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급성 외상성 견관절 전방 탈구의 관절경적 관찰
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급성 외상성 견관절 전방 탈구의 관절경적 관찰.hwp
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37 Kbyte
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급성 외상성 견관절 전방 탈구의 관절경적 관찰.hwp
[Size :
37 Kbyte
]
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자료설명
특정 대상 환자를 정해 놓고 급성 외상성 견관절 전방 탈구에 대한 상황을 관찰, 조사한 리포트입니다.
급성외상성견관절전방
급성외상성견관절전방
목차/차례
- 서 론
- 연구대상 및 방법
- 결 과
- 1) 30세 이전의 젊은 연령군의 결과
- 2) 40세 이후 나이든 군
- 고 찰
- 결 론
- 참고문헌
본문/내용
또한 외상성 견관절 탈구의 초기 관절내 병변의 관절경적 관찰에 대한 보고도 현재까지 매우 드물다. Wheeler 등21)은 외상성 견관절 탈구 9례를 대상으로 한 첫 보고에서 전례에서 관절와 순의 전하방 박리와 상완골두 후방의 골연골성 결손 4례 및 연골성 결손 5례의 Hill-Sachs병변을 보고하였다. Norlin16)도 외상성 견관절 탈구 24례를 대상으로 수상후 3일 이내 관절경 관찰을 시행하여 모든 예에서 혈관절증 및 중,하 와상완 인대와 함께 박리된 관절와 순과 Hill-Sachs병변을 확인하고 그중 6례에서는 골연골성 결손, 18례에서 연골성 결손이라고 하였다. 이처럼 초기 보고된 외상성 견관절 탈구의 관절경적 관찰 보고에서는 Bankart병변이 모든 예에서 관찰되어 Bankart병변의 유무로 추후 재탈구를 예견할 수는 없으며 마취하 견관절 안정성 검사가 추후 재탈구와 밀접하다고 하였다. 이는 본 연구와 유사한 결과로 젊은 연령군의 전례에서 관절와 순의 박리가 관찰되었으나 손상 정도는 다양하였고 비교적 적은 범위의 관절와 순의 박리를 보인 1례에서는 마취하 견관절 안정성 검사상 안정성을 보였으며 관절경 수술시 관절와 순의 hook 견인에도 안정성을 보여 …
참고문헌
11) Arciero RA, Wheeler JH, Ryan JB and Mc-Bride JT : Arthroscopic Bankart repair versus non-operative treatment for acute, initial anterior shoulder dislocations. Am J Sports Med; 22:589-594, 1994.
12) Baker CL, Uribe JW and Whiteman C : Arthroscopic evaluation of acute anterior should-er dislocation. Am J Sports Med; 18:25-28, 1990.
13) Cooper A : Dislocations of the shoulder. Philadelphia, WB Sanders Co. 1825 (cited from McLaughlin HL and Cavallaro WU: Primary anterior dislocation of the shoulder. Am J Surg; 80:615-621, 1950.)
14) Cooper DE, Arnoczky SP, O`brien SJ and Warren RF : Anatomy, histology, and vascularity of the glenoid labrum. J Bone Joint Surg; 74A: 46-52, 1992.
15) Hata Y, Nakatssuchi Y, Saitoh S, Hosaka M and Uchiyama SL : Anatomic study of the glenoid labrum. J Shoulder Elbow Surg; 1(4):207-214, 1992.
16) Henry JH and Genung JA : Natural history of glenohumeral dislocation: Am J Sports med; 10:135-137, 1982.
17) Hertz H : Die Bedeutung des limbus glenoidalis fur die stabilitat des schultergelenks. Wien Klin Wochenschr Suppl; 152:1-23,1984.
18) Hovelius L : Shoulder dislocation in Swedish ice hockeyplayers. Am J Sports Med; 6:373-377,1978.
19) Hovelius L : Anterior dislocation of the shoulder in teenagers and young adults. J Bone Joint Surg; 69A:393-399, 1987.
10) Hovelius L, Eriksson K, Fredin H, Hagberg MG, Hussenius VA, Ind GB, Thorling KJ and Weckstrom J : Recurrences after initial dislocation of the shoulder: Results of a prospective study of treatment. J Bone Joint Surg; 65A:343-349, 1983.
11) Hovelius L, Malmqvist B, Augustini BG, Fredin H, Johnasson O, Norlin R and Thorling J : Ten year prognosis of primary anterior dislocation of the shoulder in the young. J Shoulder Elbow Surg; 4(1):S4, 1995.
12) Kiviluoto 0, Pasila M and Jaroma H : Immobization after primary dislocation of the shoulder. Acta Orthop Scand; 51:915-919, 1980.
13) McLaughlin HL and Cavallaro WU : Primary anterior dislocation of the shoulder. Am J Surg; 80: 615-621, 1950.
14) McLaughlin HL and MacLellan DI : Recurrent anterior dislocation of the shoulder: II. A comparative study. J Trauma; 7:191-201, 1967.
15) Morgan CD and Bodenstab AB : Arthroscopic Bankart suture repair: Technique and early results. Arthroscopy; 3:111-122, 1987.
