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Effects of Acupotomy on a Dorsal Wrist Ganglion Cyst with Ultrasonography: A Case Report with a 7-Month Follow-up 원문보기

Journal of acupuncture research, v.37 no.4, 2020년, pp.285 - 289  

Kim, Jae Hoon (Department of Acupuncture and Moxibustion medicine, College of Korean medicine, Daegu Haany University) ,  Lee, Jung Hee (Department of Acupuncture and Moxibustion medicine, College of Korean medicine, Daegu Haany University) ,  Lee, Cho In (Department of Acupuncture and Moxibustion medicine, College of Korean medicine, Daegu Haany University) ,  Lee, Yun-Kyu (Department of Acupuncture and Moxibustion medicine, College of Korean medicine, Daegu Haany University) ,  Lee, Hyun-Jong (Department of Acupuncture and Moxibustion medicine, College of Korean medicine, Daegu Haany University) ,  Kim, Jae Soo (Department of Acupuncture and Moxibustion medicine, College of Korean medicine, Daegu Haany University)

Abstract AI-Helper 아이콘AI-Helper

Background: This study was conducted to evaluate the clinical effect of acupotomy, a newly upcoming acupuncture treatment method for a dorsal wrist ganglion cyst. Methods: A patient with a dorsal wrist ganglion cyst was treated with acupotomy under ultrasonographic guidance. The symptoms caused by t...

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제안 방법

  • However, in some special cases of the “occult ganglion” which cannot be seen with the naked eye, magnetic resonance imaging (MRI) or ultrasonography are required to make an accurate diagnosis [13,14-16]. Likewise, ultrasonography was used in this study to make a detailed diagnosis and to conduct precise treatment.
  • Longi or trans scans were performed using a GE Logiq e ultrasound system with a 5-13 Hz linear transducer probe (GE Logiq 12L-RS). The depth, width, and length of the ganglion cyst were measured in each image.
  • At every outpatient visit, the patient status and symptoms were assessed just before the treatment. The clinical features of the ganglion cyst were evaluated and the size measured at each outpatient visit using ultrasonographic scan.

대상 데이터

  • A 29-year-old male who works a manual job that continuously requires high mobility of the hand and wrist joints, noticed a pain and swelling in his right wrist. Symptoms were relieved if he rested.
  • A sterilized, disposable acupotomy needle was used (DongBang Acupuncture Inc., Seongnam, Korea; 0.75 × 50 mm, whole length 105 mm, length of acupuncture body 75 mm, length of acupuncture head 25 mm, length of cylindrical apex 5 mm, and radius 0.75 mm).
  • He only received injections in his right wrist for a year. He was brought to the outpatient Department of Acupuncture and Moxibustion Medicine, Daegu Hanny university Traditional Korean Medical hospital.
  • Male aged 29 years.
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참고문헌 (20)

  1. Bain GI, Munt J, Turner PC. New advances in wrist arthroscopy. Arthroscopy 2008;24:355-367. 

  2. Nahra ME, Bucchieri JS. Ganglion cysts and other tumor related conditions of the hand and wrist. Hand Clin 2004;20:249-260. 

  3. Donndorff AG, Gallucci GL. Dorsal wrist ganglion: Arthroscopic resection with "dry" technique. Rev Asoc Argent Ortop Traumatol 2017;82:195-205. 

  4. Dias JJ, Dhukaram V, Kumar P. The natural history of untreated dorsal wrist ganglia and patient reported outcome 6 Years. J Hand Surg Br 2007;32:502-508. 

  5. Crawford GP, Taleisnik J. Rotatory subluxation of the scaphoid after excision of dorsal carpal ganglion and wrist manipulation-A case report. J Hand Surg Am 1983;8:921-925. 

  6. Watson HK, Rogers WD, Ashmead D. Reevaluation of the cause of the wrist ganglion. J Hand Surg Am 1989;14:812-817. 

  7. Borisch N. Arthroscopic resection of occult dorsal wrist ganglia. Arch Orthop Trauma Surg 2016;136:1473-1480. 

  8. Wong DC, Wansaicheong GK, Tsou IY. Ultrasonography of the hand and wrist. Singapore Med J 2009;50:219-225. 

  9. Yuk DI, Kim KM, Jeon JH, Kim YI, Kim JH. A review of trends for acupotomy. The Acupunct 2014;31:35-43. [in Korean]. 

  10. Won JH, Kim YJ, Ahn HD, Woo CH. Review Article:Reviewing research of Korean medical treatment of wrist ganglion. J Korean Med Rehabil 2014;24:111-116. [in Korean]. 

  11. Park MY, Lim NR, Kim SH, Kim SC. Effect of ultrasound-guided acupotomy therapy on wrist ganglion. J Acupunct Res 2010;27:167-172. [in Korean]. 

  12. Kim KH. Clinical Study on Wrist Ganglion by Newly Transformed Centro-Square Acupucnture, Moxibustion. J Acupunct Res 2000;17:113-119. [in Korean]. 

  13. Gude W, Morelli V. Ganglion cysts of the wrist: pathophysiology, clinical picture, and management. Curr Rev Musculoskelet Med 2008;1:205-211. 

  14. Osterman AL, Raphael J. Arthroscopic resection of dorsal ganglion of the wrist. Hand Clin 1995;11:7-12. 

  15. Rizzo M, Berger R, Steinmann S, Bishop A. Arthroscopic resection in the management of dorsal wrist ganglions: results with a minimum 2-year follow-up period. J Hand Surg Am 2004;29:59-62 

  16. Westbrook AP, Stephen AB, Oni J, Davis TRC. Ganglia: the patient's perception. J Hand Surg Am 2000;25:566-567. 

  17. Varley GW, Neidoff M, Davis TRC, Clay NR. Conservative management of wrist ganglia: aspiration versus steroid infiltration. J Hand Surg Am 1997;22:636-637. 

  18. Paul AS, Sochart DH. Improving the results of ganglion aspiration by the use of hyaluronidase. J Hand Surg Am 1997;22:219-221. 

  19. Korean Acupuncture & Moxibustion Medicine Society. The Acupuncture and Moxibusition Medicine. Seoul (Korea): Jipmoon; 2012. 193 p. 

  20. Kang CS, Yang HM. Acupotomy and Clinic. Seoul (Korea): DAU; 2011. p. 98-112. 

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