CAJ | 학술논문

隐性骨折是指实际存在而不能根据 X 线和临床表现而确诊的骨折。隐性骨折多发生在膝关节周围，以股骨髁和胫骨髁多见，一部分患者因外伤而发病，而另一部分患者则无明显外伤史，与骨质疏松和劳损有关。其确诊主要依赖磁共振（MRI）检查。由于隐性骨折的隐蔽性，许多患者常常被误诊为膝部软组织损伤、膝关节滑膜炎或膝关节骨性关节炎，导致失治误治，延误病情，甚至形成残疾。2011年3月-2013年9月笔者采用中医骨折三期辨证论治膝关节周围隐性骨折，收到良好疗效，现介绍如下。
은성골절시지실제존재이불능근거 X 선화림상표현이학진적골절。은성골절다발생재슬관절주위，이고골과화경골과다견，일부분환자인외상이발병，이령일부분환자칙무명현외상사，여골질소송화로손유관。기학진주요의뢰자공진（MRI）검사。유우은성골절적은폐성，허다환자상상피오진위슬부연조직손상、슬관절활막염혹슬관절골성관절염，도치실치오치，연오병정，심지형성잔질。2011년3월-2013년9월필자채용중의골절삼기변증론치슬관절주위은성골절，수도량호료효，현개소여하。
Occult fracture is a kind of actual existence fracture, but cannot diagnose by X-ray and manifestation. Occult fracture often occurred around the knee joint, the outset of the disease is related to trauma, or related to osteoporosis and strain. The diagnosis mainly depended on the MRI check. Due to the concealment of fracture, many patients often misdiagnosed as soft tissue injury of knee, knee joint synovitis and osteoarthritis of the knee, causing loss of governance and mistreatment, and even the formation of disability. Fracture of three period of treatment based on syndrome differentiation by the author treating occult fractures around the knee in TCM received good curative effect, now introduce as follows.