dr p .volckmann md ph
TRANSCRIPT
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Dr P .VOLCKMANN MD PH.D
Centre Paul SANTY
Laboratoire P2S université LYON I
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DIAGNOSTIC Fonction: soutenir la tête (fonction céphalophore) et l’orienter
dans la vision stéréoscopique (fonction oculocéphalogyre)
Toute lésion articulaire entraine une contracture douloureuse (cercle vicieux douleur contracture)
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DIAGNOSTIC Importance de l’interrogatoire:
Biographie et ATCD
Circonstances de survenue et ancienneté
Caractère de la douleur
Localisation de la douleur
Signes associés: céphalées /dysphagie/vertiges/douleurs orbitaires/douleurs temporo mandibulaires
Signes généraux A A A T°
Psychisme
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EXAMEN CLINIQUE Inspection: aspect guindé / aspect en déviation latérale
(torticolis)
Mobilité:
Palpation: C2 C7 contractures signe d’atteinte du V
Pression:spurling test test de la crucifiction contrariée
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Spurling test
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S du sourcil
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S du menton
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EXAMEN CLINIQUE Neurologique : ROT+ /trajets/ CBH
Épaule
Vasculaire: chandelier /adson/adson sensibilisé
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Examen musculaire !!! Fournier Hager Fiere
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ADSON CHANDELIER
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EXAMENS COMPLEMENTAIRES RX simples
TDM
Électro-physiologie: EMG/PES/PEM
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EXAMENS COMPLEMENTAIRES
IRM++++
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REPETER EXAMENS EN FONCTION DE LA CLINIQUE
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ETIOLOGIES chez le sportif
RUGBY++++ KARATE PLONGEON TREMPOLINE Remplace la classification de TORG
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Postures à risque
Association traumat épaule et traumat cervical
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POSTURE A RISQUE!!
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POSTES A RISQUE!!!
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Hager fournier fiere
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hager fiere fournier
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Hager fiere fournier
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présentation Fournier hager fiere
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ETIOLOGIES(pas si simple) Cervicalgies communes dégénératives +++++++
Articulations unco discarthrose
Musculaires
Positionnelles et attentionnelles
NCB
Cervicalgies chroniques
Psychogènes/ fibromyalgie
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DIAGNOSTIC DIFFERENTIEL Cervicalgies post traumatiques autres que sportives
(fractures /lux C1C2 )
Cervicalgies tumorales
inflammatoires (SPA/PR/LED)
Infectieuses (spondylodiscites)
Cervicalgies sur malformation charniere(arnold chiari)
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Diagnostic différentiel NCB II: T intracanalaires ou intra médullaires(syrinx)
RADICULITES: VIH/ post rxtt/ PARSONAGE et TURNER/lyme/zona
PSEUDO RADICULITE:
Pancoast tobias
CBH
Syndrome du défilé
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CONCLUSION cercle vicieux: douleur contracture douleur
Mobilité et vision
Attention aux manipulations ( hernies discales et vertébrale
post)
Penser aux autres diagnostics
RUGBY: PC=TRAUMAT CERVICAL(jusqu’à preuve du contraire)
Ne pas sous estimer les facteurs environnementaux (motif d’arret compétition)