Sivit Alexander P, Dupont Elena P, Sivit Carlos J
University School, 2785 SOM Center Road, Hunting Valley, OH, 44022, USA.
Emerg Radiol. 2014 Apr;21(2):197-206. doi: 10.1007/s10140-013-1158-0. Epub 2013 Oct 26.
The hand is a common site of injury in children and adolescents. The most common mechanism of injury in younger children is crush injury resulting from the hand caught in a closing door while most fractures in teenagers result from recreational sports. Accurate diagnosis of hand fractures is a requisite for timely management of these injuries in order to restore normal function and achieve a satisfactory outcome since poorly treated injuries can have significant functional consequences. Metacarpal and phalangeal fractures can be difficult to diagnose at radiography due to their relatively small size leading to potential delays in treatment. Recognition of common fracture locations and patterns is essential in ensuring prompt and appropriate treatment.
手是儿童和青少年常见的受伤部位。年幼儿童最常见的受伤机制是手被夹在关闭的门中导致的挤压伤，而青少年的大多数骨折是由娱乐性运动引起的。准确诊断手部骨折是及时处理这些损伤以恢复正常功能并取得满意结果的必要条件，因为治疗不当的损伤可能会产生严重的功能后果。掌骨和指骨骨折由于尺寸相对较小，在放射成像时可能难以诊断，从而导致治疗延迟。识别常见的骨折部位和模式对于确保及时、恰当的治疗至关重要。
