{"id":208838,"date":"2019-05-27T14:58:00","date_gmt":"2019-05-27T18:58:00","guid":{"rendered":"https:\/\/www.beauchamportho.com\/?page_id=208838"},"modified":"2025-12-08T05:24:11","modified_gmt":"2025-12-08T10:24:11","slug":"luxation-recidivante-epaule","status":"publish","type":"page","link":"https:\/\/www.beauchamportho.com\/fr\/luxation-recidivante-epaule\/","title":{"rendered":"Luxation de l\u2019\u00e9paule r\u00e9cidivante (Bankart)"},"content":{"rendered":"

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Luxation de l\u2019\u00e9paule r\u00e9cidivante<\/h1>\n

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Couramment nomm\u00e9e <\/span>dislocation de l’\u00e9paule<\/b>, une luxation de l’\u00e9paule survient <\/span>g\u00e9n\u00e9ralement lors d’un choc violent.<\/span> La capsule, les ligaments ou le labrum se rompent ou se d\u00e9tachent de l’os <\/span>directement<\/span>. Un d\u00e9ficit au niveau de l’articulation s’installe alors.<\/span><\/p>\n

La sensibilit\u00e9 de l\u2019\u00e9paule est manifest\u00e9e par la diversit\u00e9 des maux qui la touchent. D\u2019une luxation \u00e0 <\/span>une tendinite<\/span><\/a>, l\u2019\u00e9paule reste un membre fragile. En particulier, la luxation consiste en un<\/span> d\u00e9bo\u00eetement de la t\u00eate de l\u2019hum\u00e9rus<\/b>.<\/span><\/p>\n

Si apr\u00e8s votre <\/span>op\u00e9ration d\u2019une luxation de l’\u00e9paule, vous \u00eates victime d’une nouvelle luxation<\/span>, il vous faut un traitement plus efficace <\/span>afin d’\u00e9viter tout nouveau risque de r\u00e9cidives.<\/span> D\u00e9couvrez chez <\/span>OrthoAction<\/b> le traitement ad\u00e9quat pour les cas de<\/span> luxation de l’\u00e9paule r\u00e9cidivante.<\/b><\/p>\n

Si vous \u00e9prouvez des douleurs et soup\u00e7onnez une luxation de l’\u00e9paule, cela pourrait \u00eatre d\u00fb \u00e0 une<\/span> sur sollicitation de cette articulation<\/b>, peut-\u00eatre caus\u00e9e par une pratique sportive trop intense. <\/span>N’attendez pas que la douleur empire avant de consulter, des complications sont possibles.<\/span><\/p>\n

 <\/p>\n

Quels sont les types de luxation de l’\u00e9paule qui existe?<\/span><\/h2>\n

Il existe deux <\/span>types de luxation<\/b> : la <\/span>luxation post\u00e9rieure<\/b> et la<\/span> luxation ant\u00e9rieure<\/b> qui concerne la majeure partie des cas. Si d’autres \u00e9pisodes de luxation de l’\u00e9paule et d’instabilit\u00e9 chronique surviennent suite \u00e0 ce traumatisme, nous avons affaire \u00e0 la luxation r\u00e9cidivante.<\/span><\/p>\n

 <\/p>\n

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header_5_text_shadow_horizontal_length=\u00a0\u00bbheader_5_text_shadow_style,%91object Object%93″ header_5_text_shadow_vertical_length=\u00a0\u00bbheader_5_text_shadow_style,%91object Object%93″ header_5_text_shadow_blur_strength=\u00a0\u00bbheader_5_text_shadow_style,%91object Object%93″ header_6_text_shadow_horizontal_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93″ header_6_text_shadow_vertical_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93″ header_6_text_shadow_blur_strength=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93″]<\/p>\n

Quelles sont les cons\u00e9quences possibles d’une luxation de l’\u00e9paule?<\/span><\/h2>\n

Une blessure ou un<\/span> traumatisme \u00e0 l’\u00e9paule <\/b>entra\u00eene un risque de <\/span>luxation articulaire<\/b>. Chaque fois qu’une luxation survient, il y a un <\/span>risque d’aggravation des dommages<\/b> et une <\/span>destruction progressive de l’\u00e9paule disloqu\u00e9e<\/b> peut \u00eatre engag\u00e9e. Cette situation peut \u00e9voluer <\/span>et n\u00e9cessite une nouvelle chirurgie.<\/span><\/p>\n

