推拿術治療引起關節積血症－－一病例報告

Hemarthrosis Following a Pushing- Pinching Massage Therapy-- A case report

關節積血症多係由關節外傷所引起，外傷性膝關節積血症於運動醫學中甚為多見。由於江湖醫術所致之關節損傷雖不罕見，但為文提出報告者甚少。本文報告一58歲之男性患有骨性關節疾患，經一江湖醫士予以推拿術治療其右膝關節痛而發生膝關節積血症之病例，各種其他所可引起關節積血症之原因於住院期間未確知其曾接受推拿術前經各種檢查而予一一排除。四月後，曾作追蹤檢查，未發現有該外傷所引起之永久性後果，亦未發現有骨性關節疾患以外之其他疾病。作者認為由不經意之醫者施行推拿術治療關節疾病並非沒有危險，同時作者亦建議治療性按摩之實施應先經官署許可以防此等不良後果之繼續發生。

Hemarthrosis is mostly due to trauma of the joint, which is commonly found in sports injuries. An injury of the joint caused by a quack practice may not be uncommon, but it is rarely, if ever, reported. A 58-year-old male with underlying osteoarthrosis developing hemarthrosis of the right knee joint after pushing- pinching massage therapy by an herbal practitioner was reported. Other possible causes of hemarthrosis were ruled out during the hospitalization before a history of such manipulation was elicited. A follow-up examination done four months later disclosed no permanent consequence of the trauma. Diseases other than osteoarthrosis were not found. It is thought that pushing-pinching massage therapy to a joint of arthrosis given by an absentminded practitioner does not go without risk. It is also suggested that the practice of therapeutic massage should be licensed for the interest of public health.