CAJ | 학술논문

目的：探讨肩胛骨喙突骨折的临床特点和手术治疗方法。方法总结自2009年3月至2014年3月收治的喙突骨折共10例，按 Eyres 分型：III B 型2例，V A 型4例，V B 型4例。对全部10例喙突骨折行切开复位内固定术。定期随访患者主观感受，观察患者肩关节主动活动范围。结果10例均获得随访，时间6～24个月，平均15.6个月。末次随访肩关节 Constant-Murley 评分为76～100分，平均85.6分。Herscovici 评分为12～16分，平均14.4分。结论喙突骨折尤其是喙突基底部骨折常与肩胛盂上1/3骨折同时发生，并且继发肩锁关节脱位。损伤发生后，上肩胛悬吊带复合体处于严重不稳定状态，应予以手术治疗。
목적：탐토견갑골훼돌골절적림상특점화수술치료방법。방법총결자2009년3월지2014년3월수치적훼돌골절공10례，안 Eyres 분형：III B 형2례，V A 형4례，V B 형4례。대전부10례훼돌골절행절개복위내고정술。정기수방환자주관감수，관찰환자견관절주동활동범위。결과10례균획득수방，시간6～24개월，평균15.6개월。말차수방견관절 Constant-Murley 평분위76～100분，평균85.6분。Herscovici 평분위12～16분，평균14.4분。결론훼돌골절우기시훼돌기저부골절상여견갑우상1/3골절동시발생，병차계발견쇄관절탈위。손상발생후，상견갑현조대복합체처우엄중불은정상태，응여이수술치료。
Objective To discuss the clinical features and surgical treatment of different types of coracoid fractures.Methods From March 2009 to March 2014, 10 cases of coracoid fracture were treated in our department. According to the Eyres classiifcation, there were 2 case of Type III B, 4 cases of Type V A, 4 cases of Type V B. All cases were treated with open reduction and internal ifxation. Regular follow-up of patients with subjective feelings was conducted and active shoulder range of motion was observed.Results All the patients received follow-up for a mean of 15.6 months ( range: 6-24 months ). The mean Constant-Murley score was 85.6 points ( range: 76-100 points ). The mean Herscovici score was 14.4 points ( range: 12-16 points ).Conclusions Coracoid fracture espacially coracoid base fracture usually happens with the 1 / 3 upper glenoid fracture and is accompanied by the ipsilateral acromion-clavicular joint dislocation. Surgery is strongly recommended when the whole shoulder girdle is in an unstable condition.