๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #2
ํ™˜์ž ์ •๋ณด: 67 ์„ธ, ์—ฌ์„ฑ
์ ์‘์ฆ: ๋‚™์ƒ

์ฆ๋ก€ #2

์†Œ๊ฒฌ

  • ์š”๊ณจ ๊ด€์ ˆ ๋‚ด๋กœ ์—ฐ์žฅ๋˜๋Š” ์š”๊ณจ ์›์œ„ ๊ด€์ ˆ๋ฉด์˜ ๊ฒฝ๋ฏธํ•œ ์†๋ฐ”๋‹ฅ ์ชฝ ์ „์œ„, ์†๋ฐ”๋‹ฅ ์ชฝ ๊ฐํ˜•์„ฑ์„ ๋™๋ฐ˜ํ•œ ๊ธ‰์„ฑ ๋ถ„์‡„, ๊ฐ์ž…, ํšก๋‹จ ์›์œ„ ์š”๊ณจ ๊ณจ๊ฐ„๋‹จ ๊ณจ์ ˆ
  • ๊ธ‰์„ฑ ๊ฒฝ๋ฏธํ•˜๊ฒŒ ๋ถ„์‡„๋œ, ์ตœ์†Œ ์ „์œ„๋œ ์›์œ„ ์ฒ™๊ณจ์˜ ๋‚˜์„ ํ˜• ๊ณจ์ ˆ
  • ํ›„์ฒœ์„ฑ ์ฒ™๊ณจ ์–‘์„ฑ ๋ณ€์œ„
  • ์ œ1 ์ค‘์ˆ˜์ˆ˜์ง€๊ด€์ ˆ ๋ฐ ๋‹ค์ˆ˜์˜ ์ˆ˜๊ทผ ๊ด€์ ˆ์˜ ๊ฒฝ๋ฏธํ•œ ํ‡ดํ–‰์„ฑ ๋ณ€ํ™”

์ง„๋‹จ

Smith ๊ณจ์ ˆ (Frykman IV)

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

์š”๊ณจ ๊ด€์ ˆ ๋‚ด๋กœ ์—ฐ์žฅ๋˜๋Š” ์š”๊ณจ ์›์œ„ ๊ด€์ ˆ๋ฉด์˜ ๊ฒฝ๋ฏธํ•œ ์†๋ฐ”๋‹ฅ ์ชฝ ์ „์œ„, ์†๋ฐ”๋‹ฅ ์ชฝ ๊ฐํ˜•์„ฑ์„ ๋™๋ฐ˜ํ•œ ๊ธ‰์„ฑ ๋ถ„์‡„, ๊ฐ์ž…, ํšก๋‹จ ์›์œ„ ์š”๊ณจ ๊ณจ๊ฐ„๋‹จ ๊ณจ์ ˆ.

๊ธ‰์„ฑ ๊ฒฝ๋ฏธํ•˜๊ฒŒ ๋ถ„์‡„๋œ, ์ตœ์†Œ ์ „์œ„๋œ ์›์œ„ ์ฒ™๊ณจ์˜ ๋‚˜์„ ํ˜• ๊ณจ์ ˆ.

ํ›„์ฒœ์„ฑ ์ฒ™๊ณจ ์–‘์„ฑ ๋ณ€์œ„.

์ œ1 ์ค‘์ˆ˜์ˆ˜์ง€๊ด€์ ˆ ๋ฐ ๋‹ค์ˆ˜์˜ ์ˆ˜๊ทผ ๊ด€์ ˆ์˜ ๊ฒฝ๋ฏธํ•œ ํ‡ดํ–‰์„ฑ ๋ณ€ํ™”.

