{"id":1667,"date":"2024-09-30T14:19:56","date_gmt":"2024-09-30T12:19:56","guid":{"rendered":"https:\/\/imppact-chirurgie.fr\/?page_id=1667"},"modified":"2024-10-01T11:49:49","modified_gmt":"2024-10-01T09:49:49","slug":"lesion-du-biceps-distal","status":"publish","type":"page","link":"https:\/\/imppact-chirurgie.fr\/index.php\/traumatologie\/lesion-du-biceps-distal\/","title":{"rendered":"L\u00e9sion du biceps distal"},"content":{"rendered":"

[et_pb_section fb_built=\u00a0\u00bb1″ admin_label=\u00a0\u00bbsection\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbrow\u00a0\u00bb _builder_version=\u00a0\u00bb4.24.3″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb custom_margin=\u00a0\u00bb|auto||144px||\u00a0\u00bb custom_padding=\u00a0\u00bb|||58px||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbText\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb width=\u00a0\u00bb99.8%\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb|||0px||\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

La l\u00e9sion du biceps distal<\/span><\/h1>\n
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La l\u00e9sion du biceps distal, aussi appel\u00e9e rupture du tendon distal du biceps, est une blessure relativement rare mais s\u00e9rieuse. Elle se produit lorsque le tendon du biceps, qui se fixe \u00e0 l’os du radius au niveau du coude, se d\u00e9chire ou se rompt<\/div>\n
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Diagnostic<\/b><\/p>\n

Le diagnostic d’une l\u00e9sion du biceps distal repose sur plusieurs \u00e9l\u00e9ments :<\/p>\n

    \n
  • Historique du patient<\/b> :<\/li>\n
      \n
    • Le patient rapporte souvent une douleur aigu\u00eb au niveau du coude apr\u00e8s un effort soudain ou une charge lourde. Un bruit de \u00ab\u00a0claquement\u00a0\u00bb peut \u00eatre ressenti au moment de la rupture.<\/li>\n
    • Perte de force pour la flexion du coude et la supination (rotation de l’avant-bras vers l’ext\u00e9rieur).<\/li>\n<\/ul>\n
    • Examen physique<\/b> :<\/li>\n
        \n
      • Signe de la d\u00e9formation<\/b> : Le muscle biceps peut se r\u00e9tracter vers le haut du bras, cr\u00e9ant une d\u00e9formation visible.<\/li>\n
      • Signe de Hook<\/b> : Incapacit\u00e9 de l’examinateur \u00e0 \u00ab accrocher \u00bb le tendon du biceps sous la fosse cubitale lors de l’examen clinique.<\/li>\n
      • Perte de force \u00e0 la flexion du coude et, surtout, \u00e0 la supination contre r\u00e9sistance.<\/li>\n<\/ul>\n
      • Imagerie<\/b> :<\/li>\n
          \n
        • \u00c9chographie<\/b> : Peut \u00eatre utilis\u00e9e pour confirmer la d\u00e9chirure du tendon.<\/li>\n
        • IRM<\/b> : Plus pr\u00e9cise, elle permet de visualiser la d\u00e9chirure, son \u00e9tendue et l\u2019\u00e9tat du tendon.<\/li>\n<\/ul>\n<\/ul>\n

          Traitement<\/b><\/p>\n

          Le traitement d\u00e9pend de l’\u00e2ge du patient, de son niveau d’activit\u00e9, et de l’importance de la fonction du biceps pour lui. Les options incluent :<\/p>\n

            \n
          • Traitement conservateur<\/b> :<\/li>\n
              \n
            • Souvent propos\u00e9 aux patients plus \u00e2g\u00e9s ou s\u00e9dentaires, ou ceux pour qui la chirurgie pr\u00e9sente un risque \u00e9lev\u00e9.<\/li>\n
            • Ce traitement comprend le repos, l\u2019immobilisation initiale avec une attelle ou un pl\u00e2tre, suivie d\u2019une r\u00e9\u00e9ducation fonctionnelle.<\/li>\n
            • Cependant, il est important de noter que le traitement conservateur entra\u00eene souvent une perte de force en supination et en flexion du coude.<\/li>\n<\/ul>\n
            • Chirurgie<\/b> :<\/li>\n
                \n
              • R\u00e9paration du tendon<\/b> : Consiste \u00e0 rattacher le tendon du biceps au radius. C’est le traitement de choix pour les patients jeunes ou actifs, ou ceux pour qui la fonction du biceps est importante.<\/li>\n
              • Techniques chirurgicales<\/b> : Il existe diff\u00e9rentes approches, dont la technique \u00e0 un seul ou deux incisions.<\/li>\n
              • R\u00e9habilitation post-op\u00e9ratoire<\/b> : Comprend une immobilisation suivie d’une r\u00e9\u00e9ducation progressive pour restaurer la force et l’amplitude de mouvement.<\/li>\n<\/ul>\n<\/ul>\n

