쇄골의 외상성 분리증의 미용적 치료

Aesthetic Surgery for a Posttraumatically Split Medial Head of the Clavicle

  • 최승석 (한양대학교 의과대학 성형외과학교실)
  • Choi, M.Seung Suk (Department of Plastic and Reconstructive Surgery, Hanyang University, College of Medicine)
  • 투고 : 2007.05.23
  • 발행 : 2007.07.10

초록

Purpose: We experienced a patient with posttraumatic duplication of the sternoclavicular joint causing a protruding deformity, whose major complaint was aesthetic. The patients history, radiologic findings, and surgical treatment are reported. Methods: A 41-year-old bus driver complained a bony prominence at the left medial clavicle, which had developed after a fracture. The patient was annoyed by the protrusion, which was even visible, when he was wearing a pullover. A three dimensional CT scan showed that the medial head was split into two portions, of which the anterior portion was protruding. In general anesthesia the anterior portion of the medial head was excised. Results: The bony prominence was corrected successfully. Follow up three dimensional CT scans showed that the anterior cortex of the clavicle had regenerated completely at the resection line one year after the operation. Conclusion: Surgical interventions for complications after clavicular fracture are usually carried out, only if there is a limitation of function or if it is painful. We report of a patient with posttraumatic bifurcation of the medial clavicular head, most probably caused by malunion. Upon the patient's request, the deformity causing protrusion of the medial clavicular area was successfully resected for cosmetic reasons.

키워드

과제정보

연구 과제 주관 기관 : 한양대학교 구리병원

참고문헌

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  2. Lazarus MD: Fractures of the clavicle. In Bucholz RW and Heckman JD (eds) Rockwood and Green's Fractures in adults 5th ed Philadelphia, Lippincott Williams & Wilkins, 2001, P 1041
  3. Kitsis CK, Marino AI, Krikler SJ, Birch R: Late complications following clavicular fractures and their operative management. Injury 34: 69, 2003 https://doi.org/10.1016/S0020-1383(02)00169-9