Pharmacopuncture and Autohemo-Seperated Regeneration Pharmacopuncture for Acute Traumatic Subdeltoid Bursitis with Patial Tear of Subscapularis Tendon After Bongchuna Treatment - A Case Report -
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(2) Journal of Pharmacopuncture 제 14권 제 2호( 2011년 6월). 62. 2 1 VAS. Visual Analogue Pain Scale,. 0 10 VAS. 2011. 11. 2-4 2 Visual Analogue Pain Scale, VAS MRI. Range of movement R.O.M Shoulder Phsical Exam. 3 MRI. OO. 3 ASRP - autohemoseperated regeneration pharmacopuncture. 1 1 Sweet BV. II. 대상 및 방법 Table 1 Sweet Bee Venom - Sweet BV. 1 2010. 10. 2011 1. 5. VAS 2 10 ROM. 2 BV 50 filtration. Sweet Bee Venom Sweet Sweet BV 02840 Mellitin gel.
(3) 봉추나요법 후 유발된 견갑하건 부분파열을 동반한 급성 외상성 삼각근하 점액낭염의 약침과 자가혈 분리 재생약침 시술 1례. autohemo-seperated regeneration pharmacopuncture:ASRP. 63. longitudianl scan 1.5-2.0cm. Buffy coat 1. 45 VAS 5 EDTA-ethylene diamine Korea 2cc 20cc. tetracetic acid;. 11. 19. 3. 0.2cc. Korea 15. 10-15mm 2cc. VS-5000N,. 2. Korea 2 Buffy coat Buffy. 14. coat Korea 2 1 stainless steel 0.25 40mm, Dong-Bang Acupucture Co. Korea 1 1 2-3mm 5 20. ASRP 2. 11. 8. 11 16 1 inch, 29gage. 5cc 1ml. 3. 1 1. 4. III. 증례. Conform. 1 SONOACE 4800HD, Medison, Korea. 7.5MHz. F/56. 1. 7.
(4) Journal of Pharmacopuncture 제 14권 제 2호( 2011년 6월). 64. 2 1/day. 3 2010. 10. 27. 2. 11. 05. Table. 2. 3 4 2008. MRI 2010 11 08 Fig. 1 Severe subdeltoid bursitis with unusual lesion Patial tear of subscpularis tendon Calcific tendinitis of supraspinatus. 5 8 1. VAS. Fig. 2. 6 2. Table. 3. 2008 3 2010. 10. 13 2010. 10. MRI 2011 02 16 About after 3 month, Fig. 3) Improvement of subdeltoid bursitis Healing state of patial tear of subscapularis tendon Calcific tendinitis of supraspinatus Acromio-clavicular joint sprain Ultrasonography MRI. 27 10. 28. local 11. 05. ROM. 11. 8 2010 4.12mm. 7. 16 Fig. 5. F/U. 11 10 Fig. 4 3 2mm. 1 9 1 5-6 day. 11. Sweet BV 8. 2011. 2.
(5) 봉추나요법 후 유발된 견갑하건 부분파열을 동반한 급성 외상성 삼각근하 점액낭염의 약침과 자가혈 분리 재생약침 시술 1례. 24. VAS 2. 1.0cc Sweet BV 0.2cc. 3 2 1.0cc. 11. 16. MRI. 8 VAS 10 2. 5 VAS 5 2.0cc. 12 1. 3 2. 1.0cc. IV. 고찰. 8 1.0cc. VAS 5. 2mm 11. 2mm VAS 4 Sweet BV 0.2cc. 14 VAS 4 Sweet BV 0.2cc 5 18. VAS 3. Sweet BV 0.2cc. 21. VAS 3 Sweet BV 0.2cc. dermatome. 65.
(6) 66. Journal of Pharmacopuncture 제 14권 제 2호( 2011년 6월). 3 ROM painful arc. 3 7-10. 4-6. ROM ROM. 56. VAS 2-4. 12 3. Toolchuna. ROM 12. VAS 1-2 MRI MRI. 9.3mm. 9mm. 14-21 10 9. 11. 8. 9.3mm, 11 10 4.12mm VAS. MRI.
(7) 봉추나요법 후 유발된 견갑하건 부분파열을 동반한 급성 외상성 삼각근하 점액낭염의 약침과 자가혈 분리 재생약침 시술 1례. 11. 11. 11. 13 VAS VAS Naredo. Henkus. VAS. Hussein. MRI 9.3mm MRI follow up MRI ficity. 5 sensitivity. VAS 5. 18. VAS 3. speci-. MRI MRI. VAS 1-2 11 8 MRI 11 8. MRI. 1 1 1979. Seltzer. 1980. 6 3. 1. 67.
