{"id":1746,"date":"2025-01-23T18:54:49","date_gmt":"2025-01-23T17:54:49","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=1746"},"modified":"2025-12-28T19:37:07","modified_gmt":"2025-12-28T18:37:07","slug":"osteonecrose-de-la-tete-femorale","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=1746","title":{"rendered":"Ost\u00e9on\u00e9crose de la t\u00eate f\u00e9morale"},"content":{"rendered":"\n<h2 id=\"introduction\" class=\"wp-block-heading\">Introduction<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 id=\"definition\" class=\"wp-block-heading\">D\u00e9finition<\/h3>\n\n\n\n<p>Maladie caract\u00e9ris\u00e9e par la mort des cellules osseuses (ost\u00e9on\u00e9crose) de la t\u00eate du f\u00e9mur, due \u00e0 une alt\u00e9ration de la circulation sanguine dans cette r\u00e9gion.<\/p>\n\n\n\n<p>Elle peut \u00eatre d&rsquo;origine traumatique (fracture, luxation) ou d&rsquo;origine non traumatique (corticost\u00e9ro\u00efde, alcool)<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.chirurgien-orthopediste.com\/wp-content\/uploads\/2024\/12\/osteonecrose_tete_femorale_hanche.webp\" alt=\"\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<h3 id=\"physiopathologie\" class=\"wp-block-heading\">Physiopathologie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Perturbation de l&rsquo;apport sanguin entra\u00eene une d\u00e9gradation du tissu osseux<\/li>\n\n\n\n<li>D\u00e9g\u00e9nrescence osseuse : n\u00e9crose des cellules osseuses et des d\u00e9formations osseuses<\/li>\n<\/ul>\n\n\n\n<p><strong>Changements histopathologiques<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Alt\u00e9rations micro architecturale (formation de micro fissures)<\/li>\n\n\n\n<li>N\u00e9crose cellulaire<\/li>\n\n\n\n<li>Remodelage osseux (r\u00e9action du tissus osseux p\u00e9riph\u00e9rique insuffisante)<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<h3 id=\"epidemiologie\" class=\"wp-block-heading\">Epid\u00e9miologie<\/h3>\n\n\n\n<p>L&rsquo;ost\u00e9on\u00e9crose non traumatique affecte les hommes plus souvent que les femmes et est observ\u00e9e surtout entre 30 et 50 ans. L&rsquo;ost\u00e9on\u00e9crose non traumatique de la hanche est bilat\u00e9rale dans environ 60% des cas.<\/p>\n\n\n\n<h3 id=\"facteurs-de-risque\" class=\"wp-block-heading\">Facteurs de risque<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Traumatisme pertubant l&rsquo;apport sanguin \u00e0 l&rsquo;os (fracture, dislocation)<\/li>\n\n\n\n<li>Conditions m\u00e9dicales : corticoth\u00e9rapie, alcoolisme, maladies syst\u00e9miques, maladies vasculaires<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"diagnostique-clinique\" class=\"wp-block-heading\">Diagnostique clinique<\/h2>\n\n\n\n<h3 id=\"symptomes\" class=\"wp-block-heading\">Sympt\u00f4mes<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Douleur localis\u00e9e \u00e0 l&rsquo;articulation infect\u00e9e<\/li>\n\n\n\n<li>Augment\u00e9e \u00e0 l&rsquo;activit\u00e9, diminu\u00e9e au repos<\/li>\n\n\n\n<li>Raideur matinale et perte de fonction<\/li>\n<\/ul>\n\n\n\n<h3 id=\"examen-physique\" class=\"wp-block-heading\">Examen physique<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sensibilit\u00e9 locale<\/li>\n\n\n\n<li>Limitation amplitude<\/li>\n\n\n\n<li>Parfois gonflement<\/li>\n<\/ul>\n\n\n\n<h3 id=\"tests-diagnostiques\" class=\"wp-block-heading\">Tests diagnostiques<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><strong>FADIR test<\/strong><br>Flexion-adduction-Rotation interne<br>Test positif si la douleur est reproduite<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"FADIR Test\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/8p-Y0k49VYc?