骨科英文书籍精读（148）

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》

重点词汇整理：

the vast majority绝大部分;绝大多数

百度翻译：

儿童掌骨骨折

掌骨骨折在儿童中比成人少。一般来说，它们也会带来较少的问题：绝大多数可以通过手法和石膏夹板固定来治疗；角畸形几乎总是随着进一步的生长而重塑。然而，旋转对准和成人一样重要。

贝内特骨折很少见，但一旦发生，通常需要切开复位。根据定义，这是一种Salter-HarrisⅢ型骨折分离，必须精确复位，并用K形钢丝固定。

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