TITLE:
Fracture of the Humeral Palette in Adult Patient: Therapeutic and Evolutive Aspect at Gabriel Touré Hospital: About 35 Cases
AUTHORS:
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
KEYWORDS:
Fracture, Humeral Palette, Anatomopathology, Treatment, Evolution Bamako, Mali
JOURNAL NAME:
Surgical Science,
Vol.14 No.4,
April
18,
2023
ABSTRACT: 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.