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Mallet Fractures of the Thumb Compared With Mallet Fractures of the Fingers

机译：拇指的槌状骨折与手指的槌状骨折比较

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Background: The purpose of this study was to look for differences in mechanism, radiographic findings, and treatment between mallet fractures of the thumb and mallet fractures of the index through small fingers. Methods: This retrospective study included 24 mallet fractures of the thumb and 392 mallet fractures of other digits. We compared demographics, injury factors (side, dominant hand, time between injury and first visit, and injury mechanism), subluxation, fragment size, treatment, and time from injury to final evaluation between the 2 groups. Results: Mallet fractures of the thumb presented for treatment sooner after injury (2.9 vs 13 days on average), had less fragment displacement (27% vs 33%), and less articular involvement (39% vs 46% on average). None of the mallet fractures of the thumb had radiographic evidence of subluxation, whereas 25% of mallet fractures of other fingers had initial or later subluxation. Conclusions: Mallet fractures of the thumb are not likely to subluxate.
机译：背景：这项研究的目的是寻找机制，射线照相的发现和拇指的槌状骨折和食指的小指骨折之间的区别。方法：这项回顾性研究包括24例拇指的槌状骨折和392例其他手指的槌状骨折。我们比较了两组的人口统计学，损伤因素（侧面，优势手，受伤与首次就诊之间的时间以及损伤机制），半脱位，碎片大小，治疗以及从受伤到最终评估的时间。结果：拇指大锤骨折在伤后较早就诊（平均2.9比13天），碎片移位较少（27％比33％），关节受累较少（平均39％比46％）。拇指的所有槌状骨折均没有影像学表现为半脱位，而其他手指的槌状骨折中有25％出现了初期或以后的半脱位。结论：拇指的槌状骨折不太可能发生半脱位。

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