Fracture of the Humeral Palette in Adult Patient: Therapeutic and Evolutive Aspect at Gabriel Touré Hospital: About 35 Cases

作     者：Mahamadou Diallo Abdoul Kadri Moussa Kalifa Coulibaly Layes Touré Mahamadou Dama Mamadou Bassirou Traoré Cheick Oumar Sanogo Terna Traoré Famakan Doumbia Mamadou Diallo Amadou Maiga Adégné Pierre Togo Tiéman Coulibaly Mahamadou Diallo;Abdoul Kadri Moussa;Kalifa Coulibaly;Layes Touré;Mahamadou Dama;Mamadou Bassirou Traoré;Cheick Oumar Sanogo;Terna Traoré;Famakan Doumbia;Mamadou Diallo;Amadou Maiga;Adégné Pierre Togo;Tiéman Coulibaly

作者机构：Service d’Orthopédie-Traumatologie CHU Gabriel Touré Bamako Mali 

出 版 物：《Surgical Science》 (外科学（英文）)

年 卷 期：2023年第14卷第4期

页      面：271-276页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Fracture Humeral Palette Anatomopathology Treatment Evolution Bamako Mali 

摘      要：Introduction: Fractures of the humeral pallet occur between the distal insertion of the anterior brachial muscle and the joint space of the elbow. It represents 2% of all elbow fractures. These lower humeral fractures present a therapeutic challenge to trauma. These fractures are in the majority of joint cases and can be accompanied by loss of substance, which makes their functional prognosis random despite the application of the main therapeutic principles: exact reduction with possible bone graft;stable osteosynthesis, usually allowing early rehabilitation. This work focused on identifying therapeutic aspects and assessing treatment outcomes. Material and Methods: This was a descriptive cross-sectional study of patients with a fracture of the humeral palette from January 2015 to December 2019 at the Orthopaedic Trauma Department CHU Gabriel Touré Bamako. Results: We collected 35 cases of fractures of the humeral palette. The average age was 39.25 years with extremes of 22 and 74 years. The male gender predominated (71.4%) with a sex ratio of 2.5. Etiologies were dominated by falls with 19 cases (54.3%) and stroke with 13 cases (37.1%). The standard X-ray of the face and profile of the elbow was performed in all our patients. The most frequent types of anatomoradiology were supra condylar fractures type A in 16 cases (45.7%), supra and inter condylar fractures type C in 15 cases (42.9%);4 cases of uni condylar fractures type B (11.4%). Associated lesions were observed in 42.85%. Surgical treatment was performed in 80% of cases. Complications were dominated by elbow stiffness in 18 cases (51.42%), secondary displacement in 5 cases (14.28%), ossifications in 4 cases (11.42%). At an average decrease of 3.2 years our results were considered good in 45.7%. Conclusion: Fractures of the humeral palette are relatively common with associated lesions. The complexity of the fracture with associated lesions makes treatment difficult with unpredictable evolution.