Les traumatismes du poignet de l’adulte aspects epidemiologiques, lesionnels et therapeutiques au Chu Tokoin.

Abstract

Introduction : From the time of Hippocrate to the beginning of the eighteenth century, the problems diagnoses characterized the traumatisms of the wrist. Indeed, fractures of the distal end of the radius were mistaken for dislocations of the wrist. Today still, the frequency of these traumatisms contrasts with importance of this joint. The purpose of the study was To study the epidemiology, lesions and
therapeutic aspects of the traumatism of the wrist treated in the chirurgical department of CHU Tokoin.

Patients and methods : Prospective study hold from 1st August 2004 at 1st February 2005 about patients injured at the wrist.

Results : We had received and treated 80 cases of traumatism of the wrist during the period of study. Frequency was to 1.98% compared to the whole of the patient, 3.31% compared to the traumatologic urgencies and 17.09% compared to the traumatism of the upper limb. The average age of our patients was 37.06 years with a standard deviation of 12.662. A male prevalence was found with a sex-ratio of 3.44. The liberal profession was more touched (38.8%).The dominant limb was affected in 46.28%. Road accident constituted the principal cause (53.8%). The principal clinical elements were: pain (100%), swelling (97.5%), limitation of the articular mobility (97.5%) and distortions of the wrist (Atypical distortion 41.28%, in back of fork 26.25%, and belly of fork 2.5%). The fractures prevailed on the whole of the traumatic injuries (83.8%), in particular, Pouteau-colles’s fracture (29.9%). Thetreatment was orthopaedic among all patients, associate or not with wrist functional re-education. 94.4% of our patients achieved good or excellent results. Follow-up was for a mean of 5.66 months.

Conclusion : The traumatism of the wrist is frequent. It is dominated by the fracture of the lower extremity of the radius.