• 제목/요약/키워드: Clavicle

검색결과 249건 처리시간 0.023초

쇄골 골절을 동반한 동측 견봉쇄골 관절 탈구 치험(1례 보고) (Acromioclavicular Joint Dislocation Associated with Clavicular Fracture and Brachial Plexus Injury)

  • 이광원;김규현;박종현;황인식;최원식
    • Clinics in Shoulder and Elbow
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    • 제1권1호
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    • pp.128-131
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    • 1998
  • Fracture of the clavicle and dislocation of the acromioclavicular joint occur commonly as separate injuries. However, complete acromioclavicular dislocation with an ipsilateral clavicle fracture is quite rare. We experienced a case of acromioclavicular joint dislocation associated with fracture of clavicle and brachial plexus injury treated by open reduction and internal fixation.

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후방으로 전위된 소아 쇄골 원위부 골절의 수술적 치료 - 1예 보고 - (Operative Treatment of Posteriorly Displaced Fracture of the Distal Clavicle in Child - A Case Report -)

  • 박현수;정태원;라종득;장영수;이병훈
    • Clinics in Shoulder and Elbow
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    • 제9권2호
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    • pp.207-210
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    • 2006
  • We presented a case of posteriorly displaced fracture of the distal clavicle in Child. The closed reduction was failed due to posteriorly displaced proximal fragment and interpositon of trapezius muscle and periosteum. We found that periosteal sleeve and coracoclaviclar ligament and acromioclavicular ligament was intact. The open reduction should be considered for the treatment of the irreducible posteriorly displaced fracture of the distal clavicle in child.

Radiofrequency Thermal Ablation in Painful Myeloma of the Clavicle

  • Gharaei, Helen;Imani, Farnad;Vakily, Masoud
    • The Korean Journal of Pain
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    • 제27권1호
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    • pp.72-76
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    • 2014
  • A 57-year-old male patient had myeloma. He had severe pain in the left clavicle that did not respond to radiotherapy; therefore, it was treated with radiofrequency thermal ablation (RFTA). Under fluoroscopic guidance, two RF needles at a distance of 1.5 cm from each other were inserted into the mass and conventional radiofrequency ($90^{\circ}C$ and 60 seconds) at two different depths (1 cm apart) was applied. Then, 2 ml of 0.5% ropivacaine along with triamcinolone 40 mg was injected in each needle. The visual analogue pain score (VAS from 0 to 10) was decreased from 8 to 0. In the next 3 months of follow-up, the patient was very satisfied with the procedure and the mass gradually became smaller. There were no complications. This study shows that RFTA could be a useful method for pain management in painful osteolytic myeloma lesions in the clavicle

견봉쇄골탈구와 원위쇄골골절에서 소절개를 이용한 Wolter금속판 내고정술 (Minimal incision Wolter Plate Fixation on the Displaced Lateral End Fracture of the Clavicle and the Acromioclayicular Dislocation)

  • 고상훈
    • Clinics in Shoulder and Elbow
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    • 제5권1호
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    • pp.23-28
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    • 2002
  • Purpose Displaced lateral end fracture of clavicle and acromioclavicular dislocation type Ⅲ∼Ⅵ may be required surgical treatment. Material and Methods : From May 1998 to March 2001, we operated with Welter plate with minimal incision by one surgeon. Immediately, pendulum and passive exercise was initiated after surgery. The shoulder function was evaluated using UCLA score. Average follow up was on 28(12∼45) months. Results : All 11 patients were regained satisfactory function. Average UCLA score was 31.9(29~35) at last follow up. Conclusion . The merit of Welter plate fixation with minimal incision is simple technique, reduced surgical time, smaller scar than large plate, strong fixation, early exercise, reduced implant failure. The disadvantage is expensive, skin irritatatation by long hook. But Welter plate fixation with minimal incision is a good method of internal fixation and excellent clinical result in surgical treatment of type H displaced lateral end fracture of the clavicle and type Ⅲ∼Ⅵ acromioclavicular dislocation.

반건양 건을 이용한 오구쇄골 인대 재건술후 발생한 원위부 쇄골 터널 확장: 증례 보고 (Distal Clavicle Tunnel Widening after Coracoclavicular Ligament Reconstruction with Semitendinous Tendon: A Case Report)

  • 유재철;김승연;임태강;정주선;송백용
    • Clinics in Shoulder and Elbow
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    • 제8권2호
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    • pp.131-134
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    • 2005
  • Distal clavicle tunnel widening was observed in coracoclavicular ligament reconstruction with semitendinous tendon autografts in a patient with acromioclavicular joint injury. Acromioclavicular joint separation, in a 44 years-old man was treated by coracoclavicular ligament reconstruction. We have performed x-ray evaluation on 2years 10months after surgery. The immediate postoperative tunnel size was measured 4.5mm in diameter. At postoperative 2years 10month the tunnel diameter was from 9.3 to 11.4mm. But the weightbearing clavicle view showed no significant acromioclavicular joint separation. Moreover the patient complained only minor intermittent shoulder discomfort.

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

  • 박태수;김종헌
    • 대한정형외과스포츠의학회지
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    • 제1권2호
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    • pp.159-162
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    • 2002
  • 쇄골의원위부가상방전위되고오구쇄골간격이이완된소아의불안정한쇄골원위부골절2예에대하여보존적치료후오구쇄골간격이정상적으로회복되고완전한골유합을얻을수있었다. 소아의경우비록쇄골원위부의전위된불안정한골절이라도먼저보존적치료를반드시고려하여야할것으로사료된다.

