肩胛骨骨折傷科治療病例報告

TCM Orthopedic Treatment of Scapula Fracture: A Case Study

謝冠生(Kuan-Sheng Hsien)

《台灣中醫臨床醫學雜誌》 14卷1期 (2008/03) Pp. 59-64

https://doi.org/10.6968/TJCCM.200803.0059

摘要

本文透過肩胛骨骨折病例報告，凸顯出中醫望、聞、問、切「四診」對診斷的重要性。本病例為48歲男性病人，被車禍撞傷，其前後被送到兩家西醫醫院治療，最初被診斷為「左側第三根肋骨骨折」；其後被另一家醫院診斷為「左側第六（七）根肋骨骨折」。2週後，因為胸部、背部及左肩疼痛，左胸背腫痛、左肩活動痛增，所以前來本院傷科就診。我們依據中醫的四診八綱，配合西醫儀器（X光）正確的檢查，最後診斷為左肩胛骨（肩髆骨）骨折。其後治療是依據中醫傷科「手法治療」、外加「八字帶」外固定而治癒。

關鍵字

肩胛骨 ； 肩髆骨 ； 骨折 ； 八字帶 ； 固定 ； 手法

並列摘要

This article has shown the importance of the four methods of TCM: observation, auscultation and olfaction, inquiry and pulse diagnosis, through the case study of scapula fracture. The patient is a 48 y/o male who suffered from MVA, and was sent to two hospitals for treatment. The first diagnosis was fracture of left 3(superscript rd) rib. The other hospital diagnosed him of fracture of left 6(superscript th) (7(superscript th)) rib. Two weeks later, he came to our department due to pain on chest, back and left shoulder, swelling of left chest and back, and aggravated pain of left shoulder during motion. We apply four diagnostic methods of TCM with the help of X-ray, and concluded his problem as fracture of left scapula. He is cured by applying TCM manipulation and immobilization of figure 8 bandage.

並列關鍵字

scapula ； fracture ； figure 8 bandage ； immobilization ； manipulation