Al-Qattan M M
Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
J Hand Surg Eur Vol. 2008 Dec;33(6):723-7. doi: 10.1177/1753193408093559. Epub 2008 Jul 28.
Conservative management of spiral/long oblique fractures of the shaft of the metacarpal almost always results in shortening and hence these fractures have the reputation of ending up with an extension lag and reduced grip strength. In a prospective study, 42 patients with 54 fractures were treated with a palmar wrist splint and immediate mobilisation of all finger joints. All fractures united. Extension lag of fractured fingers was initially seen in all fingers, but eventually recovered. Grip strength progressively increased to reach a mean of 94% of the contralateral hand by 1 year after injury.
掌骨干螺旋形/长斜形骨折的保守治疗几乎总会导致短缩，因此这些骨折素有导致伸指滞后和握力下降的名声。在一项前瞻性研究中，42例患者的54处骨折采用掌侧腕部夹板治疗，并立即活动所有手指关节。所有骨折均愈合。起初，所有手指均出现骨折手指的伸指滞后，但最终恢复。伤后1年时，握力逐渐增加，平均达到对侧手的94%。