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><strong>FABER test (test de Patrick)<\/strong><br>Flexion-Abduction-Rotation externe : pour trouver une douleur intra-articulaire<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Patrick&#039;s \/ Faber \/ Figure Four Test\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/89Qiht82zmg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><strong>Log roll test<\/strong><br>Rotation m\u00e9diale et lat\u00e9rale passive de la hanche. Le test est positif s&rsquo;il reproduit des douleurs intra-articulaires de la hanche.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Log Roll Test\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/vay1T2gVBcI?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h3 id=\"diagnostic-differentiel\" class=\"wp-block-heading\">Diagnostic diff\u00e9rentiel<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Arthrose<\/li>\n\n\n\n<li>Rhumatisme (inflammatoire articulaire)<\/li>\n\n\n\n<li>Fractures<\/li>\n\n\n\n<li>Infection articulaires (arthrite septique ou autre infection)<\/li>\n<\/ul>\n\n\n\n<h3 id=\"diagnostic-paraclinique\" class=\"wp-block-heading\">Diagnostic paraclinique<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Radio : met en \u00e9vidence zones de n\u00e9crose<\/li>\n\n\n\n<li>IRM : d\u00e9tecte les changements pr\u00e9coces<\/li>\n\n\n\n<li>CT-Scan : \u00e9value l&rsquo;\u00e9tendue des l\u00e9sions<\/li>\n\n\n\n<li>Scintigraphie osseuse : identifie les zones de dysfonctionnement osseux<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"traitement\" class=\"wp-block-heading\">Traitement<\/h2>\n\n\n\n<p>Il est avant tout chirurgical<\/p>\n\n\n\n<h3 id=\"chirurgie\" class=\"wp-block-heading\">Chirurgie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>D\u00e9bridement : nettoyage de la zone n\u00e9cros\u00e9e pour favoriser la gu\u00e9rison<\/li>\n\n\n\n<li>N\u00e9ovascularisation si la t\u00eate f\u00e9morale est assez bien conserv\u00e9e<\/li>\n\n\n\n<li>Greffe osseuse<\/li>\n\n\n\n<li>Proth\u00e8se articulaire si la t\u00eate f\u00e9morale est trop endommag\u00e9e<\/li>\n<\/ul>\n\n\n\n<p><strong>Traitements conservateurs<\/strong> <strong>en vue d&rsquo;une op\u00e9ration<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Antalgique, AINS<\/li>\n\n\n\n<li>Orth\u00e8ses et dispositif d&rsquo;aide pour r\u00e9duire la charge sur l&rsquo;articulation<\/li>\n<\/ul>\n\n\n\n<p><strong>Kin\u00e9sith\u00e9rapie<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Objectifs<\/strong><br>Soulager la douleur<br>Maintenir ou am\u00e9liorer la mobilit\u00e9 articulaire<br>Pr\u00e9server la force musculaire<br>R\u00e9duire la charge sur l&rsquo;articulation<br>Am\u00e9liorer fonction g\u00e9n\u00e9rale de la hanche<br>Pr\u00e9parer l&rsquo;articulation \u00e0 une \u00e9ventuelle chirurgie pour une proth\u00e8se<br>Prise en charge post-op<\/td><td><strong>Exercices recommand\u00e9es<\/strong><br>&#8211; Etirements des muscles de la hanche :psoas, IJ, fessiers<br>&#8211; Renfo musculaire : quadri, fessiers<br>&#8211; Stabilisation pelvienne : renfo abdo profonds<br>&#8211; Exercices en d\u00e9charge : hydroth\u00e9rapie<br>&#8211; Proprioception et \u00e9quilibre<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Pr\u00e9vention<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Eviter les activit\u00e9s \u00e0 impact \u00e9lev\u00e9<\/li>\n\n\n\n<li>Maintenir poids corporel sain<\/li>\n\n\n\n<li>Adopter des aides techniques<\/li>\n\n\n\n<li>Gestion des facteurs de risque<\/li>\n\n\n\n<li>Eviter facteurs d\u00e9clenchants<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Vid\u00e9o<\/strong><\/p>\n\n\n\n<p>Ost\u00e9on\u00e9crose aseptique de la t\u00eate f\u00e9morale : explications et Traitements<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"OST\u00c9ON\u00c9CROSE ASEPTIQUE DE LA T\u00caTE F\u00c9MORALE : Explications et Traitements\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/k8wyxC8wOk8?