지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.3
- 수록면
- 48 - 55 (8page)
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초록· 키워드
오류제보하기
While non-operative treatment with structured rehabilitation tends to be the strategy of choice in the management of Rockwood type III acromioclavicular joint injury, some advocate surgical treatment to prevent persistent pain, disability, and prominence of the distal clavicle. There is no clear consensus regarding when the surgical treatment should be indicated, and successful clinical outcomes have been reported for non-operative treatment in more than 80% of type III acromioclavicular joint injuries. Furthermore, there is no gold standard procedure for operative treatment of type III acromioclavicular joint injury, and more than 60 different procedures have been used for this purpose in clinical practice. Among these surgical techniques, recently introduced arthroscopic-assisted procedures involving a coracoclavicular suspension device are minimally invasive and have been shown to achieve successful coracoclavicular reconstruction in 80% of patients with failed conservative treatment. Taken together, currently available data indicate that successful treatment can be expected with initial conservative treatment in more than 96% of type III acromioclavicular injuries, whereas minimally invasive surgical treatments can be considered for unstable type IIIB injuries, especially in young and active patients. Further studies are needed to clarify the optimal treatment approach in patients with higher functional needs, especially in high-level athletes.
목차
Introduction
Non-Operative Treatment
Operative Treatment
Non-Operative versus Operative Treatment
Debate Regarding the Optimal Strategy in High-Level Athletes
Overview of Operative Techniques
Conclusion
References
참고문헌 (53)
참고문헌 신청
[학술지(정기간행물)] - Fraser-Moodie JA / 2008 / Injuries to the acromioclavicular joint / J Bone Joint Surg Br 90 (6) : 697 ~ 707
[학술지(정기간행물)] - Mazzocca AD / 2007 / Evaluation and treatment of acromioclavicular joint injuries / Am J Sports Med 35 (2) : 316 ~ 329
[단행본] - Rockwood CA / 1984 / Fractures in adults / Lippincott
[학술지(정기간행물)] - Beitzel K / 2013 / Current concepts in the treatment of acromioclavicular joint dislocations / Arthroscopy 29 (2) : 387 ~ 397
[학술지(정기간행물)] - Mulier T / 1993 / Conservative treatment of acromioclavicular dislocation. Evaluation of functional and radiological results after six years follow-up / Acta Orthop Belg 59 (3) : 255 ~ 262
[학술지(정기간행물)] - Mazzocca AD / 2007 / Evaluation and treatment of acromioclavicular joint injuries / Am J Sports Med 35 (2) : 316 ~ 329
[단행본] - Rockwood CA / 1984 / Fractures in adults / Lippincott
[학술지(정기간행물)] - Beitzel K / 2013 / Current concepts in the treatment of acromioclavicular joint dislocations / Arthroscopy 29 (2) : 387 ~ 397
[학술지(정기간행물)] - Mulier T / 1993 / Conservative treatment of acromioclavicular dislocation. Evaluation of functional and radiological results after six years follow-up / Acta Orthop Belg 59 (3) : 255 ~ 262
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UCI(KEPA) : I410-ECN-0101-2018-514-001806079