Hamer D W, Quinton D N
Leicester Royal Infirmary.
J Hand Surg Br. 1992 Oct;17(5):591-4. doi: 10.1016/s0266-7681(05)80250-5.
In a prospective study six patients with dorsal fracture subluxation of the IP joint of the thumb or the DIP joint of the finger were treated conservatively using an extension block splint. The fracture size varied from 22% to 47% of the articular surface of the volar base of the terminal phalanx. Good or excellent results were reported in all cases except for one, which was fair. Only one case in the study complained of any pain, and this was minimal. Conservative treatment using extension block splintage for this injury is as good as a surgical approach.
在一项前瞻性研究中，对6例拇指指间关节或手指远侧指间关节背侧骨折半脱位患者使用伸展阻滞夹板进行保守治疗。骨折大小占末节指骨掌侧基底关节面的22%至47%。除1例结果为尚可外，所有病例均报告为良好或优秀。该研究中只有1例主诉有任何疼痛，且疼痛轻微。对于这种损伤，使用伸展阻滞夹板进行保守治疗与手术治疗效果相当。
