Bryant D D, Greenfield R, Martin E
Division of Orthopaedic Surgery, District of Columbia General Hospital, Washington.
J Natl Med Assoc. 1992 Nov;84(11):957-60.
Between July 1987 and December 1990 in Washington, DC, 116 patients sustained 146 fractures and seven dislocations due to an assault with a baseball bat. The ulna was the most common site of trauma (61 fractures), followed by the hand (27 injuries) and the radius (14 injuries). Forty-two of the 146 fractures were significantly displaced and required open reduction and internal fixation to restore satisfactory alignment. Twenty-nine of the 146 fractures were open fractures. Treatment protocol for open fractures consisted of irrigation and debridement, antibiotic therapy, and bone stabilization with either internal or external fixation, or casting. Recognition of the severity of the soft tissue and bone damage is important in the management of musculoskeletal trauma secondary to the baseball bat.
1987年7月至1990年12月期间，在华盛顿特区，116名患者因被棒球棒袭击而遭受了146处骨折和7处脱位。尺骨是最常见的创伤部位（61处骨折），其次是手部（27处损伤）和桡骨（14处损伤）。146处骨折中有42处明显移位，需要切开复位内固定以恢复满意的对线。146处骨折中有29处为开放性骨折。开放性骨折的治疗方案包括冲洗和清创、抗生素治疗以及通过内固定或外固定或石膏固定进行骨稳定。认识到软组织和骨损伤的严重程度对于棒球棒所致肌肉骨骼创伤的处理很重要。
