成人跖骨骨折的流行病学分析

目的 对成人跖骨骨折流行病学特征进行分析.方法 对河北医科大学第三医院从2003年1月1日至2007年12月31日放射科的X线片进行回顾性调阅筛选,剔除复查资料,按骨折综合性分型方法 进行分型,总结出成人跖骨骨折的流行病学特征,并进行分析.结果 成人跖骨骨折1949人,其中单发跖骨骨折1465例,多发跖骨骨折484例,31-50岁年龄段跖骨骨折患者最多,占全部跖骨骨折的45.3%;第五跖骨骨折是最常见的跖骨骨折,占全部跖骨骨折的42.4%;58.4%跖骨骨折发生在近侧干骺端;87.6%多发跖骨骨折发生在相邻跖骨之间;81-A1组骨折最多,占全部跖骨骨折的35.4%.结论 跖骨骨折流行病学的研究有助于跖骨骨折的诊断治疗.

Epidemiological investigation of adult metatarsal fractures

Objective To investigate retrospectively the adult metatarsal fractures within last five years and analyze their epidemiological characteristics. Methods The X-ray films taken from January 1, 2003 to December 31 , 2007 at department of radiology of Hebei provincial orthopedic hospital were reviewed to screen and classify according to OTA fracture comprehensive classification method. The epidemiological characteristics of adult metatarsal fractures were summarized and analyzed. Results A total of 1949 adult metatarsal fractures were included. The single and multiple types were 1465 and 484 respectively. The 31-50-yr age group was the largest one with 45. 26% of the patients. The fifth metatarsal fracture was the most common metatarsal fracture accounting for 42. 45% of the total; 58. 37% of metatarsal fractures occurred in proximal metaphysis; 87. 61% of multiple metatarsal fractures occurred in adjacent metatarsals; 81-A1 group fracture was the most common metatarsal fracture accounting for 35.42% of the total. Conclusion Epidemiological studies of metatarsal fracture offer aids in the diagnosis and treatment of metatarsal fractures.