• Title/Summary/Keyword: 쇄골

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Aberrant Right Subclavian Artery with Dysphagia and Recurrent Pneumonia -A case report - (연하곤란 및 반복괵인 폐렴를 동반한 이상우쇄골하동맥 - 1예 보고 -)

  • 장원채;임영혁;임성철;오봉석
    • Journal of Chest Surgery
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    • v.37 no.3
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    • pp.282-285
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    • 2004
  • Aberrant right subclavian artery (ARSA) is an anomaly with a reported incidence of 0.5% to 2%. Most patients with an ARSA remain asymptomatic; however about to% of adult patients have compressive symptoms. A case is reported of a 64-year old female patient who had a few years of history of dysphagia and recurrent pneumonia. Angiography was performed, which demonstrated an ARSA with common origin of the right and left carotid arteries. Surgical correction was performed via right thoracotomy. The proximal aberrant artery was mobilized behind the esophagus. The distal, right subclavian artery was exposed, transected, and transposed with reimplantation into the aortic root by graft bypass.

Treatment of Displaced Fracture of the Distal Clavicle in Children- Report of 2 Cases (소아 쇄골 원위부 전위골절의치료- 2례보고-)

  • Park Tae-Soo;Kim Jong-Heon
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.2
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    • pp.159-162
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    • 2002
  • We presented two cases of unstable fracture of the distal clavicle in children associating superior displacement of the ipsilateral distal clavicle and widening of the coracoclavicular (CC) interval. They obtained good osteosynthesis and reduction of the CC interval by conservative treatment. The primary conservative treatment should be considered for the treatment of the unstable distal clavicular fracture with widening of the CC interval in children.

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Stress Fracture of the Proximal Clavicle after Parallel Bars Exercise in a Young Male (젊은 남성에서 평행봉 운동 중 발생한 쇄골 근위부 피로 골절)

  • Kwon, Jieun;Lee, Ye Hyun;Cho, Joon Hee
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.3
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    • pp.287-291
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    • 2019
  • Although acute traumatic fractures of the clavicle are relatively common, stress fractures of the proximal clavicle are extremely rare. Stress fractures of the clavicle have often been reported after a radical neck dissection or radiation but rarely occur during excessive repetitive exercise in professional athletes. The authors report a case of a stress fracture of the proximal clavicle during exercise in a young man with no specific preceding factors, which has not been reported in the Korean literature.

Iatrogenic Subclavian Artery Aneurysm: Report of a Case (의인성 쇄골하 동맥류 수술 치험 1례)

  • 오중환;박승일;원준호
    • Journal of Chest Surgery
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    • v.32 no.8
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    • pp.753-756
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    • 1999
  • Iatrogenic suclavian artery aneurysm is a rare disease which requires surgery because of the dangers of a rupture. We report a case of an aneurysm of the right subclavian artery developed by an iatrogenic trauma in a 43-year-old male. The preoperative diagnosis was made by an angiography and Doppler ultrasonogram. After the resection of a 6${\times}$7 cm sized aneurysm, an end to end anastomosis was done with a 6 mm Gore-Tex vascular graft. The post-operative course was uneventful and has been followed up from 3 months after discharge.

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Subacromial Impingement Syndrome following Hook Plate Fixation for Distal Clavicle Fracture -A Case Report- (원위 쇄골 골절에 대한 금속판 고정술 이후 발생된 견봉하 충돌 증후군 - 증례보고 -)

  • Moon, Kyu-Pill;Kang, Min-Soo;Choi, Sung-Jong
    • Journal of the Korean Arthroscopy Society
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    • v.15 no.1
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    • pp.19-21
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    • 2011
  • Clavicle Hook pate was commonly used in the injury around distal clavicle such as fractures, acromio-clavicular joint injury. We experienced a case of impingement syndrome following operation of distal clavicle fracture using Clavicle Hook plate. So we report this case with a reiview of current literatures.