(8) 68. Journal of Pharmacopuncture 제 14권 제 2호( 2011년 6월). EDTA. EDTA. ROM heparin. PRP Platelet rich plasma 1970 fibrin glue. 1980. 1987 1990 TGF-b 1. ASRP.
(9) 봉추나요법 후 유발된 견갑하건 부분파열을 동반한 급성 외상성 삼각근하 점액낭염의 약침과 자가혈 분리 재생약침 시술 1례. buffy coat. V. 결론 1. MRI,. 2.. 3.. VI. 참고문헌 1. Ombregt L, Bisschop P, ter HJ. A system of orthopaedic medicine. 2nd ed. Philadelpia: Churchill Livingstone. 2003:44. 2. Won-Kyo Oh, OMD., Byung-Cheul Shin, OMD. Introduction of Bong Chuna Manual Therapy. The J of Korea CHUNA manual for medicine for spine & nerves. 2007;2(1):99-114. 3. Won-Kyo Oh, OMD., Byung-Cheul Shin, OMD. Effect of Bong Chuna Manual Treatment Combined with Oriental Medical Treatment on Posterior Inferior Ilium Deviation; 3 Cases. 69. Report. J Oriental Rehab Med. 2008;18(1):63-75. 4. Won-Kyo Oh, OMD., Byung-Cheul Shin, OMD. Clinical Effect of Bong Chuna Manual Therapy and Acupunture Treatment for Improving Cervical Curvature of Turtle Neck Syndrome and Measurement Method of Radiography. J Oriental Rehab Med. 2009;19(1):113-24. 5. Tae-Yong Park, O.M.D., Jae-Cheol Kong, O.M.D., Eugene Lee, O.M.D., Yung-Sun Song, O.M.D. The safety of lumbar manipulation; adverse reaction, mechamism and cases reprots. J Oriental Rehab Med. 2007;17(3):191-206. 6. Youn-Seok Ko, O.M.D., Tae-Yong Park, O.M.D., Jae-Cheol Kong, O.M.D, Wonk-Kyo Oh, O.M.D., Yung-Sun Song, O.M.D., ByungCheul Shin, O.M.D. J Oriental Rehab Med. 2006;16(4):83-95. 7. You-Suk Youn, O.M.D., Jae-Heung Cho, O.M.D., Han-Jin Ryu, O.M.D, Jong-Soo Lee, OMD. Ruptures lumbar disc in a patient undergoing lumbar chuna treatment : A case report. The J of Korea CHUNA manual for medicine for spine & nerves. 2004;5(1):163-8. 8. Yong Wook Kwon, M.D., Jong Min Kim, M.D. Cauda equina syndrom after spinal manipulative therapy: A case report. J Korean Acad Rehab Med. 1999;23(2):439-43. 9. Sung-lae Kim, Kwon-eui Hong. The clinical observation of 3 cases of metatarsal tendinitis treated with anti-inflammatory herbal acupuncture. Journal of Pharmacopuncture. 2007;10(1):157-62. 10. Moon Ja-young, Kim kang, Lim Jin-kang, Wang Wu-hao, Jang Hyoung-seok. Case reports of pes anserine bursitis patient treated with bee venom acua-acupuncture therapy by using DITI. Jorunal of Pharmacopuncture. 2004;7(1):101-6. 11. Eun-Hye Kim, O.M.D., Min-Seok Oh, O.M.D. The clinical observation of 1 case of Supraspinatus Tendinosis and subdeltoid bursitis. J.
