從骰骨骨錯縫論治慢性踝扭傷病例報告

A case report of treatment for chronic ankle sprain based on the cuboid subluxation

陳禹維(Yu-Wei Chen)；陳明珠(Ming-Chu Chen)；邱榮鵬(Jung-Peng Chiu)

慢性踝扭傷 ； 骰骨 ； 骨錯縫 ； 復位 ； Chronic ankle sprain ； Cuboid ； Subluxation ； reduction

北台灣中醫醫學雜誌

10卷2期（2018 / 09 / 01）

47 - 57

繁體中文

腳踝扭傷的患者在中醫門診是很常見的，尤其以急性扭傷為多，藉由針灸可以讓患者的疼痛感在當下即有明顯改善，再搭配外敷藥更可以快速消腫縮短病程，但有部分的患者在急性期過後，腳踝仍感到不同程度的殘餘症狀，如平時活動皆不痛，只有走久或運動後會痛，這種即是轉為慢性踝扭傷，時間從數週到數個月都有，軟組織的受損理應隨著時間而逐漸修復，症狀之所以未完全改善常常是足部骨頭骨錯縫所導致，其中又以骰骨骨錯縫為大宗。本篇病例為一位30歲男性，急性右外踝扭傷經過2個月治療後，右外踝周圍走久仍痠痛，經過2次骰骨復位術治療後即痊癒；透過本篇病例體現中醫對於骨錯縫有著極佳的治療方式。

Patients with ankle sprain are common in Chinese medicine outpatient clinic, especially the acute ones. We can relieve the pain and swelling dramatically by acupuncture and dressing Chinese medicine. However, some patients still have residual symptoms after several months despite their effort on rehabilitation. The residual symptom would gradually turn into chronic ankle sprain. Normally the damage on soft tissue will repair itself as time goes by. If the symptom does not improve, it is usually because of a bony malalignment after injury. Among all bony malalignments, Cuboid Syndrome is the most common case. In this case, a thirty-year-old male had suffered from acute right ankle sprain and had received treatment of acupuncture for 2 months. However, he still felt soreness on the ankle after walking for a long time. Thus he came to our clinic for help and completely recovered from ankle sprain after receiving two times of reduction of cuboid subluxation. This case embodies the excellent efficacy to Cuboid Syndrome of Chinese medicine.

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