Barton N J
Hand. 1979 Jun;11(2):134-43. doi: 10.1016/s0072-968x(79)80025-x.
Fractures of the phalanges of the hand were studied in 203 children. Fingertip fractures caused disability for three weeks but usually had good results. Comminuted fractures often took the form of longitudinal splitting. Epiphyseal fractures were mostly of the Salter type 2 and metaphyseal types and usually had good results: remodelling occurred in both planes at the base of the proximal phalanx but only in the sagittal plane at the base of the middle phalanx. Epiphyseal fractures at the base of the distal phalanx often had unsatisfactory results. Fractures of the neck of phalanx showed no remodelling at all and if deformity is not corrected it is probably permanent.
对203名儿童的手部指骨骨折进行了研究。指尖骨折导致残疾三周，但通常预后良好。粉碎性骨折常呈纵向劈裂形式。骨骺骨折大多为Salter 2型和干骺端型，通常预后良好：近端指骨基部在两个平面均发生重塑，但中节指骨基部仅在矢状面发生重塑。远端指骨基部的骨骺骨折预后往往不理想。指骨颈部骨折完全没有重塑，如果畸形未得到纠正，可能会永久存在。
