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Archives de pédiatrie
Volume 23, n° 9
pages 963-965 (septembre 2016)
Doi : 10.1016/j.arcped.2016.04.024
Received : 22 July 2015 ;  accepted : 6 April 2016
Fractures du nouveau-né et du nourrisson secondaires au massage traditionnel
Newborn and infant fractures secondary to traditional massage
 

C. Mboutol-Mandavo a, b, , O. N’dour c, S.F. Ouedraogo c, R. Missengue-Bosseba c, D. Ndiaye c, G. Ngom c
a Département de chirurgie et maternité, faculté des sciences de la santé de l’université Marien-Ngouabi Brazzaville, Brazzaville, Congo 
b Service de chirurgie pédiatrique, CHU de Brazzaville, 13, avenue Auxence-Ikonga, BP 32, Brazzaville, Congo 
c Service de chirurgie pédiatrique, CHU Aristide Le Dantec de Dakar, 30, avenue Pasteur, BP 3001, Dakar, Sénégal 

Auteur correspondant.
Résumé

Le massage traditionnel du nouveau-né et du jeune nourrisson est une pratique ancestrale en Afrique et dans d’autres régions du monde. Il est doté de nombreux bienfaits qui sont actuellement reconnus, même dans les sociétés occidentales. Cependant, il n’est pas sans danger : nous rapportons 2 cas de fractures du fémur et de la clavicule survenues respectivement chez un nouveau-né de 17j et un nourrisson d’un mois pendant une séance de massage traditionnel. Dans les 2 cas, il n’y avait ni notion de traumatisme ni histoire familiale d’ostéogenèse imparfaite ni autres fractures pouvant faire évoquer une maltraitance, ce qui a permis de conclure à une fracture par massage traditionnel. Au regard des nombreux bienfaits décrits dans la littérature, le massage traditionnel du jeune nourrisson ne peut être considéré comme une pratique néfaste. Cependant, il doit être pratiqué avec prudence afin de prévenir la survenue de telles complications.

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Summary

The traditional massage of the newborn and young infant is an ancient practice in Africa and other regions. It has many benefits that are currently recognized, even in Western societies. However, it can be dangerous. We report two cases of fractures of the femur and clavicle that occurred in a 17-day-old newborn and a 1-month-old infant secondary to a traditional massage. In both cases, there was no concept of trauma or a history of osteogenesis imperfecta in the family or the presence of other fractures suggesting abuse. We concluded in a fracture caused by traditional massage in both cases. Given its many benefits as described in the literature, the traditional massage of young infants cannot be considered a harmful practice. However, it should be practiced with care to prevent the occurrence of such complications.

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