{"id":780,"date":"2015-10-18T16:44:30","date_gmt":"2015-10-18T15:44:30","guid":{"rendered":"http:\/\/www.ortho-info.com\/?page_id=780"},"modified":"2015-10-19T08:15:09","modified_gmt":"2015-10-19T07:15:09","slug":"conflit-de-hanche","status":"publish","type":"page","link":"https:\/\/www.ortho-info.com\/?page_id=780","title":{"rendered":"Conflit de Hanche"},"content":{"rendered":"<h2 style=\"text-align: justify;\">D\u00e9finition<\/h2>\n<figure id=\"attachment_783\" aria-describedby=\"caption-attachment-783\" style=\"width: 326px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.ortho-info.com\/wp-content\/uploads\/2015\/10\/conflit-de-hanche.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-783 size-full\" src=\"https:\/\/www.ortho-info.com\/wp-content\/uploads\/2015\/10\/conflit-de-hanche.jpg\" alt=\"conflit de hanche\" width=\"336\" height=\"400\" srcset=\"https:\/\/www.ortho-info.com\/wp-content\/uploads\/2015\/10\/conflit-de-hanche.jpg 336w, https:\/\/www.ortho-info.com\/wp-content\/uploads\/2015\/10\/conflit-de-hanche-252x300.jpg 252w\" sizes=\"auto, (max-width: 336px) 100vw, 336px\" \/><\/a><figcaption id=\"caption-attachment-783\" class=\"wp-caption-text\">conflit de hanche<\/figcaption><\/figure>\n<p style=\"text-align: justify;\">Le conflit de hanche, f\u00e9moro ac\u00e9tabulaire correspond \u00e0 un contact anormalement pr\u00e9coce entre le bourrelet cotylo\u00efdien ant\u00e9rieur et la face ant\u00e9rieure du col f\u00e9moral, dans les mouvements de flexion + rotation interne de hanche.<\/p>\n<p style=\"text-align: justify;\">Il s&rsquo;agit d&rsquo;une cause fr\u00e9quente de douleurs de hanche chez le sujet jeune, classiquement plut\u00f4t sportif. la position assise prolong\u00e9e favorise \u00e9galement la survenue de ces douleurs.<\/p>\n<p style=\"text-align: justify;\">Cette pathologie particuli\u00e8re est reconnue depuis peu de temps, et b\u00e9n\u00e9ficie de techniques de traitement chirurgical propos\u00e9s de plus en plus syst\u00e9matiquement. En effet, il s&rsquo;agit d&rsquo;une pathologie arthrog\u00e8ne, responsable d&rsquo;une usure pr\u00e9matur\u00e9e de la hanche.<\/p>\n<h2 style=\"text-align: justify;\">Formes possibles<\/h2>\n<p style=\"text-align: justify;\">Classiquement il existe 3 formes possibles de conflits f\u00e9moro ac\u00e9tabulaires:<\/p>\n<ul style=\"text-align: justify;\">\n<li>par effet came: le facteur pr\u00e9dominant est l&rsquo;excroissance osseuse de la face ant\u00e9rieure du col f\u00e9moral<\/li>\n<li>par effet pince : le facteur pr\u00e9dominant est une couverture ant\u00e9rieure excessive du cotyle qui vient appuyer sur le col en flexion<\/li>\n<li>par effet mixte<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><style type=\"text\/css\">.easingslider-805 { width: 100%; }.easingslider-805 .easingslider-image { max-height: 300px; max-width: 900px; }.easingslider-805 .easingslider-fade-in, .easingslider-fade-out { -webkit-animation-duration: 400ms; -moz-animation-duration: 400ms; animation-duration: 400ms; }<\/style><script type=\"text\/javascript\">window.EasingSlider805 = {\"width\":900,\"height\":300,\"singleItem\":true,\"items\":1,\"itemsDesktop\":false,\"itemsDesktopSmall\":false,\"itemsTablet\":false,\"itemsTabletSmall\":false,\"itemsMobile\":false,\"responsive\":true,\"lazyLoad\":true,\"autoPlay\":4000,\"slideSpeed\":400,\"navigation\":true,\"navigationText\":[\"\",\"\"],\"pagination\":true,\"autoHeight\":false,\"mouseDrag\":false,\"touchDrag\":false,\"addClassActive\":true,\"transitionStyle\":false};<\/script><div data-id=\"805\" class=\"easingslider easingslider-805 easingslider-container easingslider-full-width easingslider-resizing-enabled easingslider-aspect-ratio easingslider-arrows-inside easingslider-pagination-inside easingslider-pagination-bottom-center\"><div class=\"easingslider-slide\"><a href=\"none\" target=\"\"><img decoding=\"async\" src=\"https:\/\/www.ortho-info.com\/wp-content\/plugins\/easing-slider\/assets\/images\/placeholder-pixel.png\" data-src=\"https:\/\/www.ortho-info.com\/wp-content\/uploads\/2015\/10\/hanche-normale-900x300.jpg\" alt=\"\" title=\"\" class=\"easingslider-image easingslider-lazy\" \/><\/a><\/div><div class=\"easingslider-slide\"><a href=\"none\" target=\"\"><img decoding=\"async\" src=\"https:\/\/www.ortho-info.com\/wp-content\/plugins\/easing-slider\/assets\/images\/placeholder-pixel.png\" data-src=\"https:\/\/www.ortho-info.com\/wp-content\/uploads\/2015\/10\/conflit-came-900x300.jpg\" alt=\"\" title=\"\" class=\"easingslider-image easingslider-lazy\" \/><\/a><\/div><div class=\"easingslider-slide\"><a href=\"none\" target=\"\"><img decoding=\"async\" src=\"https:\/\/www.ortho-info.com\/wp-content\/plugins\/easing-slider\/assets\/images\/placeholder-pixel.png\" data-src=\"https:\/\/www.ortho-info.com\/wp-content\/uploads\/2015\/10\/conflit-pince-900x300.jpg\" alt=\"\" title=\"\" class=\"easingslider-image easingslider-lazy\" \/><\/a><\/div><div class=\"easingslider-slide\"><a href=\"none\" target=\"\"><img decoding=\"async\" src=\"https:\/\/www.ortho-info.com\/wp-content\/plugins\/easing-slider\/assets\/images\/placeholder-pixel.png\" data-src=\"https:\/\/www.ortho-info.com\/wp-content\/uploads\/2015\/10\/conflit-mixte-900x300.jpg\" alt=\"\" title=\"\" class=\"easingslider-image easingslider-lazy\" \/><\/a><\/div><div class=\"easingslider-slide\"><a href=\"none\" target=\"\"><img decoding=\"async\" src=\"https:\/\/www.ortho-info.com\/wp-content\/plugins\/easing-slider\/assets\/images\/placeholder-pixel.png\" data-src=\"https:\/\/www.ortho-info.com\/wp-content\/uploads\/2015\/10\/contrecoup-post\u00e9rieur-900x300.jpg\" alt=\"\" title=\"\" class=\"easingslider-image easingslider-lazy\" \/><\/a><\/div><\/div><\/p>\n<p style=\"text-align: justify;\">Il s&rsquo;y associe presque syst\u00e9matiquement toujours une d\u00e9chirure du bourrelet cotyloidien (labrum tear).<\/p>\n<p style=\"text-align: justify;\">De plus le contact pr\u00e9matur\u00e9 du col avec le cotyle d\u00e9centre la hanche et provoque une l\u00e9sion post\u00e9rieure \u00ab\u00a0de contrecoup\u00a0\u00bb, ce qui explique aussi le caract\u00e8re arthrog\u00e8ne du conflit f\u00e9moro-ac\u00e9tabulaire.<\/p>\n<h2 style=\"text-align: justify;\">Radiologie standard<\/h2>\n<p style=\"text-align: justify;\">Le conflit f\u00e9moro ac\u00e9tabulaire se d\u00e9c\u00e8le sur de simples radiographies de la hanche, notemment sur le profil de DUNN qui expose la face ant\u00e9rieure du col f\u00e9moral. Sur cette radio est estim\u00e9e l&rsquo;angle alpha, correpondant \u00e0 l&rsquo;angle form\u00e9 par l&rsquo;axe du col f\u00e9moral et une droite passsant par le centre de la tete f\u00e9morale et le point de d\u00e9crochage de la jonction tete-col, et qui est normalement de l&rsquo;ordre de 45\u00b0; il est augment\u00e9 dans les conflits par effet came, comme sur cette radio ci dessous.