The age group from 4 to 10 years was the most represented with 76.2% (n = 16). The average age was 8.7 years with extremes of 4 and 15 years. Twenty-one (21) patients were collected, including 16 boys (76.2%) and 5 girls (23.8%). The interpretation was made by comparing the percentages. Data entry and processing were performed using Excel and SPSS software. A total score (out of 19 points) greater than or equal to 18 corresponded to an excellent result, a score greater than or equal to 17 corresponded to a good result, a score greater than or equal to 16 corresponded to an average result and a score less than 16 with poor results. Pain, function and joint amplitudes were each rated on 5 points, establishing a clinical score on 15 points, the radiographic aspect being scored on 4 points, taking into account the appearance of the joint line and articular surfaces. The analysis of the results was made using Murphy’s clinical rating based on four criteria: onset of pain, loss of elbow function, elbow range of motion (including flexion, extension and pronosupination) and finally the radiological criteria which assessed the joint space. Surgical treatment was indicated in fractures with more than 2 mm of displacement, comminuted fractures or those with shortening. The Bracq classification was the one used for the analysis of radiological examinations with 5 types: A, single line parallel to the growth plate B, Vertical C, Oblique D, Distal E, Complex fracture with multiple fragments or comminuted. Children over 16, other elbow fractures, patients whose initial treatment had not been done in the department, patients with an incomplete file as well as those lost to sight or escaped constituted the criteria for non-inclusion. The study variables were epidemiological, clinical, radiological, therapeutic and evolutionary data. A survey sheet listing all the ne- cessary data for each patient was developed. The study was carried out using the files of hospitalized patients, the registers of the external consultation and the operating room. The study included all children aged 2 to 16 years at the most without distinction of sex presenting an olecranon fracture, treated and followed up regularly in the service. This was a monocentric retrospective study carried out over a period of 2 years, from Januto January 1, 2020, in the orthopedics and traumatology department of the Owendo University Hospital Center (CHUO). The aim of this work was to study the epidemiologi- cal, diagnostic and therapeutic particularities of this fracture in children at the University Hospital of Owendo. The treatment method chosen must meet these specifications while allowing early rehabilitation of the elbow so as to limit the risk of postoperative stiff- ness which, along with pseudarthrosis, constitutes the main complications of olecranon fractures. The therapeutic objective is to obtain an anatomical and permanent reduction, bone consolidation and functional recovery. Olecranon fractures pose both a problem of indication and a method of treatment. The frequency of associated lesions can reach 60%, in particular fractures and dislocation of the radial head, which influence the therapeutic indication and the prognosis of the fracture. The particularities of this fracture in children are the proxy- mity of the articular cartilage, which justifies anatomical reduction, and the proxy- mity of the growth cartilage, which can be damaged and become a source of long- term sequelae. These fractures can occur either at the metaphy- seal or epiphyseal level. In the pediatric population, they are relatively rare and represent approximately 5% of all fractures and 10% of elbow fractures and may be associated with radial head fracture, coronoid fracture or elbow dislocation. Olecranon fractures are fractures of the upper ends of the ulna whose lines pass above the plane of the base of the coronoid process. The literature according to the precise parameters seems satisfactory. Results compared to those of the authors of With an average follow-up of 12 months, the results were good in 71.5%,Īverage in 19.0% and poor in 9.5%. The treatment was orthopedic in 33.3% of cases and surgical in 66.7% ofĬases. The Bracq classifica tion was the one used in our series with the predominance of type D. Results: We collected 21 patients with an average age ofĨ.7 years. Patients and Methods: This was a retrospective analytical, mono centric study over 2 years from Januto Januat the Owendo University Hospital in Libreville and relating to the medicalįiles of patients treated for a fracture of the olecranon in children in the service and regularly followed in outpatientĬonsultation. The aim of this work is to study theĮpidemiological, clinical and thera peutic particularities of this fracture in children at Owendo University Teach ing Hospital. Background: The olecranon fractures in children are relatively rare articular fractures.
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