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Abstract
PURPOSE
To report radiographic findings in upper and lower limb injuries of children at Yaounde
METHODS
This was a cross sectional descriptive study performed in the radiological and emergency units of the University Teaching Hospital and Central Hospital of Yaoundé. One hundred children who performed x-ray because of trauma were recruited. All the pictures were reviewed by two radiologists. Lesions were grouped according the Salter Harris/ Ogden classification. Age, sex, etiology and associated findings were also collected.
RESULTS
There were 66 boys and 34 girls. The mean age was 11 years 6 months. Road traffic accident was the cause of the trauma in 62% of cases. The upper limb was affected in 69% of cases and the lower limb in 29% of cases. Most fractures were closed with no or little displacement. According to the Salter Harris classification, 70% were type II, 12% type IV, 7% type III, 6% type I and 1% type V. Six children had associated lesions that were detected with ultrasound.
CONCLUSION
Metaphyso epiphyseal traumatic lesions affect mainly the boys. Road traffic accident is the main etiology, followed by sports trauma. Most lesions are type 2 Salter Harris. Combination of standard X-ray and ultrasound permit proper management
KEY WORDS:
Upper limb trauma, children; lower limb trauma, children; salter Harris. Diagnostic X-Ray Yaounde
Keywords
Article Details
References
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- - Mizuta T, Benson WM, Foster BK, Paterson DC, Morris LL. Statistical analysis of the physealinjuries. J PediatrOrthop 1987; 7:518-523.
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References
- Petit P, Panuel M, Devred P Jouve JL, Faure F, Doucet V, Boulière-Najean B. Particularités des traumatismes de l’enfant concernant l’appareil musculosquelettique, crane et rachis exclus. EncyclMed Chir (Elsevier), Pédiatrie, 4-005A-30, Radiodiagnostic. Appareil locomoteur, 31-045-A-20, 1998,14.
- Jaramillo D, Shapiro F, Hoffer EA, Winalski CS, koskinen MF, Fraso R et al. post traumatic growth-plate abnormalities; MR-Imaging of bone-bridge formation in rabbits, Radiology 1990;175:767-773.
- Schmit P, Hautefort P, Raison-Boulley. Diagnostic échographique d’un décollement épiphysaire de l’extrémité supérieure de l’humérus par accolement traumatique 1990 ;80 :466-468.
- Herber S, KreitnerKF, Kalen P, Low R, Berger S et al. Low-field MRI of ankle joint: initial experience in children and adolescents using an open 0,2 T MR-system 2000;172:267-73.
- Mizuta T, Benson WM, Foster BK, Paterson DC, Morris LL. Statistical analysis of the physealinjuries. J PediatrOrthop 1987; 7:518-523.
- Damsin JP,Langlais J. Fractures Supracondyliennes. In :Symposium sur les fractures du coude chez l’enfant sous la direction de Pouliquen JC. RevChirOrth 1987,37 :421-436.
- Devred PH, Panuel M, RaybaudCH, Bourllières-Najean B, Faure F et al. Radiopédiatrie 1992 pp : 11-19.
- Salter R, Harris W. Injuries involving the epiphyeal plate. J Bone Joint Surg1963;45A:587-622.
- Ogden JA. Pocket guide to pediatric fractures. 1987, Williams &wilkins, Baltimore, pp1-241