肩關節半脫位中醫療法病案報告

Treatment of Shoulder Subluxation Using Traditional Chinese Medicine Case Report

肩關節疼痛是一般就醫民眾中僅次於下背痛的主訴。造成肩部不適的原因很多，其中肩關節脫位及肩峰下夾擠症候群是非常常見的因素。於臨床上多採保守性治療，唯少數較嚴重或合併韌帶斷裂者須施行手術。本病例報告提出以遠處取穴搭配傷科手法治療右肩關節半脫位無合併骨折的60歲男性。前四次療程後肩關節活動度明顯改善，肩部疼痛不適感亦顯著減少，而且在後續追蹤均無脫位復發；後四次療程輔以局部針刺處理肩峰下夾擠症候群造成之殘餘不適感，療程結束後患者關節活動度恢復正常狀態，疼痛感消失。藉由針灸治療搭配傷科手法可完全不須服用藥物，即有不錯之療效，對於常發生肩關節半脫位且不便服藥的中風患者，是值得臨床中醫參考的治療方式之一。

Shoulder pain is highly prevalent within the general population, second only to lower back pain. There are many factors result in shoulder discomfort. Among the factors, shoulder dislocation and subacromial impingement syndrome are very common causes of shoulder pain. Clinically, both of them are treated conservatively, only few severe conditions have to deal with operative treatment. In this case, we used distal acupuncture point therapy and reduction procedure first to treat a 60 year-old patient who had right shoulder subluxation without fracture. After four times of the treatment, the patient's shoulder ROM improved obviously, and the sensation of shoulder dis- comfort was also relieved. In addition, there was no recurrent dislocation after four times treatment. In the next four times therapy courses, we used local acupuncture point therapy to manage the remnant of discomfort sensation attributed to subacromial impingement syndrome. After the therapy courses, the patient's shoulder ROM returned to normal, and the painful sensation also disappeared. Therefore, using acupuncture point therapy and reduction procedure can get good effectiveness without taking medicine. This therapy to struck patients who usually suffer from shoulder subluxation is a way worth to be taken into consideration in clinical Physicians.