Main Article Content

Abstract

Introduction. Our objective is to report and share our experience of the treatment of 19 serious hand and wrist trauma cases admitted and operated on at the department. Patients and Methods. This was a retrospective study carried out during a period of 2 years, collecting and comparing 19 hand and wrist serious trauma patients treated at the hospital of Mopti all of them admitted in a situation of emergency. The completed lesion-causing result was appreciated at surgical bloc. The wounds were classified according to Gustilo-Anderson and the amputations carried out in emergency were appreciated according to MESS score. The treatment was mainly surgical. Re-education was systematically prescribed and the treatment result was appreciated by Kapandji indication. Results. Patients’ average age was 26.7 years old (13 to 59 years old) with male predominance (84%). Farmers were concerned with 63% of the cases and it involved work accident in 74%. The patients were right-handed in 84% of the cases and the lesions were located on the right in 95%. The open factures represented 89%, wire splinting carried out in 52%. Conclusion. Serious hand and wrist trauma affect active youth and manual workers, often caused by work accidents causing serious open factures and amputations trauma. These traumas being seasonal, protection measures must be reinforced before the beginning of harvest in order to minimize these lesions.

Keywords

Treatment – Serious hand and wrist trauma– threshing machine Traitement – Traumatismes graves main et poignet – Machine batteuse

Article Details

How to Cite
TRAORE, T. ., TOURE, L. ., HAIDARA, D. B. ., TRAORE, B. ., DIALLO, A. B. ., DIASSANA, M., TRAORE, S., DEMBELE, . O., & HANS-MOEVI, A. . (2021). Traumatismes Graves de la Main et du Poignet par Machine Batteuse à l’Hôpital de Mopti: Serious hand and wrist traumatisms by threshing machine at Mopti hospital. HEALTH SCIENCES AND DISEASE, 23(1). Retrieved from https://hsd-fmsb.org/index.php/hsd/article/view/3233

References

  1. Saxena P, Cutler L, Feldberg L. Assessment of the severity of hand injuries using “Hand Injury Severity Score” and its correlation with functional outcome. Injury 2004 ; 35 : 511-6.
  2. Ahmed E, Chaka T. Prospective study of patients with hand injuries : Tikur Anbessa University Teaching Hospital, Addis Abba. Ethiop Med J 2006 ; 44 : 175-81.
  3. Obert L. Plaies et traumatismes de la main ; Urgences 2011 ; chapitre 58 : 651-65.
  4. Perchoc A, Andro C, Baynat C, De Chanterac A, Levadoux M, Le Nen D et al. Les traumatismes par blast de l’avant-bras et de la main ; intérêt du lambeau inguinal pédiculé. Hand Surgery and Rehabilitation 2018 ; 37(6) : 428.
  5. Marieb E., Hoehn K. Anatomie et physiologie humaine. Éditions du renouveau pédagogique 2010 ; 1 : 293.
  6. Slauterbeck JR, Britton C, Mohed S, Moneimm S, Clevengeur FW. Mangled extremity severity score an accurate guide to treatment of the severe injuries upper extremity - J Ortho trauma 1994 ; 8 : 282-285.
  7. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones. Retrospective and prospective analysis. J bone Joint Surg 1976 ;58A : 453–8.
  8. Kapandji A. I. Anatomie fonctionnelle, TOME I Membre supérieur, 6ème éd. Paris : Maloine, 2005. 356p. ISBN 978-2-224-02647-9.
  9. Rimbeau G, Livre Blanc. Les unités de chirurgie en France, sous l’égide de la société française de la chirurgie de la main 1998 ; 3 : 1- 41
  10. Bah M L, Bah H, Keita K, Diallo A O, Soumah M T et al. Profil traumatologique et médico-légal des plaies de la main au CHU Ignace-Deen de Conakry (Guinée). Rev Fr Dommage Corps 2013 ; 4 : 413-20.
  11. Bah M L, Sidibé M, Lamah L, Tekpa SB, Soumah MT. Traumatismes de la main en Milieu Hospitalier : Une analyse de 1859 Cas issus du Service d’Orthopédie-Traumatologie de l’Hôpital National Ignace Deen (Conakry). Health Sci. Dis : 2017 ; 18 (3) : 68 -71.
  12. Rabemazava AZLA, Rakotoarison RCN, Rabemanantsoa T, Solofomalala GD, Razafimahandry HJC. Epidémiologie des traumatismes de la main en milieu hospitalier malgache. Revue Tropicale de Chirurgie 2013 ; 7 : 28-31.
  13. Derfoufi M, Ouazzani N, Zouahi AN, Mahfoud M, Bardouni A. La main complexe : à propos de 10 cas. Revue Marocaine de Chirurgie Orthopédique & Traumatologique 1983 ; 1 : 80-6.
  14. Clark D, Scott RN, Anderson IW. Hand problems in an accident and emergency department. J Hand Surg Br 1985 ; 10 : 297-9.
  15. Yéboué-Kouamé BY, Kouassi YM, Aké JC, Séa D, Maunlley E, Aka IN et al. Sécurité et santé au travail chez les menuisiers et ébénistes dans l’économie informelle à Abidjan : étude transversale portant sur 280 travailleurs. Archives des Maladies Professionnelles et de l’Environnement 2012 ; 73 : 75-82.
  16. Knipper P, Rimareix F, Dubert. Prise en charge d’une plaie de la main en situation précaire. Cahier d’enregistrement de la SOFCOT 2006 ; 93 : 279-91.
  17. Bode CO, Giwa SO, Oke DA. Factory floor injury in Lagos sawmills. West Afr J Med. 2001 ; 20(4) : 256-60.
  18. Okeke LI, Dogo D, Ladipo JK, Ajao OG. Crush injuries of the hand. Afr J Med Sci.1993 ; 22(3) : 69-72.
  19. Trybus M, Lorkowski J, Brongel L, Hladki W. Causes and consequences of hand injuries. Am J Surg 2006 ; 192 : 52-7.
  20. Rosberg HE, Dahlin LB. Epidemiology of hand injuries in the middlesized city in Southern Sweden : a retrospective comparison of 1989 and 1997. Scand J Plast Reconstr Surg Hand Surg 2004 ; 38 : 347-55.
  21. Dubert T, Valenti P, Voche P. Traumatismes de la main. EMC - Urgences 2009 : 1-14 [Article 24-100-C-30].
  22. Chantelot C, Dubert T, Masmejean E. Spécificités d’une plaie articulaire de la main. Cahiers d’enregistrement de la SOFCOT 2006 ; 93 : 151-4.

Most read articles by the same author(s)