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Arch Plast Surg. 2014 Nov;41(6):768-72. doi: 10.5999/aps.2014.41.6.768. Epub 2014 Nov 3.
2
Metacarpal fractures: treatment and complications.掌骨骨折：治疗与并发症
Hand (N Y). 2014 Mar;9(1):16-23. doi: 10.1007/s11552-013-9562-1.
3
Systematic review of the best evidence in intramedullary fixation for metacarpal fractures.掌骨骨折髓内固定最佳证据的系统评价。
Hand (N Y). 2013 Sep;8(3):253-60. doi: 10.1007/s11552-013-9531-8.
4
Managing boxer's fracture: a literature review.拳击手骨折的处理：文献综述
Emerg Nurse. 2013 Sep;21(5):16, 18-24. doi: 10.7748/en2013.09.21.5.16.e1198.
5
Modified retrograde percutaneous intramedullary multiple Kirschner wire fixation for treatment of unstable displaced metacarpal neck and shaft fractures.改良逆行经皮髓内多根克氏针固定治疗不稳定移位掌骨颈和骨干骨折
Eur J Orthop Surg Traumatol. 2013 Jul;23(5):535-43. doi: 10.1007/s00590-012-1036-6. Epub 2012 Jul 7.
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Assessment of volar angulation and shortening in 5th metacarpal neck fractures: an inter- and intra-observer validity and reliability study.第五掌骨颈骨折掌侧成角和缩短的评估：观察者间和观察者内的效度与信度研究
J Hand Surg Eur Vol. 2013 Jul;38(6):658-66. doi: 10.1177/1753193412461582. Epub 2012 Oct 11.
7
Percutaneous K wire fixation of fifth metacarpal neck fracture--new and simple technique.经皮克氏针固定第五掌骨颈骨折——一种新的简单技术。
J Nepal Health Res Counc. 2012 Jan;10(1):61-5.
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Elastic stable intramedullary nailing (ESIN) of pediatric metacarpal fractures: experiences with 66 cases.小儿掌骨骨折的弹性稳定髓内钉固定术（ESIN）：66例经验
Eur J Pediatr Surg. 2012 Aug;22(4):305-10. doi: 10.1055/s-0032-1313339. Epub 2012 May 30.
9
Prospective multicenter trial of modified retrograde percutaneous intramedullary Kirschner wire fixation for displaced metacarpal neck and shaft fractures.改良逆行经皮髓内克氏针固定治疗移位掌骨颈干骨折的前瞻性多中心试验。
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Fractures of the neck of the fifth metacarpal bone. Medium-term results in 28 cases treated by percutaneous transverse pinning.第五掌骨颈骨折。经皮横向穿钉治疗 28 例的中期结果。
Injury. 2012 Feb;43(2):242-5. doi: 10.1016/j.injury.2011.10.036. Epub 2011 Dec 10.

钛弹性髓内钉治疗青少年第五掌骨颈骨折的疗效

Outcome of antegrade intramedullary fixation for juvenile fifth metacarpal neck fracture with titanium elastic nail.

作者信息

Shen Kaiying, Xu Yunlan, Cao Dan, Wang Zhigang, Cai Haiqing

机构信息

Department of Pediatric Orthopedics, Shanghai Children's Medical Center, Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200127, P.R. China.

Department of Gynecology and Obstetrics, International Peace Maternity and Child Health Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200030, P.R. China.

出版信息

Exp Ther Med. 2017 Jun;13(6):2997-3002. doi: 10.3892/etm.2017.4369. Epub 2017 Apr 20.

DOI:10.3892/etm.2017.4369
PMID:28587371
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5450765/
Abstract

The purpose of the current study was to assess the outcome of antegrade intramedullary fixation with titanium elastic nail (TEN) in displaced fifth metacarpal neck fractures. The present study included 69 consecutive juvenile patients with displaced fifth metacarpal fractures. The head-shaft angle of the fifth metacarpal and range of motion (ROM) of the metacarpophalangeal (MCP) joint were evaluated. A disabilities of the arm, shoulder and hand (DASH) questionnaire was used to assess upper arm function. The head-shaft angle of the affected side was significantly improved postoperatively (P<0.05). No marked difference was observed between the affected and unaffected side in head-shaft angle and ROM. The average DASH score was 1.7 (range, 0-6.0). All patients obtained anatomical reduction postoperatively and the average healing time was 5.7±1.09 weeks (range, 5-10 weeks) with no non-union cases. Therefore antegrade intramedullary fixation with TEN is recommended as an easy, reliable and minimally invasive surgical technique for treating displaced fifth metacarpal neck fractures.

摘要

本研究的目的是评估采用钛弹性髓内钉（TEN）顺行髓内固定治疗第五掌骨颈移位骨折的疗效。本研究纳入了69例连续的青少年第五掌骨移位骨折患者。评估了第五掌骨的头干角和掌指（MCP）关节的活动范围（ROM）。采用上肢、肩部和手部功能障碍（DASH）问卷评估上臂功能。患侧的头干角术后显著改善（P<0.05）。患侧与未患侧在头干角和ROM方面未观察到明显差异。平均DASH评分为1.7（范围为0 - 6.0）。所有患者术后均获得解剖复位，平均愈合时间为5.7±1.09周（范围为5 - 10周），无骨不连病例。因此，推荐采用TEN顺行髓内固定作为治疗第五掌骨颈移位骨折的一种简便、可靠且微创的手术技术。