Chen Chiu-Liang, Chiu Shin-Lin, Chu Chiao-Lee, Lan Shou-Jen
Department of Orthopedics, Changhua Christian Hospital, No.135, Nanxiao St., Changhua City, Changhua County 500, Taiwan.
Department of Healthcare Administration, Asia University, No.500, Liufeng Rd., Wufeng Dist., Taichung City, 413, Taiwan.
BMC Complement Altern Med. 2015 Mar 31;15:98. doi: 10.1186/s12906-015-0633-4.
In Taiwan, there is a good universal healthcare system to the patients; however, the majority of Taiwanese seek the complementary and alternative medicine when they are injured or ill. The traditional Chinese medicine, which is a branch of complementary alternative medicine, is prevalent in Taiwan. Without proper sequence of maneuvers, either traditional Chinese medicine or conventional medicine might cause unexpected complications. We report a case of 76-year-old woman who was manipulated by a bonesetter, leading to bilateral anterior shoulder dislocations. To the authors' best knowledge, this injury mechanism of bilateral shoulder dislocations has not been reported in the literature. Since the traditional Chinese medicine is popular in Taiwan, proper training with better skills for the practitioners should be emphasized. We highlight the integration and collaboration of traditional Chinese medicine with western medicine to achieve a better health care for the patients.
A 76-year-old Taiwanese woman has been suffering from soreness and stiffness of bilateral shoulders for 6 months. She went to a bonesetter for mobilization for her shoulders. After manipulations for bilateral shoulders, the woman experienced locked both shoulders with sharp pain. She came to our institute, where the radiographs confirmed bilateral anterior shoulder dislocations. Closed reduction for the dislocations was done by the physician. The patient returned to good range of motion of bilateral shoulders after subsequent rehabilitation without any neurologic deficits.
To the authors' best knowledge, this unusual injury of bilateral anterior shoulder dislocations had not been reported. The possible mechanism of this injury and the health belief of traditional Chinese medicine in Taiwan are discussed. Improper shoulder manipulations would lead to unexpected complication in any medical practices. We suggest that both traditional Chinese medicine and conventional medicine should follow specific sequences of manipulations; Collaboration and integration with each other could achieve a better healthcare for the patients.
在台湾，有完善的全民医疗保健系统服务患者；然而，大多数台湾人在受伤或生病时会寻求补充和替代医学。作为补充替代医学分支的中医在台湾很普遍。如果手法操作顺序不当，无论是中医还是传统医学都可能导致意外并发症。我们报告一例76岁女性病例，她接受了接骨师的手法治疗，导致双侧肩关节前脱位。据作者所知，这种双侧肩关节脱位的损伤机制在文献中尚未有报道。由于中医在台湾很受欢迎，应强调对从业者进行更专业技能的适当培训。我们强调中医与西医的整合与协作，以实现为患者提供更好的医疗保健。
一名76岁的台湾女性双侧肩部酸痛和僵硬已有6个月。她去看了一位接骨师对肩部进行活动治疗。在对双侧肩部进行手法治疗后，该女性双肩锁定并伴有剧痛。她来到我们的研究所，经X光片证实为双侧肩关节前脱位。医生对脱位进行了闭合复位。患者在随后的康复治疗后双侧肩部恢复了良好的活动范围，且无任何神经功能缺损。
据作者所知，这种不寻常的双侧肩关节前脱位损伤尚未见报道。本文讨论了这种损伤的可能机制以及台湾中医的健康观念。在任何医疗实践中，不当的肩部手法操作都可能导致意外并发症。我们建议中医和传统医学都应遵循特定的手法操作顺序；相互协作与整合可为患者实现更好的医疗保健。
