๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
Case #1
ํ™˜์ž ์ •๋ณด: 2 ์„ธ, ๋‚จ์„ฑ
์ ์‘์ฆ: ๋‚™์ƒ

Case #1

์†Œ๊ฒฌ

์ง„๋‹จ

๊ณผ์ƒ๋ถ€ ์ƒ์™„๊ณจ ๊ณจ์ ˆ

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

ํ›„๋ฐฉ ๊ฐํ˜•์„ฑ์„ ๋™๋ฐ˜ํ•œ ๊ธ‰์„ฑ ๊ฒฝ๋„ ์ „์œ„ ๊ณผ์ƒ๋ถ€ ๊ณจ์ ˆ.

ํŒ”๊ฟˆ์น˜ ๊ด€์ ˆ ์‚ผ์ถœ.

ํŒ”๊ฟˆ์น˜ ์ฃผ์œ„ ์—ฐ๋ถ€ ์กฐ์ง ์ข…์ฐฝ.

์š”๊ณจ-์†Œ๋‘ ์ •๋ ฌ์€ ์œ ์ง€๋ฉ๋‹ˆ๋‹ค.

๊ณ ์ฐฐ

  • ๊ณผ์ƒ๋ถ€ ์ƒ์™„๊ณจ ๊ณจ์ ˆ์€ ์–ด๋ฆฐ ์†Œ์•„์—์„œ ๊ฐ€์žฅ ํ”ํ•œ ํŒ”๊ฟˆ์น˜ ๊ณจ์ ˆ์ž…๋‹ˆ๋‹ค
  • ๊ณผ์ƒ๋ถ€ ๊ณจ์ ˆ์˜ ์ผ๋ฐ˜์ ์ธ ๊ธฐ์ „์€ ํŒ”๊ฟˆ์น˜์˜ ๊ณผ์‹ ์ „์œผ๋กœ ์ฃผ๋‘๊ฐ€ ํ›„๋ฐฉ ์ƒ์™„๊ณจ์— ์ถฉ๋Œํ•˜๋Š” ๊ฒƒ์ž…๋‹ˆ๋‹ค. ๊ทธ ๊ฒฐ๊ณผ ์ƒ๊ธด ๊ณจ์ ˆ์€ ์ข…์ข… ํ›„๋ฐฉ ๊ฐํ˜•์„ฑ์ด๋‚˜ ์ „์œ„๋ฅผ ๋ณด์ž…๋‹ˆ๋‹ค
  • ์ „๋ฐฉ ์ƒ์™„๊ณจ์„ ์˜ ์ „๋ฐฉ ํŽธ์œ„๋ฅผ ํ™•์ธํ•˜์‹ญ์‹œ์˜ค(์ •์ƒ์ ์œผ๋กœ ์†Œ๋‘์˜ ์ค‘๊ฐ„ 1/3์„ ๊ด€ํ†ตํ•ด์•ผ ํ•˜์ง€๋งŒ, ๊ณผ์ƒ๋ถ€ ๊ณจ์ ˆ์˜ ๊ฒฝ์šฐ ์ „๋ฐฉ๋ถ€๋ฅผ ๊ด€ํ†ตํ•˜๊ฑฐ๋‚˜ ์†Œ๋‘๋ฅผ ์™„์ „ํžˆ ๋ฒ—์–ด๋‚  ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค). ์ด๊ฒƒ์ด ๊ณจ์ ˆ์˜ ์œ ์ผํ•œ ์ง•ํ›„์ผ ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค
  • ๋˜ํ•œ ์†Œ์•„์—์„œ ํŒ”๊ฟˆ์น˜ ๊ด€์ ˆ ์‚ผ์ถœ์ด ๋ณด์ด์ง€๋งŒ ๊ณจ์ ˆ์ด ๋ณด์ด์ง€ ์•Š๋Š” ๊ฒฝ์šฐ, ๊ณผ์ƒ๋ถ€ ๊ณจ์ ˆ์˜ ๊ฐ€๋Šฅ์„ฑ์„ ์ œ๊ธฐํ•˜๊ณ  ์น˜์œ  ๋ณ€ํ™”๋ฅผ ํ™•์ธํ•˜๊ธฐ ์œ„ํ•ด 1-2์ฃผ ํ›„ ์ถ”์  X์„ ์„ ๊ถŒ์žฅํ•˜์‹ญ์‹œ์˜ค

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

Anterior offset of the anterior humeral line (green dotted line) relative to the capitellum (blue arrow). Acute supracondylar fracture with mild posterior angulation (red arrow).

Anterior offset of the anterior humeral line (green dotted line) relative to the capitellum (blue arrow). Acute supracondylar fracture with mild posterior angulation (red arrow).

Elbow joint effusion. Illustration by Valerie George, MD

Elbow joint effusion. Illustration by Valerie George, MD

์‚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.