (Department of Acupuncture & Moxibustion, Dongguk University Ilsan International Hospital)
Jo, Su-Jeong (Department of Acupuncture & Moxibustion, Dongguk University Ilsan International Hospital)
Jung, Chan-Yung (Department of Acupuncture & Moxibustion, Dongguk University Ilsan International Hospital)
Kim, Kyung-Ho (Department of Acupuncture & Moxibustion, Dongguk University Ilsan International Hospital)
Kim, Kap-Sung (Department of Acupuncture & Moxibustion, Dongguk University Ilsan International Hospital)
Lee, Seung-Deok (Department of Acupuncture & Moxibustion, Dongguk University Ilsan International Hospital)
Publication Information
The Journal of Churna Manual Medicine for Spine and Nerves / v.10, no.2, 2015 , pp. 27-35 More about this Journal
Abstract
Objectives: The purpose of this study is to discriminate the cough-induced rib fracture with chest pain occurred after chuna therapy. Methods: A 68-year-old female patient who is suffering from left chest wall pain with chronic cough was treated by Korean medical treatment and chuna therapy from November 11th 2014 to November 15th 2014. The improvement of the patient's pain was measured by 100 mm Visual Analog Scale (VAS). For diagnosis the rib fracture, we conducted the radiography, computed tomography (CT), and bone scan. Results: After treatment, pain intensity was decreased and the rib fracture was negative in radiography and CT. But, in bone scan, the 5th-8th rib fractures in left side were detected. Conclusions: When the patient with chest pain visit the hospital after chuna therapy, a doctor keep in mind the possibility of coughinduced rib fracture.
Keywords
Chuna therapy; Chronic cough; Cough-induced rib fracture;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Kim HS, Ha JW, Park JO, Park HW, Han DY, Hur JH. Ruptured Lumbar Disc in Patients Undergoing Manipulation of the Lumbar Spine. J Korean Orthop Assoc. 1998 10;33(5):1326-33.
2 Lee SH, Lee JL, Kim SS. Stroke Following Cervical Chuna Treatment by Nonprofessinal Therapist: A Case Reprot. J Korean Oriental Med. 2000;21(4):264-70.
3 Yoon CJ, Lim HW, Lee SG. A Case Report of Spinal Scoliosis Patient with Congenital Muscular Torticollis. J Oriental Rehab Med. 2009;19(4):229-36
4 Yeh CF, Su SC. Cough-induced rib fracture in a young healthy man. J Formos Med Assoc. 2012;111(3):179-80.   DOI
5 Kawahara H, Baba H, Wada M, Azuchi M, Ando M, Imura S. Multiple rib fractures associated with severe coughing-a case report. Int Orthop. 1997;21(4):279-81.   DOI
6 Connolly LP, Connolly SA. Rib stress fractures. Clin Nucl Med. 2004;29(10): 614-6.   DOI
7 Warmington W. Four cases of cough fracture. Ulster Med J. 1966;35(1):72.
8 Shameem M, Bhargava R, Ahmed Z, Naveed. Multiple bilateral rib fractures associated with severe coughing (Case report and review of literature). JK Practitioner. 2005;12(4):199-20.
9 Lee BY, Jang G, Lee GJ, Song YK, Lim HH. A report of present situation about the adverse reactions of chuna manipulation in Korea. J Korean Chuna Man Med Spine Nerves. 2007;2(2):161-70.
10 Lee ES, Oh JY, Cho HS, et al. Study about the Status and Prevention of Oriental Medical Dispute. J Korean Med. 2014; 35(1):58-67.   DOI
11 Yonsei University. The Asian Institute for Bioethics and Health Law. The Study on the Establishment of the Korea Medical Dispute Arbitration and Mediation Agency; 2011:9.
12 Hanak V, Hartman TE, Ryu JH. Coughinduced rib fractures. Mayo Clin Proc. 2005;80(7):879-82.   DOI
13 Oliphant D. Safety of spinal manipulation in the treatment of lumbar disk herniations: a systematic review and risk assessment. J Manip Physiol Ther. 2004;27(3):197-210.   DOI
14 Roberge RJ, Morgenstern MJ, Osborn H. Cough fracture of the ribs. Am J Emerg Med. 1984;2(6):513-7.   DOI
15 Mitchell J. Cough fracture. Brit Med J. 1951;2(4746):1492-3.   DOI
16 Wynn-Williams N. Cough fracture unassociated with pulmonary tuberculosis. Brit Med J. 1951;2(4746):1494-6.   DOI
17 Park SH, Ko YS, Lee JH. A Study for Indication and Adopted Techniques of Chuna Treatment-Focusing on Domestic Clinical Studies. J Korean Chuna Man Med Spine Nerves. 2013;8(2):57-66.
18 Guyatt G, Bombardier C, Tugwell P. Measuring disease-specific quality of life in clinical trials. Can Med Assoc J. 1986; 134(8):889-95.
19 Hadler N, Curtis P, Gillings D, Stinnett S. A benefit of spinal manipulation as adjunctive therapy for acute low-back pain: a stratified controlled trial. Spine. 1987;12(7):702-6.
20 Krismer M, Haid C, Rabl W. The contribution of anulus fibers to torque resistance. Spine. 1996;21(22):2551-7.   DOI
21 Stevinson C, Ernst E. Risks associated with spinal manipulation. Am J Med. 2002;112(7):566-71.   DOI
22 Kong JC, Park TY, Ko YS, Won JK, Park DS, Shin BC. Cervical Dural Tear induced by Cervical Chuna Manipulation Treatment : A Case report. J Korean Chuna Man Med Spine Nerves. 2006;1(1):45-50.