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
- 2019.6
- 수록면
- 93 - 99 (7page)
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초록· 키워드
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Background: Modified Phemister operation has been widely used for the treatment of acute acromioclavicular (AC) joint dislocation. Additionally, the use of suture anchor for coracoclavicular (CC) fixation has been reported to provide CC stability. This study was conducted to evaluate the clinical and radiological results of a modified Phemister operation with CC ligament augmentation using suture anchor for acute AC joint dislocation.
Methods: Seventy-four patients underwent the modified Phemister operation with CC ligament augmentation using suture anchor for acute AC joint dislocation and were followed-up for an average of 12.3 months. The visual analogue scale (VAS), range of motion, Constant score, and Korean shoulder scoring system (KSS) were used for clinical assessment. Acromioclavicular interval (ACI), coracoclavicular distance (CCD), and acromioclavicular distance (ACD) were obtained to evaluate the radiological assessments.
Results: At the last follow-up, the mean VAS Score was 1.7 points, the mean joint range of the forward flexion was 164.6°, external rotation at the side was 61.2°, and internal rotation to the posterior was a level of T12. The mean Constant score and the mean KSS was 82.7 points and 84.2 points, respectively. At the mean ACI, CCD, and ACD, significant differences were found preoperatively and at the last follow-up. When the ACI, CCD, and ACD were compared with the contralateral unaffected shoulder at the last follow-up, the affected shoulders had significantly higher values.
Conclusions: The modified Phemister operation with CC ligament augmentation using suture anchor is clinically and radiologically effective at acute AC joint dislocation.
Methods: Seventy-four patients underwent the modified Phemister operation with CC ligament augmentation using suture anchor for acute AC joint dislocation and were followed-up for an average of 12.3 months. The visual analogue scale (VAS), range of motion, Constant score, and Korean shoulder scoring system (KSS) were used for clinical assessment. Acromioclavicular interval (ACI), coracoclavicular distance (CCD), and acromioclavicular distance (ACD) were obtained to evaluate the radiological assessments.
Results: At the last follow-up, the mean VAS Score was 1.7 points, the mean joint range of the forward flexion was 164.6°, external rotation at the side was 61.2°, and internal rotation to the posterior was a level of T12. The mean Constant score and the mean KSS was 82.7 points and 84.2 points, respectively. At the mean ACI, CCD, and ACD, significant differences were found preoperatively and at the last follow-up. When the ACI, CCD, and ACD were compared with the contralateral unaffected shoulder at the last follow-up, the affected shoulders had significantly higher values.
Conclusions: The modified Phemister operation with CC ligament augmentation using suture anchor is clinically and radiologically effective at acute AC joint dislocation.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (34)
참고문헌 신청
N. A. Bontempo / 2010 / Biomechanics and treatment of acromioclavicular and sternoclavicular joint injuries / British Journal of Sports Medicine 44(5):361~369
Mark Tauber / 2013 / Management of acute acromioclavicular joint dislocations: current concepts / Archives of Orthopaedic and Trauma Surgery 133(7):985~995
Augustus D. Mazzocca / 2017 / Evaluation and Treatment of Acromioclavicular Joint Injuries / The American Journal of Sports Medicine 35(2):316~329
Epstein D / 2012 / Current concepts in the surgical management of acromioclavicular joint injuries / Bull NYU Hosp Jt Dis 70(1):11~24
Knut Beitzel / 2013 / Current Concepts in the Treatment of Acromioclavicular Joint Dislocations / Arthroscopy: The Journal of Arthroscopic & Related Surgery 29(2):387~397
Mark Tauber / 2013 / Management of acute acromioclavicular joint dislocations: current concepts / Archives of Orthopaedic and Trauma Surgery 133(7):985~995
Augustus D. Mazzocca / 2017 / Evaluation and Treatment of Acromioclavicular Joint Injuries / The American Journal of Sports Medicine 35(2):316~329
Epstein D / 2012 / Current concepts in the surgical management of acromioclavicular joint injuries / Bull NYU Hosp Jt Dis 70(1):11~24
Knut Beitzel / 2013 / Current Concepts in the Treatment of Acromioclavicular Joint Dislocations / Arthroscopy: The Journal of Arthroscopic & Related Surgery 29(2):387~397
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UCI(KEPA) : I410-ECN-0101-2019-514-000765040