16) Norlin R: Intraarticular pathology in acute, first-time anterior shoulder dislocation: An arthroscopic study. Arthroscopy; 9:546-549, 1993.
17) Prodromos CC, Ferry JA, Schiller AL and Zarins B : Histological studies of the glenoid labrum from fetal to old age. J Bone Joint Surg; 72A:1344-1348, 1990.
18) Rowe CR and Sakellarides HT : Factors related to recurrences of anterior dislocations of the shoulder. Clin Orthop; 20:40-48, 1961.
19) Simonet WT and Cofield RH : Prognosis in anterior shoulder dislocation. Am J Sports Med; 12:19-24, 1984.
20) Thomas SC and Matsen FA : An approach to repair of avulsion of the glenohumeral ligaments in the management of traumatic anterior glenohumeral instability. J Bone Joint Surg; 71A:506-513, 1989.
21) Wheeler JH, Ryan JB, Arciero RA and Molinari RN : Arthroscopic versus nonoperative treatment of acute shoulder dislocations in young athletes. Arthroscopy; 5:213-217, 1989.
22) Yoneda B, Welsh RP and Maclntosh DL : Conservative treatment of shoulder dislocation in young males. J Bone Joint Surg; 64B:254-255, 1982.
12) Baker CL, Uribe JW and Whiteman C : Arthroscopic evaluation of acute anterior should-er dislocation. Am J Sports Med; 18:25-28, 1990.
13) Cooper A : Dislocations of the shoulder. Philadelphia, WB Sanders Co. 1825 (cited from McLaughlin HL and Cavallaro WU: Primary anterior dislocation of the shoulder. Am J Surg; 80:615-621, 1950.)
14) Cooper DE, Arnoczky SP, O`brien SJ and Warren RF : Anatomy, histology, and vascularity of the glenoid labrum. J Bone Joint Surg; 74A: 46-52, 1992.
15) Hata Y, Nakatssuchi Y, Saitoh S, Hosaka M and Uchiyama SL : Anatomic study of the glenoid labrum. J Shoulder Elbow Surg; 1(4):207-214, 1992.
16) Henry JH and Genung JA : Natural history of glenohumeral dislocation: Am J Sports med; 10:135-137, 1982.
17) Hertz H : Die Bedeutung des limbus glenoidalis fur die stabilitat des schultergelenks. Wien Klin Wochenschr Suppl; 152:1-23,1984.
18) Hovelius L : Shoulder dislocation in Swedish ice hockeyplayers. Am J Sports Med; 6:373-377,1978.
19) Hovelius L : Anterior dislocation of the shoulder in teenagers and young adults. J Bone Joint Surg; 69A:393-399, 1987.
10) Hovelius L, Eriksson K, Fredin H, Hagberg MG, Hussenius VA, Ind GB, Thorling KJ and Weckstrom J : Recurrences after initial dislocation of the shoulder: Results of a prospective study of treatment. J Bone Joint Surg; 65A:343-349, 1983.
11) Hovelius L, Malmqvist B, Augustini BG, Fredin H, Johnasson O, Norlin R and Thorling J : Ten year prognosis of primary anterior dislocation of the shoulder in the young. J Shoulder Elbow Surg; 4(1):S4, 1995.
12) Kiviluoto 0, Pasila M and Jaroma H : Immobization after primary dislocation of the shoulder. Acta Orthop Scand; 51:915-919, 1980.
13) McLaughlin HL and Cavallaro WU : Primary anterior dislocation of the shoulder. Am J Surg; 80: 615-621, 1950.
14) McLaughlin HL and MacLellan DI : Recurrent anterior dislocation of the shoulder: II. A comparative study. J Trauma; 7:191-201, 1967.
15) Morgan CD and Bodenstab AB : Arthroscopic Bankart suture repair: Technique and early results. Arthroscopy; 3:111-122, 1987.
16) Norlin R: Intraarticular pathology in acute, first-time anterior shoulder dislocation: An arthroscopic study. Arthroscopy; 9:546-549, 1993.
17) Prodromos CC, Ferry JA, Schiller AL and Zarins B : Histological studies of the glenoid labrum from fetal to old age. J Bone Joint Surg; 72A:1344-1348, 1990.
18) Rowe CR and Sakellarides HT : Factors related to recurrences of anterior dislocations of the shoulder. Clin Orthop; 20:40-48, 1961.
19) Simonet WT and Cofield RH : Prognosis in anterior shoulder dislocation. Am J Sports Med; 12:19-24, 1984.
20) Thomas SC and Matsen FA : An approach to repair of avulsion of the glenohumeral ligaments in the management of traumatic anterior glenohumeral instability. J Bone Joint Surg; 71A:506-513, 1989.
21) Wheeler JH, Ryan JB, Arciero RA and Molinari RN : Arthroscopic versus nonoperative treatment of acute shoulder dislocations in young athletes. Arthroscopy; 5:213-217, 1989.
22) Yoneda B, Welsh RP and Maclntosh DL : Conservative treatment of shoulder dislocation in young males. J Bone Joint Surg; 64B:254-255, 1982.
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