TY  - JOUR
PY  - 2007//
TI  - The traffic elbow. A series of 9 cases
JO  - Chirurgie de la Main
A1  - Sané, A-D
A1  - Ndaw, M.
A1  - Diémé, C.
A1  - Coulibaly-Ndiaye, N. F.
A1  - Ndiaye, A.
A1  - Sy, M. H.
A1  - Mbaye, B.
A1  - Sèye, S. I. L.
SP  - 221
EP  - 226
VL  - 26
IS  - 4-5
N2  - "Traffic elbow" 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 "traffic elbow" 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> 
LA  - fr
SN  - 1297-3203
UR  - http://dx.doi.org/10.1016/j.main.2007.08.001
ID  - ref1
ER  -