【原】骨科英文書籍精讀（148）｜兒童掌骨骨折

METACARPAL FRACTURES IN CHILDREN

Metacarpal fractures are less common in children than in adults. In general they also present fewer problems: the vast majority can be treated by manipulation and plaster splintage; angular deformities will almost always be remodelled with further growth. However, rotational alignment is as important as it is in adults. 

Bennett’s fracture is rare; but when it does occur it  usually requires open reduction. This is, by definition, a Salter-Harris type III fracture-separation of the physis; it must be accurately reduced and fixed with a K-wire.

---from 《Apley’s System of Orthopaedics and Fractures》

重點詞匯整理：

the vast majority絕大部分;絕大多數

百度翻譯：

兒童掌骨骨折

掌骨骨折在兒童中比成人少。一般來說，它們也會帶來較少的問題：絕大多數可以通過手法和石膏夾板固定來治療；角畸形幾乎總是隨著進一步的生長而重塑。然而，旋轉對準和成人一樣重要。

貝內特骨折很少見，但一旦發生，通常需要切開復位。根據定義，這是一種Salter-HarrisⅢ型骨折分離，必須精確復位，并用K形鋼絲固定。