๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #1
ํ™˜์ž ์ •๋ณด: 14 ์„ธ, ๋‚จ์„ฑ
์ ์‘์ฆ: ๋ฐœ๋ชฉ ๋ถ€์ƒ

์ฆ๋ก€ #1

์†Œ๊ฒฌ

  • ๋‚ด์ธก ๊ฒฝ๊ณจ ๊ด€์ ˆ๋ฉด ์ˆ˜์ค€์—์„œ ๊ณจ์ ˆ์„ ์ด ์žˆ๋Š” ๊ธ‰์„ฑ ์ตœ์†Œ ์ „์œ„ ์‚ฌ์„ ํ˜• ์›์œ„ ๋น„๊ณจ ๊ณจ์ ˆ
  • ๋ฐœ๋ชฉ ์ฃผ๋ณ€ ์—ฐ๋ถ€์กฐ์ง ์ข…์ฐฝ

์ง„๋‹จ

Weber Bํ˜• ๊ณจ์ ˆ

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

๋‚ด์ธก ๊ฒฝ๊ณจ ๊ด€์ ˆ๋ฉด ์ˆ˜์ค€์—์„œ ๊ณจ์ ˆ์„ ์ด ์žˆ๋Š” ๊ธ‰์„ฑ ์ตœ์†Œ ์ „์œ„ ์‚ฌ์„ ํ˜• ์›์œ„ ๋น„๊ณจ ๊ณจ์ ˆ (Weber B).

๋ฐœ๋ชฉ ๊ด€์ ˆ๋ฉด์€ ์ •ํ•ฉํ•จ.

๋ฐœ๋ชฉ ์ฃผ๋ณ€ ์—ฐ๋ถ€์กฐ์ง ์ข…์ฐฝ.

๊ณ ์ฐฐ

  • ๋” ๋ณต์žกํ•œ ๋ฐœ๋ชฉ ๊ณจ์ ˆ ๋ถ„๋ฅ˜ ์ฒด๊ณ„๊ฐ€ ์กด์žฌํ•˜์ง€๋งŒ, ์ ์–ด๋„ Weber ๋ถ„๋ฅ˜์— ์ต์ˆ™ํ•ด์ง€๋Š” ๊ฒƒ์ด ์ค‘์š”ํ•จ:
    • Weber Aํ˜•: ๊ฑฐ๊ณจ ์›๊ฐœ ์ˆ˜์ค€ ์ดํ•˜์˜ ์™ธ์ธก ๊ณผ ๊ณจ์ ˆ - ์ผ๋ฐ˜์ ์œผ๋กœ ์•ˆ์ •์ ์ด๋ฉฐ ๋ณด์กด์ ์œผ๋กœ ๊ด€๋ฆฌ๋จ
    • Weber Bํ˜•: ๊ฑฐ๊ณจ ์›๊ฐœ ์ˆ˜์ค€์—์„œ ๋‚ด์ธก์œผ๋กœ ๊ณจ์ ˆ์„ ์ด ๋‚˜๊ฐ€๋Š” ์™ธ์ธก ๊ณผ ๊ณจ์ ˆ - ๋‚ด์ธก ๊ตฌ์กฐ๋ฌผ์ด ์˜จ์ „ํ•˜๋ฉด ์•ˆ์ •์ : ๋‚ด์ธก ๊ด€์ ˆ ๊ฐ„๊ฒฉ ํ™•์žฅ(์‚ผ๊ฐ์ธ๋Œ€ ์†์ƒ์„ ๋‚˜ํƒ€๋ƒ„) ๋ฐ ์›์œ„ ๊ฒฝ๋น„ ๊ฒฐํ•ฉ๋ถ€์˜ ํ™•์žฅ์„ ํ™•์ธ
    • Weber Cํ˜•: ๊ฑฐ๊ณจ ์›๊ฐœ ์ˆ˜์ค€ ์ด์ƒ์˜ ์™ธ์ธก ๊ณผ ๊ณจ์ ˆ - ์›์œ„ ๊ฒฝ๋น„ ๊ฒฐํ•ฉ๋ถ€ ์†์ƒ๊ณผ ๊ด€๋ จ๋˜์–ด ๋Œ€๊ฐœ ๋ถˆ์•ˆ์ •
  • ์š”๊ณจ๊ณผ ์ฒ™๊ณจ์ฒ˜๋Ÿผ, ๊ฒฝ๊ณจ๊ณผ ๋น„๊ณจ๋„ ๊ณ ๋ฆฌ ๊ตฌ์กฐ๋กœ ์ƒ๊ฐํ•˜์„ธ์š”. ํ•œ ๊ณณ์—์„œ ์†์ƒ(๊ณจ์ ˆ ๋˜๋Š” ๊ด€์ ˆ ์•„ํƒˆ๊ตฌ)์ด ๋ณด์ด๋ฉด ๊ณ ๋ฆฌ์˜ ๋‚˜๋จธ์ง€ ๋ถ€๋ถ„์—์„œ ์ถ”๊ฐ€ ์†์ƒ์„ ํ™•์ธํ•˜์„ธ์š”. ๋ฐœ๋ชฉ ๊ด€์ ˆ๋ฉด์˜ ๋‚ด์ธก ๊ด€์ ˆ ๊ฐ„๊ฒฉ ํ™•์žฅ๋งŒ ๋ณด์ด๋ฉด, ๊ทผ์œ„ ๋น„๊ณจ(Maisonneuve) ๊ณจ์ ˆ์„ ํ™•์ธํ•˜๊ธฐ ์œ„ํ•œ ๊ฒฝ๊ณจ/๋น„๊ณจ ๋ฐฉ์‚ฌ์„  ์‚ฌ์ง„์„ ๋ฐ˜๋“œ์‹œ ์ดฌ์˜ํ•ด์•ผ ํ•จ

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

Red arrows: oblique fibular fracture with fracture line exiting at the level of the talar dome medially (Weber type B).

Red arrows: oblique fibular fracture with fracture line exiting at the level of the talar dome medially (Weber type B).

์‚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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