Des sympt\u00f4mes au niveau des tissus mous de l’\u00e9paule peuvent \u00e9galement appara\u00eetre (d\u00e9chirure ou \u00e9tirement du muscle). Ils peuvent provoquer des douleurs lors du mouvement ainsi qu\u2019une<\/span> luxation-dislocation de votre \u00e9paule <\/b>\u00a0ce qui serait d\u00e9sagr\u00e9able si vous pratiquez des activit\u00e9s sportives.<\/span><\/p>\n

[\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbPhrase de CTA\u00a0\u00bb _builder_version=\u00a0\u00bb4.5.3″ text_font=\u00a0\u00bbMontserrat|600|||||||\u00a0\u00bb text_font_size=\u00a0\u00bb22px\u00a0\u00bb text_text_shadow_horizontal_length=\u00a0\u00bbtext_text_shadow_style,%91object Object%93″ text_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb text_text_shadow_vertical_length=\u00a0\u00bbtext_text_shadow_style,%91object Object%93″ text_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb text_text_shadow_blur_strength=\u00a0\u00bbtext_text_shadow_style,%91object Object%93″ text_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb link_text_shadow_horizontal_length=\u00a0\u00bblink_text_shadow_style,%91object Object%93″ link_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb link_text_shadow_vertical_length=\u00a0\u00bblink_text_shadow_style,%91object Object%93″ link_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb 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text_orientation=\u00a0\u00bbcenter\u00a0\u00bb custom_margin=\u00a0\u00bb75px|||\u00a0\u00bb]<\/p>\n

Ne laissez pas la situation s\u2019aggraver<\/p>\n

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Les traitements non chirurgicaux d\u2019une luxation de l\u2019\u00e9paule r\u00e9cidivante<\/span><\/h2>\n

Les <\/span>traitements non chirurgicaux<\/b> d\u2019une luxation r\u00e9cidivante sont au nombre de deux. D\u2019une part, on peut r\u00e9aliser une <\/span>physioth\u00e9rapie<\/b>. C\u2019est d\u2019ailleurs le traitement non chirurgical le plus conseill\u00e9 \u00e0 la suite de votre toute premi\u00e8re luxation.<\/span><\/p>\n

D\u2019autre part, avec des <\/span>exercices de physioth\u00e9rapie<\/b>, vous avez plus de chance de venir \u00e0 bout des luxations multidirectionnelles. Celles-ci touchent les gens ayant des ant\u00e9c\u00e9dents graves de <\/span>laxit\u00e9 ligamentaire<\/b>.<\/span><\/p>\n

 <\/p>\n

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Les traitements chirurgicaux d\u2019une luxation de l\u2019\u00e9paule r\u00e9cidivante<\/span><\/h2>\n

Les <\/span>traitements chirurgicaux<\/b> ont pour vis\u00e9e d\u2019an\u00e9antir les chances d\u2019avoir<\/span> un nouvel \u00e9pisode de luxation<\/span>. En effet, avoir une <\/span>luxation de l\u2019\u00e9paule r\u00e9cidivante<\/b> peut conduire \u00e0 l\u2019inertie de l\u2019\u00e9paule atteinte.<\/span><\/p>\n

Le but du<\/span> traitement chirurgical<\/b> est de r\u00e9cup\u00e9rer une bonne stabilit\u00e9 et d\u2019emp\u00eacher les \u00ab d\u00e9boitements \u00bb r\u00e9p\u00e9titifs qui provoquent la d\u00e9gradation et une perte fonctionnelle de l\u2019\u00e9paule. <\/span>En r\u00e8gle g\u00e9n\u00e9rale, l’intervention requiert l’administration d’une anesth\u00e9sie r\u00e9gionale.. La r\u00e9alisation de s\u00e9ances de r\u00e9\u00e9ducation dispens\u00e9es par un physioth\u00e9rapeute peut contribuer \u00e0 restaurer les amplitudes de mouvement de l’articulation.<\/span><\/p>\n

Il existe en cela trois alternatives \u00e0 mettre en place. Tout d\u2019abord, <\/span>une <\/span>r\u00e9paration<\/b> par m\u00e9thode <\/span>arthroscopique<\/b><\/a> peut vous \u00eatre propos\u00e9e.<\/span><\/p>\n

Ensuite, il y a la <\/span>chirurgie de Latarjet<\/b> qui consiste \u00e0 r\u00e9aliser un transfert osseux. Et enfin, pour les cas les plus graves, il faut un <\/span>remplissage<\/b> de la <\/span>cavit\u00e9 gl\u00e8ne<\/b>. On y ins\u00e8re tout simplement le tendon de la coiffe des rotateurs.<\/span><\/p>\n

