Cotterell Ilvy H, Richard Marc J
Department of Orthopaedic Surgery, Virginia Commonwealth University, 1200 East Broad Street, West Hospital 9th Floor, Richmond, VA 23298, USA.
Department of Orthopaedic Surgery, Duke University, 4709 Creekstone Drive, Durham, NC 27703, USA.
Clin Sports Med. 2015 Jan;34(1):69-98. doi: 10.1016/j.csm.2014.09.009. Epub 2014 Nov 25.
Metacarpal and phalangeal fractures are common skeletal injuries, accounting for 10% of all fractures. Approximately one-quarter of these injuries occur during athletic events. Although an acceptable and stable reduction remains a key principle in this patient group, early mobilization and return to play may be higher priorities than in other patient populations. Orthopedic implant designs and techniques are evolving to facilitate operative fracture stabilization, improve union rates, and accelerate the postoperative course with early range of motion and return to play. This article discusses common patterns of metacarpal and phalangeal fractures resulting from athletic injuries, and current treatment strategies.
掌骨和指骨骨折是常见的骨骼损伤，占所有骨折的10%。其中约四分之一的损伤发生在体育赛事期间。尽管对于这类患者群体，获得可接受且稳定的复位仍是关键原则，但早期活动和重返赛场可能比其他患者群体更为重要。骨科植入物的设计和技术不断发展，以促进手术骨折固定、提高愈合率，并通过早期活动范围和重返赛场来加速术后进程。本文讨论了运动损伤导致的掌骨和指骨骨折的常见类型以及当前的治疗策略。
