[논문]Effects of Korean Traditional Medicine Treatment on Spontaneous Osteonecrosis of the Knee: A Case Report

Lee, Soo-Kyung; Park, Eun-Young; Lee, June-Haeng; Kang, Sun-Woo; Won, Yoon-Jae; Yang, Myeong-Yeol; Ha, Jae-Joon

doi:10.13045/jar.2021.00227

Effects of Korean Traditional Medicine Treatment on Spontaneous Osteonecrosis of the Knee: A Case Report 원문보기

Journal of acupuncture research, v.39 no.1, 2022년, pp.59 - 63

Lee, Soo-Kyung (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) , Park, Eun-Young (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) , Lee, June-Haeng (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) , Kang, Sun-Woo (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) , Won, Yoon-Jae (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) , Yang, Myeong-Yeol (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) , Ha, Jae-Joon (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine)

Abstract ▼ AI-Helper

Spontaneous osteonecrosis of the knee (SONK) is a common form of osteonecrosis of the knee and mainly affects the medial condyle due to localized vascular insufficiency. We report a case of SONK in a 65-year-old woman who had severe knee pain in her left knee whichimpeded her capacityto walk beyond 10 minutes. Bilateral knee X-rays revealed degenerative osteoarthritis of both knees and magnetic resonance imaging revealed R/O SONK in the lateral aspect of the medial femoral condyle, as well as a medial meniscal posterior horn root tear, and a Grade 1 medial collateral ligament injury. She was hospitalized at Jaseng Hospital of Korean Medicine for 21 days and receivedcombination therapy includingacupuncture, pharmacopuncture, and herbal medicine. Patient-reported scales indicated that her pain and physical functional limitations were alleviated. Combination therapy consisting of Korean traditional medicine may bean alternative nonoperative treatment approach for patients with SONK.

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표/그림 (8)

그림 Fig. 1. Bilateral knee X-ray (December 29, 2018). This image shows degenerative osteoarthritis in both knees, with a Kellgren-Lawrence Grade 2 on the left knee and Grade 3 on the right knee.
그림 Fig. 2. Magnetic resonance imaging scans (January 8, 2019). (A) Coronal T1-weighted image and sagittal proton density-weighted image. (B) Spontaneous osteonecrosis of the knee in the lateral aspect of the medial femoral condyle.
표 Table 1. Pharmacopuncture Administered to the Patient.
표 Table 2. Korean Traditional Medicine Herbal Prescriptions Administered to the Patient.
표 Table 3. Conventional MedicineAdministered to the Patient.
그림 Fig. 3. Changes in the numeric rating scale scores during the hospitalization period.
그림 Fig. 4. Changes in the Western Ontario and McMaster Universities osteoarthritis index scores during the hospitalization period.
그림 Fig. 5. Changes in the European Quality of Life–5 Dimensions Index during the hospitalization period.

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