PDF(Pubmed)
Abstract：
BACKGROUND: Post-traumatic osteoarthritis (PTOA) is a type of osteoarthritis that develops after ligament injury, meniscus injury, or fracture. Currently, there is no specific treatment approved for PTOA. This report describes the case of a 38-year-old man who suffered from PTOA of the right second distal interphalangeal (DIP) joint after practicing judo.
METHODS: He visited the author\'s clinic at 3 months after the onset of symptoms. Symptoms included pain, limited motion, and joint enlargement of the right second DIP joint.
METHODS: Partial tear of the ulnar collateral ligament of the DIP was revealed by magnetic resonance imaging. As the symptoms appeared after the traumatic event, PTOA was diagnosed.
METHODS: Intra-articular hominis placenta pharmacopuncture and joint movement manual therapy were performed on each visit. Altogether, 10 sessions were performed until the symptoms improved remarkably.
RESULTS: Visual analogue scale score (VAS) for pain; Quick Disabilities of the Arm, Shoulder, and Hand score (QuickDASH); joint circumference; and range of motion showed improvements at the end of the treatment. VAS decreased from 8.4 to 0.4, QuickDASH decreased from 44 to 13, joint circumference decreased from 5.5 to 5.4 cm, and range of motion was almost recovered, which was measured by the photographs.
CONCLUSIONS: There are not enough studies on phalangeal joint PTOA and its treatment. This case suggests pharmacopuncture and joint movement manual therapy as treatment options for phalangeal PTOA.
METHODS: He visited the author\'s clinic at 3 months after the onset of symptoms. Symptoms included pain, limited motion, and joint enlargement of the right second DIP joint.
METHODS: Partial tear of the ulnar collateral ligament of the DIP was revealed by magnetic resonance imaging. As the symptoms appeared after the traumatic event, PTOA was diagnosed.
METHODS: Intra-articular hominis placenta pharmacopuncture and joint movement manual therapy were performed on each visit. Altogether, 10 sessions were performed until the symptoms improved remarkably.
RESULTS: Visual analogue scale score (VAS) for pain; Quick Disabilities of the Arm, Shoulder, and Hand score (QuickDASH); joint circumference; and range of motion showed improvements at the end of the treatment. VAS decreased from 8.4 to 0.4, QuickDASH decreased from 44 to 13, joint circumference decreased from 5.5 to 5.4 cm, and range of motion was almost recovered, which was measured by the photographs.
CONCLUSIONS: There are not enough studies on phalangeal joint PTOA and its treatment. This case suggests pharmacopuncture and joint movement manual therapy as treatment options for phalangeal PTOA.
摘要：
背景：创伤后骨关节炎（PTOA）是一种在韧带损伤后发展的骨关节炎，半月板损伤,或骨折。目前,没有批准用于PTOA的特定治疗方法。本报告描述了一名38岁男子在练习柔道后患有右第二远端指间（DIP）关节的PTOA的情况。
方法：他在症状出现后3个月到作者的诊所就诊。症状包括疼痛，有限的运动,和右第二个DIP关节的关节扩大。
方法：磁共振成像显示DIP尺侧副韧带部分撕裂。由于创伤事件后出现了症状，PTOA被诊断。
方法：每次访视均进行关节内人源胎盘药物穿刺和关节运动手法治疗。总之,进行10次治疗，直到症状明显改善。
结果：疼痛的视觉模拟评分（VAS）；手臂的快速残疾，肩膀,和手部评分(QuickDASH);关节周长;和活动范围在治疗结束时显示出改善。VAS从8.4下降到0.4,QuickDASH从44下降到13,关节周长从5.5下降到5.4cm,运动范围几乎恢复了，这是由照片测量的。
结论：关于指关节PTOA及其治疗的研究还不够。此病例建议药物穿刺和关节运动手动疗法作为指骨PTOA的治疗选择。
方法：他在症状出现后3个月到作者的诊所就诊。症状包括疼痛，有限的运动,和右第二个DIP关节的关节扩大。
方法：磁共振成像显示DIP尺侧副韧带部分撕裂。由于创伤事件后出现了症状，PTOA被诊断。
方法：每次访视均进行关节内人源胎盘药物穿刺和关节运动手法治疗。总之,进行10次治疗，直到症状明显改善。
结果：疼痛的视觉模拟评分（VAS）；手臂的快速残疾，肩膀,和手部评分(QuickDASH);关节周长;和活动范围在治疗结束时显示出改善。VAS从8.4下降到0.4,QuickDASH从44下降到13,关节周长从5.5下降到5.4cm,运动范围几乎恢复了，这是由照片测量的。
结论：关于指关节PTOA及其治疗的研究还不够。此病例建议药物穿刺和关节运动手动疗法作为指骨PTOA的治疗选择。
