Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Traumatic Forequarter Amputation - A Case Report -

외상성 견갑 흉곽간 절단 - 증례 보고 -

  • Cho, Chul-Hyun (Department of Orthopedic Surgery, School of Medicine, Keimyung University) ;
  • Lee, Kyung-Jae (Department of Orthopedic Surgery, School of Medicine, Keimyung University)
  • 조철현 (계명대학교 의과대학 정형외과학교실) ;
  • 이경재 (계명대학교 의과대학 정형외과학교실)
  • Published : 2008.06.15
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Abstract

Traumatic forequarter amputation is an extremely rare and life-threatening injury. It is caused by blunt trauma or tremendous traction force, and the prognosis is very poor because of the involvement of massive associated injury. Traumatic forequarter amputation has been rarely reported in the English language clinical literature, but has never been reported in Korea. We report a case of traumatic forequarter amputation caused by a conveyor belt that was treated with emergency resuscitation and surgery, with an accompanying review of the literature.

외상성 견갑 흉곽간 절단은 극히 드물게 발생하는 매우 심각한 손상이다. 견갑부의 심한 둔상이나 상지에 발생한 심한 견인력에 의해 발생하며, 광범위한 동반 손상을 초래하므로 그 예후가 지극히 불량한 것으로 보고되고 있다. 외상성 견갑 흉곽간 절단은 매우 드물게 보고되어 있으며, 국내에서는 현재까지 보고된 바가 없다. 이에 저자들은 컨베이어 벨트에 수상하여 견갑골을 포함한 상지 전체가 체간에서 완전 분리된 채로 내원한 52세 남자 환자에 대해 즉각적인 응급 소생술 및 수술을 시행한 외상성 견갑 흉곽간 절단 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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