(10) 70. Journal of Pharmacopuncture 제 14권 제 2호( 2011년 6월). Oriental Rehab Med. 2009;18(1):43-8. 12. Ki-tae Bae, Hyee-kwon Kim, Jeung-shin Kim, Sang-soo Nam, Yong-suk Kim. Case report of shoulder impingement syndrome with acute bursitis and supraspintus tendinopathy. The Journal of korean acupuncture & moxibustion society. 2005;22(5):175-82. 13. Yao-hung tsai, MD. Tsung-jen huang, MD. Wei-hsiu hsu, MD. Kuo-chin huang, MD. Yenyao li, MD. Kuo-ti peng, MD. Robert wen-wei hsu MD. Detection of subacromial bursa thickening by sonography in shoulder impingement syndrome. Chang guang Med J. 2007;30(2):135-41. 14. Woo Seung Lee, M.D., Jung Ro Yoon, M.D., Kyu Bok Kang, M.D., Jae Hyuk Yang, M.D., Hyung Tae Lim, M.D. Tuberculous subdeltoid bursitis - A case report-. Journal of korean arthroscopy Soc. 2010;14(1):45-8. 15. 1999:768-71. 16. Lee Hwang Yul, Lee Byung Lyeol. Literatual study on acupuncture treatment of shoulder pain. The Journal of korean acupuncture & moxibustion society. 1999;16:139-54. 17. Byung-Cheul Shin, O.M.D., Won-Kyo Oh, O.M.D., Kyu-Sun Choi, O.M.D., Yung-Sun Song O.M.D., Clinical study on aromatherapy massage effect in shoulder pain of hemiparalysis patients by sequela of cerebrovescular attack. J Oriental Rehab Med. 1999;9(2):279-94. 18. Lee Hak Soo, Lee Kwang Won, Han Tae Il, Kim Hyun Jeong, Choi Yun Sun, Han Hyun Young, Han Dong Bok, Rho Ji Young, Park Choong Ki. Arthrosonography of the shoulder joint for evaluation of the glenoid labrum, glenoid rim and humeral head: comparison with convertional ultrasonography and MR arthrography. The Journal of the korean radiological society. 2003;48(1):69-76. 19. Hashimoto BE, Kramer DJ, Wiitala L. Appli-. cation of musculoskeletal Sonography. J Clin Ultrasound. 1999;27:293-318. 20. Yamakado K. The targeting accuracy of subacromial injection to the shoulder: an arthrographic evaluation. Arthorscopy. 2002;18:887-91. 21. Eustace JA, Brophy DP, Gibney RP, Bresnihan B, Fitzgerald O. Comparison of the accuracy of steroid placement with clinical outcome in patients with shoulder symptoms. Ann Rheum Dis. 1997;56:59-63. 22. Naredo E, Cabero F, Beneyto P. A randomized comparative study of short term response to blind injection versus sonographic-guided injection of local corticosteroids in patients with painful shoulder. J Rhematol. 2004;31(2):308-14. 23. Henkus HE, Cobben LP, Coerkamp EG, Nelissen RG, van Arkel ER. The accuracy of steroid placement with clinical outcome in patients with shoulder symptoms. Ann Rheum Dis. 1997;56(1):59-63. 24. Dae Hwan Kim, M.D., Jun Sung Park, M.D., Tae Im Yi, M.D., Joo Sup Kim, M.D., Jae Hwan Lee, M.D., Hye Gyung Gu, M.D. The usefulness of unltrasonography-guided injection comparing to blind injection in patients with chronic subdeltoid bursitis. Journal of the korean association of pain medicine. 2006;5(2):116-21. 25. Hussein Elkousy, M.D., Gary M. Gartsman M.D., Gregory Drake, D.O., Wilson Sola, M.D., Daniel O'Connor, PhD., T. Bradley Edwards, M.D. Retrospective comparison of freehand and ultrasound-guided shoulder steroid injections. Orthopedics. 2011;34(4):270. 26. Gi Young Park, M.D., Young Hyun Kim M.D, So Young Lee, M.D., Sung Moon Lee, M.D. Associated songraphic findings according to the type severity of rotator cuff tear. J Korean Acad Rehab Med. 2005;29:291-6..
