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Diagnostics differentiels des syndromes myofasciaux

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Diagnostics differentiels des syndromes myofasciaux

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  • DOWNLOAD THIS BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download Full EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download Full doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book THIS can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer THIS is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story THIS Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money THIS the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths THIS Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
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  • DOWNLOAD THIS BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download Full EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download Full doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book THIS can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer THIS is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story THIS Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money THIS the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths THIS Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
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  • DOWNLOAD THAT BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book that can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer that is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story That Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money That the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths that Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
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  • DOWNLOAD THAT BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book that can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer that is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story That Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money That the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths that Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
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Diagnostics differentiels des syndromes myofasciaux

  1. 1. Réunion de Médecine du Sport Jeudi 26 mars 2009
  2. 2. Société Normande de Médecine du Sport diagnostics différentiels des syndromes myofasciaux SNMS – 26 Mars 2009 – Bruno Burel Fibromyalgies Douleurs radiculaires Douleurs tronculaires Syndrome canalaires Myalgies d’effort spécifiques
  3. 3. •2% de la population adulte •dysfonctionnement du SNC •Prévalence des femmes •Critères 11 points douloureux/18 •Traitements non médicamenteux : •Inciter à l’exercice physique, aérobie, régulier et fréquent. •En milieu aquatique •Étirements musculaires •Techniques psychocorporelles et thérapies cognitives et comportementales Douleurs musculotendineuses, multiples, diffuses, chroniques
  4. 4. Maladies musculaires douloureuses : Dermato et polymyosite, myosite virale, myopathie métabolique. Myopathies médicamenteuses ou toxiques : Fibrates et statines, Alcool, amphétamines, bêtabloquants, quinolone, amiodarone, phénitoïne, sulfamides, azathioprine, inhibiteurs de l'enzyme de conversion, rétinoïdes, colchicine, L-dopa, méthotrexate. Syndrome infectieux : à parvovirus, hépatite virale, borréliose, toxoplasmose. Causes métaboliques : Déficit en fer, en potassium, en magnésium, en vitamine D. Diabète phosphoré. Rhumatismes à hydrox apatite (maladie des calcifications tendineuses multiples). Endocrinopathies : dysthyroïdies, hyperparathyroïdies, hypo ou hypercorticisme, diabète.
  5. 5. Maladies systémiques : Polyarthrite rhumatoïde, syndrome de Sjögren, Lupus, connectivites, pseudopolyarthrite rhizomélique, sarcoïdose. Causes osseuses : ostéomalacie, myélome, métastase au sol. Syndromes paranéoplasiques. Causes neurologiques : Parkinson, myasthénie.
  6. 6. •Syndromes myofasciaux de Travell et Simons. •Syndrome cellulo téno myalgique de Maigne. •Tender points de Jones.
  7. 7. •3 niveaux : •Radiculaires : •exemple : douleur radiculaire par hernie discale, kyste articulaires postérieures, canal lombaire étroit, •Tronculaires : •en proximal : le nerf sciatique au niveau du pyramidal ou de la tubérosité initiatique. •ou d'autres nerfs : petit et grand abdomino-génitaux D12L1, génito-crural L1L2 et les branches antérieures de D12…. •Canalaires : exemple : Alcock, nerf cubital postérieur, canal carpien, Morton….
  8. 8. •douleur radiculaire par hernie discale, kyste articulaires postérieures, canal lombaire étroit, •NCB •Sciatiques •cruralgies
  9. 9. Petit fessier Foramen obturé Moyen fessier Jumeau supérieur Jumeau inférieur Obturateur interne Obturateur externe Carré fémoral Grand fessierGrand
  10. 10. PLEXIQUE RADICULAIRE TRONCULAIRE CANALAIR E
  11. 11. Au membre supérieur : traversée cervico-thoraco-brachiale nerf supra scapulaire nerf axillaire nerf musculo cutané nerf cubital (ulnaire) nerf médian nerf radial nerfs digitaux Au membre inférieur : nerf cutané latéral de la cuisse syndrome du canal d'Alcock nerf fémoral nerf obturateur nerf ilio inguinal nerf saphène interne nerf sciatique nerf péronier commun nerf péronier profond ou tibial antérieur nerf péronier superficiel ou musculo cutané, nerf tibial nerfs plantaires, nerfs digitaux
  12. 12. Nerf sensitif radiculaire de niveau L2L3 Chemine sur le muscle iliaque Atteint l’EIAS Traverse tunnel fibreux dédoublement arcade crurale Traverse le fascia lata et devient superficie
  13. 13. Périostites Fractures de fatigues Autres syndromes « canalaires » : syndromes vasculaires syndromes de loges
  14. 14. L'endofibrose iliaque externe. Pathologie du cycliste grand kilométrage. Sensation de cuissard étroit….
  15. 15. Syndrome de l'artère poplitée piégée et autres affections vasculaires de la jambe. Douleurs d'efforts de jambe plutôt mollet, bilatérales dents un tiers des cas. surtout avant 30 ans. Sports favorisant l'hypertrophie des gastrocnémiens (course à pieds essentiellement).
  16. 16. Le syndrome de loge d'effort. Localisation à la jambe de loin la plus fréquente. Concernant une ou plusieurs des quatre loges : antérieure, externe en général associée à la précédente, postérieure et plus rarement postérieure superficielle. Essentiellement course à pied. Moins fréquemment sports de ballon de raquette. Plus rarement roller, ski de fond, patinage, marche rapide. Exceptionnelle natation, cyclisme..
  17. 17. Syndrome de loge d'effort de cuisse. La cuisse est constituée de trois loges musculaires : antérieure, postérieure et médiale ; ces syndromes sont rares. Essentiellement douleurs chroniques du quadriceps plus rarement ischio-jambiers, tenseurs du fascia lata, course à pied, cyclisme, l'équitation, l'haltérophilie et la musculation.

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