Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
권호 표지
DOI QR코드

DOI QR Code

견봉 쇄골 관절 탈구의 수술적 치료 - Weaver-Dunn 변법과 Phemister 변법의 비교 -

Surgical Treatment of Acromioclavicular Dislocation -Comparison of modified Weaver-Dunn method and modified Phemister method-

  • 배기철 (계명대학교 의과대학 정형외과학교실) ;
  • 손승원 (계명대학교 의과대학 정형외과학교실) ;
  • 조철현 (계명대학교 의과대학 정형외과학교실) ;
  • 정수원 (계명대학교 의과대학 정형외과학교실)
  • Bae, Ki-Cheol (Department of Orthopedic Surgery, School of Medicine, Keimyung University) ;
  • Sohn, Sung-Won (Department of Orthopedic Surgery, School of Medicine, Keimyung University) ;
  • Cho, Chul-Hyun (Department of Orthopedic Surgery, School of Medicine, Keimyung University) ;
  • Jung, Su-Won (Department of Orthopedic Surgery, School of Medicine, Keimyung University)
  • 발행 : 2006.12.15
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: To compare the clinical and radiological results between the modified Weaver-Dunn method and modified Phemister method in the acute acromioclavicular joint dislocation. Materials and Methods: We reviewed 19 patients who were treated for the acute acromioclavicular joint dislocation from 2001 to 2002. 10 patients were operated with the modified Weaver-Dunn method (group A) and the others with modified Phemister method (group B). The classification of preoperative injury was analyzed by using the Rockwood system, the clinical assessment of preoperative and postoperative by the modified UCLA rating scale and the radiological assessment by simple x-ray. Results: With the modified UCLA rating scale, group A showed 5 cases(50%) of excellent and 5 cases(50%) of good, group B showed 4 cases(44.4%) of excellent and 5 cases(55.6%) of good. In the radiologic findings of the coracoclavicular distances, group A was 16.2 mm at preoperative, 8.8 mm at postoperative, 9.7 mm at last follow-up and group B was 12.9 mm, 6.7 mm and 7.9 mm respectively. Postoperatively there were no complications such as surgical wound infection and failure of Kirschner wires. Conclusion: Both the modified Weaver-Dunn and modified Phemister methods have shown satisfied clinical and radiologic results, and there was no difference in these result between two groups (p>0.05).

키워드

참고문헌

  1. 이 긍 배, 김 수 길, 오 세 중, 정 남 진, 고 진 홍, 김 진 호: 견봉쇄골관절 탈구의 치료에 관한 임상적 고찰-제3형 손상을 중심으로-. 대한정형외과학회지, 28:1603-1609, 1993.
  2. Allman FL Jr: Fractures and ligamentous injuries of the clavicle and its articulation. J Bone Joint Surg, 49-A:774-784, 1967.
  3. Bearden JM, Hughston JC and Whatley GS: Acromioclavicular dislocation: method of treatment. Am J Sports Med, 1:5-17, 1973.
  4. Bosworth BM: Acromioclavicular dislocation. End-results of screw suspension treatment. Ann Surg, 127:98-111, 1948. https://doi.org/10.1097/00000658-194801000-00009
  5. Browne JE, Stanley RF and Tullos HS: Acromioclavicular joint dislocations. Am J Sports Med, 5:258-263, 1977. https://doi.org/10.1177/036354657700500613
  6. Cox JS: Current method of treatment of acromioclavicular joint dislocations. Orthopaedics, 15:1041-1044, 1992.
  7. Dewar FP and Barrington TW: The treatment of chronic acromioclavicular dislocation. J Bone Joint Surg, 47-B:32-35, 1965.
  8. Dias JJ, Steingold RF, Richardson RA, Tesfayohannes B and Gregg PJ: The conservative treatment of acromioclavicular dislocation. Review after five years. J Bone Joint Surg, 69-B:719-722, 1987.
  9. Gurd FB: Surplus parts of the skeleton: A recommendation for the excision of certain portions as a means of shortening the period of disability following trauma. Am J Sports Med, 74:705-720, 1947.
  10. Horn JS: The traumatic anatomy and treatment of acute acromioclavicular dislocation. J Bone Joint Surg, 36-B:194-201, 1954.
  11. Imatani RJ, Hanlon JJ and Cady GW: Acute, complete acromioclavicular separation. J Bone Joint Surg, 57-A:328-332, 1975.
  12. Kawabe N, Watanabe R and Sato M: Treatment of complete acromioclavicular separation by coracoacromial ligament transfer. Clin Orthop, 185:222-227, 1984.
  13. Larsen E, Bjerg-Nielsen A and Christensen P: Conservative or surgical treatment of acromioclavicular dislocation. A prospective, controlled, randomized study. J Bone Joint Surg, 68-A:552-555, 1986.
  14. Mumford EB: Acromioclavicular dislocation. J Bone Joint Surg, 23-A:799-802, 1941.
  15. Neviaser JS: Acromioclavicular dislocation treated by transference of the coracoacromial ligament: A long-term follow-up in a series of 112 cases. Clin Orthop. 58:57-68, 1968.
  16. Pavlik A, Csepai D and Hidas P: Surgical treatment of chronic acromioclavicular joint dislocation by modified Weaver-Dunn procedure. Knee Surg Sports Traumatol Arthrosc, 9:307-312, 2001. https://doi.org/10.1007/s001670100222
  17. Phemister DB: The treatment of dislocation of the acromioclavicular joint by the open reduction and threaded-wire fixation. J Bone Joint Surg, 24-A:166-168, 1942.
  18. Post M: Current concepts in the diagnosis and management of acromioclavicular dislocations. Clin Orthop, 200:234-247, 1985.
  19. Rockwood CA Jr, Guy DK and Griffin JL: Treatment of chronic, complete acromioclavicular dislocation. Orthop Trans, 12:735-736, 1988.
  20. Taft TN, Wilson FC and Oglesby JW: Dislocation of acromioclavicular joint. An end-result study. J Bone Joint Surg, 69-A:1045-1051, 1987.
  21. Thorndike AJ and Quigley TB: Injuries to the acromioclavicular joint: a plea for conservative treatment. Am J Surg, 55:250-261, 1942. https://doi.org/10.1016/S0002-9610(42)90194-6
  22. Urist MR: Complete dislocation of the acromioclavicular joint: The nature of the traumatic lesion and effective methods of treatment with an analysis of forty-one cases. J Bone Joint Surg, 28-A:813-837, 1946.
  23. Weaver JK and Dunn HK: Treatment of acromioclavicular injuries, especially complete acromioclavicular separation. J Bone Join Surg, 54-A:1187-1194, 1972.
  24. Weinstein DM, McCann PD, Mcllveen SJ, Flatow EL and Bigliani LU: Surgical treatment of complete acromioclavicular dislocations. Am J Sports Med, 23:324-331, 1995. https://doi.org/10.1177/036354659502300313

피인용 문헌

  1. Coracoclavicular Ligament Augmentation Using TightRope®for Acute Acromioclavicular Joint Dislocation : Surgical Technique and Preliminary Results vol.11, pp.2, 2008, https://doi.org/10.5397/CiSE.2008.11.2.165
  2. Arthroscopic Treatment of Acromioclavicular Joint Dislocation Using TightRope® - Preliminary Report - vol.23, pp.3, 2010, https://doi.org/10.12671/jkfs.2010.23.3.310