Shaftel Noah D, Capo John T
Division of Hand Surgery at the NYU-Hospital for Joint Diseases, New York, NY.
Sports Med Arthrosc Rev. 2014 Mar;22(1):2-11. doi: 10.1097/JSA.0000000000000004.
Fractures of the digits and the metacarpals are common injuries in athletes. The majority of these can be treated nonoperatively with careful attention to alignment, rotation, and shortening. Those requiring operative fixation are usually amenable to either K-wire, interfragmentary screw, or plate fixation. Whichever treatment pathway is chosen, the goal should be to provide adequate stability for healing while attempting to maintain mobility of the joints and digits. Dedicated rehabilitation is essential to optimizing functional outcomes, patient satisfaction, and return to sport.
手指和掌骨骨折是运动员常见的损伤。其中大多数可以通过密切关注对线、旋转和缩短情况进行非手术治疗。那些需要手术固定的骨折通常适合使用克氏针、骨折块间螺钉或钢板固定。无论选择哪种治疗方法，目标都应该是在试图保持关节和手指活动度的同时，为愈合提供足够的稳定性。专门的康复训练对于优化功能结果、提高患者满意度以及重返运动至关重要。
