Young K, Greenwood A, MacQuillan A, Lee S, Wilson S
Department of Plastic Surgery, Frenchay Hospital, Bristol, UK.
J Hand Surg Eur Vol. 2013 Oct;38(8):898-902. doi: 10.1177/1753193412475045. Epub 2013 Jan 22.
This retrospective study reviews the demographics, morphology and management of paediatric hand fractures. Notes of all children with hand injuries attending a plastic surgery paediatric trauma clinic over a one-year period were reviewed. Non-bony injuries were excluded. A total of 303 fractures in 283 patients were included. Fracture incidence rose after the age of seven, peaking at 14 years of age; 76% of fractures occurred in males. Sporting injuries accounted for 47% of fractures. Physeal fractures were present in 39% of cases. Open fractures accounted for only 4% of all fractures. Management was primarily conservative. Only 5% of cases required surgical fixation; 6% of patients experienced complications.
这项回顾性研究回顾了小儿手部骨折的人口统计学、形态学及治疗情况。对一家整形外科小儿创伤诊所一年期间所有手部受伤儿童的病历进行了回顾。排除非骨折性损伤。共纳入283例患者的303处骨折。骨折发生率在7岁后上升，14岁时达到峰值；76%的骨折发生在男性。运动损伤占骨折的47%。39%的病例存在骨骺骨折。开放性骨折仅占所有骨折的4%。治疗主要为保守治疗。仅5%的病例需要手术固定；6%的患者出现并发症。
