[手指和掌骨骨折II-V:诊断和治疗]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-09-01 Epub Date: 2025-08-01 DOI:10.1007/s00113-025-01602-w
Jan Wulf, Frank Unglaub, Julie Boever, Christian K Spies, Wolfgang Böcker, Boris M Holzapfel, Adrian Cavalcanti Kußmaul
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引用次数: 0

摘要

手指和掌骨骨折会严重损害手的功能。掌骨骨折占手部骨折的50%,其次是手指骨折(25%),其中第五掌骨最常受影响。诊断包括临床检查、X光检查和通常的计算机断层扫描(CT)成像。治疗取决于骨折的类型和临床功能以及患者的需要。在许多情况下,保守治疗是可能的。手术中,常用K针、钢板或螺钉固定骨,很少使用外固定架。术后,重点是通过专门的手部治疗来维持功能和避免并发症。目的是恢复无痛和无限制的手部功能。本综述不包括拇指骨折的诊断和治疗,只包括手指和掌骨骨折。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Fractures of the finger and metacarpal bones II-V : Diagnostics and treatment].

The function of the hand can be substantially impaired by fractures of the finger and metacarpal bones. Metacarpal fractures account for up to 50% of hand fractures, followed by finger fractures (25%), with the fifth metacarpal most commonly affected. The diagnostics include the clinical examination, X‑ray and often computed tomography (CT) imaging. The treatment depends on the type of fracture and clinical function as well as the patient's needs. In many cases conservative treatment is possible. Surgically, K‑wires, plate or screw osteosyntheses and rarely external fixators are used. Postoperatively, the focus is on maintaining function and avoiding complications through specialized hand therapy. The aim is to restore pain-free and unrestricted hand function. This overview does not include the diagnostics and treatment of fractures of the thumb, only finger and metacarpal fractures.

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