Fractures of limbs specific to children: the experience of a Senegalese tertiary hospital

Abstract Introduction Fractures specific to the pediatric age group represent a particular injury due to their pattern, diagnosis, management, and outcomes. In sub-Saharan Africa, studies on this particular injury are scarce. This study reports sociodemographic, diagnostic, and therapeutic aspects a...

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Main Authors: Florent Tshibwid A Zeng (Author), Mbaye Fall (Author), Papa Alassane Mbaye (Author), Doudou Gueye (Author), Audrey Kongo Bisseyou (Author), Ndeye Fatou Seck (Author), Souleymane Camara (Author), Ibrahima Bocar Wellé (Author), Youssouph Diedhiou (Author), Ndeye Aby Ndoye (Author), Aloïse Sagna (Author), Oumar Ndour (Author), Gabriel Ngom (Author)
Format: Book
Published: SpringerOpen, 2022-10-01T00:00:00Z.
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Summary:Abstract Introduction Fractures specific to the pediatric age group represent a particular injury due to their pattern, diagnosis, management, and outcomes. In sub-Saharan Africa, studies on this particular injury are scarce. This study reports sociodemographic, diagnostic, and therapeutic aspects and outcomes of these fractures. Methods We conducted a descriptive cross sectional study at the pediatric surgery department of Aristide Le Dantec University Teaching Hospital in Dakar, Senegal, from January 2012 to December 2015. Results A fracture specific to children was diagnosed in 180, of whom 47.7% were school-aged, with 59.4% of males. The mean time from injury to the attendance of our department was 48.2 h. Domestic accidents occurred in 51.1%. A total of 243 fractures occurred, mainly on the upper limbs (75.3%), as the most affected bones were the radius (47.3%), ulna (22.6%), and tibia (13.6%). Greenstick fractures represented 46.9%, buckle fractures, 42.8%, plastic deformations 9%, and subperiosteal fractures 0.7%. In all patients, management was orthopedic, with associated analgesic treatment. No sequel nor other complication was registered. Conclusion Fractures proper to the child are a particular entity in children's trauma, frequently happening in boys, with greenstick and buckle fractures being the most common. Their treatment is exclusively orthopedic, with excellent outcomes.
Item Description:10.1186/s43054-022-00137-8
2090-9942