지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.9
- 수록면
- 138 - 144 (7page)
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초록· 키워드
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Background: Subacromial erosion remains a major concern after surgical fixation of acromioclavicular (AC) joint using a clavicular hook plate. To minimize postoperative subacromial erosion, we investigated the structural relationship between distal clavicle and acromion around the AC joint by considering the surgical fixation of the joint using the hook plate technique.
Methods: Computed tomography scans of 101 AC joints without any inherent pathology were analyzed. The angle between the distal clavicle and acromion around the AC joint (AC angle), depth of the acromion, differences in height between distal clavicle and acromion(AC height difference), and thickness of distal clavicle and acromion at the AC joint were measured. Descriptive statistics were calculated for each anatomical parameter, and all results were compared between gender groups.
Results: The mean AC angle was 17.1°(range, -8.0° to 39.0°), and the mean AC height difference was 3.5 mm (range, -0.7 to 8.7 mm). Both factors showed very high variability (coefficients of variation=62.6% and 46.6%, respectively). The mean AC angle was significantly higher in the female gender than in the male gender (19.8° vs. 13.8°, p=0.048). The mean acromion thickness and distal clavicular thickness were both significantly thinner in the female group than in the male group (p<0.001).
Conclusions: Taken together, we believe our results might be helpful in minimizing postoperative subacromial erosion when performing surgical fixation of the AC joint using the hook plate, and be valuable in improving future design of the hook plate.
Methods: Computed tomography scans of 101 AC joints without any inherent pathology were analyzed. The angle between the distal clavicle and acromion around the AC joint (AC angle), depth of the acromion, differences in height between distal clavicle and acromion(AC height difference), and thickness of distal clavicle and acromion at the AC joint were measured. Descriptive statistics were calculated for each anatomical parameter, and all results were compared between gender groups.
Results: The mean AC angle was 17.1°(range, -8.0° to 39.0°), and the mean AC height difference was 3.5 mm (range, -0.7 to 8.7 mm). Both factors showed very high variability (coefficients of variation=62.6% and 46.6%, respectively). The mean AC angle was significantly higher in the female gender than in the male gender (19.8° vs. 13.8°, p=0.048). The mean acromion thickness and distal clavicular thickness were both significantly thinner in the female group than in the male group (p<0.001).
Conclusions: Taken together, we believe our results might be helpful in minimizing postoperative subacromial erosion when performing surgical fixation of the AC joint using the hook plate, and be valuable in improving future design of the hook plate.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (20)
참고문헌 신청
[학술지(정기간행물)] - Lin HY / 2014 / Clavicular hook plate may induce subacromial shoulder impingement and rotator cuff lesion: dynamic sonographic evaluation / J Orthop Surg Res 9 : 6 ~
[학술지(정기간행물)] - ElMaraghy AW / 2010 / Subacromial morphometric assessment of the clavicle hook plate / Injury 41 (6) : 613 ~ 619
[학술지(정기간행물)] - Muramatsu K / 2007 / Use of the AO hook-plate for treatment of unstable fractures of the distal clavicle / Arch Orthop Trauma Surg 127 (3) : 191 ~ 194
[학술지(정기간행물)] - Meda PV / 2006 / Clavicular hook plate for lateral end fractures: a prospective study / Injury 37 (3) : 277 ~ 283
[학술지(정기간행물)] - Flinkkila T / 2002 / Surgical treatment of unstable fractures of the distal clavicle: a comparative study of Kirschner wire and clavicular hook plate fixation / Acta Orthop Scand 73 (1) : 50 ~ 53
[학술지(정기간행물)] - ElMaraghy AW / 2010 / Subacromial morphometric assessment of the clavicle hook plate / Injury 41 (6) : 613 ~ 619
[학술지(정기간행물)] - Muramatsu K / 2007 / Use of the AO hook-plate for treatment of unstable fractures of the distal clavicle / Arch Orthop Trauma Surg 127 (3) : 191 ~ 194
[학술지(정기간행물)] - Meda PV / 2006 / Clavicular hook plate for lateral end fractures: a prospective study / Injury 37 (3) : 277 ~ 283
[학술지(정기간행물)] - Flinkkila T / 2002 / Surgical treatment of unstable fractures of the distal clavicle: a comparative study of Kirschner wire and clavicular hook plate fixation / Acta Orthop Scand 73 (1) : 50 ~ 53
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UCI(KEPA) : I410-ECN-0101-2018-514-003398152