[Medical check-up of the national football team of mali from may 2008 to january 2010]. / Bilan medical de l'equipe nationale de football du mali de mai 2008 a janvier 2010.

Our goal was to study the medical reasons for the failures of Mali's national men's football team in the first round of the finals in 2008 and 2010. MATERIAL AND METHODS: This was a retrospective study during 21 months of follow-up of the Mali men's national football team (May 2008 to January 2010). Our study covered 16 to 30 players initially and then reduced to 23 during the final phase of CAN Angola 2010 including 8 forwards, 7 midfielders, 5 defenders and 3 goalkeepers. Clinical data (history, anthropometric and hemodynamic parameters, trauma, non-traumatic disorders) and paraclinical data (Echography, MRI, X-ray and ECG) were collected and recorded on individual survey sheets from medical certificates of fitness, match reports and match registry. This data was then processed and entered on WORLD and analyzed by SPSS 12.0 software. We have used as a diagnosis the one mentioned in the records and match reports. RESULTS: Contusions were the most common traumatic conditions with 46.15%. The matches were more traumatic than the training. Competitive matches were more traumatic than friendlies. The lesions were mostly benign. Attackers and midfielders were the most affected (67.7%). Rhinitis (29.4%) gastroenteritis (17.54%) were the most common non-traumatic conditions. We recorded few cases of malaria (11 cases or 6.43%). Osteo-articular and muscular ultrasound was the most performed follow-up examination. Conservative therapies have been the most widely used. CONCLUSION: Players, even though they are healthy subjects, are not spared by signs and pathologies that are not traumatic.

Notre but était d'étudier les raisons médicales des échecs de l'équipe nationale masculine de footballdu Mali au premier tour de la phase finale en 2008 et 2010. MATÉRIEL ET MÉTHODES: Il s'agissait d'une étude rétrospective au cours de 21 mois de suivi de l'équipe nationale masculine de football du Mali (de mai 2008 à janvier 2010). Notre étude a porté sur 16 à 30 joueurs initialement puis réduit à 23 pendant la phase finale de la CAN Angola 2010 dont 8 attaquants, 7 milieux, 5 défenseurs et 3 gardiens.Les données cliniques (antécédents, paramètres anthropométriques et hémodynamiques, traumatismes, les troubles non traumatiques) et paracliniques (Echographie, IRM, radiographie et ECG) ont été recueillies et consignées sur les fiches d'enquêtes individuelles à partir des certificats médicaux d'aptitude, les rapports des différents matchs et le registre des matchs. Ces données ont ensuite été traitées et saisies sur WORLD et analysées par le logiciel SPSS 12.0.Nous avons retenu comme diagnostic celui mentionné dans les registres et rapports de match. RÉSULTATS: Les contusions ont été les pathologies traumatiques les plus fréquentes avec 46,15%. Les matchs ont été plus traumatiques que les entrainements. Les matchs de compétition ont été plus traumatiques que les matchs amicaux. Les lésions étaient majoritairement bénignes. Les attaquants et les milieux ont été les plus touchés (67,7%). La rhinite (29,4%) et les gastro-entérites (17,54%) ont été les pathologies non traumatiques les plus fréquentes. Nous avons enregistré peu de cas de paludisme (11 cas soit 6,43%). L'échographieostéo-articulaire et musculaire a été l'examen complémentaire le plus réalisé. Les thérapeutiques conservatrices ont été les plus utilisées. CONCLUSION: Les joueurs bien qu'ils soient des sujets sains ne sont pas épargnés par des signes et pathologies non traumatiques.

[Management of hand burns: clinical and epidemiological aspects and therapy at CHU Gabriel Toure]. / Sequelles de brulure de la main: aspects epidemio-cliniques et therapeutiques au CHU Gabriel Toure.

AIM: Evaluate the care of burn sequel of the hand in the services of orthopaedic trauma and paediatric in the teaching hospital Gabriel Touré. METHODS: It was about a longitudinal and prospective study lasting from Jun 2006 to January 2008 in all the children aged from 0 to 14 years with burn sequel of the hand admitted and treated in the services of orthopaedic- trauma and paediatric surgery of Gabriel Touré. Patients with an incomplete file or lost during the study were not included. RESULTS: In 20 months we brought together 40 cases of burn sequel of hand. The mean age of the patients was 8.5 years. There were 18 boys and 22 girls. The sex-ratio was 1.22 for girls. The causal agent was more frequently thermal (85%) by hot liquid. Burn was caused by domestic accident in 95%. 14 of our patients were seen by a doctor after 24 months of burn and another 14 were after 36 months. A functional deficit was noted to the physical examination in all our patients. The treatment was surgical in 26 patients. Results were judged well in 16 cases, little good in 8 and bad 2 case. A good initial treatment done in a fear condition permit to reduce the number of sequel of the hand and to stay less severe.

