手法治療橈骨頭線性骨折：一病例報告

Manual Therapy for Linear Fracture of Radial Head: A Case Report

陳泰佑(Tai-Yu Chen) ； 梁君瑋(Chun-Wei Liang)

《中醫骨傷科醫學雜誌》 9期 (2010/12) Pp. 64-69

https://doi.org/10.30098/JCOT.201012.0010

摘要

這是一位35歲的女性患者，跌倒後罹患右肘腫痛、關節活動受限。第二天她來我們門診。經由理學檢查和放射影像學檢查，診斷為右肘橈骨頭線性骨折。於是她接受中醫的保守治療，患側手臂用三角巾懸吊。三週後去除三角巾懸吊，肘關節的活動範圍仍然受限，因此實施薰洗治療和屈伸手法治療。六週後，疼痛消失，壓痛不明顯，複查X光顯示對位良好，骨折已達臨床愈合標準。三個月後，患者右肘的活動範圍恢復，功能正常，本案例的治療結果相當令人滿意。

關鍵字

橈骨頭線性骨折 ； 手法治療

並列摘要

This was a case of 35 years-old female suffered from pain, swelling and motion limitation of right elbow after falling down to the ground. Next day, she visited our OPD. The diagnosis of linear fracture of radial head of right elbow was made by the physical examination and radiography. Then she accepted a conservative treatment of Chinese medicine and the hurt arm was hanged with a sling. Three weeks later, the sling was removed. Steam bath and manual therapy consisted of flexion and extension was done for limited motion range of the elbow. Six weeks later, pain and tender was gone and the X-rays films showed no replacement happened. It meant clinical healing. Three months later, the hurt elbow regained full motion range and normal function. There was a satisfactory outcome in this case.