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Archives de pédiatrie
Volume 19, n° 11
pages 1187-1190 (novembre 2012)
Doi : 10.1016/j.arcped.2012.08.009
Received : 23 February 2012 ;  accepted : 13 August 2012
Hématome sous-dural lié à la pratique de la boxe chez l’enfant : à propos d’un cas
Boxing-related cranial injury in children: A case report
 

S. Timsit a, , T. Rougeau b, D. Grevent c, G. Chéron a
a Service des urgences pédiatriques, hôpital Necker-Enfants Malades, université Paris-Descartes, 149, rue de Sèvres, 75015 Paris, France 
b Service de neurochirurgie pédiatrique, hôpital Necker-Enfants Malades, université Paris-Descartes, 149, rue de Sèvres, 75015 Paris, France 
c Service d’imagerie pédiatrique, hôpital Necker-Enfants Malades, université Paris-Descartes, 149, rue de Sèvres, 75015 Paris, France 

Auteur correspondant.
Résumé

Contrairement à de nombreux pays anglo-saxons, il n’existe pas en France de recommandations sur l’exercice de la boxe par les enfants et adolescents malgré les risques de lésions traumatiques, parfois graves, encourus. Nous rapportons le cas d’un garçon âgé de 15ans pratiquant la boxe en amateur en club et ayant été victime d’un traumatisme crânien responsable d’un hématome sous-dural. Les lésions traumatiques intracrâniennes sont fréquentes et multiples. Leur gravité n’est pas toujours corrélée à la puissance apparente des « coups ». Il existe des particularités liées à l’âge. Plusieurs sociétés médicales internationales s’opposent à la pratique de la boxe chez l’enfant et l’adolescent.

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Summary

No pediatric recommendations exist in France on the exercise of boxing by children and adolescents despite the risk of traumatic injury, sometimes serious. We report the case of a 15-year-old boy who participated in amateur boxing and had a subdural hematoma. Brain injuries and concussions are frequent and multiple. Severity is not always correlated with the intensity of the blows. There are age-related features. Several international medical organizations oppose boxing for children and adolescents.

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