entorse ligamentaire coude Flashcards

1
Q

collatérale med > collatéral lat

collatérale med quelle bande + fréquente?

A

ant

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2
Q

mécanisme blessure

A

traumatique ou microtrauma répétés

lancer, geste overhead

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3
Q

présentation clinique

A

dlr précise en med ou lat coude
attitude protection (coude 90 près abdomen)
oedème et coloration possible
bruit articulaire possible

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4
Q

alignement art coude, angle normal
h
f

A

h: 5-10
f: 10-15

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5
Q

test stress varus
rép +

A

augmentation amplitude
SFM anormale élastique plus molle
dlr

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6
Q

imagerie

A

IRM
écho MSK
arthroscopie exploratoire (diagnostique)

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7
Q

Dx diff

A

EM
EL
luxation (ulna / tête radiale)
tunnel ulnaire
tunnel radial

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8
Q

traitement en physio

A

IMMOBILSATION dans attelle
progression de 10 degrés par sem

articulaire: mobilisations passives et acess, traction

souplesse: Étirement ext et fléch coude et poignet, PNF, massages et techniques myofasciales, points de pression, taping

renforcement

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9
Q

traitement conservateur pour _ mois lorsque le traitement chirurgical est envisagé

A

3

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10
Q

nom de la chirurgie

A

Tommy John : la plus fréquente

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11
Q

dans la chirurgie Tommy John, quel tendon on utilise?

A

long palmaire
gracile

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12
Q

Chirurgie Tommy John
% de retour au sport

A

86.2%r

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13
Q

renforcement, quoi ne pas oublier

A

MI, tronc surtout pour sport/tâches de lancer

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14
Q

retour au sport vers __e sem

A

12

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