[Osteomyelitis in sickle cell anemia patients in the Orthopedic and Trauma Department of the CHU Gabriel Toure]. / Osteomyelite drepanocytaire au Service d'Orthopedie et de Traumatologie du CHU Gabriel Toure.

AIM: Describe the severity of bone lesion and evaluate the results of the treatment of osteomyelitis in patients with sickle cell disease. MATERIAL AND METHODS: It was about a prospective study done from December 2005 to November 2006 in patients with confirmed sickle cell admitted for osteomyelitis. RESULTS: We gather together 62 cases of osteomyelitis in sickle cell disease among 120 cases, which was about 51.7%. The mean age has been 17 years. The diagnosis was made on biology and x rays. 46.78% of our patients were sickle cell homozygote. Bone pain was the 1st reason of consultation with 53.2% of cases. Staphylococcus aureus and salmonella were the most frequent germs, with 43.55% each. Complications were noted in 32.26% because of diagnosis delay (P 0.05). Delay in the management or incorrect treatment can result in a severe and definitive sequel for the functional future of those patients.

Osteomyelite drepanocytaire au service d'orthopedie et de traumatologie du CHU Gabriel Toure

Objectifs : Decrire la gravite de l'atteinte osseuse et evaluer les resultats du traitement de l'osteomyelite drepanocytaire. Materiel et methodes : Il s'agissait d'une etude prospective allant deDecembre 2005 a Novembre 2006 se rapportant sur les malades admis pour osteomyelite pour causede drepanocytose confirmee. Resultat : Nous avons collige 62 cas d'osteomyelite d'originedrepanocytaire sur 120 cas d'osteomyelite; soit 51;7. L'age moyen a ete de 17 ans. Le diagnostic arepose sur la biologie et l'imagerie. 46;78de nos malades etaient drepanocytaires homozygotes. Ladouleur osseuse a ete le premier motif de consultation avec 53;2des cas. Le staphylocoque dore et lesalmonella ont ete les germes les plus frequents; soit 43;55pour chacun. Les complications ont ete notees chez 32;26dues au retard diagnostique (P 0;05). Le retard dans la prise en charge ou un traitement inadapte peut aboutir a des sequelles graves et definitives pour l'avenir fonctionnel de ces malades

[Study of foot fractures at the orthopedics and traumatology of the Gabriel Toure Hospital over 10 years]. / Etude des fractures du pied dans le service d'orthopedie et de traumatologie de l'hopital Gabriel Toure sur dix ans.

UNLABELLED: The objective of this work was to determine epidemio-clinical and therapeutic aspects of foot bones fractures in Orthopedic and Traumatology service of Gabriel TOURE hospital. PATIENT AND METHODS: The study was retrospective descriptive and carried on 454 patients of January 1996 to December 2005. Have been included the patients admitted and tidy in the service during the period of survey, that had fractures isolated of the foot or associated to other fractures. Have not been included the patients with fractures of the foot that interrupted their treatment in the hospital for no conventional treatment. RESULTS: The masculine sex was predominant (321 men, 133 women, sex-ratio 2.41). The age groups of 21-30 years and 31-40 were the more attacks with respectively 32.38% and 20.48% (Table I). The workers were the more reached with 28.41% (Table II). On the ten years, 2001 recorded the biggest number of case of foot fracture with 12.56% (Table III). The accidents of the public way and the accidents of work were the most frequent etiology with respectively 70.48% and 20.71%. The right foot was the more frequently broken with 55.95%. The metatarsus was the more reached with 50%. Fractures closed of the foot represented 88.33%, the open fractures 11.67%. The treatment of the closed fractures was exclusively orthopedic. In the cases of open fractures the surgical dressing has been done follow-up of the orthopedic contention. The recovery has been gotten in 60.79% of the cases. The complications were of 39.21% among which the vicious calluses predominated with 34.83% (Table IV). The result of the treatment was good in 73.57% of the cases, means in 17.62% of the cases and bad in 8.81% of the cases. CONCLUSION: The fractures of the foot concerned more the men and the working profession. So the most active layer of the society was the more exposed to the accidents of the public way and the work. The osteosynthesis in the complex or complicated shapes could have improved our results.

