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์ฆ๋ก€ #3
ํ™˜์ž ์ •๋ณด: 16 ์„ธ, ๋‚จ์„ฑ
์ ์‘์ฆ: ๋ฏธ์‹์ถ•๊ตฌ ๋ถ€์ƒ, ๋ฐœ๋ชฉ ํ†ต์ฆ

์ฆ๋ก€ #3

์†Œ๊ฒฌ

์ง„๋‹จ

Maisonneuve ๊ณจ์ ˆ

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

์ธ๋Œ€ ์†์ƒ์ด ์˜์‹ฌ๋˜๋Š” ๋ฐœ๋ชฉ ๊ด€์ ˆ์™€์˜ ๋‚ด์ธก ๊ด€์ ˆ ๊ฐ„๊ฒฉ ์ฆ๊ฐ€. ๋™๋ฐ˜ ๊ณจ์ ˆ ํ‰๊ฐ€๋ฅผ ์œ„ํ•ด ๊ฒฝ๊ณจ/๋น„๊ณจ ๋‹จ์ˆœ์ดฌ์˜์„ ๊ถŒ๊ณ ํ•ฉ๋‹ˆ๋‹ค.

๋ฐœ๋ชฉ์˜ ๊ธ‰์„ฑ ๊ณจ์ ˆ ์—†์Œ.

๊ณ ์ฐฐ

  • ์š”๊ณจ๊ณผ ์ฒ™๊ณจ๊ณผ ๋งˆ์ฐฌ๊ฐ€์ง€๋กœ, ๊ฒฝ๊ณจ๊ณผ ๋น„๊ณจ์„ ํ™˜์ƒ ๊ตฌ์กฐ๋กœ ์ƒ๊ฐํ•˜์‹ญ์‹œ์˜ค. ํ•œ ๊ณณ์—์„œ ์†์ƒ(๊ณจ์ ˆ ๋˜๋Š” ๊ด€์ ˆ ์•„ํƒˆ๊ตฌ)์ด ๋ณด์ด๋ฉด ๋‚˜๋จธ์ง€ ํ™˜์„ ๊ฒ€์‚ฌํ•˜์—ฌ ์ถ”๊ฐ€ ์†์ƒ์„ ์ฐพ์œผ์‹ญ์‹œ์˜ค. ๋ฐœ๋ชฉ ๊ด€์ ˆ์™€์˜ ๋‚ด์ธก ๊ด€์ ˆ ๊ฐ„๊ฒฉ ์ฆ๊ฐ€๋งŒ ๋ณด์ด๋ฉด, ๊ทผ์œ„ ๋น„๊ณจ(Maisonneuve) ๊ณจ์ ˆ์„ ์ฐพ๊ธฐ ์œ„ํ•ด ๊ฒฝ๊ณจ/๋น„๊ณจ ๋‹จ์ˆœ์ดฌ์˜์„ ๋ฐ˜๋“œ์‹œ ์ดฌ์˜ํ•˜์‹ญ์‹œ์˜ค

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

Red line: medial clear space widening concerning for ligamentous injury.

Red line: medial clear space widening concerning for ligamentous injury.

Tibia/fibula radiograph in this patient shows a proximal fibular fracture consistent with a Maisonneuve fracture

Tibia/fibula radiograph in this patient shows a proximal fibular fracture consistent with a Maisonneuve fracture

์‚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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ํ”ผ๋“œ๋ฐฑ์„ ๋ณด๋‚ด์ฃผ์…”์„œ ๊ฐ์‚ฌํ•ฉ๋‹ˆ๋‹ค. ์†Œ์ค‘ํžˆ ๋ฐ˜์˜ํ•˜๊ฒ ์Šต๋‹ˆ๋‹ค.