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Archives de pédiatrie
Volume 13, n° 11
pages 1410-1412 (novembre 2006)
Doi : 10.1016/j.arcped.2006.06.022
Received : 30 January 2006 ;  accepted : 26 June 2006
Fractures costales au cours des bronchiolites aiguës virales : à propos de 2 cas
Rib fractures after chest physiotherapy: a report of 2 cases
 

C. Chanelière a, N. Moreux a, J.-P. Pracros b, G. Bellon a, P. Reix a,
a Service de pédiatrie, pneumologie, allergologie, mucoviscidose, hôpital Debrousse, 29, rue Soeur-Bouvier, 69005 Lyon, France 
b Service de radiologie, hôpital Debrousse, 29, rue Soeur-Bouvier, 69005 Lyon, France 

Auteur correspondant.
Résumé

La conférence de consensus de 2000 sur la bronchiolite aiguë virale a retenu la kinésithérapie respiratoire comme l'une des pierres angulaires de la prise en charge. Selon Chalumeau et al., 1/1000 des enfants hospitalisés pour bronchiolite ou pneumopathie ont présenté des fractures costales, complication exceptionnelle mais réelle de la kinésithérapie. Nous rapportons les observations de 2 nourrissons ayant souffert de fractures du troisième au sixième arc costal moyen secondaires à des séances de kinésithérapie respiratoire réalisées lors d'un épisode de bronchiolite. Malgré la rareté de ces complications, ces 2 cas soulignent la nécessité d'évoquer ce diagnostic différentiel devant des fractures costales chez un nourrisson.

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Abstract

The 2000 French consensus conference for acute viral bronchiolitis management underlined the fundamental role of chest physiotherapy. According to Chalumeau and al., rib fractures were found out in 1/1000 children hospitalized for bronchiolitis or pneumonia. However, such complication of chest physiotherapy is exceptional. We report 2 cases with third to sixth lateral rib fractures after chest physiotherapy in infants with bronchiolitis. Despite the rarity of these complications, clinicians must keep in mind this etiology while facing rib fractures in infants.

The full text of this article is available in PDF format.

Mots clés : Bronchiolite, Fracture costale, Nourrisson

Keywords : Bronchiolitis, Physiotherapy, Rib fractures, Infant




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