@article{ref1,
title="The traffic elbow. A series of 9 cases",
journal="Chirurgie de la Main",
year="2007",
author="Sané, A-D and Ndaw, M. and Diémé, C. and Coulibaly-Ndiaye, N. F. and Ndiaye, A. and Sy, M. H. and Mbaye, B. and Sèye, S. I. L.",
volume="26",
number="4-5",
pages="221-226",
abstract="&quot;Traffic elbow&quot; is a condition occurring when high energy trauma involves a patient's elbow resting on the window of the car or completely outside it. This is a prospective study over 30 months of 9 patients with &quot;traffic elbow&quot; and therefore sufferring complex open trauma to the elbow. There were 8 men and 1 woman with a median delay of 4 hours before arrival in hospital. The dominant member was affected in 3 cases. The severity of the lesions, using the Mangled Extremity Severity Score (MESS), was more than 7, comprising lesions corresponding to type 1 of the complex trauma of the superior member (TCMS) in 2 patients and a MESS score of between 3 and 6 corresponding to types 2 or 3 of the TCMS for the other 7 patients. The therapeutic possibilities are limited considering the frequent context of polytrauma. In 4 cases we performed a debridement and external humero-ulnar fixation, in 3 cases a debridement and stabilization with Kirschner's wires completed by a fenestrated cast, and in 2 cases a lifesaving amputation. All patients, except those that had had amputation, developed deep sepsis that resolved after adequate treatment. Assessment of the non-amputee patients according to the Mayo Performance Score, yielded more than 70% of bad results. The authors stress the gravity of these lesions whose prognosis is guarded both concerning mobility of the elbow and the frequent neurovascular complications.<p /><p>Language: fr</p>",
language="fr",
issn="1297-3203",
doi="10.1016/j.main.2007.08.001",
url="http://dx.doi.org/10.1016/j.main.2007.08.001"
}