<\/p>\n<p style=\"text-align: justify;\"><style type=\"text\/css\">.easingslider-797 { max-width: 887px; }.easingslider-797 .easingslider-image { max-height: 400px; max-width: 887px; }.easingslider-797 .easingslider-fade-in, .easingslider-fade-out { -webkit-animation-duration: 400ms; -moz-animation-duration: 400ms; animation-duration: 400ms; }<\/style><script type=\"text\/javascript\">window.EasingSlider797 = {\"width\":887,\"height\":400,\"singleItem\":true,\"items\":1,\"itemsDesktop\":false,\"itemsDesktopSmall\":false,\"itemsTablet\":false,\"itemsTabletSmall\":false,\"itemsMobile\":false,\"responsive\":true,\"lazyLoad\":true,\"autoPlay\":4000,\"slideSpeed\":400,\"navigation\":true,\"navigationText\":[\"\",\"\"],\"pagination\":true,\"autoHeight\":false,\"mouseDrag\":false,\"touchDrag\":false,\"addClassActive\":true,\"transitionStyle\":\"fade\"};<\/script><div data-id=\"797\" class=\"easingslider easingslider-797 easingslider-container easingslider-resizing-enabled easingslider-aspect-ratio easingslider-arrows-inside easingslider-pagination-inside easingslider-pagination-bottom-center\"><div class=\"easingslider-slide\"><a href=\"none\" target=\"\"><img decoding=\"async\" src=\"https:\/\/www.ortho-info.com\/wp-content\/plugins\/easing-slider\/assets\/images\/placeholder-pixel.png\" data-src=\"https:\/\/www.ortho-info.com\/wp-content\/uploads\/2015\/10\/pistol-grip-deformity-1-887x400.jpg\" alt=\"\" title=\"\" class=\"easingslider-image easingslider-lazy\" \/><\/a><\/div><div class=\"easingslider-slide\"><a href=\"none\" target=\"\"><img decoding=\"async\" src=\"https:\/\/www.ortho-info.com\/wp-content\/plugins\/easing-slider\/assets\/images\/placeholder-pixel.png\" data-src=\"https:\/\/www.ortho-info.com\/wp-content\/uploads\/2015\/10\/pistol-grip-deformity-2-887x400.jpg\" alt=\"\" title=\"\" class=\"easingslider-image easingslider-lazy\" \/><\/a><\/div><div class=\"easingslider-slide\"><a href=\"none\" target=\"\"><img decoding=\"async\" src=\"https:\/\/www.ortho-info.com\/wp-content\/plugins\/easing-slider\/assets\/images\/placeholder-pixel.png\" data-src=\"https:\/\/www.ortho-info.com\/wp-content\/uploads\/2015\/10\/pistol-grip-deformity-3-887x400.jpg\" alt=\"\" title=\"\" class=\"easingslider-image easingslider-lazy\" \/><\/a><\/div><div class=\"easingslider-slide\"><a href=\"none\" target=\"\"><img decoding=\"async\" src=\"https:\/\/www.ortho-info.com\/wp-content\/plugins\/easing-slider\/assets\/images\/placeholder-pixel.png\" data-src=\"https:\/\/www.ortho-info.com\/wp-content\/uploads\/2015\/10\/dunn-1-887x400.jpg\" alt=\"\" title=\"\" class=\"easingslider-image easingslider-lazy\" \/><\/a><\/div><div class=\"easingslider-slide\"><a href=\"none\" target=\"\"><img decoding=\"async\" src=\"https:\/\/www.ortho-info.com\/wp-content\/plugins\/easing-slider\/assets\/images\/placeholder-pixel.png\" data-src=\"https:\/\/www.ortho-info.com\/wp-content\/uploads\/2015\/10\/dunn-2-887x400.jpg\" alt=\"\" title=\"\" class=\"easingslider-image