Course landaise : étude rétrospective d’un an sur les traumatismes déclarés en compétitions organisées par la FFCL, évaluation de la prise en charge et du suivi en médecine générale

Abstract : Introduction: the Landes race is a true popular tradition that perfectly illustrates the tradition of the south-west of France. But it is also a risky sport where everyone can be hurt at any time. The objective of our work is to bring to the knowledge of the general practitioner the traumatic specificities resulting from this discipline, and to make them aware of the problematic of consulting sportsmen. Materials and Methods: we conducted a monocentric retrospective study of the trauma that occurred during the Landes races of the 2015 season. We have documented the immediate care and follow-up of the injured, as well as the nature of the trauma, FCLCL accident report cards. Results: over one year, 65 accidents were recorded during the competitions organized by the FFCL. The majority of injuries are civilian injuries. 4 accidents correspond to bullfight injuries per cornada. This study shows a wide variety of trauma; 24.5% affect the trunk, the percentage is the same for the lower limbs. 22.5% of the traumas concern the head and the blow, 15.15% the upper limbs. 9.9% of injuries are wounds. 1.3% of trauma was not reported on the FFCL accident report cards. Among the traumas are 3 dislocations of shoulders, 6 lesions of the knee ligament and 9 fractures. 6.92% of the injured were head traumatized (11 patients out of 65). Less than 50% had a neurological examination on site, while 5 of the 11 patients were treated only on site. 18.18% of the traumatized cranial patients have unknown care and 81.82% of them have no follow-up, namely a check-up by the attending physician or no certificate (contra-indication, no contra-indication, work stoppage ...). The study revealed a large number of incomplete files. Regarding the initial care of the injured, 24.6% of the cases are not filled in. 43.1% of the injured were treated on the spot and 30.8% were taken in hospital or clinic. Only one patient was referred to his attending physician as a result of the accident. Of the patients treated only on site, less than 5% had a complete clinical examination as recommended in cases of bullfighting. 43 patients out of the 65 injured have an unknown treatment, or 66.15%. 41.18% of patients treated in a hospital have an unknown follow-up. As a result of the accidents, only 13 patients had a certificate of sport exemption or contra-indication to the practice of the Landes race. Of these, 7 patients received a check-up from the general practitioner. 78 Of the 65 injured, only 10 had a check-up and 5 returned with a certificate of return. 17 patients out of 65 were injured several times, only 3 of them saw their doctor before resuming the Landes race. Conclusion: the Landes race is a risky sport whose consequences can be fatal. This study showed a medico-sportive control and follow-up of the injured too succinct despite legislation that imposes certain elements of security on the spot. Currently, a management protocol for concussions has been proposed to the FFCL. It is important that the FFCL encourage and impose a stronger medical control before and during the competitions, to allow the actors to enjoy their passion with less risk. The role of the attending physician is important both for the informed delivery of medical certificates and for the prescription of analgesics in athletes. A formalization of the medical management of accidents linked to this sport defined in a collaborative way between the FFCL and the general practitioner seems to be essential.
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Master Thesis
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Carla Girod. Course landaise : étude rétrospective d’un an sur les traumatismes déclarés en compétitions organisées par la FFCL, évaluation de la prise en charge et du suivi en médecine générale. Médecine humaine et pathologie. 2017. ⟨dumas-01627123⟩

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