Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Neglected Elbow Dislocation Occurred 3 Years Ago: Open Reduction and Hinged External Fixation - A Case Report -

3년전이 경과된 진구성 주관절 탈구: 개방적 정복술과 경첩 외고정 장치 - 1예 보고 -

  • Kim, Bo-Kun (Department of Orthopaedic Surgery, Chungnam National University College of Medicine) ;
  • Kim, Kyung-Cheon (Department of Orthopaedic Surgery, Chungnam National University College of Medicine) ;
  • Park, Jun-Yeong (Department of Orthopaedic Surgery, Chungnam National University College of Medicine) ;
  • Shin, Hyun-Dae (Department of Orthopaedic Surgery, Chungnam National University College of Medicine)
  • 김보건 (충남대학교 의학전문대학원 정형외과학교실) ;
  • 김경천 (충남대학교 의학전문대학원 정형외과학교실) ;
  • 박준영 (충남대학교 의학전문대학원 정형외과학교실) ;
  • 신현대 (충남대학교 의학전문대학원 정형외과학교실)
  • Received : 2010.07.16
  • Accepted : 2010.11.21
  • Published : 2010.12.15
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Abstract

Purpose: We report case of neglected elbow dislocation for three years. Material and method: A 45 years old female patient presented with neglected elbow dislocation for three years. Since the patient had contracture in both lateral and medial collateral ligament of elbow, dissection was done. After total separation of posterior articular capsule and incision of anterior articular capsule, by manual manipulation, reduction of radiohumeral and ulnohumeral joints were obtained. We applied modified Morrey type hinged external fixation in the elbow and done early elbow exercise. Result and Conclusion: Since we have experienced a satisfactory result in the case with neglected elbow dislocation for 3 years by using open reduction and hinged external fixation, we report it with the literature.

목적: 3년이 경과된 진구성 주관절 탈구 증례를 경험하였기에 보고하고자 한다. 대상 및 방법: 45세 여자가 3년이 경과된 진구성 주관절 탈구로 수술적 소견상 주관절 외측 및 내측 측부 인대는 구축되어 있어 박리술을 시행하였다. 후방 관절낭을 완전히 유리시키고 전방 관절낭을 절개한 이후 수동적 조작을 가하여 요상완 및 척상완 관절을 정복시켰다. 변형된 Morrey형의 경첩형 외고정 장치를 주관절부에 장착하고 조기 주관절 운동을 시행하였다. 결과 및 결론: 저자들은 3년이 경과된 진구성 주관절 탈구에서 개방적 정복과 경첩형 외고정 장치를 이용한 고정술의 만족스런 결과를 경험하여 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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Cited by

  1. Chronic Unreduced Elbow Dislocation Treated with Hinged External Fixator and Transarticular Pin Fixation vol.51, pp.6, 2016, https://doi.org/10.4055/jkoa.2016.51.6.521