๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #2
ํ™˜์ž ์ •๋ณด: 18 ์„ธ, ์—ฌ์„ฑ
์ ์‘์ฆ: ์™ธ์ƒ

์ฆ๋ก€ #2

์†Œ๊ฒฌ

์ง„๋‹จ

์•ˆ์ • ๊ณจ๋ฐ˜ํ™˜ ์†์ƒ (LC I)

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

์ขŒ์ธก ์ƒ์น˜๊ณจ์ง€ ๋ฐ ํ•˜์น˜๊ณจ์ง€์˜ ๊ธ‰์„ฑ ๊ฒฝ๋„ ์ „์œ„ ๊ณจ์ ˆ.

์ขŒ์ธก ์ฒœ๊ณจ์ต์˜ ๊ธ‰์„ฑ ์ตœ์†Œ ์ „์œ„ ๊ณจ์ ˆ.

์น˜๊ณจ ๊ฒฐํ•ฉ ๋˜๋Š” ์ฒœ์žฅ๊ด€์ ˆ์˜ ์ด๊ฐœ ์—†์Œ.

๊ด€์ ˆ ๊ฐ„๊ฒฉ ์œ ์ง€.

๋ฐฉ๊ด‘์˜ ์šฐ์ธก ๋ณ€์œ„๋Š” ์ขŒ์ธก ๊ณจ๋ฐ˜ ํ˜ˆ์ข…์ด ์šฐ๋ ค๋ฉ๋‹ˆ๋‹ค.

๊ณ ์ฐฐ

  • ๋ถˆ์•ˆ์ • ๊ณจ๋ฐ˜ ์†์ƒ์„ ์ธ์‹ํ•˜๋Š” ๊ฒƒ์€ ์ฆ‰๊ฐ์ ์ธ ํ™˜์ž ๊ด€๋ฆฌ์— ์˜ํ–ฅ์„ ๋ฏธ์น˜๋ฏ€๋กœ ์ค‘์š”ํ•ฉ๋‹ˆ๋‹ค (๊ณจ๋ฐ˜ ๋ฐ”์ธ๋”๋Š” ๋ณดํ†ต ํ™˜์ž๊ฐ€ CT ์˜์ƒ์„ ์ดฌ์˜ํ•˜๊ธฐ ์ „์— ์žฅ์ฐฉ๋ฉ๋‹ˆ๋‹ค)
  • Young Burgess ๋ถ„๋ฅ˜๊ฐ€ ๊ฐ€์žฅ ํ”ํžˆ ์‚ฌ์šฉ๋˜๋Š” ์ฒด๊ณ„์ž…๋‹ˆ๋‹ค:
    • ์ „ํ›„ ์••๋ฐ• (APC) - ์น˜๊ณจ ๊ฒฐํ•ฉ์ด ์•ฝํ•œ ๊ณ ๋ฆฌ์ด๋ฏ€๋กœ ๋จผ์ € ์˜ํ–ฅ์„ ๋ฐ›์Šต๋‹ˆ๋‹ค
      • APC I: ์น˜๊ณจ ๊ฒฐํ•ฉ ํ™•๋Œ€ < 2.5 cm
        • ์•ˆ์ •
      • APC II: ์น˜๊ณจ ๊ฒฐํ•ฉ ํ™•๋Œ€ > 2.5 cm, ์ „๋ฐฉ ์ฒœ์žฅ๊ด€์ ˆ ํ™•๋Œ€
        • ์ˆ˜์ง ์•ˆ์ •, ํšŒ์ „ ๋ถˆ์•ˆ์ •
      • APC III: ์น˜๊ณจ ๊ฒฐํ•ฉ ํ™•๋Œ€ > 5 cm, ์ „๋ฐฉ ๋ฐ ํ›„๋ฐฉ ์ฒœ์žฅ๊ด€์ ˆ ํ™•๋Œ€
        • ์ „๋ฐ˜์  ๋ถˆ์•ˆ์ •
    • ์™ธ์ธก ์••๋ฐ• - ํ์‡„๊ณต ํ™˜์ด ์•ฝํ•œ ๊ณ ๋ฆฌ์ด๋ฏ€๋กœ ๋จผ์ € ์˜ํ–ฅ์„ ๋ฐ›์Šต๋‹ˆ๋‹ค
      • LC I: ํ์‡„๊ณต ํ™˜ ๊ณจ์ ˆ ๋ฐ ์ฒœ๊ณจ ์••๋ฐ• ๊ณจ์ ˆ
        • ์•ˆ์ •
      • LC II: LC I + ์žฅ๊ณจ ์ดˆ์Šน๋‹ฌ ๊ณจ์ ˆ
        • ์ˆ˜์ง ์•ˆ์ •, ํšŒ์ „ ๋ถˆ์•ˆ์ •
      • LC III: LC I/II + ๋ฐ˜๋Œ€์ธก APC ์†์ƒ
        • ์ „๋ฐ˜์  ๋ถˆ์•ˆ์ •
    • ์ˆ˜์ง ์ „๋‹จ - ์น˜๊ณจ ๊ฒฐํ•ฉ ๋ฐ ์ฒœ์žฅ๊ด€์ ˆ์˜ ํŽธ์œ„๋ฅผ ๋™๋ฐ˜ํ•œ ๋ฐ˜๊ณจ๋ฐ˜์˜ ์ˆ˜์ง ์ด๋™
      • ์ „๋ฐ˜์  ๋ถˆ์•ˆ์ •

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

Stable pelvic ring injury (LC I) with left obturator ring fractures (red arrows) and left sacral fracture with slight offset of the left sacral ala (yellow arrow) and several arcuate lines (blue arrows).

Stable pelvic ring injury (LC I) with left obturator ring fractures (red arrows) and left sacral fracture with slight offset of the left sacral ala (yellow arrow) and several arcuate lines (blue arrows).

์ฐธ๊ณ ๋ฌธํ—Œ

  • Khurana B, Sheehan SE, Sodickson AD, Weaver MJ. Pelvic ring fractures: what the orthopedic surgeon wants to know.ย Radiographicsย 2014; 34(5): 1317-1333.

    • ์‚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”.

    /5
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