๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
Case #1
ํ™˜์ž ์ •๋ณด: 60 ์„ธ, ์—ฌ์„ฑ
์ ์‘์ฆ: ์ฃผ๊ด€์ ˆ ํ†ต์ฆ

Case #1

์†Œ๊ฒฌ

์ง„๋‹จ

์š”๊ณจ๋‘ ๊ณจ์ ˆ

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

๊ธ‰์„ฑ ๋น„์ „์œ„์„ฑ ์š”๊ณจ๋‘ ๊ณจ์ ˆ.

๊ด€์ ˆ ๋ถ€์ • ์ •๋ ฌ ์—†์Œ.

์ฃผ๊ด€์ ˆ ์‚ผ์ถœ.

๊ด€์ ˆ ๊ฐ„๊ฒฉ ์œ ์ง€๋จ.

๊ณ ์ฐฐ

  • ์š”๊ณจ๋‘ ๊ณจ์ ˆ์€ ์„ฑ์ธ์—์„œ ๊ฐ€์žฅ ํ”ํ•œ ์ฃผ๊ด€์ ˆ ๊ณจ์ ˆ์ž„
  • Mason-Johnston ๋ถ„๋ฅ˜ ์ฒด๊ณ„๋Š” ์š”๊ณจ๋‘ ๊ณจ์ ˆ์— ๋Œ€ํ•ด ํ”ํžˆ ์‚ฌ์šฉ๋˜๋Š” ์ˆ˜์ˆ ์  ๋ถ„๋ฅ˜๋กœ, ๋‹ค์Œ 4๊ฐ€์ง€ ์œ ํ˜•์œผ๋กœ ๋‚˜๋ˆ”:
    • Type I: ์ „์œ„ < 2 mm
    • Type II: ์ „์œ„ > 2 mm ๋ฐ ๊ด€์ ˆ๋ฉด ์นจ๋ฒ” < 30%
    • Type III: ์š”๊ณจ๋‘ ๋ถ„์‡„
    • Type IV: ํƒˆ๊ตฌ๋ฅผ ๋™๋ฐ˜ํ•œ ์š”๊ณจ๋‘ ๊ณจ์ ˆ
  • ๋งŽ์€ ๊ณจ์ ˆ ๋ถ„๋ฅ˜์™€ ๋งˆ์ฐฌ๊ฐ€์ง€๋กœ ๋ณด๊ณ ์„œ์— ๋ถ„๋ฅ˜๋ฅผ ์‚ฌ์šฉํ•  ํ•„์š”๋Š” ์—†์ง€๋งŒ, ๋ถ„๋ฅ˜์—์„œ ์‚ฌ์šฉ๋˜๋Š” ๊ฒƒ๊ณผ ์œ ์‚ฌํ•œ ํ‘œํ˜„์„ ์‚ฌ์šฉํ•˜๋ฉด ์˜๋ขฐ ์™ธ๊ณผ์˜์—๊ฒŒ ๋ณด๊ณ ์„œ์˜ ๊ฐ€๋…์„ฑ์„ ๋†’์ด๋Š” ๋ฐ ๋„์›€์ด ๋จ

์ฃผ์„์ด ์žˆ๋Š” ์ด๋ฏธ์ง€ ๋ฐ ์ผ๋Ÿฌ์ŠคํŠธ

Red arrow: nondisplaced radial head fracture.

Red arrow: nondisplaced radial head fracture.

์‚ฌ์ดํŠธ ํ”ผ๋“œ๋ฐฑ

์—ฌ๋Ÿฌ๋ถ„์˜ ํ”ผ๋“œ๋ฐฑ์€ CaseStacks ๊ฐœ์„ ์— ๋„์›€์ด ๋ฉ๋‹ˆ๋‹ค. ์˜๊ฒฌ, ์ œ์•ˆ ๋˜๋Š” ๋ฐœ์ƒํ•œ ๋ฌธ์ œ๋ฅผ ๊ณต์œ ํ•ด ์ฃผ์„ธ์š”.

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