Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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견봉쇄골 탈구와 동반된 오구돌기 골절 - 2예 보고 -

Acromioclavicular Separation with the Fracture of the Coracoid Process - 2 Cases report -

  • 유재호 (국립경찰병원 정형외과) ;
  • 한성호 (국립경찰병원 정형외과) ;
  • 양보규 (국립경찰병원 정형외과) ;
  • 안영준 (국립경찰병원 정형외과) ;
  • 주민홍 (국립경찰병원 정형외과) ;
  • 이승림 (국립경찰병원 정형외과)
  • 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)
  • 발행 : 2007.06.15
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초록

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.

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.

키워드

참고문헌

  1. Barentsz JH, Driessen AP: Fracture of the coracoid process of the scapula with acromioclavicular separation. Acta Orthop Belg, 55: 499-503, 1989.
  2. Bernard TN, Brunet ME, Haddad RJ: Fractured coracoid process in acromioclavicular dislocations. Clin Orthop Relat Res, 55: 499-503, 1983.
  3. Carr AJ, Broughton NS: Acromioclavicular dislocation associated with fracture of the coracoid process. J Trauma, 29: 125-126, 1989. https://doi.org/10.1097/00005373-198901000-00030
  4. Combalia A, Arandes JM, Alemany X, Ramon R: Acromioclavicular dislocation with epiphyseal separation of the coracoid process. J Trauma, 38: 812-814, 1995. https://doi.org/10.1097/00005373-199505000-00024
  5. Eyres KS, Brooks A, Stanley D: Fractures of the coracoid process. J Bone Joint Surg Br, 77: 425-428, 1995.
  6. Herrero TM, Merchan CR, Martinez LM: Fractures of the coracoid process. J Trauma, 30: 1597-1599, 1990. https://doi.org/10.1097/00005373-199012000-00031
  7. Ishizuki M, Yamaura I, Isobe Y, Furuya K, Tanabe K: Avulsion Fracture of the superior border of the scapula. J Bone Joint Surg Am, 63: 820-822, 1981.
  8. Kumar A: Management of coracoid process fracture with acromioclavicular joint dislocation. Orthopedics, 13: 770-771, 1990.
  9. Lasda NA, Murray DG: Fracture separation of the coracoid process associated with acromio clavicular dislocation: Conservative treatment. Clin Orthop Relat Res, 134: 222-224, 1977.
  10. Montgomery SP, Loyd RD: Avulsion fracture of the coracoid epiphysis with acromioclavicular separation. J Bone Joint Surg Am, 59: 963-965, 1977.
  11. Ogawa K, Yoshida A, Takahashi M, Ui M: Fractures of the coracoid process. J Bone Joint Surg Br, 79: 17-19, 1997. https://doi.org/10.1302/0301-620X.79B1.6912
  12. Park JY, Kim GN, Min BS, Yoo MJ: Modified Phemister operation for acromioclavicular dislocation. J Korean Society Fractures, 14: 456-462, 2001.
  13. Protass JJ, Stampfli FV, Osmer JC: Coracoid process fracture diagnosis in acromioclavicular separation. Diag Radiology, 116: 61-64, 1975.
  14. Smith DM: Coracoid fracture associated with acromioclavicular dislocation. Clin Orthop Relat Res, 108: 165-167, 1975. https://doi.org/10.1097/00003086-197505000-00026
  15. Urist MR: Complete dislocation of the acromioclavicular joint. J Bone Joint Surg Am, 45: 1750-1753, 1963.
  16. Wang KC, Hsu KY, Shih CH: Coracoid process fracture combined with acromioclavicular dislocation and coracoclavicular ligament rupture. Clin Orthop Relat Res, 300: 120-122, 1994.
  17. Wilber MC, Evans EB: Fractures of the scapula. J Bone Joint Surg Am, 59: 358, 1977.
  18. Wilson KM, Colwill JC: Combined acromioclavicular dislocation with coracoclavicular ligament disruption and coracoid process fracture. Am J Sports Med, 17: 697-698, 1989. https://doi.org/10.1177/036354658901700521
  19. Zettas JP, Muchnic PD: Fractures of the coracoid process base in acute acromioclavicular separation. Orthop Rev, 5: 77, 1976.