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์ฆ๋ก€ #3
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ํ™˜์ž ์ •๋ณด: 33 ์„ธ, ๋‚จ์„ฑ
์ ์‘์ฆ: ์™ธ์ƒ

์ฆ๋ก€ #3

์†Œ๊ฒฌ

  • ๊ฒฝ๋„ ์ „์œ„๋œ ์ขŒ์ธก ํ›„๋‘๊ณผ ๊ฒฌ์—ด ๊ณจ์ ˆ
  • ๋น„์ „์œ„ ์ขŒ์ธก C3 ๊ตฌ์ƒ๋Œ๊ธฐ ๊ณจ์ ˆ
  • ์ตœ์†Œ ์ „์œ„๋œ C4, C5 ๋ฐ C6 ๊ทน๋Œ๊ธฐ ๊ณจ์ ˆ
  • ์ƒ๊ด€์ ˆ๋Œ๊ธฐ๊นŒ์ง€ ์—ฐ์žฅ๋˜๋Š” ์ขŒ์ธก C7 ํšก๋Œ๊ธฐ ๊ณจ์ ˆ
  • ๊ณจ์„ฑ ํ›„๋ฐฉ ์ „์œ„ ์—†๋Š” C7 ์ถ”์ฒด์˜ ๊ฒฝ๋„ ์ƒ๋ถ€ ์ข…ํŒ ๋ถˆ๊ทœ์น™
  • ์–‘์ธก ์ ‘ํ˜•๋™ ์™ธ๋ฒฝ์„ ํ†ต๊ณผํ•˜๋ฉฐ ์ขŒ์ธก ๊ฒฝ๋™๋งฅ๊ด€์„ ์นจ๋ฒ”ํ•˜๋Š” ๋ถ€๋ถ„์ ์œผ๋กœ ์ดฌ์˜๋œ ๋‘๊ฐœ์ € ๊ณจ์ ˆ
  • ์ขŒ์ธก ์ ‘ํ˜•๋™ ํ˜ˆ์ข…
  • ๋ถ€๋ถ„์ ์œผ๋กœ ์ดฌ์˜๋œ ๊ธฐ๊ด€๋‚ด ํŠœ๋ธŒ

์ง„๋‹จ

์ „์œ„๋œ ํ›„๋‘๊ณผ ๊ฒฌ์—ด ๊ณจ์ ˆ

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

๊ฒฝ๋„ ์ „์œ„๋œ ์ขŒ์ธก ํ›„๋‘๊ณผ ๊ฒฌ์—ด ๊ณจ์ ˆ. ๋น„์ „์œ„ ์ขŒ์ธก C3 ๊ตฌ์ƒ๋Œ๊ธฐ ๊ณจ์ ˆ. ์ตœ์†Œ ์ „์œ„๋œ C4-C6 ๊ทน๋Œ๊ธฐ ๊ณจ์ ˆ. ์ƒ๊ด€์ ˆ๋Œ๊ธฐ๊นŒ์ง€ ์—ฐ์žฅ๋˜๋Š” ์ขŒ์ธก C7 ํšก๋Œ๊ธฐ ๊ณจ์ ˆ. ๊ณจ์„ฑ ํ›„๋ฐฉ ์ „์œ„ ์—†๋Š” C7 ์ถ”์ฒด์˜ ๊ฒฝ๋„ ์ƒ๋ถ€ ์ข…ํŒ ๋ถˆ๊ทœ์น™.

์™ธ์ƒ์„ฑ ๋ถ€์ •๋ ฌ ์—†์Œ.

์–‘์ธก ์ ‘ํ˜•๋™ ์™ธ๋ฒฝ์„ ํ†ต๊ณผํ•˜๋ฉฐ ์ขŒ์ธก ๊ฒฝ๋™๋งฅ๊ด€์„ ์นจ๋ฒ”ํ•˜๋Š” ๋ถ€๋ถ„์ ์œผ๋กœ ์ดฌ์˜๋œ ๋‘๊ฐœ์ € ๊ณจ์ ˆ. ์ขŒ์ธก ์ ‘ํ˜•๋™ ํ˜ˆ์ข…. ์ด ์†Œ๊ฒฌ๋“ค์€ ์ „์šฉ ๋‘๋ถ€ CT๋กœ ์ถ”๊ฐ€ ํ‰๊ฐ€ ๊ฐ€๋Šฅํ•ฉ๋‹ˆ๋‹ค.

๊ณ ์ฐฐ

  • ํ›„๋‘๊ณผ ๊ณจ์ ˆ์€ ์ข…์ข… ๋น„์ „์œ„ ๋˜๋Š” ์ตœ์†Œ ์ „์œ„์ด๊ธฐ ๋•Œ๋ฌธ์— ์ž์ฃผ ๋†“์นฉ๋‹ˆ๋‹ค. ๋ชจ๋“  ์„ธ ํ‰๋ฉด์—์„œ ๊ณผ๋ฅผ ๋ฉด๋ฐ€ํžˆ ์‚ดํŽด๋ณด์‹ญ์‹œ์˜ค (๋‘๊ฐœ๊ฒฝ์ถ” ์ ‘ํ•ฉ๋ถ€์˜ ์ •๋ ฌ์„ ํ™•์ธํ•  ๋•Œ ๋™์‹œ์— ํ•  ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค)
  • ์ต์ƒ ์ธ๋Œ€๊ฐ€ ํ›„๋‘๊ณผ์— ๋ถ€์ฐฉ๋œ๋‹ค๋Š” ๊ฒƒ์„ ๊ธฐ์–ตํ•˜์‹ญ์‹œ์˜ค. ์ „์œ„๋œ ๊ฒฌ์—ด ๊ณจ์ ˆ์€ ๊ธฐ์ € ์ธ๋Œ€ ์†์ƒ์ด ์šฐ๋ ค๋˜๋Š” ๋ถˆ์•ˆ์ • ์†์ƒ์œผ๋กœ ๊ฐ„์ฃผ๋˜๋ฉฐ, ์ˆ˜์ˆ ์  ๋ถ„๋ฅ˜ ์ฒด๊ณ„๋ฅผ ์•Œ ํ•„์š”๋Š” ์—†์ง€๋งŒ ์ด๋Ÿฌํ•œ ๊ณจ์ ˆ์ด ์ „์œ„๋˜์—ˆ๋Š”์ง€ ์—ฌ๋ถ€๋ฅผ ๋ฐ˜๋“œ์‹œ ์–ธ๊ธ‰ํ•ด์•ผ ํ•ฉ๋‹ˆ๋‹ค

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

Red arrows: displaced left occipital condyle fracture.

Red arrows: displaced left occipital condyle fracture.

Left C3 uncinate process fracture (red arrow).

Left C3 uncinate process fracture (red arrow).

Left C7 transverse process fracture (red arrow).

Left C7 transverse process fracture (red arrow).

C4-C6 spinous process fractures (red arrows).

C4-C6 spinous process fractures (red arrows).

Coronal view of the major ligaments at the craniocervical junction.

Coronal view of the major ligaments at the craniocervical junction.

Occipital condyle fractures.

Occipital condyle fractures.

๊ด€๋ จ ๋™์˜์ƒ

๋น„๋””์˜ค ์ธ๋„ค์ผ

Cervical Spine Trauma

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์‚ฌ์ดํŠธ ํ”ผ๋“œ๋ฐฑ

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