Suppr超能文献

第二至第五掌骨关节内掌骨基底骨折的治疗

Management of intra-articular metacarpal base fractures of the second through fifth metacarpals.

作者信息

Bushnell Brandon D, Draeger Reid W, Crosby Colin G, Bynum Donald K

机构信息

Department of Orthopaedic Surgery, University of North Carolina, Chapel Hill, NC, USA.

出版信息

J Hand Surg Am. 2008 Apr;33(4):573-83. doi: 10.1016/j.jhsa.2007.11.019.

Abstract

Intra-articular fractures of the second through fifth metacarpal bases are uncommon injuries but can result in serious morbidity if improperly managed. These injuries usually occur because of forced flexion of the wrist with simultaneous extension of the arm, as occurs with a punch or a fall. As there are few large series of reports for these injuries, there is no consensus in the current literature on the most appropriate treatment for them. Whereas some authors have reported successful results after closed reduction, many recommend open reduction with internal fixation to ensure the integrity of the tendinous insertions of the extensor carpi radialis longus, extensor carpi radialis brevis, and extensor carpi ulnaris. This article reviews the case reports and case series extant in the literature concerning intra-articular fractures of the bases of the second through fifth metacarpals, and it provides important diagnostic and management considerations for these injuries.

摘要

第二至第五掌骨基底的关节内骨折是少见的损伤,但如果处理不当可导致严重的功能障碍。这些损伤通常是由于腕关节被迫屈曲同时手臂伸展所致,如拳击或跌倒时发生的情况。由于针对这些损伤的大型系列报道较少,目前文献中对于其最合适的治疗方法尚无共识。虽然一些作者报告了闭合复位后的成功结果,但许多人建议切开复位内固定,以确保桡侧腕长伸肌、桡侧腕短伸肌和尺侧腕伸肌腱性附着点的完整性。本文回顾了文献中有关第二至第五掌骨基底关节内骨折的病例报告和病例系列,并为这些损伤提供了重要的诊断和处理要点。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验