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주먹 가격 후 발생한 수부 및 손목에 발생한 손상

Other Titles
 Fractures of the Wrist and Hand after Punching Injury 
Authors
 한수봉  ;  김주영  ;  강응식  ;  이진우  ;  강호정  ;  신승엽 
Citation
 Journal of the Korean Orthopaedic Association (대한정형외과학회지), Vol.39(6) : 700-706, 2004 
Journal Title
 Journal of the Korean Orthopaedic Association (대한정형외과학회지) 
ISSN
 1226-2102 
Issue Date
2004
Keywords
Metacarpal bone ; Carpometacarpal joint ; Hand fracture ; Punching
Abstract
Purpose: The purpose of this study was to describe the patterns and results of treatment of fractures of the hand and wrist after punching injury. Materials and Methods: The authors retrospectively reviewed 91cases of fractures of the hand and wrist after punching injury in 67 patients from January 1998 to September 2002. The mean follow-up was 18 months. The mean age was 25.7 years old, ranging from 11 years old to 41 years old. The results were evaluated by modified criteria of Bruce and Maudsley. Results: The most common fractures were metacarpal base fractures (42.9%), and the second most common fractures were distal metacarpal fractures (19.8%). Metacarpal base fractures were usually combined with dislocation of carpometacarpal joint, especially in the fourth and fifth metacarpal bone and single fifth metacarpal bone (29.7%). There were a few complications of limitation of motion (4 cases), pain (1 case), angular deformity of distal metacarpal bone (1 case), malunion of metacarpal shaft (2 cases) and nonunion of metacarpal shaft (1 case). There were excellent results in 84 cases, good in 4 cases and fair in 3 cases. Conclusion: The most common fractures after punching injury were metacarpal base fractures, especially the forth and fifth metacarpal bone. Distal metacarpal and metacarpal shaft fractures were mostly single fractures. There were diverse patterns of fracture-dislocation of the hand and wrist after punching. We must be careful to evaluate combined injury when a patient visits after punching injury.
Files in This Item:
T200400540.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Eung Shick(강응식)
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Kim, Ju Young(김주영)
Shin, Seung Yup(신승엽)
Lee, Jin Woo(이진우) ORCID logo https://orcid.org/0000-0002-0293-9017
Hahn, Soo Bong(한수봉)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/112285
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