쇄골 견봉단 골절: 원인, 진단 및 치료 가이드 Distal Clavicle Fracture: Causes, Diagnosis, and Treatment Guide
쇄골 견봉단 골절은 어깨 부위의 쇄골 끝 부분이 손상되는 부상을 말합니다 이 골절은 흔히 낙상이나 직접적인 충격으로 인해 발생하며, 운동 중이나 교통사고에서 자주 보게 되는 부상 중 하나입니다 쇄골 견봉단은 어깨와 팔을 지지하는 중요한 역할을 하기 때문에, 이 부위의 골절은 통증과 함께 어깨의 움직임을 제한할 수 있습니다 쇄골 견봉단 골절의 진단은 주로 환자의 병력 청취와 신체 검사, 그리고 X-레이 같은 영상 진단 방법을 통해 이루어집니다 때때로 CT 스캔이나 MRI가 추가적인 정보를 제공하기 위해 사용될 수 있습니다 쇄골 견봉단 골절의 치료 방법은 골절의 유형과 심각도에 따라 달라집니다 가벼운 골절의 경우, 비수술적 치료 방법으로치유될 수 있습니다 중증도에서 심각한 골절의 경우, 수술적 치료가 필요할 수 있습니다 수술은 골절된 뼈 조각을 정확한 위치로 복원하고, 금속 나사나 판, 핀을 사용하여 고정하는 방식으로 이루어집니다 Distal Clavicle Fracture: Causes, Diagnosis, and Treatment Guide A distal clavicle fracture refers to a break near the outer end of the collarbone, close to where it connects to the shoulder blade at the acromioclavicular (AC) joint This type of fracture often results from direct trauma to the shoulder, such as falls, sports injuries, or high-impact accidents Due to its location, this fracture may affect the stability of the AC joint, impacting shoulder movement and strength Causes 1 Direct Trauma: A direct blow to the shoulder, such as a fall or collision, is a primary cause This is common in contact sports or accidents 2 High-Impact Injuries: Vehicle accidents or high falls can create sufficient force to fracture the distal clavicle 3 Repetitive Stress: Although less common, repeated stress or impact to the shoulder area over time can also weaken the clavicle, leading to a fracture Diagnosis 1 Clinical Examination: The initial examination involves assessing shoulder pain, swelling, and range of motion The location of tenderness along the clavicle and any visible deformity provide key clues 2 Imaging Studies: X-rays are essential for diagnosing the exact fracture location and severity In some cases, a CT scan or MRI might be required for detailed images, especially if soft tissue injury is suspected or the fracture pattern is complex 3 Differential Diagnosis: It’s important to distinguish distal clavicle fractures from other shoulder injuries, such as AC joint dislocations, by careful imaging and examination Treatment 1 Non-Surgical Treatment: - Rest and Immobilization: Minor, non-displaced fractures may heal with rest and the use of a sling to immobilize the shoulder - Physical Therapy: After initial healing, physical therapy can aid in restoring shoulder function and strength 2 Surgical Treatment: - Open Reduction and Internal Fixation (ORIF): For displaced or unstable fractures, surgery may be recommended to reposition and stabilize the bone A plate or screws are typically used to secure the fracture - Distal Clavicle Resection: In cases involving AC joint involvement or chronic pain, a resection of the end of the clavicle may be performed to improve function and reduce pain