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Acromioclavicular Separation with the Fracture of the Coracoid Process - 2 Cases report - (견봉쇄골 탈구와 동반된 오구돌기 골절 - 2예 보고 -)

  • Yoo, Jae-Ho;Hahn, Sung-Ho;Yang, Bo-Kyu;Ahn, Young-Jun;Zoo, Min-Hong;Yi, Seung-Rim
    • Clinics in Shoulder and Elbow
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    • v.10 no.1
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    • pp.124-130
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    • 2007
  • The acromioclavicular separation (AC separation) is a common injury, which is often accompanied by the rupture of the coracoclavicular ligament (CC ligament) in severe occasions. In rare forms of AC separation, the fracture of the coracoid process would occur rather than the rupture of the CC ligament. Only 31 cases of such injury have been reported in the English literature. We present 2 additional cases with literature review. The fracture of the coracoid process is not readily seen on anteroposterior shoulder radiograms. Severe AC separation without widening of CC distance on anteroposterior shoulder radiogram heralds the fracture of the coracoid process.

Recent Treatment Options for the Clavicle Fracture (쇄골 골절 치료의 최근 경향)

  • Oh, Joo-Han;Choi, Hye-Yeun
    • Clinics in Shoulder and Elbow
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    • v.15 no.1
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    • pp.43-51
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    • 2012
  • Purpose: We sought to determine the appropriate management modality for clavicle fracture through the review of current literature. Materials and Method: This article provides an overview of the knowledge regarding clavicular fracture in adults, including epidemiology, classification, surgical indication, current technique, and results. We also addressed recent debates: the range of the surgical indication for mid-clavicular fracture and the introduction of anatomically precontoured plate as a new treatment modality. Result and Conclusion: Nonsurgical treatment has been regarded as the first choice in the management of clavicle fractures. Quite recently, mounting evidence has shown that adverse outcomes, after a nonsurgical treatment, such as nonunion and malunion, were more prevalent than previously assumed. Accordingly, the indications for surgical fixation appear to be broadening. However, given that the ideal treatment option remains to be determined, the appropriate treatment of clavicle fractures should be tailored based on careful assessment of individual patient's data and preference.

Congenital Pseudoarthrosis of the Clavicle Related with Neurofibromatosis - A Case Report - (신경섬유종증과 연관되어 발생한 선천성 쇄골 가관절증 - 증례 보고 -)

  • Yun, Ho-Hyun;Ahn, Gil-Yeong;Nam, Il-Hyun;Moon, Gi-Huk;Lee, Jung-Ik;Yoo, Yon-Sik
    • Clinics in Shoulder and Elbow
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    • v.10 no.2
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    • pp.236-240
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    • 2007
  • Reports of bowing and pseudarthrosis of the humerus and clavicle are rare. Most patients with congenital pseudoarthrosis of the clavicle involving the right side and midportion of clavicle tended to heal better than congenital pseudoarthrosis of the tibia. We experienced a patient who had special features in terms of location, pseudoarthrosis pattern, and neurofibromatosis, and report on this case here.

Coracoclavicular Ligaments Reconstruction for Acromioclavicular Dislocation using Two Suture Anchors and Coracoacromial Ligament Transfer (견봉 쇄골 탈구의 봉합 나사못과 오구 견봉 인대 이전술을 이용한 오구 쇄골 인대 재건술)

  • Shin, Sang-Jin;Roh, Kwon-Jae;Jeong, Byoung-Jin
    • Clinics in Shoulder and Elbow
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    • v.11 no.1
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    • pp.46-52
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    • 2008
  • Purpose: This study examined the outcomes of reconstruction of the coracoclavicular ligaments with using two suture anchors and performing coracoacromial ligament transfer in patients with acromioclavicular dislocation. Material and methods: Forty patients with complete acromioclavicular dislocation were included in this study. According to the preoperative radiographs, 5 patients with AC dislocations were diagnosed as type III, 4 patients as type IV and 31 patients as type V. Two 3.5mm suture anchors with four strands of nonabsorbable sutures were separately placed on the anterolateral and posteromedial portion of the base of the coracoid process to stabilize the distal clavicle. The coracoacromial ligament was then transferred to the undersurface of the distal end of the clavicle for augmentation. Results: At a mean follow-up of 28 months, the average Constant score improved to 97 points. All the patients returned to normal life at an average of 3.2 months postoperatively. At the last follow-up, 37 patients achieved anatomical reduction and three patients showed complete redislocation. However, the clinical results of the patients with redislocation were satisfactory. Conclusion: Anatomical coracoclavicular reconstruction using two suture anchors and coracoacromial ligament transfer for treating complete acromioclavicular dislocation is a safe, effective procedure for restoring a physiologically stable acromioclavicular joint.