한국인을 대상으로 한 대도시지역 쇄골 골절의 역학 연구 (An Epidemiological Study of Clavicle Fractures for Koreans in the Metropolitan Area)

서지정보

· 발행기관 : 대한정형외과학회
· 수록지 정보 : 대한정형외과학회지 / 51권 / 6호 / 455 ~ 463페이지
· 저자명 : 백정국, 이영호, 최호성, 이용준, 김민범, 백구현

초록

목적: 쇄골 골절을 이해하고 치료에 접근하기 위해 역학 연구는 필수적으로, 최근 15년 동안 한국인을 대상으로 한 대도시지역의 쇄골 골절에 대한 역학 연구를 시행하였다.
대상 및 방법: 본 연구에서는 2000년 1월부터 2015년 8월 사이에 대도시에 위치한 서울대학교병원을 방문한 쇄골 골절 환자 973명(977예)을 대상으로 방사선적 검사와 임상적 자료를 후향적으로 검토하였다.
결과: 연구에 포함된 환자는 973명으로 남자 627명(64.4%), 여자 346명(35.6%)이었다. 평균 발생 연령은 31.8±24.9세(남자, 31.2 ±22.6세; 여자, 32.7±28.7세)였으며, 전위성 쇄골 간부 골절이 397예(40.6%)로 가장 많았고, 낙상에 의한 손상(49.2%)이 가장 많았다. 쇄골 이외 다른 부위 손상을 보인 환자는 61예(6.2%)였으며, 가장 흔한 동반 손상은 갈비뼈 골절이었다. 최근 15년 동안 쇄골골절의 발생률은 꾸준히 증가하는 양상을 보였다.
결론: 최근 15년간 쇄골 골절의 평균 발생 연령은 31.8세로 여자에 비해 남자가 1.8배 높은 발생률을 보이며, 대부분 전위성 쇄골 간부 골절을 보였다. 낙상에 의한 골절이 가장 흔하였으며, 최근 15년 동안 쇄골 골절의 발생률은 증가하는 추세보를였 다.

영어초록

Purpose: Though clavicle fractures are the second most common fractures to occur in active adults, there have been a few epidemiological studies conducted on the Korean population in recent years. To better understand clavicle fractures, an epidemiological study reflecting the changes in current life style and injury mechanism may be important. Hence, the purpose of this study was to conduct an epidemiological study on the Korean population.
Materials and Methods: This was a retrospective study of 973 patients (977 cases) who presented with clavicle fractures from January 2000 to August 2015. Radiological results were classified by the Allman system–3 groups and 7 subgroups. The study collected information regarding gender, age at the event of injury, injury mechanism, other associated injuries, occurrence rate of each year, and seasonal variation.
Results: The study consisted of 627 male patients (64.4%, 1 bilateral case) and 346 female patients (35.6%, 3 bilateral cases). The mean age at the time of injury was 31.8±24.9 years (male, 31.2±22.6 years; female, 32.7±28.7 years). Midshaft clavicle fractures (Allman group I) were the most common with 758 cases (77.6%). There were 397 cases with displacement (40.6%). The occurrence of clavicle fractures decreased with increasing age in male patients and showed a bimodal distribution in female patients. Injury due to a fall from standing height was the most common mechanism of injury. There were 61 cases (6.2%) who had other associated injuries and the most common associated injury was a rib fracture. The occurrence of clavicle fractures increased with time, and falling was associated with the highest occurrence rate of clavicle fractures.
Conclusion: The mean age of clavicle fracture was 31.8 years in a recent 15-year period. The occurrence of fracture in male patients was 1.8 times than female patients, primarily occurring as midshaft fractures. There were more cases of displacement than minimally displaced cases. The most common injury mechanism was a fall from standing height, and the occurrence of clavicle fractures has shown an increasing trend recently.

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