Journal of the Korean Arthroscopy Society (대한관절경학회지)
- Volume 15 Issue 1
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- Pages.58-68
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- 2011
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- 1226-9352(pISSN)
Treatment of Acromioclavicular Joint Injury
견봉 쇄골인대 손상의 치료
- Noh, Kyu-Cheol (Department of Orthopedic Surgery, Hallym University) ;
- Lee, Jae-Won (Department of Orthopedic Surgery, Hallym University, Chuncheon Sacred Hospital) ;
- Yoo, Yon-Sik (Department of Orthopedic Surgery, Hallym University, Chuncheon Sacred Hospital)
- Received : 2010.12.31
- Accepted : 2011.01.28
- Published : 2011.02.28
Abstract
Acromioclavicular (AC) joint dislocations are common injuries in active individuals secondary to direct force on the lateral aspect of the adducted shoulder. Complete disruption of the acromioclavicular and coracoclavicular (CC) ligaments may occur, depending on the magnitude of the insulting force. Most of these injuries are successfully treated without surgery. However, for the treatment of cases in which surgical management is warranted, there are more than 100 surgical techniques available without a gold standard technique. We review the anatomy of the acromioclavicular joint, the diagnosis of disorders of this joint, and the different treatment options in this article.
견봉쇄골관절 손상은 내전 상태에서 견관절 외측에 직접 타격으로 발생하며 주로 활동력 있는 비교적 젊은 세대에서 흔하다. 손상력에 따라 주로 견봉쇄골인대 단독 손상 또는 오구쇄골인대와 함께 파열된다. 대부분의 경우 수술적 치료 없이 보존적 요법으로 해결되지만 수술적인 가료가 필요할 경우 표준으로 삼을 수술법을 선택하기 어렵다. 이에 의거해서 이 장에서는 견봉쇄골관절은 해부학적 특성을 살펴보고 특성에 따른 치료법을 소개하기로 하겠다.