Department of Orthopaedic Surgery, Duke University Medical Center, 4709 Creekstone Drive, Durham, NC 27703, USA.
Department of Orthopaedic Surgery, Duke University Medical Center, 4709 Creekstone Drive, Durham, NC 27703, USA.
Clin Sports Med. 2020 Apr;39(2):401-422. doi: 10.1016/j.csm.2019.12.002.
Metacarpal and phalangeal fractures are common injuries in athletes and occur frequently in contact and ball-handling sports. They usually result after direct hits from other players or athletic equipment. The fractures often are minimally displaced and require a short period of immobilization followed by early range of motion for expeditious return to play. Unstable or intra-articular fractures may require operative fixation. Open reduction and internal fixation afford the most stability while allowing for early rehabilitation. Athletes represent a unique population, and treatment of these fractures requires consideration of specific sport, timing of injury, and level of play.
掌骨和指骨骨折在运动员中很常见，经常发生在接触性和球类运动中。它们通常是由其他运动员或运动器材的直接撞击造成的。这些骨折通常没有明显移位，需要短期固定，然后早期进行活动，以便尽快恢复运动。不稳定或关节内骨折可能需要手术固定。切开复位和内固定提供了最大的稳定性，同时允许早期康复。运动员是一个独特的群体，治疗这些骨折需要考虑特定的运动、受伤时间和运动水平。
