骨科英文书籍精读（148）｜儿童掌骨骨折
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。