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최장석(Jang-Seok Choi),김정한(Jung-Han Kim),곽희철(Heui-Chul Gwak),김상우(Sang-Woo Kim) 대한정형외과학회 2009 대한정형외과학회지 Vol.44 No.2
견갑골의 견봉 또는 오구 돌기 골절은 드물며, 그 중 두 개가 동시에 골절되는 경우는 매우 드물며, 대개 견갑부의 직접 외상에 의해 발생한다. 이러한 골절은 간과하기 쉬우며 주의깊은 검사를 통해 발견되어 질 수 있다. 저자들은 수상 당시 단순 방사선 사진에서 미리 발견하기 어려운 견봉 골절을 동반한 견갑골의 오구 돌기 골절을 가진 흔치 않은 증례를 문헌과 함께 보고하는 바이다. Fractures of the acromial process or the coracoid process of scapula are rare, and this is usually the result of direct trauma to the shoulder. This type of fracture is often neglected, but it can be detected by performing careful evaluation. We report here on an unusual case involving a fracture of the coracoid process along with concomitant acromial fracture.
Gang-Un Kim,Seong-Hwan Kim,Jae-Sung Lee,Jae Yoon Kim 대한견주관절의학회 2014 대한견주관절학회지 Vol.17 No.1
Clavicular hook plate is known to be an effective treatment on acromioclavicular (AC) joint injury, but there have been some reports of complications, like osteolysis and bony erosion of the undersurface of acromion. Fifty-five year old male underwent open reduction and hook plate insertion on Rockwood type 5 acromioclavicular joint dislocation. He complained of protrusion of posterior acromion at 1 month after the surgery, and acromial fracture was noted in simple radiographs. The hook plate was removed and any other treatment for osteosynthesis was refused by the patient. At the 18 months after the surgery, the patient had no pain and a full range of motion with no tenderness around the shoulder joint. After two years, plain radiographs revealed complete bony union of the acromion fracture.
Kyoung Hwan Koh,Dong Ju Shin,Seong Mun Hwang 대한견주관절의학회 2019 대한견주관절의학회지 Vol.22 No.3
We experienced acromial erosion and subsequent fracture after the treatment of Rockwood type V acromioclavicular dislocation with hook plate and coracoclavicular ligament augmentation. It was treated by using a surgical technique to address an acromial fracture and subsequent losses of reduction in acromioclavicular joint with two trans-acromial cortical screws (crossbar technique). The reduction state of acromioclavicular joint could be maintained by these two screws. Our crossbar technique could be considered as a good salvage procedure for the reduction loss caused by cutout or significant erosion of acromion after insertion of clavicular hook plate.