Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Isolated Anterior Dislocation of the Radial Head in Adult - A Case Report -

성인에서 발생된 요골 두 급성 전방 탈구 - 증례 보고 -

  • Heo, Youn-Moo (Department of Orthopedic Surgery, Konyang University College of Medicine) ;
  • Kim, Woo-Sik (Department of Orthopedic Surgery, Konyang University College of Medicine) ;
  • Kim, Sung-Hun (Department of Orthopedic Surgery, Konyang University College of Medicine) ;
  • Jeon, Teak-Soo (Department of Orthopedic Surgery, Konyang University College of Medicine) ;
  • Kim, Sang-Bum (Department of Orthopedic Surgery, Konyang University College of Medicine) ;
  • Oh, Byung-Hak (Department of Orthopedic Surgery, Konyang University College of Medicine)
  • 허윤무 (건양대학교 의과대학 정형외과학교실) ;
  • 김우식 (건양대학교 의과대학 정형외과학교실) ;
  • 김성훈 (건양대학교 의과대학 정형외과학교실) ;
  • 전택수 (건양대학교 의과대학 정형외과학교실) ;
  • 김상범 (건양대학교 의과대학 정형외과학교실) ;
  • 오병학 (건양대학교 의과대학 정형외과학교실)
  • Published : 2007.06.15
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Abstract

We report an isolated anterior dislocation of the radial head in a 23-year-old man after a fall on the outstretched arm. At the time of the injury, the patient's elbow was in a position of mild flexion and pronation which was suddenly further pronated as he fell down. The radial head was incarcerated by the lateral portion of brachialis muscle, and annular ligament was interposed between capitellum and radial head. Open reduction was performed. During 12 months follow-up, reduction of radial head was well maintained without a limitation of range of motion.

23세 남환에서 발생한 요골 두 급성 전방 탈구를 경험하였기에 이를 보고하고자 한다. 수상 당시 전완부는 회내전, 주관절은 약간 굴곡되어 있었고, 손이 지면에 닿아 체중이 실리면서 주관절의 갑작스런 과도한 회내전이 발생하였다. 요골 두는 상완근의 외측 근육 다발에 의해 감돈 되었고, 윤상인대가 척골의 후방 부착부에서 견열되어 요골 두와 소두 사이에 끼어 정복을 방해하였다. 관혈적 정복을 시행하였다. 12개월간 추시 관찰을 하였으며 요골 두의 정복은 잘 유지되고 있었고 주관절의 운동제한은 없었다.

Keywords

References

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  1. Acute Traumatic Irreducible Anterior Dislocation and Fracture of the Radial Head in an Adult vol.19, pp.2, 2014, https://doi.org/10.12790/jkssh.2014.19.2.65
  2. In vivo 3D Kinematics of Axis of Rotation in Malunited Monteggia Fracture Dislocation vol.17, pp.1, 2014, https://doi.org/10.5397/cise.2014.17.1.25