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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.6
- 수록면
- 95 - 100 (6page)
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Background: The purpose of this study was to evaluate the clinical outcomes and complications of hook plate fixation in acromioclavicular (AC) joint dislocations and distal clavicle fractures.
Methods: We retrospectively reviewed a series of 60 consecutive patients with hook plate fixation for AC joint dislocation (group I) and distal clavicle fracture (group II). Groups I and II had 39 and 21 patients, respectively. Clinical results were evaluated using the pain visual analogue scale (VAS), simple shoulder test, and Constant-Murley scores. In addition, subacromial erosion and stiffness were evaluated as complications.
Results: At the removal, the pain VAS was 2.69 ± 1.30 and 4.10 ± 2.14 in groups I and II, respectively, which were significantly different (p=0.003). The simple shoulder test score was 9.59 ± 1.60 and 7.81 ± 2.67 in groups I and II, respectively, which were also significantly different (p=0.002). Subacromial erosion was significantly more frequent in group II (14/21 patients, 66.7%) than in group I (15/39 patients, 38.5%) (p=0.037), and stiffness was also higher in group II (17/21 patients, 81.0%) than in group I (22/39 patients, 56.4%), but it was not significant.
Conclusions: Hook plate fixation showed good clinical and functional results for the treatment of acute unstable AC joint dislocation and distal clavicle fracture. But, in distal clavicle fractures, there are more subacromial erosion and stiffness compare with acute unstable AC joint dislocation.
Methods: We retrospectively reviewed a series of 60 consecutive patients with hook plate fixation for AC joint dislocation (group I) and distal clavicle fracture (group II). Groups I and II had 39 and 21 patients, respectively. Clinical results were evaluated using the pain visual analogue scale (VAS), simple shoulder test, and Constant-Murley scores. In addition, subacromial erosion and stiffness were evaluated as complications.
Results: At the removal, the pain VAS was 2.69 ± 1.30 and 4.10 ± 2.14 in groups I and II, respectively, which were significantly different (p=0.003). The simple shoulder test score was 9.59 ± 1.60 and 7.81 ± 2.67 in groups I and II, respectively, which were also significantly different (p=0.002). Subacromial erosion was significantly more frequent in group II (14/21 patients, 66.7%) than in group I (15/39 patients, 38.5%) (p=0.037), and stiffness was also higher in group II (17/21 patients, 81.0%) than in group I (22/39 patients, 56.4%), but it was not significant.
Conclusions: Hook plate fixation showed good clinical and functional results for the treatment of acute unstable AC joint dislocation and distal clavicle fracture. But, in distal clavicle fractures, there are more subacromial erosion and stiffness compare with acute unstable AC joint dislocation.
목차
Introduction
Methods
Results
Discussion
References
참고문헌 (28)
참고문헌 신청
[학술지(정기간행물)] - ElMaraghy AW / 2010 / Subacromial morphometric assessment of the clavicle hook plate / Injury 41 (6) : 613 ~ 619
[학술지(정기간행물)] - Oussedik S / 2007 / Injuries to the clavicle and acromioclavicular joint / Br J Hosp Med (Lond) 68 (4) : M68 ~ M70
[학술지(정기간행물)] - Tauber M / 2013 / Management of acute acromioclavicular joint dislocations: current concepts / Arch Orthop Trauma Surg 133 (7) : 985 ~ 995
[학술지(정기간행물)] - Edwards DJ / 1992 / Fractures of the distal clavicle: a case for fixation / Injury 23 (1) : 44 ~ 46
[학술지(정기간행물)] - van der Meijden OA / 2012 / Treatment of clavicle fractures: current concepts review / J Shoulder Elbow Surg 21 (3) : 423 ~ 429
[학술지(정기간행물)] - Oussedik S / 2007 / Injuries to the clavicle and acromioclavicular joint / Br J Hosp Med (Lond) 68 (4) : M68 ~ M70
[학술지(정기간행물)] - Tauber M / 2013 / Management of acute acromioclavicular joint dislocations: current concepts / Arch Orthop Trauma Surg 133 (7) : 985 ~ 995
[학술지(정기간행물)] - Edwards DJ / 1992 / Fractures of the distal clavicle: a case for fixation / Injury 23 (1) : 44 ~ 46
[학술지(정기간행물)] - van der Meijden OA / 2012 / Treatment of clavicle fractures: current concepts review / J Shoulder Elbow Surg 21 (3) : 423 ~ 429
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