Schenck R R
Department of Plastic and Orthopaedic Surgery, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.
Hand Clin. 1994 May;10(2):179-85.
Detailed categorization of fractures and fracture-dislocations of the proximal interphalangeal joint should be done for all patients with these injuries. Fractures of the proximal portion of the middle phalanx and fractures of the condyles of the proximal phalanx vary greatly in their presentation, severity, prognosis, and treatment. Fractures of the condyles can be categorized simply by noting whether they are unicondylar or bicondylar, and with or without displacement. For the middle phalanx, I propose the grading system listed in Table 1. Universal acceptance and application of this classification system will advance our understanding and treatment of these difficult fractures.
对于所有有近端指间关节骨折和骨折脱位的患者，均应对其进行详细分类。中节指骨近端骨折和近节指骨髁部骨折在表现、严重程度、预后及治疗方面差异很大。髁部骨折可简单地根据其为单髁或双髁、有无移位进行分类。对于中节指骨，我提出了表1中列出的分级系统。该分类系统的普遍接受和应用将推动我们对这些复杂骨折的认识和治疗。
