- 期刊
以中醫傷科手法治療薦髂關節扭傷一病例報告
The Treatment of Sacroiliac Joint Sprain Injury with Chinese Traumatologic Manipulation: A Case Report
摘要
腰臀腿酸痛是現代人常見的症狀，尤其是因為腰椎關節、髖關節或薦髂關節問題所引起的諸多下背痛的不適現象，常需要做明確的鑑別診斷，以利後續的治療。 本文為一位中年女性患者，因為騎自行車跌坐在地而導致左側臀部及大轉子附近疼痛，經由相關的理學檢查（主動運動、被動運動、拮抗運動、特殊測試等），進而鑑別是肌肉、韌帶、關節或神經問題，將“薦髂關節”之傷損病灶確實找出後，施以中醫傷科手法治療之病例分析報告。 另外，僵值性脊椎炎的主要酸痛及僵硬，通常亦集中在脊椎和腰薦關節，或是臀部和髖部，尤其薦髂關節的慢性發炎疼痛更是在諸多關節病變疼痛的先期，因此，在診斷薦髂關節問題時，僵直性脊椎炎亦是不可忽視的鑑別診斷之一。
並列摘要
There are many people suffered from pain in the low back, buttock and leg area, which is usually due to problems of the lumbar spine, hip or sacroiliac joints, so we need make the critical differential diagnosis to arrange the treatment. This is a case report about a female who fell down from a bicycle and suffered from pain around the left buttock and greater trochanter of femur. According to a cluster of the proper physical examinations (active motion, passive motion, resisted tests, special tests etc.) to distinguish the muscle, ligament, joint or nerve injury, the diagnosis of ”SI joint” sprain and anterior rotation dysfunction are made and the patient is treated by proper manual therapies of the Chinese traumatology. On the other hand, Ankylosing spondylitis (AS) can cause the pain and stiffness in the lower part of the spine, often with pain referred to the buttock or the hip area. Chronic inflammation and pain in SI joint is the initial condition of many arthropathy, so AS is the important differential diagnosis for sacroiliac joint disease.