๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #1
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ํ™˜์ž ์ •๋ณด: 9 ์„ธ, ์—ฌ์„ฑ
์ ์‘์ฆ: ์™ธ์ƒ

์ฆ๋ก€ #1

์†Œ๊ฒฌ

์ง„๋‹จ

ํ™˜์ถ”-ํ›„๋‘ ํƒˆ๊ตฌ

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

ํ™˜์ถ”-ํ›„๋‘ ๊ฐ„๊ฒฉ์ด ์ขŒ์ธก 10 mm, ์šฐ์ธก 6 mm๋กœ ์ธก์ •๋˜๋Š” ํ™˜์ถ”-ํ›„๋‘ ํƒˆ๊ตฌ๊ฐ€ ๊ด€์ฐฐ๋˜๋ฉฐ, ๊ด‘๋ฒ”์œ„ํ•œ ์ธ๋Œ€ ์†์ƒ์ด ์šฐ๋ ค๋จ.

ํ™˜์ถ”์ถ• ๊ฐ„๊ฒฉ์ด ์ขŒ์ธก 5 mm, ์šฐ์ธก 6 mm๋กœ ์ธก์ •๋˜๋Š” ๋ณด๋‹ค ๊ฒฝ๋ฏธํ•œ ํ™˜์ถ”์ถ• ํƒˆ๊ตฌ/๋ถ„๋ฆฌ.

์กฐ์˜์ œ ์—†๋Š” ๊ฒฝ์ถ” MRI๋กœ ์ธ๋Œ€ ์†์ƒ์˜ ๋ฒ”์œ„๋ฅผ ์ถ”๊ฐ€ ํ‰๊ฐ€ํ•  ์ˆ˜ ์žˆ์Œ.

๊ธ‰์„ฑ ๊ณจ์ ˆ ์—†์Œ.

์ƒ๋ถ€ ๊ฒฝ์ถ” ์ถ”์ฒด์ „ ๋ถ€์ข….

๊ณ ์ฐฐ

  • ์†Œ์•„, ํŠนํžˆ ์–ด๋ฆฐ ์†Œ์•„๋Š” ๊ฒฝ์ถ” ๊ณจ์ ˆ์ด ๋“œ๋ฌผ๊ธฐ ๋•Œ๋ฌธ์— ๋”์ฐํ•œ ๊ฒฝ์ถ” ์™ธ์ƒ์˜ ๊ฒฝ์šฐ์—๋„ ๊ณจ์ ˆ์ด ์—†๋Š” ๊ฒฝ์šฐ๊ฐ€ ๋งŽ๋‹ค๋Š” ์ ์„ ๊ธฐ์–ตํ•  ๊ฒƒ
  • ๋Œ€์นญ์„ฑ์„ ๋ฉด๋ฐ€ํžˆ ์‚ดํ”ผ๊ณ , ์˜์‹ฌ์ด ์žˆ๋Š” ๊ฒฝ์šฐ ๊ฐ„๊ฒฉ์„ ์ธก์ •ํ•  ๊ฒƒ (์–ด๋ฆฐ ์†Œ์•„์˜ ๊ฒฝ์šฐ ์ดˆ๊ธฐ์— ๋ชจ๋“  ๊ฐ„๊ฒฉ์„ ์ธก์ •ํ•˜๋Š” ๊ฒƒ์ด ์ข‹์„ ์ˆ˜ ์žˆ์Œ)
  • ์ถ”์ฒด์ „ ๋ถ€์ข…์ด ๋ณด์ด๋ฉด ๊ธฐ์ € ์ธ๋Œ€ ์†์ƒ์— ๋Œ€ํ•ด ๋งค์šฐ ์ฃผ์˜ํ•ด์•ผ ํ•˜๋ฉฐ, ๊ฐ„๊ฒฉ์ด ์ •์ƒ์œผ๋กœ ์ธก์ •๋˜๋”๋ผ๋„ ์ตœ์†Œํ•œ ์ถ”๊ฐ€ ํ‰๊ฐ€๋ฅผ ์œ„ํ•œ MRI๋ฅผ ๊ถŒ์œ ํ•  ๊ฒƒ

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

Diagram of helpful measurements to know.

Diagram of helpful measurements to know.

Sagittal view of the major cervical spine ligaments.

Sagittal view of the major cervical spine ligaments.

Coronal view of the major ligaments at the craniocervical junction.

Coronal view of the major ligaments at the craniocervical junction.

Types of craniocervical dislocation.

Types of craniocervical dislocation.

๊ด€๋ จ ๋™์˜์ƒ

๋น„๋””์˜ค ์ธ๋„ค์ผ

Cervical Spine Trauma

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์ฐธ๊ณ ๋ฌธํ—Œ

  • Bertozzi JC, Rojas CA, Martinez CR. Evaluation of the pediatric craniocervical junction on MDCT. AJR Am J Roentgenol 2009; 192: 26-31.
  • Riascos R, Bonfante E, Cotes C, Guirguis M, Hakimelahi R, West C. Imaging of atlanto-occipital and atlantoaxial traumatic injuries: what the radiologist needs to know. Radiographics 2015; 35(7): 2121โ€“2134.
  • Rojas CA, Bertozzi JC, Martinez CR, Whitlow J. Reassessment of the craniocervical junction: normal values on CT. AJNR Am J Neuroradiol 2007; 28(9): 1819-1823.
  • Rojas CA, Hayes A, Bertozzi JC, Guidi C, Martinez CR. Evaluation of the C1โ€“C2 articulation on MDCT in healthy children and young adults. AJR Am J Roentgenol 2009; 193: 1388-1392.

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