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Treatment of Anterior Glenoid Rim Fracture with Comminuted Fragment Using Arthroscopic Reduction and AO Headless Compression Screw Fixation - A Case Report -

관절경하 AO 무두 압박 나사를 이용한 견갑골 전방 관절와 분쇄 골절의 치료 - 증례 보고 -

  • Kim, Hyung-Sik (Department of Orthopedic Surgery, Yonsei University College of Medicine) ;
  • Koh, Il-Hyun (Department of Orthopedic Surgery, Yonsei University College of Medicine) ;
  • Kim, Sung-Guk (Department of Orthopedic Surgery, Yonsei University College of Medicine) ;
  • Chun, Yong-Min (Department of Orthopedic Surgery, Yonsei University College of Medicine) ;
  • Kim, Sung-Jae (Department of Orthopedic Surgery, Yonsei University College of Medicine) ;
  • Kang, Ho-Jung (Department of Orthopedic Surgery, Yonsei University College of Medicine)
  • 김형식 (연세대학교 의과대학 정형외과학교실) ;
  • 고일현 (연세대학교 의과대학 정형외과학교실) ;
  • 김성국 (연세대학교 의과대학 정형외과학교실) ;
  • 천용민 (연세대학교 의과대학 정형외과학교실) ;
  • 김성재 (연세대학교 의과대학 정형외과학교실) ;
  • 강호정 (연세대학교 의과대학 정형외과학교실)
  • Received : 2011.04.07
  • Accepted : 2011.05.31
  • Published : 2011.06.30

Abstract

Purpose: We present a case of anterior glenoid rim comminuted fracture that was treated with arthroscopic reduction and an AO headless compression screw (HCS) fixation. Materials and Methods: A 31-year old man complained of left shoulder pain after falling down on stairs. The anterior glenoid comminuted fragments were arthroscopically reduced. Fixation with an AO HCS was done after placement of 1.1 mm Kirschner wire as a guide pin through a standard cannulated anterosuperior portal. Results: Twelve months after the operation, union of the fracture was achieved and the range of motion was fully recovered. He did not complain of any discomfort during his activities of daily living. Conclusion: An AO HCS had various screw sizes and this was good for fixation of a small glenoid fracture and a long drill bit and screw driver were useful for fixation of deep seated glenoid fracture. A short guide wire could be replaced by a 1.1 mm K-wire. An AO HCS was useful for fixation of an anterior glenoid rim comminuted fracture.

목적: 견갑골 전방 관절와 분쇄 골절에 대해 관절경하 정복 및 AO 무두 압박 나사를 이용하여 골편을 고정한 증례를 보고하고자 한다. 대상 및 방법: 31세 남자로 내원 2주 전 추락 후 발생한 좌측 견관절의 전방 관절와 분쇄 골절에 대하여 관절경하에서 골절을 정복한 후, 표준 전상방 삽입구를 통해 1.1 mm K 강선을 가이드핀으로 삽입하고 AO 무두 압박 나사로 골편을 고정하였다. 결과: 수술 후 12개월째 견관절의 운동 범위는 정상 범위로 회복 되었으며, 골절은 유합을 얻었고 일상 생활에 불편감은 없었다. 결론: AO 무두 압박 나사는 나사의 길이가 다양하여 작은 관절와 골편에 사용하기 적합하고, 가이드 핀의 길이가 상대적으로 짧으나 1.1 mm K 강선으로 대체가 가능하며, 나사 돌리개 (screw driver)나 천공기 (drill bit) 등의 동반 기구의 길이가 길어 비교적 깊은 위치의 견갑과 골절의 고정에 사용하기 편리하여 관절경적 고정술 시 유용하게 이용할 수 있을 것으로 생각된다.

Keywords

References

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