Richards T, Clement R, Russell I, Newington D
Department of Orthopaedic Hand Surgery, Morriston Hospital , Swansea , UK.
Ann R Coll Surg Engl. 2018 Feb;100(2):92-96. doi: 10.1308/rcsann.2017.0195. Epub 2017 Nov 28.
Injuries to the hand comprise 20% of all emergency department attendances, with an estimated annual treatment cost of over £100 million in the UK. The initial assessment and management of hand injuries is usually undertaken by junior staff, many of whom have little or no training or experience in splinting hand fractures. In the Department of Orthopaedic Hand Surgery, Morriston Hospital, we regularly observe patients presenting to the specialist hand fracture clinics having had initial management that shows no appreciation for the treatment objectives or the safe positions for splinting. This article aims to provide guidance for frontline staff on the management of hand fractures, with particular emphasis on the appropriate nonoperative care to avoid any unnecessary morbidity.
手部损伤占所有急诊科就诊病例的20%，在英国，其每年的治疗费用估计超过1亿英镑。手部损伤的初步评估和处理通常由初级医护人员进行，其中许多人在手部骨折夹板固定方面几乎没有或完全没有接受过培训，也缺乏相关经验。在莫里森医院骨科手外科，我们经常看到患者前往手部骨折专科诊所就诊，他们最初接受的处理显示对手部骨折的治疗目标以及夹板固定的安全位置缺乏认识。本文旨在为一线工作人员提供手部骨折处理的指导，尤其着重于适当的非手术治疗，以避免任何不必要的并发症。