 <\/p>\n

Les sc\u00e9narios possibles :<\/span><\/h3>\n
    \n
  1. Si le ligament est d\u00e9chir\u00e9 ou si le labrum est avuls\u00e9 de l’os, une r\u00e9paration par approche arthroscopique est sugg\u00e9r\u00e9e. Il s’agit de r\u00e9parer ou de r\u00e9ins\u00e9rer le complexe capsulo-labral. Parfois, il est aussi n\u00e9cessaire de proc\u00e9der \u00e0 une plicature de la capsule (chirurgie de Bankart +\/- plicature)<\/span><\/li>\n
  2. Si un fragment d’os important a \u00e9t\u00e9 avuls\u00e9, une chirurgie ouverte avec <\/span>un transfert de surfaces osseuses<\/span> est parfois n\u00e9cessaire (chirurgie de Latarjet)<\/span><\/li>\n
  3. Si un dommage important est survenu \u00e0 l’arri\u00e8re de la t\u00eate hum\u00e9rale (l\u00e9sion dite de \u00ab Hill\u2011sach \u00bb, un remplissage de la cavit\u00e9 s’ajoute parfois \u00e0 la technique : il s’agit d’ins\u00e9rer le tendon de la coiffe des rotateurs dans une cavit\u00e9<\/span><\/li>\n<\/ol>\n

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header_3_text_shadow_horizontal_length=\u00a0\u00bbheader_3_text_shadow_style,%91object Object%93″ header_3_text_shadow_vertical_length=\u00a0\u00bbheader_3_text_shadow_style,%91object Object%93″ header_3_text_shadow_blur_strength=\u00a0\u00bbheader_3_text_shadow_style,%91object Object%93″ header_4_text_shadow_horizontal_length=\u00a0\u00bbheader_4_text_shadow_style,%91object Object%93″ header_4_text_shadow_vertical_length=\u00a0\u00bbheader_4_text_shadow_style,%91object Object%93″ header_4_text_shadow_blur_strength=\u00a0\u00bbheader_4_text_shadow_style,%91object Object%93″ header_5_text_shadow_horizontal_length=\u00a0\u00bbheader_5_text_shadow_style,%91object Object%93″ header_5_text_shadow_vertical_length=\u00a0\u00bbheader_5_text_shadow_style,%91object Object%93″ header_5_text_shadow_blur_strength=\u00a0\u00bbheader_5_text_shadow_style,%91object Object%93″ header_6_text_shadow_horizontal_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93″ header_6_text_shadow_vertical_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93″ header_6_text_shadow_blur_strength=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93″]<\/p>\n

    \u00c0 retenir sur la chirurgie<\/strong><\/h3>\n

    Chirurgie d’un jour par arthroscopie (tr\u00e8s petites incisions \u00e0 l’aide d’instruments miniaturis\u00e9s). Dur\u00e9e de l’intervention entre 45 et 90 minutes. Un anesth\u00e9siste administre une anesth\u00e9sie r\u00e9gionale<\/span> (l’ensemble de l’\u00e9paule et du membre sup\u00e9rieur est gel\u00e9). Le patient est \u00e9veill\u00e9 pendant l’intervention. Si le patient souhaite une s\u00e9dation, un calmant courte action peut lui \u00eatre administr\u00e9.<\/span><\/p>\n

    [\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=\u00a0\u00bbRow\u00a0\u00bb column_structure=\u00a0\u00bbundefined\u00a0\u00bb _builder_version=\u00a0\u00bb3.25″][et_pb_column_inner type=\u00a0\u00bbundefined\u00a0\u00bb saved_specialty_column_type=\u00a0\u00bb2_3″ _builder_version=\u00a0\u00bb3.25″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb saved_specialty_column_type=\u00a0\u00bb2_3″][et_pb_text admin_label=\u00a0\u00bbPhrase de CTA\u00a0\u00bb _builder_version=\u00a0\u00bb4.5.3″ text_font=\u00a0\u00bbMontserrat|600|||||||\u00a0\u00bb text_font_size=\u00a0\u00bb22px\u00a0\u00bb text_text_shadow_horizontal_length=\u00a0\u00bbtext_text_shadow_style,%91object Object%93″ text_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb text_text_shadow_vertical_length=\u00a0\u00bbtext_text_shadow_style,%91object Object%93″ text_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb 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    Faites confiance \u00e0 l\u2019expertise du Dr Beauchamp<\/p>\n