[Osteitis at the service of orthopedics and traumatology at the Hopital Gabriel Toure in Bamako]. / Les osteites dans le Service d'Orthopedie et de Traumatologie de l'Hopital Gabriel Toure de Bamako.

UNLABELLED: The osteitis is a frequent and dangerous affection in Mali. OBJECTIVE: To describe the epidemio-clinical and therapeutic aspects of the osteitis in the service of Orthopedic and Traumatology of Gabriel TOURE hospital of Bamako. MATERIAL AND METHODS: The study was retrospective and carried on 145 osteitis recovered among 130 patients of January 1994 to December 2003. Have been included the patients affected by osteitis and treaties in the service during the period of study. Have not been included those that presented other bony affections. RESULTS: The set counts 80.77% of men, 19.23% of women, sex ratio 4.2, age middle 21 years 2 months with extremes of 2 and 86 years. The most affected age group was 11-20 years with 48.46%. The pupils--students were the more concerned with 30.77%. Normal haemoglobin AA has been found at 80.77% of the patients; on the other hand 19.23% had a hemoglobinopathy. The etiology post-traumatic has been found in 57.70% of the cases. The germ the more frequently recovered was the staphylococcus aureus: 58.63%. The lower member has been reached more frequently: 79.31%. The most often reached bone was the tibia--48.28%. The hold in initial charge was made by the traditional healer at 57.69% of the patients. Have been treated 74.48% of the osteitis surgically. The sequestrectomy with bony curettage was the surgical technique the more used: 60.18%. The antibiotics have been used in the treatment of the osteitis according to the sensitivity of the germs identified. They have been prescribed alone or in association. The result of the treatment of the osteitis was good in 50.34% of the cases, means in 24.14% and bad in 25.52%. CONCLUSION: The osteitis stays an important problem because a very big number of our populations have recourse in case of illness, to the traditional healer, the impostor or the marabou. The antibiotics certainly revolutionized the treatment of the osteitis but their use must be more discriminatory based on a very precise antibiogramm. The surgery keeps a place of choice again in the treatment of the osteitis.

Les osteites dans le service d'orthopedie et traumatologie de l'hopital Gabriel Toure de Bamako

L'osteite est une affection frequente et redoutable au Mali. Objectif. Decrire les aspects epidemio-cliniques et therapeutiques des osteites dans le service d'Orthopedie et de Traumatologie de l'Hopital Gabriel TOURE de Bamako. Materiels et Methodes. L'etude etait retrospective et portait sur 145 osteites retrouvees chez 130 patients de janvier 1994 a decembre 2003. Ont ete inclus les patients atteints d'osteites et traites dans le service pendant la periode d'etude. N'ont pas ete inclus ceux qui presentaient d'autres affections osseuses. Resultats. La serie compte 80;77d'hommes; 19;23de femmes; sex ratio 4;2; age moyen 21 ans 2 mois avec des extremes de 2 et 86 ans. La tranche d'age la plus affectee a ete 11-20 ans avec 48;46. Les eleves- etudiants ont ete les plus concernes avec 30;77. L'hemoglobine normale AA a ete trouve chez 80;77des patients; par contre 19;23avaient une hemoglobinopathie. L'etiologie posttraumatique a ete trouvee dans 57;70des cas. Le germe le plus frequemment retrouve a ete le staphylocoque dore : 58;63. Le membre inferieur a ete plus frequemment atteint : 79;31. L'os le plus souvent atteint a ete le tibia- 48;28. La prise en charge initiale etait faite par le guerisseur traditionnel chez 57;69des patients. Ont ete traitees chirurgicalement 74;48des osteites. La sequestrectomie avec curetage osseux a ete la technique chirurgicale la plus utilisee : 60;18. Les antibiotiques ont ete utilises dans le traitement des osteites en fonction de la sensibilite des germes identifies. Ils ont ete prescrits seuls ou en association. Le resultat du traitement des osteites a ete bon dans 50;34des cas; moyen dans 24;14et mauvais dans 25;52. Conclusion. Les osteites demeurent un probleme important car un tres grand nombre de nos populations ont recours en cas de maladie; au guerisseur traditionnel; le charlatan ou le marabout. Les antibiotiques ont certes revolutionne le traitement des osteites mais leur utilisation doit etre plus discriminatoire basee sur un antibiogramme bien precis. La chirurgie garde encore une place de choix dans le traitement des osteites

Etude des fractures du pied dans service d'orthopedie et traumatologie de l'hopital Gabriel Toure sur dix ans

