Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Triple Disruption of the Superior Shoulder Suspensory Complex - Case Report at 5-year-follow up -

상부 견갑 현수 복합체의 3중 붕괴 - 5년 추시 증례 보고 -

  • Sung, Chang-Meen (Department of Orthopaedic Surgery and Institute of Health Sciences, Gyeongsang National University Hospital) ;
  • Park, Hyung Bin (Department of Orthopaedic Surgery and Institute of Health Sciences, Gyeongsang National University Hospital)
  • 성창민 (경상대학교 정형외과학교실 및 건강과학연구원) ;
  • 박형빈 (경상대학교 정형외과학교실 및 건강과학연구원)
  • Received : 2012.05.22
  • Accepted : 2012.12.15
  • Published : 2012.12.31
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Abstract

A triple disruption of the SSSC, an extremely rare injury, has been reported by only a few authors. We present a patient who had sustained a triple disruption of the SSSC: coracoid and scapular spine fractures, and an acromioclavicular joint separation. Treatment consisted of an anatomical restoration of the SSSC, with maintenance of the acromiohumeral and coracohumeral distances; this was achieved by open reduction and internal fixation of the fractures and of the separation. Six months after surgery, the injured shoulder was asymptomatic, with full range of motion. Five years after surgery, at the final follow-up, the function of the SSSC had been restored to the patient's complete satisfaction.

상부 견갑 현수 복합체(Superior shoulder suspensory complex)의 3중 붕괴는 몇몇 저자들에 의해서만 보고된 극히 드문 손상이다. 저자들은 오구돌기, 견갑극 골절 및 견봉-쇄골 관절의 탈구가 동반된 상부 견갑 현수 복합체의 3중 붕괴 환자를 경험하였기에 보고하고자 한다. 본 환자의 경우 견봉-상완 및 오구-상완 간격을 유지하기 위하여 관혈적 정복 및 내고정을 시행하여 상부 견갑 현수 복합체의 3중 붕괴 모두를 해부학적으로 복원하여 치료하였다. 술 후 6개월에 증상 없이 관절운동범위를 모두 회복하였다. 최종 추시인 5년에는 상부 견갑 현수 복합체의 기능이 완전히 회복된 것을 확인할 수 있었으며, 환자는 수술 결과에 대하여 크게 만족하였다.

Keywords

References

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