Jehanno P, Mas V, Fitoussi F, Frajman J-M, Valenti P, Mazda K
Urgences mains-enfants, hôpital Robert-Debré, 48, boulevard Sérurier, 75019 Paris, France.
Chir Main. 2013 Sep;32 Suppl 1:S29-38. doi: 10.1016/j.main.2013.02.018. Epub 2013 Mar 16.
Metacarpal fractures and dislocations in the fingers are common injuries in children's hands. Most of these can be treated successfully non-operatively, although a subset requires more aggressive treatment. Results following appropriate care in children are generally good. Twenty percent of them need a reduction, need for surgical stabilization is rare. Each injury is presented, including diagnostic, therapeutic principles, pitfalls to prevent and potential complications.
掌骨骨折和手指脱位是儿童手部常见的损伤。这些损伤大多可以通过非手术治疗成功治愈，不过有一部分需要更积极的治疗。儿童经过适当护理后的结果通常较好。其中20%需要复位，需要手术固定的情况很少见。文中介绍了每种损伤，包括诊断、治疗原则、预防的陷阱以及潜在并发症。