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong><em>Guide pratique | R\u00e9cup\u00e9ration post-chirurgie PTH<\/em><\/strong><br>Par CIUSSS du Nord de l&rsquo;\u00eele de Montr\u00e9al<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Guide pratique | R\u00e9cup\u00e9ration post-chirurgie PTH\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/vqig9n4Iye4?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p>R\u00e9capitulatif<\/p>\n\n\n\n<p><strong>Mouvements proscrits apr\u00e8s une PTH<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Flexion \u00e0 plus de 90\u00b0 (en levant le genou ou en abaissant le tronc)<\/li>\n\n\n\n<li>S&rsquo;asseoir dans un fauteuil trop profond ou sur\u00e9lever les pieds<\/li>\n\n\n\n<li>Ne pas serrer les genoux en positions assises : les garder \u00e9carter largeur des hanches<\/li>\n\n\n\n<li>Ne pas croiser les jambes<\/li>\n\n\n\n<li>Ne pas s&rsquo;allonger sur le c\u00f4t\u00e9 non-op\u00e9r\u00e9, dormir du c\u00f4t\u00e9 op\u00e9r\u00e9 uniquement<\/li>\n\n\n\n<li>Mettre un coussin entre les jambes pour dormir<\/li>\n\n\n\n<li>Garder les jambes tendues en \u00e9tant allong\u00e9 sur le lit, la position hanche et genou fl\u00e9chi car peut causer la perte de l&rsquo;extension compl\u00e8te du genou mais peut aussi \u00eatre cause de thromboph\u00e9byte<\/li>\n<\/ul>\n\n\n\n<p><strong>Premier lev\u00e9 : le jour m\u00eame de l&rsquo;op\u00e9ration<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Depuis la position assise, mettre la jambe op\u00e9r\u00e9e en avant pour \u00e9viter une flexion &gt;90\u00b0 lors du lev\u00e9<\/li>\n\n\n\n<li>Se lever avec l&rsquo;aide de mains sur le lit, placer les mains sur le d\u00e9ambulateurs ensuite<\/li>\n\n\n\n<li>Respecter le pourcentage de poids \u00e0 mettre sur la jambe op\u00e9r\u00e9e \u00e9valu\u00e9e par le m\u00e9decin<\/li>\n\n\n\n<li>Marcher avec d\u00e9ambulateur pour \u00e9viter une trop forte contrainte<br>Pour s&rsquo;asseoir : placer la jambe op\u00e9r\u00e9e en avant pour r\u00e9duire l&rsquo;angle de flexion et descendre \u00e0 l&rsquo;aide des bras<\/li>\n<\/ul>\n\n\n\n<p><strong>Premi\u00e8re s\u00e9ance de kin\u00e9 le lendemain<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Apprentissage de la marche entre les barres parall\u00e8les : pas besoin de faire de grands pas \u00e0 ce stade<\/li>\n\n\n\n<li>Renforcement musculaire du MI en d\u00e9charge : rotation de cheville, flexion de hanche, abduction<\/li>\n\n\n\n<li>Apprentissage mont\u00e9e et descente d&rsquo;escalier<\/li>\n\n\n\n<li>Exercices \u00e0 faire \u00e0 la maison quotidiennement<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Introduction D\u00e9finition Maladie caract\u00e9ris\u00e9e par la mort des cellules osseuses (ost\u00e9on\u00e9crose) de la t\u00eate du f\u00e9mur, due \u00e0 une alt\u00e9ration de la circulation sanguine dans cette r\u00e9gion. Elle peut \u00eatre d&rsquo;origine traumatique (fracture, luxation) ou&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=1746\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Ost\u00e9on\u00e9crose de la t\u00eate f\u00e9morale\u00a0\u00bb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[356],"tags":[],"class_list":["post-1746","post","type-post","status-publish","format-standard","hentry","category-pathologie-hanche"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ost\u00e9on\u00e9crose de la t\u00eate f\u00e9morale - wikine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kineaphp.fr\/?p=1746\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ost\u00e9on\u00e9crose de la t\u00eate f\u00e9morale - wikine\" \/>\n<meta property=\"og:description\" content=\"Introduction D\u00e9finition Maladie caract\u00e9ris\u00e9e par la mort des cellules osseuses (ost\u00e9on\u00e9crose) de la t\u00eate du f\u00e9mur, due \u00e0 une alt\u00e9ration de la circulation sanguine dans cette r\u00e9gion. 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