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    R\u00e9cup\u00e9ration post-chirurgicale<\/h2>\n

    Le patient retourne \u00e0 la maison environ une heure apr\u00e8s l’intervention avec son accompagnateur. L’\u00e9paule \u00abd\u00e9g\u00e8le\u00bb 6 \u00e0 18 heures plus tard. La prise <\/span>d’antidouleurs <\/b>est n\u00e9cessaire pendant les premiers jours suivant la chirurgie. Un <\/span>suivi postop\u00e9ratoire<\/b> est requis deux semaines apr\u00e8s l’intervention afin de retirer les <\/span>points de suture<\/b>. <\/span>La p\u00e9riode de cicatrisation peut \u00eatre plus au moins longue en fonction des patients.<\/span><\/p>\n

    [\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=\u00a0\u00bbLigne\u00a0\u00bb column_structure=\u00a0\u00bbundefined\u00a0\u00bb _builder_version=\u00a0\u00bb3.25″ background_color=\u00a0\u00bb#f2f2f2″ custom_margin=\u00a0\u00bb3%||3%|\u00a0\u00bb][et_pb_column_inner type=\u00a0\u00bbundefined\u00a0\u00bb saved_specialty_column_type=\u00a0\u00bb2_3″ _builder_version=\u00a0\u00bb3.25″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb saved_specialty_column_type=\u00a0\u00bb2_3″][et_pb_text admin_label=\u00a0\u00bb\u00c0 retenir sur la r\u00e9cup\u00e9ration\u00a0\u00bb module_id=\u00a0\u00bbavantage\u00a0\u00bb _builder_version=\u00a0\u00bb4.5.3″ text_font=\u00a0\u00bbArial||||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#000000″ header_2_font=\u00a0\u00bbMuli|700|||||||\u00a0\u00bb header_2_text_align=\u00a0\u00bbcenter\u00a0\u00bb header_2_font_size=\u00a0\u00bb40px\u00a0\u00bb 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header_6_text_shadow_vertical_length=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93″ header_6_text_shadow_blur_strength=\u00a0\u00bbheader_6_text_shadow_style,%91object Object%93″]<\/p>\n

    \u00c0 retenir sur la p\u00e9riode postop\u00e9ratoire<\/h3>\n
      \n
    • Immobilisation par une attelle (fournie \u00e0 la chirurgie) pendant 3 semaines.<\/span><\/li>\n
    • La physioth\u00e9rapie est essentielle 3 \u00e0 4 semaines apr\u00e8s la chirurgie.<\/span><\/li>\n
    • Reprise des <\/span>activit\u00e9s personnelles et<\/span> non physiques d\u00e8s le lendemain, si la douleur le permet <\/span>et s’il n’y a pas de s\u00e9quelles potentielles<\/span><\/li>\n
    • Reprise des activit\u00e9s l\u00e9g\u00e8res d\u00e8s la premi\u00e8re semaine (cuisine, conduite automobile, \u00e9criture, ordinateur, \u00e9cole).<\/span><\/li>\n
    • Reprise progressive des activit\u00e9s physiques (variable d’une personne \u00e0 l’autre).<\/span><\/li>\n
    • La gu\u00e9rison compl\u00e8te requiert normalement 5 \u00e0 6 mois <\/span>sans complications postop\u00e9ratoires<\/span><\/li>\n
    • Le taux de r\u00e9ussite de 85 \u00e0 95\u2009%.<\/span><\/li>\n<\/ul>\n

      [\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbSchema Code – FAQ\u00a0\u00bb _builder_version=\u00a0\u00bb4.5.3″ vertical_offset_tablet=\u00a0\u00bb0″ horizontal_offset_tablet=\u00a0\u00bb0″ z_index_tablet=\u00a0\u00bb0″ text_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb text_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb text_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb link_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb link_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb link_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb ul_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb ul_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb ul_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb ol_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb ol_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb ol_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb quote_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb quote_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb quote_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_2_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_2_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_2_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_3_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_3_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_3_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_4_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_4_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_4_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_5_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_5_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_5_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb header_6_text_shadow_horizontal_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_6_text_shadow_vertical_length_tablet=\u00a0\u00bb0px\u00a0\u00bb header_6_text_shadow_blur_strength_tablet=\u00a0\u00bb1px\u00a0\u00bb box_shadow_horizontal_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_vertical_tablet=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur_tablet=\u00a0\u00bb40px\u00a0\u00bb box_shadow_spread_tablet=\u00a0\u00bb0px\u00a0\u00bb]<\/p>\n

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