1021 778

Cited 0 times in

견봉 쇄골 관절의 손상을 동반한 원위 쇄골 골절의 수술적 치료

Other Titles
 Operative Treatment of Distal Clavicle Fracture with Acromioclavicular Joint Injury 
 강호정  ;  고일현  ;  주종환  ;  천용민  ;  김형식 
 Journal of the Korean Shoulder and Elbow Society (대한견주관절학회지), Vol.14(1) : 59-66, 2011 
Journal Title
Journal of the Korean Shoulder and Elbow Society(대한견주관절학회지)
Issue Date
Distal clavicle fracture ; Acromioclavicular joint injury ; Internal fixation
Purpose: We wanted to evaluate the clinical and radiological outcomes and the prognosis of various surgical
treatments for the distal clavicle fracture with an acromioclavicular joint injury.
Materials and Methods: A retrospective study of 21 patients with a minimum of 12 months follow up
was done. We classified acromioclavicular (AC) injury into type I (only intra-articular fracture (IAF), 5
cases), type II (IAF with widening of the AC joint > 7 mm, 9 cases) and type III (IAF with AC joint superior
subluxation > 50%, 7 cases). The distal clavicle fractures were fixed using plate (9 cases), mini
screws (1 case), K wire and tension band wiring (10 cases) and transarticular pinning (1 case). Acromioclavicular
or coracoacromial ligament reconstruction was not done in all the cases.
Results: In 20 of 21 cases, bone union was achieved at an average of 8.4 weeks. Traumatic arthritis (5
cases), AC joint widening (4 cases) and AC joint subluxation (2 cases) were noted at the last follow up.
The average UCLA score was 32.6 in the type I AC joint injuries, 34 in type II and 34.1 in type III. There
was no relationship between the clinical outcomes and the preoperative AC joint injury pattern, postoperative
traumatic arthritis, AC joint widening or AC joint subluxation (p>0.05).
Conclusion: Satisfactory results were achieved by acute reduction and firm fixation of the distal clavicle
fracture with AC joint injury. There was no relationship between the pattern of AC joint injury, the residual
radiologic findings and the functional outcome.
Files in This Item:
T201101990.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Koh, Il Hyun(고일현) ORCID logo https://orcid.org/0000-0001-9823-8516
Kim, Hyoung Sik(김형식) ORCID logo https://orcid.org/0000-0002-9303-4116
Chun, Yong Min(천용민) ORCID logo https://orcid.org/0000-0002-8147-6136
사서에게 알리기


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.