中医药治疗肘关节外翻损伤致骨化性肌炎32例（Traditional Chinese medicine treated 32 cases of osteoarthritis of the elbow joint）

中医药治疗肘关节外翻损伤致骨化性肌炎32例（Traditional Chinese medicine treated 32 cases of osteoarthritis of the elbow joint） 中医药治疗肘关节外翻损伤致骨化性肌炎32例(Traditional Chinese medicine treated 32 cases of osteoarthritis of the elbow joint) 32 cases of myositis ossificans caused by valgus injury of elbow joint with Chinese Medicine Update Date: 2009-03-21 click: Luo Shidong 1 clinical data Of the 32 cases, 21 were male and 11 were female. The age was 6~12 years, 18 cases, 13~35 years old, 14 cases. The course of disease ranged from 5 weeks to 3 months. There were all the elbow joint injuries in the straight extension, the falling and the outside of the hands. After the injury, there was pain and tenderness, swelling and dysfunction in the elbow joint. Among them, there were 12 cases of fracture of medial condyle of humerus (4 cases after open reduction and internal fixation), 6 cases of radial head fracture, 5 cases of fracture of capitulum medialis with radial head, 9 cases of cubitus valgus sprain of elbow joint. According to the diagnostic criteria [1], 23 cases belonged to the early stage and 9 cases in the late stage. In the early part of the region, there is often pain and swelling. The mass of the lump is tough or cystic, and it has tenderness and warm sensation. Systemic symptoms, such as fever, increased white blood cells, etc.. X-ray examination in ligament, aponeurosis, muscle fibers to a thin density uniform uniform density increased image, no trabecular bone structure. The late mass is stiff and local tenderness, affecting the function of the elbow joint, even stiff. X-ray examination revealed ossification of the tendon site, ossification of the muscles and ligaments, and bone like density. 2 treatment The treatment of early patients included limiting elbow extension activities and stopping all auxiliary activities. The traditional Chinese medicine was mainly used to invigorate Qi, invigorate the circulation of blood, disperse swelling and Dissipate Stasis, and it was used medicinally: Dragon's blood, 6G, ephedra, 6G, liquorice, 6g 10g 12g 10g Sanleng Angelica worm wood louse Corydalis 12g pangolin 6G Gardenia 12g 6G 15g 18G Paris mulberry safflower Road pass 9g 37 15g (break, fry first) Modification due to human factors. Water decoction, 1 times a day. At the same time with Sanhuang honey adjustable external apron. 10 days for the 1 course of treatment. In the late stage of Chinese medicine to Tongluozhitong, Ruanjiansanjie, Glorybower, moneywort: medicinal, ginger, fermented black bean Tinospora, Liu Ji slave, rhubarb, tiger, Tongcheng cochinchinensis, Liangmianzhen 30g, decoction fumigation, 2 times a day; at the same time with 37 down (the hospital Porter agreement prescription Xiong Dan () plus musk, provided by our hospital pharmacy) and mix thoroughly on the skin, and make the local muscle light massage; pain disappeared first elbow flexion exercise. 10 days for the 1 course of treatment. 3 treatment outcome The treatment of the above method, the shortest 2 courses, the longest 12 courses, 32 patients were cured, all the absorption of bone disappeared, joint activity returned to normal. The clinical observation shows that the early use of the method is effective, the course of treatment is short, and the effect is better. 4 discussion and experience The elbow eversion injury, clinical common, good in young people, especially in 6 ~ 12 years old children the most common, is the soft tissue around the childhood joint is loose and carrying angle larger because of anatomical and physiological characteristics. When the fall of shoulder abduction, elbow straight, small thenar touchdown, elbow valgus by extreme violence, will lead to the onset of medial forearm flexor attachment, ligament, joint capsule or partial tear and medial epicondyle of humerus avulsion and humeroradial joint cartilage lateral surface and mutual impact contusion, ligament tear or radius fracture of head injury etc.. The clinical manifestations were characterized by the limited pain, swelling and tenderness of the elbow joint, the beginning of the flexor tendon of the forearm, and the limited functional activities of the elbow joint. Because of this kind of injury, the displacement of the humeral medial condyle or radial head fracture is not obvious, so we should pay attention to the comparison and identification in the diagnosis. The elbow eversion injury is a serious joint complex injury, even if it's just a simple sprain, will cause the onset of flexor attachment periosteal humeroradial joint face off, injury, especially in children can cause the humeral head and the radial head epiphyseal plate contusion, subdural hematoma is easy to form bone and soft tissue hematoma. Therefore, the valgus injury of elbow joint can not be recognized and treated as pure soft tissue injury or general fracture, but it should be paid enough attention to as the complex damage of bone and joint. It is necessary to brake early in time for the treatment of valgus injuries of elbow joint, If the combined displacement or fracture is performed, the myositis ossificans will not happen after the reduction, reduction, reduction and fixation. Is often due to some non specialists on the inadequate understanding of disease and the people are often on aftercrop joint injury repeated flexion stretch habit. This group of 32 cases of ossifying myositis patients, most of the injured have been rude and manipulative, passive stretch help functional recovery of secondary injury history, clinical observation found especially in the injured after 2 to 3 weeks during the treatment of misconduct, the possibility of ossifying myositis of the largest. Myositis ossificans, also known as traumatic ossification, is not inflammation of the muscle itself. According to the theory of traditional Chinese medicine, it belongs to the accumulation of blood stasis. The 32 cases of the group were given Qi, blood circulation, pain relief, blood stasis, Sanjie and other drugs, combined with external treatment, and the activities of the elbow flexion based painless independent exercise, and so on, all achieved a cure effect. Keywords myositis ossificans; cubitus valgus injury; TCM therapy; The elbow eversion injury refers to the origin of tissue around the forearm flexor attachment and humeroradial joints suffer from a complex injury of elbow valgus due to extreme violence, more common in clinical, if failure or mistreatment easily lead to myositis ossificans. In 1996, the Chinese medicine treatment of 32 cases, the effect is better, is reported as follows. Wuzhou Hospital of Traditional Chinese Medicine, 543000, Fu Min Road, Guangxi, Wuzhou, 4, China Reference 1 Wang Shoudong, Liu Boling. Clinical Manual of Orthopaedics and traumatology of Chinese medicine. Beijing: People's Medical Publishing House, 1996.315.