Niechajev I
Plast Reconstr Surg. 1985 Mar;75(3):406-10. doi: 10.1097/00006534-198503000-00019.
Twenty-three patients with dislocated intrarticular fractures of the base of the fifth metacarpal were treated during the last 3 years in our department. This fracture characteristically occurs in young, active males, and the most frequent mechanism of this injury is axial force striking the metacarpal head, mostly in fist fights. In 8 patients, the fracture was caused by direct force hitting the base of the fifth metacarpal. Four certain fracture patterns are described. Operative treatment by open reduction and fixation with two Kirschner wires generally gave good results.
在过去3年里，我们科室共治疗了23例第五掌骨基底关节内骨折脱位患者。这种骨折常见于年轻、活跃的男性，最常见的损伤机制是轴向力撞击掌骨头，多发生于拳击打斗时。8例患者的骨折是由直接暴力撞击第五掌骨基底所致。本文描述了四种特定的骨折类型。采用切开复位并用两根克氏针固定的手术治疗通常效果良好。
