{"id":2619,"date":"2025-02-08T21:27:28","date_gmt":"2025-02-08T20:27:28","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=2619"},"modified":"2025-02-23T23:31:50","modified_gmt":"2025-02-23T22:31:50","slug":"arthropathie","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=2619","title":{"rendered":"Arthropathie"},"content":{"rendered":"\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:25% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"667\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-104-png.avif\" alt=\"\" class=\"wp-image-3562 size-full\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-104-png.avif 500w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-104-225x300.avif 225w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p>Etiologie<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Rhumatismale  : polyarthrite rhumato\u00efde, spondylarthrite ankylosante<\/li>\n\n\n\n<li>Post traumatique<\/li>\n\n\n\n<li>Primaire (idiopathique)<\/li>\n\n\n\n<li>Facteurs de risque<\/li>\n\n\n\n<li>Travail avec r\u00e9p\u00e9tition de port de charge lourde<\/li>\n\n\n\n<li>ATCD de fracture<\/li>\n\n\n\n<li>4H\/1F, >45 ans<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Physiopathologie<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Arthrose post traumatique (ph\u00e9nom\u00e8ne m\u00e9canique)<\/strong><br>ancienne fracture intra-articulaire -> instabilit\u00e9 articulaire avec des diff\u00e9rences de contraintes si atteinte ligamentaire -> D\u00e9s\u00e9quilibre des contraintes avec incongruence articulaire -> microtraumatismes r\u00e9p\u00e9t\u00e9s et baisse de la capacit\u00e9 du cartilage \u00e0 absorber les chocs -> ph\u00e9nom\u00e8ne inflammatoire puis d\u00e9g\u00e9n\u00e9ratif des structures -> atteinte de l&rsquo;os sous-jacent -> ost\u00e9ophyte et raideur articulaire<\/li>\n\n\n\n<li><strong>Arthrite rhumato\u00efde (ph\u00e9nom\u00e8ne inflammatoire)<\/strong><br>inflammation synoviale auto-immune -> prolif\u00e9ration anormale de cellules synoviales -> \u00e9paississement de la membrane et exc\u00e8s de liquide synoviale (articulation chaude, oed\u00e8me, raide) -> m\u00e9diateurs inflammatoires qui d\u00e9grade le cartilage -> d\u00e9gradation os sous-chondral, ligaments -> d\u00e9s\u00e9quilibre des contraintes, ost\u00e9ophyte<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Diagnostic<\/strong><\/p>\n\n\n\n<p>Descriptif douloureux<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Blocage, ressaut<\/li>\n\n\n\n<li>Intermittent : corps perdu<\/li>\n\n\n\n<li>Horaire inflammatoire \/ par pouss\u00e9e<\/li>\n<\/ul>\n\n\n\n<p>Examen physique<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Objectiver d\u00e9viation morpho-statique (valgus physio varie de 5\u00b0 \u00e0 15\u00b0)<\/li>\n\n\n\n<li>Diminution amplitude articulaire (amplitude passive = amplitude active)<\/li>\n\n\n\n<li>Arc douloureux (si mise en contrainte du cartilage), ressaut, bruit plut\u00f4t sourd<\/li>\n\n\n\n<li>But\u00e9es ost\u00e9ophytiques (tr\u00e8s dures) : diminution de l&rsquo;amplitude articulaire<\/li>\n<\/ul>\n\n\n\n<p><strong>Tests cliniques de l&rsquo;articulation hum\u00e9ro-radiale<\/strong> (pas de tests sp\u00e9cifique pour l&rsquo;arthorse)<\/p>\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>Test de stabilit\u00e9 ligamentaire <\/strong>: stress test en varus\/valgus (test pronostic)<\/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=\"Elbow Lateral Collateral Ligament Test | Elbow Ligament Test | Elbow LCL Test\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/UEkdmubWfac?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>SALT<\/strong><\/p>\n\n\n\n<p>Pour d\u00e9tecter pathologie intra-articulaire comme la synovite<\/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=\"SALT Test | Lateral Elbow Pain\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/dmo0BEIaP0w?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>PEPPER<\/strong><\/p>\n\n\n\n<p>Pour d\u00e9tecter une atteinte du cartilage de la t\u00eate radial<\/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=\"Pepper Test | Lateral Elbow Pain\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/mRFMd7_ZrdY?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<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Paraclinique<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Radio<\/strong><\/li>\n\n\n\n<li><strong>Classification de <a href=\"https:\/\/upload.orthobullets.com\/topic\/3084\/images\/larsen.jpg\">Larsen <\/a>(de 1 \u00e0 5) et de <a href=\"https:\/\/www.researchgate.net\/profile\/Christos-Dimitriou\/publication\/5558636\/figure\/fig1\/AS:202766405378061@1425354686425\/Mayo-Classification-for-olecranon-fractures-Adapted-from-4.png\">Mayo Clinic<\/a> (1 \u00e0 4)<\/strong> : pour conna\u00eetre le stade de destruction du cartilage<\/li>\n\n\n\n<li><strong><a href=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-105-png.avif\">Classification de Broberg et Morrey<\/a> <\/strong>(3 stades) : pour arthrose du coude sans coexsitence de pathologie inflammatoire (post-trauma op\u00e9r\u00e9 par exemple)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Traitements<\/strong><\/p>\n\n\n\n<p><strong>Th\u00e9rapie par le mouvement : activit\u00e9 physique<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A\u00e9robie : effet analg\u00e9siant et pond\u00e8re l&rsquo;impact de l&rsquo;affection inflammatoire<\/li>\n\n\n\n<li>Renforcement musculaire : l&rsquo;exposition graduelle peut d\u00e9sensibiliser le cartilage ou l&rsquo;os sous-chondral et permet un remodelage de l&rsquo;articulation \u00e0 moyen et long terme<\/li>\n\n\n\n<li>Contr\u00f4le moteur : r\u00e9\u00e9quilibrer les contraintes appliqu\u00e9es sur l&rsquo;articulation<\/li>\n<\/ul>\n\n\n\n<p><strong>Modification de comportements<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Adh\u00e9sion \u00e0 l&rsquo;activit\u00e9 physique<\/li>\n\n\n\n<li>Soumettre l&rsquo;articulation \u00e0 des contraintes sans sensibiliser (quantification de stress m\u00e9canique)<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Physiopathologie Diagnostic Descriptif douloureux Examen physique Tests cliniques de l&rsquo;articulation hum\u00e9ro-radiale (pas de tests sp\u00e9cifique pour l&rsquo;arthorse) Test de stabilit\u00e9 ligamentaire : stress test en varus\/valgus (test pronostic) SALT Pour d\u00e9tecter pathologie intra-articulaire comme la&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=2619\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Arthropathie\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":[360],"tags":[],"class_list":["post-2619","post","type-post","status-publish","format-standard","hentry","category-pathologie-coude"],"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/2619","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2619"}],"version-history":[{"count":5,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/2619\/revisions"}],"predecessor-version":[{"id":3570,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/2619\/revisions\/3570"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2619"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2619"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2619"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}