L'objectif de ce travail etait de determiner les aspects epidemio-cliniques et therapeutiques des fractures des os du pied dans le service d'Orthopedie et de Traumato- logie de l'Hopital Gabriel Toure. Patients et Methodes : Il s'agit d'une etude retrospective descriptive portant sur 454 patients dans une periode allant de janvier 1996 a decembre 2005. Ont ete inclus les patients admis et soignes dans le service pendant la periode d'etude; qui avaient des fractures isolees du pied ou associees a d'autres fractures. N'ont pas ete inclus les patients avec des fractures du pied qui ont interrompu leur traitement hospitalier pour un traitement non conventionnel. Resultats : Le sexe masculin etait predominant (321 hommes; 133 femmes; sex-ratio 2;41). Les tranches d'age de 21-30 ans et de 31-40 ont ete les plus atteintes avec respectivement 32;38et 20;48(Tableau I). Les ouvriers etaient les plus atteints avec 28;41(Tableau II). Sur les dix ans; 2001 a enregistre le plus grand nombre de cas de fracture de pied avec 12;56(Tableau III). Les accidents de la voie publique et les accidents de travail ont ete les etiologies les plus frequentes avec respectivement 70;48et 20;71. Le pied droit a ete le plus frequemment fracture avec 55;95. Le metatarse a ete le plus atteint avec 50. Les fractures fermees du pied representaient 88;33; les ouvertes 11;67. Le traitement des fractures fermees a ete exclusivement orthopedique. Dans les cas de fractures ouvertes le parage chirurgical a ete effectue suivi de la contention orthopedique. La guerison a ete obtenue dans 60;79des cas. Les complications ont ete de 39;21parmi lesquelles les cals vicieux ont predomine avec 34;83(Tableau IV). Le resultat du traitement a ete bon dans 73;57des cas; moyen dans 17;62des cas et mauvais dans 8;81des cas. Conclusion : Les fractures du pied ont concerne plus les hommes et la profession ouvriere. Ainsi la couche la plus active de la societe a ete la plus exposee aux accidents de la voie publique et de travail. L'osteosynthese dans les formes complexes ou compliquees aurait pu ameliorer le pourcentage de nos resultats

[The diabetic hand]. / Atteinte de la main chez le diabetique.

The frequent localization of the infection to the hand to ours diabetic patients oppositely to the classic description of diabetic foot leds us to initiate this work, which had the objectif to determine the prevalency and to describe the "diabetic hand" to our patients. For that we have conducted a descriptive retrospective and prospective study in the internal Medecine Service of the National Hospital of Point G (NHPG) and in Traumato Orthopaepics Service of Gabriel Touré Hospital (G.T.H.) in Bamako. In 341 diabetic examined patients 158 infections of soft areas have been listed (46.33%) with a localization on the foot in 87 among them (25.51%) and the hand in 55 (16.13%). The female sex has been the most affected with an average of 52 years old and recent discovered diabetes. The diabetes was of type I in 54.54% of cases and of type II in 45.46%. The reaching of hand was following upon a traumatism (7.28%), a burn (3.63%), an ingrown mail (3.63%); but in 85.46% of cases any front door hasn't been found. The type of damage observed has been the abscess (49.09%), the whitlow (25.46%), the gangrene (21.82%) and the burn (3.63%). We have noticed an ostect in 41.81% of cases. In bacteriologic field, the staphylocoque was the prevailing germ in relating to the negative gram (25%). The curring has required an amputation in almost a third of patients (30.9%) the healing has been gained in 76.3% of cases with sometimes some fonctional important after effects. On death has been noticed in 9.09% of cases.

Nodules thyroidiens benins: A propos de 223 cas

Sur 240 malades operes dans notre service de 1979 a 1989 pour goitre; 223 avaient un ou des nodules thyroidiens benins. Le dosage hormonal a ete realise chez 87;89 pour cent des malades et la scintigraphie thyroidienne chez 59;64 pour cent des malades. La majorite des malades ont beneficie d'une isthmolobectomie. Les suites operatoires ont ete simples dans 93;27 pour cent des cas avec 0;45 pour cent de mortalite et 6;72 pour cent de morbidite. Une enquete de suivi post-operatoire a pu retrouver 72;50 pour cent des malades operes residents a Bamako avec un faible taux de recidives nodulaires (1;59 pour cent) bien que nous ne fassions pas d'opotherapie. Nos resultats sont peu differents de ceux des pays developpes