easingslider-lazy\" \/><\/a><\/div><div class=\"easingslider-slide\"><a href=\"none\" target=\"\"><img decoding=\"async\" src=\"https:\/\/www.ortho-info.com\/wp-content\/plugins\/easing-slider\/assets\/images\/placeholder-pixel.png\" data-src=\"https:\/\/www.ortho-info.com\/wp-content\/uploads\/2015\/10\/dunn-3-887x400.jpg\" alt=\"\" title=\"\" class=\"easingslider-image easingslider-lazy\" \/><\/a><\/div><\/div><\/p>\n<h2 style=\"text-align: justify;\">Traitement<\/h2>\n<p style=\"text-align: justify;\">Le traitement chirurgical consiste \u00e0 supprimer l\u2019exc\u00e9dent osseux, sur le cotyle et\/ou sur la face ant\u00e9rieure du col f\u00e9moral, et de r\u00e9s\u00e9quer ou r\u00e9ins\u00e9rer le bourrelet cotylo\u00efdien.<\/p>\n<p style=\"text-align: justify;\">L&rsquo;intervention est r\u00e9alis\u00e9e par abord ant\u00e9rieur mini invasif de Hueter.<\/p>\n<p style=\"text-align: justify;\">Une tr\u00e8s belle animation du Dr Stefan Kreuzer, chirurgien sp\u00e9cialiste de la hanche \u00e0 Houston, et qui pratique la voie ant\u00e9rieure de hanche tout comme nous.<\/p>\n<p style=\"text-align: justify;\"><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/yr0iUbL-hoc?rel=0\" width=\"640\" height=\"480\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: justify;\">La m\u00eame intervention sous arthroscopie, beaucoup plus technique<br \/>\n<iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/KgU_dOeQLQM?rel=0\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: justify;\">\n","protected":false},"excerpt":{"rendered":"<p>D\u00e9finition Le conflit de hanche, f\u00e9moro ac\u00e9tabulaire correspond \u00e0 un contact anormalement pr\u00e9coce entre le bourrelet cotylo\u00efdien ant\u00e9rieur et la face ant\u00e9rieure du col f\u00e9moral, dans les mouvements de flexion + rotation interne de hanche. Il s&rsquo;agit d&rsquo;une cause fr\u00e9quente de douleurs de hanche chez le sujet jeune, classiquement plut\u00f4t sportif. la position assise prolong\u00e9e &#8230; <a title=\"Conflit de Hanche\" class=\"read-more\" href=\"https:\/\/www.ortho-info.com\/?page_id=780\" aria-label=\"En savoir plus sur Conflit de Hanche\">Lire la suite<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":35,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-780","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/www.ortho-info.com\/index.php?rest_route=\/wp\/v2\/pages\/780","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ortho-info.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ortho-info.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ortho-info.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ortho-info.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=780"}],"version-history":[{"count":18,"href":"https:\/\/www.ortho-info.com\/index.php?rest_route=\/wp\/v2\/pages\/780\/revisions"}],"predecessor-version":[{"id":810,"href":"https:\/\/www.ortho-info.com\/index.php?rest_route=\/wp\/v2\/pages\/780\/revisions\/810"}],"up":[{"embeddable":true,"href":"https:\/\/www.ortho-info.com\/index.php?rest_route=\/wp\/v2\/pages\/35"}],"wp:attachment":[{"href":"https:\/\/www.ortho-info.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=780"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}