Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Neglected Type IV Acromioclavicular Joint Injury - 2 Cases Report -

간과된 제 4형 견봉-쇄골 관절 손상 - 2례 보고 -

  • Kim, Do-Young (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Shin, Sung-Ryong (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Yoo, Yon-Sik (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Lee, Sang-Soo (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Jeong, Un-Seob (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Park, Keun-Min (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine)
  • 김도영 (한림대학교 의과대학 춘천성심병원 정형외과학교실) ;
  • 신성룡 (한림대학교 의과대학 춘천성심병원 정형외과학교실) ;
  • 유연식 (한림대학교 의과대학 춘천성심병원 정형외과학교실) ;
  • 이상수 (한림대학교 의과대학 춘천성심병원 정형외과학교실) ;
  • 정운섭 (한림대학교 의과대학 춘천성심병원 정형외과학교실) ;
  • 박근민 (한림대학교 의과대학 춘천성심병원 정형외과학교실)
  • Published : 2008.12.15
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Abstract

Acromioclavicular joint injuries usually occur as a result of direct trauma to the superolateral aspect of the shoulder. Roockwood Type IV injuries are relatively uncommon, and they are easily misdiagnosed or neglected in patients who have suffered multiple traumas. Therefore, to correctly treat a patient with type IV injury, we need to take a careful physical examination and conduct proper radiologic evaluation for the acromioclavicular joint. We report here on two cases of modified Weaver-Dunn reconstruction for neglected type IV acromioclavicular joint injuries that were associated with multiple rib fractures.

견봉-쇄골 관절 손상은 흔히 견관절 상외측에서의 직접적인 외상으로 발생한다. Rockwood 제4형 손상은 상대적으로 드물게 생기며, 다발성 외상 환자의 경우 타 손상으로 쉽게 잘못 진단되어지거나 간과되어지는 경우가 있다. 제 4형 손상 환자의 잘못된 치료를 피하기 위해서는 견봉-쇄골 관절의 세심한 이학적 검사와 적절한 방사선학적 검사가 필요하다. 이에 저자들은 다발성 늑골 골절이 동반된 제 4형 견봉-쇄골 관절 손상을 초기에 진단하지 못하고 간과한 2예를 변형 Weaver-Dunn 재건술로 치료하였기에 문헌 고찰과 함께 보고하고자 한다.

Keywords

References

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