Case Alexandria L, Hosseinzadeh Pooya, Baldwin Keith D, Abzug Joshua M
Instr Course Lect. 2019;68:415-426.
Each year, a hand fracture is diagnosed in 24.2 of 100,000 children in Canada. Hand injuries are the most common fractures in children, making up approximately one fifth of all pediatric fractures. The incidence of hand fractures peaks between the ages of 10 and 14 years, with the highest frequencies observed among adolescent males. These increased frequencies coincide with the age at which most children begin playing contact sports, with sport-related injuries found to be the largest cause of adolescent fractures. The fifth digit is the most commonly injured digit, followed by the thumb. Phalangeal fractures constitute approximately 65% of pediatric hand fractures. Metacarpal fractures account for approximately 35% of pediatric and adolescent hand fractures, with 100 of every 100,000 children sustaining a fracture of the metacarpals. The decision to operate is related to many factors and depends on the age of the child and the location and nature of the fracture. The remodeling potential of pediatric bones factors largely into this decision because the phalangeal physis can contribute to bone growth and realignment via remodeling.
在加拿大，每年每10万名儿童中就有24.2例手部骨折被诊断出来。手部损伤是儿童中最常见的骨折类型，约占所有儿童骨折的五分之一。手部骨折的发病率在10至14岁之间达到峰值，在青少年男性中观察到的频率最高。这些频率的增加与大多数儿童开始进行接触性运动的年龄相吻合，与运动相关的损伤被发现是青少年骨折的最大原因。小指是最常受伤的手指，其次是拇指。指骨骨折约占儿童手部骨折的65%。掌骨骨折约占儿童和青少年手部骨折的35%，每10万名儿童中有100例发生掌骨骨折。手术决策与许多因素有关，取决于儿童的年龄以及骨折的位置和性质。儿童骨骼的重塑潜力在很大程度上影响了这一决策，因为指骨骨骺可以通过重塑促进骨骼生长和重新排列。
