Les fractures de l’extrémité proximale de l’humérus chez l’enfant au CHU Tokoin de Lomé

Abstract

This retrospective study, carried on files of children treated between January 2005 and December 2009 from humerus upper end fractures (HUEF), aimed to specify the epidemiological, diagnostic and therapeutic aspects of these fractures in the Tokoin Teaching Hospital of Lome.
Results: During 5 years, 10 children (6 girls and 4 boys) were treated from HUEF. The HUEF represented 9% of humerus fractures and 1.39% of children fractures. The HUEF were due 8 times to game and sport accidents, and 2 times to home accidents. The shoulder pain, present in all cases, was associated with functional disability, absolute in 8 cases, and relative in 2 cases. The fracture was associated with concussion in one case. The shoulder x-ray showed that the fracture was metaphyseal 6 times, and epiphyseal 4 times. In any case, orthopedic treatment led to very good results.
Conclusion: Even though the orthopedic treatment leads to very good results in the majority of cases, an early treatment helped with image intensifier when required is the guarantee of satisfactory results.

Keywords: Fractures, humerus, children, Togo.

J. Rech. Sci. Univ. Lomé (Togo), 2012, Série D, 14(1) : 105-110