• Journal of Acupuncture Research
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• 제39권1호
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• pp.53-58
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• 2022

Fat pad syndrome is a knee joint condition/disease where acute or chronic inflammation occurs in the fat pad of the knee joint, and it is a cause of anterior knee pain. Fat pad syndrome usually occurs concurrently with other conditions/diseases to collectively cause anterior knee pain. No study to date has reported the treatment of anterior knee pain solely due to fat pad syndrome. Here, we report a case of fat pad syndrome of the knee joint as the sole cause of anterior knee pain in a 49-year-old woman who received integrated Korean medicine treatments (pharmacopuncture, acupuncture, herbal medicine, deep fascial meridian therapy, and chuna). Using patient-reported pain scale scores, the level of the patient's pain was relieved, and her mobility improved. Integrated Korean medicine treatments could be effective for patients who have fat pad syndrome of the knee joint.

• 대한관절경학회:학술대회논문집
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• 대한관절경학회 2007년도 제17차 추계학술대회 심포지움
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• pp.99-100
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• 2007

• 한방재활의학과학회지
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• 제20권4호
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• pp.241-254
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• 2010

Anterior cruciate ligament tear is a common disease of knee injury. We report 1 case of anterior cruciate ligament complete tear diagnosed by MRI(magnetic resonance imaging) imaging and 1 case after reconstruction. Outcomes were measured by visual analogue scale(VAS) and Lysholm knee scoring scale. We applied acupuncture treatment, bee venom injection, bongchuna and prescribed herbal medication. Patients who treated by oriental medical treatments had a significant effect on the pain decrease and range of motion and knee function. Oriental medical treatments are very useful on pain reduction and prevention of muscle contraction, leading to satisfied rehabilitation, as wee as diminishing recurrence after operation.

• 한국전문물리치료학회지
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• 제28권1호
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• pp.77-83
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• 2021

Background: Although symmetry of spatio-temporal parameter and center of pressure (COP) shift during walking is associated with knee adduction moment, research on clinical association with knee osteoarthritis (OA)-related knee pain and functional scores is lacking. Objects: The aims were 1) to compare symmetry of gait parameters and COP-shift in patients with unilateral knee OA and pain and matched controls, and 2) to investigate the relationship between symmetry of gait parameters and COP-shift, and clinical measures. Methods: Female subjects (n = 16) had with unilateral radiological knee OA and pain. Healthy controls (n = 15) were age-matched to OA group. Symmetry of foot rotation, step length, stance and swing phase, lateral symmetry of COP and anterior/posterior symmetry of COP during walking was assessed. To assess the clinical variables, pain intensity, pain duration and function using Knee Osteoarthritis Outcome Survey (KOOS) subscales were collected. We compared symmetry between groups using Mann-Whitney U-test or independent t-test. Relationships between clinical measures and symmetry index measured using Spearman's correlation test. Statistical significance was set at α = 0.05. Results: Knee OA group showed significantly greater values of only lateral symmetry of COP (p < 0.01) than healthy group. Values of lateral symmetry of COP had moderate or strong correlation significantly with the intensity of knee pain, pain duration, and scores of all KOOS subscales (p < 0.01). Conclusion: Patients with unilateral knee OA and pain showed more asymmetry of lateral COP-shift during walking compared with matched healthy controls. In addition, larger asymmetry of lateral COP-shift has the moderate or strong association with worse of knee pain, worse in KOOS scores and longer duration of knee pain. Asymmetry of lateral COP-shift during walking may be one of the characteristics of unilateral knee OA as the compensatory strategy response to unilateral OA of the knee.

• 대한관절경학회지
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• 제1권1호
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• pp.41-46
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• 1997

The natural history of the anterior cruciate ligament(ACL)-deficient knee remains controversial. although numerous investigation have tried to ascertain the course that the knee would follow once the ACL has lost functional integrity. An extensive review of the literature performed according to symptoms. physical examinations, associated surrounding tissue injuries. returns to activity level and radiological changes in the knee joint. An active individual with a non-functioning ACL was susceptible to injury to the menisci and deteriorate the articular cartilage, followed radiographic changes. An activity levels in general also changed after injury. The most common symptom was pain. But instability varied in these individuals. Conclusively we believe that all these factors will eventually, if not initially, result in a symptomatic knee. which will result in significant limitations to the individual's desired level. So we recommend an aggressive approach in person who desired to return to a relatively active life style in young person as well as in middle aged individuals who have significant symptomatic ACL deficient knee.

• 대한정형외과스포츠의학회지
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• 제9권1호
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• pp.7-15
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• 2010

전방 슬관절 동통 증후군은 여러 가지 형태의 다양한 원인으로 서서히 양측 슬개-대퇴 관절 내 또는 주위에 동통을 야기하는 증상이다. 원인으로는 하지의 부적절한 생역학, 전체적인 신전 기전의 병변, 슬개-대퇴 관절 병변, 슬개골 자체의 병변 또는 부정정렬, 단단한 연부조직, 약화된 근육 등이며, 전방 슬관절 동통 증후군을 평가하기 위해서는 슬개골 정열의 측정이 필요하고 현재 이학적 검사 및 방사선 검사 등 다양한 방법이 사용되어 진단 및 치료 정도를 평가하는데 사용되고 있다. 치료는 슬관절 전방 통증의 원인에 따라 결정되며, 주로 수술적 치료보다는 약물 치료나 대퇴사두근 근력 강화 운동, 함스트링 스트레칭운동 등이 보편적으로 사용되고 있다. 경부목 또는 내측 경골 스트레스 증후군은 전내측 경골 원위 2/3 부위에서 발생되는 통증을 의미하며, 반복적이고 조화되지 않는 충격이 하퇴부에 가해지는 스포츠를 하는 체육인에게 흔히 발생된다. 문제의 원인을 정확히 파악하여 진단하는 것이 치료에 매우 중요하며, 따라서 원인, 치료, 재활 및 예방까지 여러 이론이 보고되었다. 치료는 통증이 심할 경우 휴식과 함께 얼음찜질을 실시하며, 진통제를 복용하여 통증을 완화시켜 주는 것이 좋으며, 또한 다리 근육을 강화시켜 줄 수 있는 운동을 하며, 적절한 재활과 예방적 처치가 추후 재발을 방지하는 데 도움이 된다.