                Pronostic<\/b><\/p>\n

                  \n
                • Apr\u00e8s la chirurgie<\/b> : La plupart des patients r\u00e9cup\u00e8rent une force quasi normale dans les mois suivant l’intervention, avec un bon retour \u00e0 l’activit\u00e9 sportive ou professionnelle.<\/li>\n
                • Complications potentielles<\/b> : Incluent la raideur du coude, une l\u00e9sion nerveuse, ou une r\u00e9cidive de la rupture si le tendon ne cicatrise pas correctement.<\/li>\n<\/ul>\n

                  Une prise en charge pr\u00e9coce, surtout pour les patients actifs, est cruciale pour un bon pronostic fonctionnel.<\/p>\n

                  \n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

                  [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

                  La l\u00e9sion du biceps distal La l\u00e9sion du biceps distal, aussi appel\u00e9e rupture du tendon distal du biceps, est une blessure relativement rare mais s\u00e9rieuse. Elle se produit lorsque le tendon du biceps, qui se fixe \u00e0 l’os du radius au niveau du coude, se d\u00e9chire ou se rompt Diagnostic Le diagnostic d’une l\u00e9sion du […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1513,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-1667","page","type-page","status-publish","hentry"],"yoast_head":"\nL\u00e9sion du biceps distal | IMPPACT Chirurgie<\/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:\/\/imppact-chirurgie.fr\/index.php\/traumatologie\/lesion-du-biceps-distal\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L\u00e9sion du biceps distal | IMPPACT Chirurgie\" \/>\n<meta property=\"og:description\" content=\"La l\u00e9sion du biceps distal La l\u00e9sion du biceps distal, aussi appel\u00e9e rupture du tendon distal du biceps, est une blessure relativement rare mais s\u00e9rieuse. Elle se produit lorsque le tendon du biceps, qui se fixe \u00e0 l'os du radius au niveau du coude, se d\u00e9chire ou se rompt Diagnostic Le diagnostic d'une l\u00e9sion du […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/imppact-chirurgie.fr\/index.php\/traumatologie\/lesion-du-biceps-distal\/\" \/>\n<meta property=\"og:site_name\" content=\"IMPPACT Chirurgie\" \/>\n<meta property=\"article:modified_time\" content=\"2024-10-01T09:49:49+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/index.php\\\/traumatologie\\\/lesion-du-biceps-distal\\\/\",\"url\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/index.php\\\/traumatologie\\\/lesion-du-biceps-distal\\\/\",\"name\":\"L\u00e9sion du biceps distal | IMPPACT Chirurgie\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/#website\"},\"datePublished\":\"2024-09-30T12:19:56+00:00\",\"dateModified\":\"2024-10-01T09:49:49+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/index.php\\\/traumatologie\\\/lesion-du-biceps-distal\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/imppact-chirurgie.fr\\\/index.php\\\/traumatologie\\\/lesion-du-biceps-distal\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/index.php\\\/traumatologie\\\/lesion-du-biceps-distal\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Traumatologie\",\"item\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/index.php\\\/traumatologie\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"L\u00e9sion du biceps distal\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/#website\",\"url\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/\",\"name\":\"IMPPACT Chirurgie\",\"description\":\"IMPPACT Institut Main Pied Plastique Articulations Chirurgie Traumatologie\",\"publisher\":{\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/#organization\",\"name\":\"Imppact Chirurgie\",\"alternateName\":\"Institut Main Pied Plastique Articulations Chirurgie Traumatologie\",\"url\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/wp-content\\\/uploads\\\/2024\\\/02\\\/logo_final_imppact.png\",\"contentUrl\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/wp-content\\\/uploads\\\/2024\\\/02\\\/logo_final_imppact.png\",\"width\":1000,\"height\":523,\"caption\":\"Imppact Chirurgie\"},\"image\":{\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"L\u00e9sion du biceps distal | IMPPACT Chirurgie","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/imppact-chirurgie.fr\/index.php\/traumatologie\/lesion-du-biceps-distal\/","og_locale":"fr_FR","og_type":"article","og_title":"L\u00e9sion du biceps distal | IMPPACT Chirurgie","og_description":"La l\u00e9sion du biceps distal La l\u00e9sion du biceps distal, aussi appel\u00e9e rupture du tendon distal du biceps, est une blessure relativement rare mais s\u00e9rieuse. 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