Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Glenoid lesion in Traumatic Anterior Instability of Shoulder

견관절 외상성 불안정성 관절와 병변

  • Lee, Seoung-Joon (Shoulder, Elbow and Sports Service Department of Orthopaedic Surgery, Konkuk medical School) ;
  • Park, Jin-Young (Shoulder, Elbow and Sports Service Department of Orthopaedic Surgery, Konkuk medical School) ;
  • Keum, Jung-Sup (Shoulder, Elbow and Sports Service Department of Orthopaedic Surgery, Konkuk medical School) ;
  • Ye, Meng (Department of Orthopaedic Surgery, Quingdao Municipal Hospital)
  • 이승준 (건국대학교 의과대학 정형외과학교실, 견.주관절 및 스포츠 크리닉) ;
  • 박진영 (건국대학교 의과대학 정형외과학교실, 견.주관절 및 스포츠 크리닉) ;
  • 금정섭 (건국대학교 의과대학 정형외과학교실, 견.주관절 및 스포츠 크리닉) ;
  • Published : 2007.06.15
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Abstract

관절와 병변은 급성 외상으로 인한 골절뿐 아니라 불안정성으로 인한 골 침윤으로 정의할 수 있으며, 이는 통상의 방사선학적 검사를 통하여 진단을 하지 못하는 경우도 있다. 전방 탈구와 동반된 전방 관절와 골절의 빈도는 5.4%에서 32%까지 보고되었다. Hovelius 등이 226명의 탈구환자를 대상으로한 연구에서 8%의 관절와 골절이 있었다고 보고하였고, 노령의 환자에서 약간의 빈도가 증가한다고 하였다. 또한 Rowe는 전방 관절와 골절이 있는 27명의 환자에서 기계적 안정성의 결함으로 62%의 재발성 탈구가 있었다고 보고하였다. 보다 최근의 방카르트 술기에 대한 보고에서 수술적 처치를 한 환자중 44%가 관절와 골절을 동반하였다고 보고하였다. Rowe 와 Zarins는 다발성 전방탈구 환자에서 관절와 병변이 잘 치료되었는지 여부에 따라 다른 결과를 낸다고 보고하였다. 전자에 따르면, 관절와 병변을 진단하는 것은 중요하며 환자의 최종적 예후는 이를 어떻게 치료했는지 여부에 따라 결정된다고 하였다. 관절와 상완관절의 불안정성에서 동반된 관절와 병변의 진단은 보존적 치료시나 수술적 치료 시 모두 중요한 인자라고 하겠다.

Keywords

References

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