第五掌骨近端骨折：25例手术病例的回顾性分析

Proximal fractures of the fifth metacarpal: a retrospective analysis of 25 operated cases.

作者信息

Papaloizos M Y, Le Moine P, Prues-Latour V, Borisch N, Della Santa D R

机构信息

Division for Reconstructive Surgery, Geneva University Hospital, Switzerland.

出版信息

J Hand Surg Br. 2000 Jun;25(3):253-7. doi: 10.1054/jhsb.2000.0375.

DOI:10.1054/jhsb.2000.0375

PMID:10961549

Abstract

The clinical and radiological outcomes of 25 surgically treated fractures of the proximal third of the fifth metacarpal were retrospectively analysed. Many different methods of osteosynthesis were used. At follow-up after a mean of 3.3 years, 15 of 25 patients had no pain. Most patients regained a nearly full range of motion in the adjacent joints and more than 90% of the contralateral grip strength. X-ray signs of degenerative arthritis in the metacarpohamate joint were observed in 10 of 25 patients. Pain was found to be directly correlated with the presence of degenerative changes.

摘要

对25例经手术治疗的第五掌骨近端三分之一骨折的临床和放射学结果进行了回顾性分析。采用了许多不同的骨合成方法。平均随访3.3年后，25例患者中有15例无疼痛。大多数患者相邻关节的活动范围几乎完全恢复，对侧握力恢复超过90%。25例患者中有10例在掌指关节出现退行性关节炎的X线征象。发现疼痛与退行性改变的存在直接相关。