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Clinical and Radiological Results of Hook Plate Fixation in Acute Acromioclavicular Joint Dislocations and Distal Clavicle Fractures

  • Oh, Joo Han;Min, Seunggi;Jung, Jae Wook;Kim, Hee-June;Kim, Jae Yoon;Chung, Seok Won;Kim, Joon Yub;Yoon, Jong Pil
    • Clinics in Shoulder and Elbow
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    • 제21권2호
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    • pp.95-100
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    • 2018
  • Background: The purpose of this study was to evaluate the clinical outcomes and complications of hook plate fixation in acromioclavicular (AC) joint dislocations and distal clavicle fractures. Methods: We retrospectively reviewed a series of 60 consecutive patients with hook plate fixation for AC joint dislocation (group I) and distal clavicle fracture (group II). Groups I and II had 39 and 21 patients, respectively. Clinical results were evaluated using the pain visual analogue scale (VAS), simple shoulder test, and Constant-Murley scores. In addition, subacromial erosion and stiffness were evaluated as complications. Results: At the removal, the pain VAS was $2.69{\pm}1.30$ and $4.10{\pm}2.14$ in groups I and II, respectively, which were significantly different (p=0.003). The simple shoulder test score was $9.59{\pm}1.60$ and $7.81{\pm}2.67$ in groups I and II, respectively, which were also significantly different (p=0.002). Subacromial erosion was significantly more frequent in group II (14/21 patients, 66.7%) than in group I (15/39 patients, 38.5%) (p=0.037), and stiffness was also higher in group II (17/21 patients, 81.0%) than in group I (22/39 patients, 56.4%), but it was not significant. Conclusions: Hook plate fixation showed good clinical and functional results for the treatment of acute unstable AC joint dislocation and distal clavicle fracture. But, in distal clavicle fractures, there are more subacromial erosion and stiffness compare with acute unstable AC joint dislocation.

보급형 3D 프린터로 제작한 쇄골 골절 모델을 이용한 정형외과 수술에 대한 유용성과 활용가능성 평가 (Evaluation of Usefulness and Availability for Orthopedic Surgery using Clavicle Fracture Model Manufactured by Desktop 3D Printer)

  • 오왕균
    • 대한방사선기술학회지:방사선기술과학
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    • 제37권3호
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    • pp.203-209
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    • 2014
  • 쇄골 CT 영상을 이용하여 보급형 3D 프린터로 제작된 모델로 사전 수술계획을 실시하여 수술효율에 대한 유용성과 임상적 활용가능성을 평가하였다. CT 영상을 Open Source DICOM Viewer Osirix에서 STL 파일로 변환하여 FDM 와이어 척층가공방식의 보급형 3D 프린터로 환자 맞춤형 쇄골 골절 모델을 제작하였다. 또한, 인체의 좌우 대칭 특성을 이용하여 골절되지 않은 반대편 쇄골의 STL 파일을 Mirror 기법으로 손상되기 전 원형의 모델을 복원, 제작하였다. 모델은 골절의 위치와 크기, 정도가 동일하게 출력되었다. 영상의학과에서 적은 비용과 시간으로 직접 제작한 쇄골 모델을 활용하면 수술시 2차 손상을 줄이고, 최소 침습적 피하금속판 골유합술(MIPO)로 수술효율을 높일 수 있어 임상적으로 유용할 것으로 생각된다.

Long-term outcomes of initially conservatively treated midshaft clavicle fractures

  • Lee, Gwan Bum;Kim, Hyojune;Jeon, In-Ho;Koh, Kyoung Hwan
    • Clinics in Shoulder and Elbow
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    • 제24권1호
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    • pp.9-14
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    • 2021
  • Background: Recent studies about completely displaced midshaft clavicle fractures have reported that their nonunion/malunion rates were significantly higher in conservatively treated patients compared to surgically treated patients. The purpose of this study was to evaluate the factors associated with treatment decisions for midshaft clavicle fractures and also the factors that affect patient satisfaction with their treatment choice. Methods: We retrospectively reviewed the records of 75 patients who had been diagnosed with a midshaft clavicle fracture and were treated conservatively at a single institution between March 1, 2013, and December 31, 2014. Their medical records were reviewed to investigate the severity of the initial vertical displacement. A telephone survey was carried out to identify the presence of any patient-perceived deformity and determine if the patient eventually underwent surgery and whether the patient would prefer surgery if the injury recurred. Results: Significantly more patients with vertical displacement ≥100% (9/28) eventually underwent surgery compared to patients with vertical displacement <100% (3/32, p=0.028). Patients with vertical displacement ≥100% (13/28) were significantly more likely to prefer surgery compared to patients with vertical displacement <100% (7/32, p=0.044). Among the conservatively treated patients, nine of 32 participants with a patient-perceived deformity and one of 16 without a patient-perceived deformity responded that they would prefer to receive surgery in same situation in the future (p=0.079). Conclusions: Patients with a midshaft clavicle fracture with vertical displacement of ≥100% may eventually require surgical treatment. When conservative treatment is carried out, the long-term patient results may be unsatisfactory due to perceived residual deformities.