(11) 봉추나요법 후 유발된 견갑하건 부분파열을 동반한 급성 외상성 삼각근하 점액낭염의 약침과 자가혈 분리 재생약침 시술 1례. 27. Won-Kyo Oh, O.M.D., Young-Dal Kwon, O.M.D., Yung-Sun Song O.M.D, Effectiveness of Oriental Medical Therapy and Bong Chuna on Anterior Cruciate Ligament Rupture of Knee, Two case reports. J Oriental Rehab Med. 2010;20(4):241-54. 28. Fullerton BD, Reeves KD. Ultrasonography in regenerative injection (prolotherapy) using dextrose, platelet-rich plasma, and other injectants. Phys Med Rehabil Clin N Am. 2010;21(3):585-605. 29. Ferrari M, Zia S, Valbonesi M, Henriquet F, Venere G, Spagnolo S, Grasso MA, Panzam I. A New technique for hemodilution, preparation of autologous platelet-rich plasma and intraoperative blood salvage in cardiac surgery. Int J Artif Organs. 1987;10(1):47-50. 30. Randelli P, Arrigoni P, Cabitza P. Autologous platelet rich plasma for arthroscopic rotator cuff repair. Disabil Rehabil. 2008;30(20-22):1584-9. 31. Roussel AM, Hininger-Favier I, Waters RS, Osman M, Fernholz K, Anderson RA. EDTA chelation therapy, without added vitamin C, decreases oxidative DNA damage and lipid peroxidation. Altern Med Rev. 2009;14(1):56-61.. 32. Duald MR Seely, Ping Wu, Ddward J Mills. EDTA chelation therapy for cardiovascular disease: a systematic review. BMC Cardiovascular Disorders. 2005;5:32. 33. Jang Hyo-kil, O.M.D., Heo Dong-seok. The literature review of Leech therapy. Journal of Pharmacopuncture. 2010;13(1):103-20. 34. Rubsamen K, Eschenfelder V. Blood coagulation and fibrinolysis. Haemostasis. 1991;2:97-100. 35. Ji-Yong Park, O.M.D., Jae-Uk Sul, O.M.D., Sun-Jong Kim, O.M.D., Jin-Bong Choi, O.M.D., Mi-Suk Shin, O.M.D. Effects of yanghyuljanggeungunbo-tang(yangxuezhuangjinjianbu-tang) and cervi cornu parvum pharmaco-acupuncture on the motor function recovery and nerve regeneration in rats induced spinal cord injury. J Oriental Rehab Med. 2009;19(2):27-49.. Table 1. Prescription of Herb-med. Herb-med. Scientific Name. Soyeom. Herb. Dose. Tarxaci Herba. 39. Lonicerae Flos. 39. Rehmanniae Radix. 39. Forsythiae Fructus. 39. Coptidis Rhizoma. 24. Scutellariae Ra. 24. Phellodendri Cortex. 24. Gardeniae Fructus. 24. Pharmacopuncture (. ). 71.
(12) 72. Journal of Pharmacopuncture 제 14권 제 2호( 2011년 6월). Table 2. ROM and Shoulder Physical Exam Test. Passive ROM. Flextion. 10/160. Extension. 15/45. Abduction. 15/180. Adduction. 15/45. Internal rotation. (uncheckable)/50. External rotation. (uncheckable)/50. Mouth wrap. (unchekable)/-. Dugas. (unchekable)/-. Hand to shoulder. (unchekable)/-. Dawbam. +/-. Empty can. (uncheckable)/-. Table 3. Change of ROM and Shoulder Physical Exam Test. 2010. 11. 05 Passive ROM. 2010. 11. 16 Active ROM. 2011. 11. 26 Active ROM. 2011. 02. 16 Active ROM. Flextion. 10/160. 120/160. 160/160. 160/160. Extension. 15/45. 30/45. 45/45. 45/45. Abduction. 15/180. 150/180. 170/180. 180/180. Adduction. 15/45. 30/45. 45/45. 45/45. Internal rotation. (uncheckable)/50. 35/50. 45/50. 50/50. External rotation. (uncheckable)/50. 30/50. 40/50. 50/50. Mouth wrap. (unchekable)/-. +/-. -/-. -/-. Dugas. (unchekable)/-. +/-. -/-. -/-. Hand to shoulder. (unchekable)/-. +/-. -/-. -/-. Dawbam. +/-. +/-. -/-. -/-. Empty can. uncheckable/-. +/-. -/-. -/-.
(13) 봉추나요법 후 유발된 견갑하건 부분파열을 동반한 급성 외상성 삼각근하 점액낭염의 약침과 자가혈 분리 재생약침 시술 1례. Fig 1. MRI of acute subdeltoid bursitis of the right shoulder, depth of subdeltoid bursitis was measured in about 9.30mm. Fig 2. Change of shoulder pain. Day 1 : The first treatment Day 3 : The third day after treatment. 73. Fig 3. This MRI shows acute subdeltoid bursitis of the right shoulder was improved completely..
(14) 74. Journal of Pharmacopuncture 제 14권 제 2호( 2011년 6월). 2011. Fig 4. Ultrasonographic finding of acute subdeltoid bursitis, depth of subdeltoid bursitis was measured in about 4.12mm. (B: subdeltoid bursa, D: deltoid muscle, S: supraspinatus muscle). 02. 16 (About after 3 month). Fig 5. Ultrasonographic finding of acute subdeltoid bursitis was improved completely. (B: subdeltoid bursa, D: deltoid muscle, S: supraspinatus muscle).
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