Owen R J, Hickey F G, Finlay D B
Department of Radiology, Leicester Royal Infirmary, UK.
Injury. 1995 Oct;26(8):537-8. doi: 10.1016/0020-1383(95)00121-o.
The purpose of our study was to document the sites and distribution of mid-foot and fore-foot fractures in children, relating them to the pattern of injury with particular reference to the first metatarsal. The clinical records and radiographs of 388 children with foot injuries were examined. A total of 62 metatarsal and seven tarsal fractures were identified in 60 children. The commonest fracture was of the fifth metatarsal, 45 per cent overall; 90 per cent of these children were over 10 years old. In children under 5 years old, first metatarsal fractures accounted for 73 per cent, but in children over 5 years old, these fractures accounted for only 12 per cent of the total. In all, 6.5 per cent of all fractures and 20 per cent of first metatarsal fractures went unrecognized at the initial attendance.
我们研究的目的是记录儿童中足和前足骨折的部位及分布情况，将其与损伤类型相关联，尤其关注第一跖骨。我们检查了388例足部受伤儿童的临床记录和X光片。在60名儿童中总共发现了62处跖骨骨折和7处跗骨骨折。最常见的骨折是第五跖骨骨折，总体占45%；这些儿童中有90%年龄超过10岁。在5岁以下儿童中，第一跖骨骨折占73%，但在5岁以上儿童中，这些骨折仅占总数的12%。总体而言，所有骨折中有6.5%以及第一跖骨骨折中有20%在初次就诊时未被发现。