๊ณ ์ฐฐ

  • ์›์œ„ ์š”๊ณจ ๊ณจ์ ˆ์€ ํ”ํžˆ ๋‹ค์Œ 3๊ฐ€์ง€ ์—ํฌ๋‹˜ ์ค‘ ํ•˜๋‚˜๋กœ ์ง€์นญ๋ฉ๋‹ˆ๋‹ค:
    • Colles ๊ณจ์ ˆ - ์›์œ„ ์š”๊ณจ ๊ด€์ ˆ๋ฉด์˜ ๋ฐฐ์ธก ๊ฒฝ์‚ฌ๋ฅผ ๋™๋ฐ˜ํ•œ ํšก๋‹จ ๊ณจ์ ˆ. ๊ฐ์ž… ๋ฐ/๋˜๋Š” ๊ด€์ ˆ ๋‚ด ์—ฐ์žฅ์ด ๋™๋ฐ˜๋  ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค
      • ์ผ๋ถ€์—์„œ๋Š” ๊ด€์ ˆ ๋‚ด ์—ฐ์žฅ์ด ์—†๋Š” ๊ณจ์ ˆ์—๋งŒ ์ด ์šฉ์–ด๋ฅผ ์‚ฌ์šฉํ•ฉ๋‹ˆ๋‹ค
    • Smith ๊ณจ์ ˆ - ์›์œ„ ์š”๊ณจ ๊ด€์ ˆ๋ฉด์˜ ์†๋ฐ”๋‹ฅ ์ชฝ ๊ฒฝ์‚ฌ๋ฅผ ๋™๋ฐ˜ํ•œ ํšก๋‹จ ๊ณจ์ ˆ. ๊ฐ์ž… ๋ฐ/๋˜๋Š” ๊ด€์ ˆ ๋‚ด ์—ฐ์žฅ์ด ๋™๋ฐ˜๋  ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค
    • Barton ๊ณจ์ ˆ - ๊ด€์ ˆ๋ฉด ๋‹จ์ฐจ๋ฅผ ์œ ๋ฐœํ•  ์ˆ˜ ์žˆ๋Š” ๋น„์Šค๋“ฌํ•œ ๋ฐฉํ–ฅ์˜ ๊ด€์ ˆ ๋‚ด ์›์œ„ ์š”๊ณจ ๊ณจ์ ˆ
      • ๊ธฐ์ˆ ์ ์œผ๋กœ Barton ๊ณจ์ ˆ์€ ๋ฐฐ์ธก ๊ด€์ ˆ๋ฉด์„ ์นจ๋ฒ”ํ•ฉ๋‹ˆ๋‹ค. ๊ณจ์ ˆ์ด ์†๋ฐ”๋‹ฅ ์ชฝ ํ‘œ๋ฉด์„ ์นจ๋ฒ”ํ•˜๋Š” ๊ฒฝ์šฐ ์—ญ Barton ๊ณจ์ ˆ์ด๋ผ๊ณ  ํ•ฉ๋‹ˆ๋‹ค
  • ์›์œ„ ์š”๊ณจ ๊ณจ์ ˆ์— ํ”ํžˆ ์‚ฌ์šฉ๋˜๋Š” ๋ถ„๋ฅ˜ ์ฒด๊ณ„๋Š” Frykman ๋ถ„๋ฅ˜๋กœ, AP ๋ฐฉ์‚ฌ์„  ์‚ฌ์ง„๋งŒ์œผ๋กœ ๊ณจ์ ˆ ์–‘์ƒ์„ ๊ธฐ๋ฐ˜์œผ๋กœ ํ•ฉ๋‹ˆ๋‹ค:
    • Type I: ๊ด€์ ˆ ์™ธ ํšก๋‹จ ๊ณจ๊ฐ„๋‹จ ๊ณจ์ ˆ
    • Type II: Type I + ์ฒ™๊ณจ ๊ฒฝ์ƒ๋Œ๊ธฐ ๊ณจ์ ˆ
    • Type III: ์š”๊ณจ์ˆ˜๊ทผ๊ด€์ ˆ๋กœ ์—ฐ์žฅ๋˜๋Š” ์›์œ„ ์š”๊ณจ ๊ณจ์ ˆ
    • Type IV: Type III + ์ฒ™๊ณจ ๊ฒฝ์ƒ๋Œ๊ธฐ ๊ณจ์ ˆ
    • Type V: ์›์œ„ ์š”์ฒ™๊ด€์ ˆ์„ ์นจ๋ฒ”ํ•˜์ง€๋งŒ ์š”๊ณจ์ˆ˜๊ทผ๊ด€์ ˆ์€ ์นจ๋ฒ”ํ•˜์ง€ ์•Š๋Š” ํšก๋‹จ ๊ณจ์ ˆ
    • Type VI: Type V + ์ฒ™๊ณจ ๊ฒฝ์ƒ๋Œ๊ธฐ ๊ณจ์ ˆ
    • Type VII: ์›์œ„ ์š”์ฒ™๊ด€์ ˆ๊ณผ ์š”๊ณจ์ˆ˜๊ทผ๊ด€์ ˆ ๋ชจ๋‘๋ฅผ ์นจ๋ฒ”ํ•˜๋Š” ๋ถ„์‡„ ๊ณจ์ ˆ
    • Type VIII: Type VII + ์ฒ™๊ณจ ๊ฒฝ์ƒ๋Œ๊ธฐ ๊ณจ์ ˆ
  • ๊ฐ์ž…๋œ ์š”๊ณจ ๊ณจ์ ˆ์„ ๋ณด์•˜์„ ๋•Œ ์ฒ™๊ณจ ์–‘์„ฑ ๋ณ€์œ„๋„ ๋ฐ˜๋“œ์‹œ ํ™•์ธํ•˜์‹ญ์‹œ์˜ค. ์ด๋Š” ์žฅ๊ธฐ์ ์ธ ์ดํ™˜์œจ๋กœ ์ด์–ด์งˆ ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค

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

Smith fracture with volar displacement and volar angulation of the distal radial articular surface (red dotted line).

Smith fracture with volar displacement and volar angulation of the distal radial articular surface (red dotted line).

Types of distal radial fractures.

Types of distal radial fractures.

์ฐธ๊ณ ๋ฌธํ—Œ

  • Porrino Jr JA, Maloney E, Scherer K, Mulcahy H, Ha AS, Allan C. Fracture of the distal radius: epidemiology and premanagement radiographic characterization. AJR Am J Roentgenol 2014; 203(3): 551-559.
  • Meena S, Sharma P, Sambharia AK, Dawar A. Fractures of Distal Radius: An Overview. Journal of Family Medicine and Primary Care 2014; 3(4): 325-332.

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