Stanton J S, Dias J J, Burke F D
Essex Rivers NHS Trust, Colchester, UK.
J Hand Surg Eur Vol. 2007 Dec;32(6):626-36. doi: 10.1016/J.JHSE.2007.06.017. Epub 2007 Sep 21.
Age related differences in demographics, morphology, treatment and outcome were investigated in 701 fractures of the metacarpals or phalanges, including fracture-dislocations, in 655 patients. Fractures mainly due to sport occurred in 184 children, usually after 10 years of age. The base of the proximal phalanx was especially vulnerable. Thirty-seven percent of 256 young adults fractured their fifth metacarpal. The thumb was rarely involved. Half of these two groups fractured the fifth ray. Older adults had more fractures of the distal phalanx and displaced extraarticular fractures requiring stabilisation. Women predominated in the patients over 65. Forty percent of this group sustained their fracture on the road and more fractures involved the thumb, were oblique, intraarticular or multiple than in other groups. Detailed analysis of 423 X-rays demonstrated that only 10% of 70 intraarticular fractures and 19% of 363 extraarticular fractures were completely undisplaced. Patient response to postal questionnaire based outcome assessment using SF-12, MHQ was very poor.
对655例患者的701例掌骨或指骨骨折（包括骨折脱位）的人口统计学、形态学、治疗及预后方面的年龄相关性差异进行了研究。184例儿童骨折主要由运动引起，通常发生在10岁以后。近端指骨基底尤其易发生骨折。256例年轻人中，37%的人第五掌骨骨折，拇指很少受累。这两组中有一半的人第五指骨骨折。老年人远端指骨骨折和需要稳定治疗的移位关节外骨折较多。65岁以上患者中女性占多数。该组中40%的患者在路上发生骨折，与其他组相比，拇指骨折、斜形骨折、关节内骨折或多发骨折更多。对423份X线片的详细分析表明，70例关节内骨折中只有10%、363例关节外骨折中只有19%完全无移位。患者对基于SF - 12、MHQ的邮寄问卷调查结果评估的反应非常差。
