KMID : 0361620100450030222
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Journal of the Korean Orthopaedic Association 2010 Volume.45 No. 3 p.222 ~ p.227
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Structural Analysis of the Coracoclavicular Ligaments in Koreans - A Cadaveric Study -
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Chung Soo-Tae
Yoo Jeong-Hyun Joh Joo-Won Kim Soo-Yong Paik Doo-Jin
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Abstract
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Purpose: Recently, the methods for reconstructing the acromion joint focused on an anatomical reconstruction. However, the reports of the anatomical method of the coraco-clavicle ligament have given different descriptions. This paper reports an anatomical study of the coraco-clavicle ligament in Koreans.
Materials and Methods: One hundred and two coraco-clavicle ligaments distracted from 6 fresh cadavers and 96 drugadministered cadavers were analyzed and calibrated. A quantitative analysis of the shape and location of the attachment site of the coracoid process and clavicle was performed, and the clinical and radiological applications were examined considering the calibrating variables.
Results: The conoid and trapezoid ligaments were thick and wide when measured in the middle part, and the average length up to the attachment site of the coracoid process was 11.3¡¾3.6mm in men and 9.5¡¾2.2mm in women. The average length of the clavicle was 158.5¡¾55.7mm in men and 146.6¡¾50.9mm in women. The length between the middle of the trapezoid tubercle or conoid tubercle and the lateral edge of the clavicle was 21.7¡¾3.2mm and 42.8¡¾3.4mm respectfully in men and 20.9¡¾1.8mm and 39.9¡¾3.3 respectfully in women, respectively. The angles of the conoid ligament and trapezoid ligament from the anteroposterior and lateral aspects were measured to be 25¡¾8¢ª and 19¡¾3¢ª respectfully in men and 28¡¾5¢ª and 17¡¾3¢ª degree respectfully in women.
Conclusion: A more delicate reconstruction of the coraco-clavicle ligament is believed to be possible with regard to the mean distance from the clavicle to the conoid and trapezoid ligaments and the anticipation of a relationship between these ligaments.
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KEYWORD
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conoid ligament, trapezoid ligament, constructive analysis
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