• 대한관절경학회지
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• 제17권1호
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• pp.88-94
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• 2013

비교적 젊은 연령의 환자에서 슬관절 내측 구획의 퇴행성 관절염(Kellegrene-Laurence 제 3단계 및 Outerbridge 제 4단계)과 전방십자인대의 파열이 동반되어 전방 불안정성이 있는 3예에서 2예는 전방십자인대 재건술의 6개월 이후 단계적으로 인공 관절 부분 치환술을 시행하고 나머지 1예는 동시에 전방십자인대 재건술 및 부분 치환술을 시행하였으며 수술 전, 후의 International Knee Documentation Committee (IKDC), Lysholm 점수와 최종 추시 상 Hospital for special surgery (HSS)와 knee society score (KSS) 점수를 측정하였다. 저자들의 슬관절의 전방 불안정성과 동반된 내측 구획의 진행성 관절염에서 전방십자인대 재건술과 함께 동시에 또는 단계적으로 시행한 내측 구획 인공 관절 부분 치환술은 슬관절 불안정성과 진행성 관절염에 의한 통증을 동시에 또한 만족스럽게 해결할 수 있는 좋은 선택이라고 사료된다.

• The Journal of Korean Physical Therapy
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• 제25권5호
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• pp.239-245
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• 2013

Purpose: Osteoarthritis occurs in many different joints of the body, causing pain, stiffness, and decreased function. The knee is the most frequently affected joint of the lower limb. The aim of this study was to investigate the differences of biomechanics between independent gait and anterior walker dependent gait of patients with osteoarthritis of the knee. Methods: Lower limb joint kinematics and kinetics were evaluated in 15 patients with knee osteoarthritis when walking independently and when walking with an anterior walker. Participants were evaluated in a gait laboratory, with self-selected gait speed and natural arm swing. Results: When walking with a dependent anterior walker, participants walked significantly faster (p<0.01), using a longer stride length (p<0.01), compared to independent gait. When walking with a dependent anterior walker, participants exhibited significantly greater knee flexion/extension motion (p<0.01) and lower knee flexion moment (p<0.05) compared to independent gait. When walking with a dependent anterior walker, participants showed significantly greater peak ankle motion (p<0.01), ankle dorsiflexion/plantarflexion moments (p<0.01), and ankle power generation (p<0.05) compared to independent gait. Conclusion: These biomechanical properties of gait, observed when participants walked with a dependent anterior walker, may be a compensatory response to impaired knee function to allow sufficient power generation for propulsion. Therefore, rehabilitative strategies for patients with osteoarthritis of the knee are needed in order to improve not only knee function but also hip and ankle function.

• Journal of Acupuncture Research
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• 제34권1호
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• pp.67-79
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• 2017

Objectives : The aim of this study was to report the effect of Korean medical therapy on pain and dysfunction after anterior cruciate ligament (ACL) reconstruction. Methods : A 25-year-old man experienced severe pain after right ACL reconstruction surgery. He received Korean medical treatments such as acupuncture, herbal medicine, and physiotherapy from July 10, 2014 to August 2, 2014. Results : After the treatments, his visual analogue scale scores generally decreased and the range of motion of the right knee improved from $0^{\circ}$ to $90^{\circ}$. Furthermore, the Knee Infury and Osteoarthritis Outcome Score increased from 99 to 142. Conclusion : The findings suggest that Korean medical treatments might be effectively used to treat pain and dysfunction after soft-tissue surgeries such as ACL reconstruction. Nevertheless, further research is warranted because of the limited sample size of this study.

• 대한관절경학회지
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• 제10권2호
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• pp.141-147
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• 2006

목적: 자가 슬괵건과 동종 경골건을 이용한 전방 십자 인대 재건술의 임상적, 방사선학적 결과를 비교하고자 하였다. 대상 및 방법: 1년 이상 추시가 가능한 자가건 24예 및 동종건 30예를 이용하여 전방 십자 인대 재건술을 시행한 총 54예를 대상으로 하였다. 임상적 평가기준으로 Lysholm Knee 점수, Tegner activity 점수, Lachman 검사, Pivot-Shift 검사, 대퇴 사두근 위축, 절개부위 감각이상 및 전방 슬관절 통증 등을 평가 하였으며, 방사선학적 평가로 $Telos^{(R)}$ 기기를 이용하여 전방 전위 정도를 비교 하였다. 결과: 최종 추시 Lvsholm Knee점수는 자가건 군에서 91.6점 $(68{\sim}100)$. 동종건 군에서 92.6점 $(77{\sim}100)$으로 향상되었고, Tegner activity 점수는 두 군 모두 수상 전에 비해 경도의 감소가 있었으나, 두 군간의 유의한 차이는 없었다. Lachman 검사, Pivot-Shift검사, 대퇴사두근 위축, 절개부위 감각이상 및 전방 슬관절 통증 및 $Telos^{(R)}$기기를 이용한 전방 전위 검사에서도 두 군간에 통계적 차이는 없었다. 결론: 자가 슬괵건 및 동종 경골건을 이용한 전방 십자 인대 재건술의 임상적 및 방사선학적 결과는 두 군간의 유의한 차이는 없었다.