{"id":2631,"date":"2025-02-08T21:30:30","date_gmt":"2025-02-08T20:30:30","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=2631"},"modified":"2025-02-10T15:25:21","modified_gmt":"2025-02-10T14:25:21","slug":"syndrome-canalaire-2","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=2631","title":{"rendered":"Syndrome canalaire"},"content":{"rendered":"\n<p><strong>D\u00e9finition<\/strong> : compressions tronculaires p\u00e9riph\u00e9riques<br><strong>Physiopathologie <\/strong>: compression d&rsquo;un nerf -> changement de gradient de pression ->diminution de l&rsquo;oxyg\u00e8ne -> Isch\u00e9mie intra-neurale. <br>Si l&rsquo;isch\u00e9mie est prolong\u00e9e -> hypoxie importante\/oed\u00e8me -> D\u00e9my\u00e9linisation -> D\u00e9g\u00e9n\u00e9rescence axonale<br>La neurotrophicit\u00e9 est donc impact\u00e9e par la compression canalaire et peut \u00eatre augment\u00e9e par un oed\u00e8me.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Liste<\/strong> <strong>de syndromes canalaires du MS<\/strong><\/li>\n<\/ul>\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>&#8211; Syndrome du d\u00e9fil\u00e9 thoraco-brachial (STTB)<br>&#8211; Syndrome nerf thoracique long<br>&#8211; Syndrome nerf sus scapulaire<br>&#8211; Syndrome nerf infra scapulaire<br>&#8211; Syndrome nerf musculo-cutan\u00e9<br>&#8211; Syndrome nerf interosseux post (radial)<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>&#8211; Syndrome canal ulnaire<br>&#8211; Syndrome nerf interosseux ant (m\u00e9dian)<br>&#8211; Syndrome du rond pronateur<br>&#8211; Syndrome du nerf ulnaire<br>&#8211; Syndrome du canal carpien<\/p>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Syndrome nerf interosseux post (radial)<\/strong><\/li>\n<\/ul>\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:33.33%\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"178\" height=\"270\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-png.avif\" alt=\"\" class=\"wp-image-2662\" style=\"width:210px;height:auto\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p><strong>Facteurs de risques<\/strong><br>&#8211; Joueur de tenis<br><strong>Diagnostic<\/strong><br>&#8211; D\u00e9ficit force en extension des doigts<br>&#8211; Atteinte isol\u00e9e de l&rsquo;ext\u00b0 du 4 et du 5 possible<br>&#8211; Amyotrophie post avant-bras (sauf brachio-radial et LERC)<br>&#8211; D\u00e9viation radial du poignet lors de l&rsquo;ext\u00b0<br>&#8211; Absence d&rsquo;atteinte sensitive<br><strong>Th\u00e9rapeutique<\/strong><br>&#8211; Conservatrices antalgiques<br>&#8211; Gestion des sympt\u00f4mes, handicap et qualit\u00e9 de vie le temps d&rsquo;une \u00e9ventuelle indication chirurgicale (apr\u00e8s 3 mois de traitement conservateur si absence d&rsquo;effet)<\/p>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Syndrome canal ulnaire<\/strong><\/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\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"137\" height=\"221\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-1-png.avif\" alt=\"\" class=\"wp-image-2665\" style=\"width:210px;height:auto\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p><strong>Facteurs de risque<\/strong><br>Tabac, HTA, b\u00e9quille, travailleur \u00e0 la cha\u00eene, hypothyro\u00efdie<br><strong>Diagnostic<\/strong><br>&#8211; Amyotrophie interosseux primaire s&rsquo;\u00e9tendant progressivement aux autres muscles<br>&#8211; Signe de Tinel \u00e0 la loge de Guyon (Percuter la loge de Guyon -&gt; positif si d\u00e9clenche des paresth\u00e9sie ou des d\u00e9charges \u00e9lectriques au 2 derniers doigts)<br>&#8211; Douleurs possiblement contenue au coude mais irradiation distale ou proximale possible<br><strong>Th\u00e9rapeutique<\/strong><br>Idem que pour interosseux post (radial)<br>Option m\u00e9dicale : infiltration<br>Option chirurgicale : d\u00e9compression nerf (95% de r\u00e9ussite)<\/p>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Syndrome du canal carpien (m\u00e9dian)<\/strong><\/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\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"164\" height=\"275\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-3-png.avif\" alt=\"\" class=\"wp-image-2675\" style=\"width:223px;height:auto\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p><strong>Pr\u00e9valence<\/strong><br>&#8211; 4 femmes \/ 1 homme<br>&#8211; Pic vers 50 ans et 80 ans<br>&#8211; 2\u00e8me maladie professionnelle : 12289 cas en 2019<br><strong>Facteurs de risque<\/strong><br>&#8211; Polyrhumato\u00efde, grossesse, travail, r\u00e9p\u00e9tition F\u00b0\/E\u00b0 du poignet<br><strong>Diagnostic<\/strong><br>&#8211; Douleur \u00e0 composante neurog\u00e8ne<br>&#8211; Atteinte sensitive<br>&#8211; Examen moteur le plus souvent normal<br>&#8211; <a href=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-5-png.avif\">Test de Phallen<\/a> (positif si symptome apparaissent en moins de 60s)<br>&#8211; <a href=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-2-png.avif\">Signe de Tinel<\/a><br>&#8211; Amyotrophie possible de th\u00e9narien<br>&#8211; Pr\u00e9sence de troubles trophiques associ\u00e9s (sudation, oed\u00e8me)<\/p>\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>R\u00e8gle de pr\u00e9diction clinique<\/strong><br>&#8211; Signe de Flick<br>&#8211; Wrist Ration Index &gt; 0.67<br>&#8211; Perte de fonction sensitive<br>&#8211; Age &gt; 45 ans<br>&#8211; Score SSS &gt; 1.9<br>! Absence d&rsquo;ULNT \/ Phallen \/ Tinel dans le CDR<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><strong>Th\u00e9rapeutique<\/strong><br><strong>Conservatrice<\/strong><br>&#8211; ULNT : pas d&rsquo;effet sur les douleurs ni les fonctions<br>&#8211; Th\u00e9rapie manuelle : am\u00e9liore douleur et s\u00e9v\u00e9rit\u00e9, conduction neurale, fonction<br>&#8211; Education : sommeil, sport, nutrition <br><strong>M\u00e9dicale<\/strong> <br>Infitration : uniquement facteurs situationnels, grossesse<br><strong>Chirurgicale<\/strong><br>90% de r\u00e9ussite \u00e0 3 mois<br><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>D\u00e9finition : compressions tronculaires p\u00e9riph\u00e9riquesPhysiopathologie : compression d&rsquo;un nerf -> changement de gradient de pression ->diminution de l&rsquo;oxyg\u00e8ne -> Isch\u00e9mie intra-neurale. Si l&rsquo;isch\u00e9mie est prolong\u00e9e -> hypoxie importante\/oed\u00e8me -> D\u00e9my\u00e9linisation -> D\u00e9g\u00e9n\u00e9rescence axonaleLa neurotrophicit\u00e9 est&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=2631\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Syndrome canalaire\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":[1],"tags":[],"class_list":["post-2631","post","type-post","status-publish","format-standard","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/2631","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=2631"}],"version-history":[{"count":16,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/2631\/revisions"}],"predecessor-version":[{"id":2695,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/2631\/revisions\/2695"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2631"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2631"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2631"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}