Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Acromioclavicular Separation with the Fracture of the Coracoid Process - 2 Cases report -

견봉쇄골 탈구와 동반된 오구돌기 골절 - 2예 보고 -

  • Yoo, Jae-Ho (Department of Orthopaedic Surgery, National Police Hospital) ;
  • Hahn, Sung-Ho (Department of Orthopaedic Surgery, National Police Hospital) ;
  • Yang, Bo-Kyu (Department of Orthopaedic Surgery, National Police Hospital) ;
  • Ahn, Young-Jun (Department of Orthopaedic Surgery, National Police Hospital) ;
  • Zoo, Min-Hong (Department of Orthopaedic Surgery, National Police Hospital) ;
  • Yi, Seung-Rim (Department of Orthopaedic Surgery, National Police Hospital)
  • 유재호 (국립경찰병원 정형외과) ;
  • 한성호 (국립경찰병원 정형외과) ;
  • 양보규 (국립경찰병원 정형외과) ;
  • 안영준 (국립경찰병원 정형외과) ;
  • 주민홍 (국립경찰병원 정형외과) ;
  • 이승림 (국립경찰병원 정형외과)
  • Published : 2007.06.15
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Abstract

The acromioclavicular separation (AC separation) is a common injury, which is often accompanied by the rupture of the coracoclavicular ligament (CC ligament) in severe occasions. In rare forms of AC separation, the fracture of the coracoid process would occur rather than the rupture of the CC ligament. Only 31 cases of such injury have been reported in the English literature. We present 2 additional cases with literature review. The fracture of the coracoid process is not readily seen on anteroposterior shoulder radiograms. Severe AC separation without widening of CC distance on anteroposterior shoulder radiogram heralds the fracture of the coracoid process.

견봉쇄골 관절 탈구는 흔한 손상으로 심한 경우 대개 오구쇄골 인대의 파열이 동반된다. 견봉쇄골 관절 탈구에 드물게 오구쇄골 인대의 파열 없이 오구돌기 골절이 동반될 수 있다. 지금까지 31례만이 보고된 상기 손상을 저자들은 두 증례에서 경험하였기에 문헌 고찰과 함께 보고하고자 한다. 오구돌기 골절은 일반적으로 시행하는 전후방 방사선 촬영에서는 발견하기 쉽지 않다. 고도의 견봉쇄골 관절 탈구가 있으면서 오구쇄골 간격이 늘어나지 않은 경우 오구돌기의 골절을 의심할 수 있다.

Keywords

References

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