{"id":10606,"date":"2024-08-28T00:36:30","date_gmt":"2024-08-28T00:36:30","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/deep-gluteal-pain-syndrome-fr\/"},"modified":"2024-08-31T15:28:41","modified_gmt":"2024-08-31T15:28:41","slug":"deep-gluteal-pain-syndrome-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/deep-gluteal-pain-syndrome-fr\/","title":{"rendered":"Syndrome douloureux glut\u00e9al profond"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"><b>R\u00e9dactrice originale <\/b>&#8211; <a title=\"User:Mariam Hashem\" href=\"\/User:Mariam_Hashem\">Mariam Hashem<\/a><br \/>\n<b>Principaux collaborateurs <\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Mariam Hashem\" href=\"\/User:Mariam_Hashem\"><bdi>Mariam Hashem <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Lucinda hampton\" href=\"\/User:Lucinda_hampton\"><bdi>Lucinda Hampton <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Mandy Roscher\" href=\"\/User:Mandy_Roscher\"><bdi>Mandy Roscher <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\" href=\"\/User:Ewa_Jaraczewska\"><bdi>Ewa Jaraczewska <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Tony Lowe\" href=\"\/User:Tony_Lowe\"><bdi>Tony Lowe<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"User:Tarina van der Stockt\" href=\"\/User:Tarina_van_der_Stockt\"><bdi>Tarina van der Stockt<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Anatomy\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Anatomie<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Pudendal_Nerve_Entrapment\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Syndrome de compression du nerf pudendal<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Ischiofemoral_Impingement\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Conflit ischio-f\u00e9moral<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Hamstring_tendinopathy\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Tendinopathie des ischiojambiers<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Examination\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Examen physique<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Differential_Diagnosis\"><span class=\"tocnumber\">6.1<\/span> <span class=\"toctext\">Diagnostic diff\u00e9rentiel<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#Management\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Prise en charge<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#Principals:\"><span class=\"tocnumber\">7.1<\/span> <span class=\"toctext\">Principes<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Exercises\"><span class=\"tocnumber\">7.2<\/span> <span class=\"toctext\">Exercices<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-11\"><a href=\"#References\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&rsquo;anatomie de la r\u00e9gion glut\u00e9ale profonde est complexe et n&rsquo;a pas \u00e9t\u00e9 explor\u00e9e en profondeur dans la litt\u00e9rature. <sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup><\/p>\n<p>La douleur glut\u00e9ale profonde peut r\u00e9sulter d&rsquo;une compression, d&rsquo;une inflammation ou d&rsquo;une l\u00e9sion d&rsquo;une ou de plusieurs structures de cette r\u00e9gion. <sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup> Les sympt\u00f4mes de douleur et de dysfonctionnement dans cette r\u00e9gion peuvent \u00eatre des manifestations de diff\u00e9rentes affections telles que le <a title=\"Diff\u00e9rencier les douleurs fessi\u00e8res et les troubles de l\u2019articulation sacro-iliaque\" href=\"\/Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders\">dysfonctionnement de l&rsquo;articulation sacro-iliaque<\/a>, la <a class=\"mw-redirect\" title=\"Differentiating Buttock Pain\" href=\"\/Differentiating_Buttock_Pain\">tendinopathie glut\u00e9ale<\/a>, la <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Lumbar_Radiculopathy?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">radiculopathie lombaire<\/a> et le <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Piriformis_Syndrome?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">syndrome du piriforme<\/a>. La litt\u00e9rature r\u00e9cente a \u00e9tudi\u00e9 l&rsquo;implication de diverses structures dans l&rsquo;apparition des sympt\u00f4mes. <sup id=\"cite_ref-:7_3-0\" class=\"reference\"><a href=\"#cite_note-:7-3\">(3)<\/a><\/sup><\/p>\n<p>Le syndrome douloureux glut\u00e9al (SDG) est d\u00e9fini comme une douleur ou un engourdissement de la fesse, <sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup> de la hanche ou de la partie post\u00e9rieure de la cuisse, accompagn\u00e9 d&rsquo;une douleur projet\u00e9e ou radiculaire dans la <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Sciatica?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">distribution du nerf sciatique<\/a>. <sup id=\"cite_ref-:0_5-0\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> Cette affection se caract\u00e9rise par le fait d&rsquo;\u00eatre : <sup id=\"cite_ref-:5_6-0\" class=\"reference\"><a href=\"#cite_note-:5-6\">(6)<\/a><\/sup><\/p>\n<ol>\n<li>un trouble non-discog\u00e8ne;<\/li>\n<li>un trouble du nerf sciatique;<\/li>\n<li>un coincement du nerf dans l&rsquo;espace glut\u00e9al profond. Les sites de compression les plus fr\u00e9quents sont : le <a title=\"Piriformis\" href=\"\/Piriformis\">muscle piriforme<\/a> (67,8 %), le foramen sciatique (6 %), le tunnel ischiatique (4,7 %). <sup id=\"cite_ref-:4_7-0\" class=\"reference\"><a href=\"#cite_note-:4-7\">(7)<\/a><\/sup><\/li>\n<\/ol>\n<p>Le syndrome de la douleur glut\u00e9ale est un ensemble d&rsquo;affections diff\u00e9rentes dont les sympt\u00f4mes sont similaires et se chevauchent.<sup id=\"cite_ref-:7_3-1\" class=\"reference\"><a href=\"#cite_note-:7-3\">(3)<\/a><\/sup><\/p>\n<p><b>Sympt\u00f4mes du syndrome de la douleur glut\u00e9ale<\/b><b>:<\/b> <sup id=\"cite_ref-:0_5-1\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5) <\/a><\/sup><\/p>\n<ul>\n<li>douleur \u00e0 la fesse et souvent \u00e0 la r\u00e9gion \u00ab\u00a0r\u00e9tro-trochant\u00e9rienne\u00a0\u00bb;<\/li>\n<li>sympt\u00f4mes parfois bilat\u00e9raux, mais g\u00e9n\u00e9ralement unilat\u00e9raux;<\/li>\n<li>douleur lors de position assise prolong\u00e9e (plus de 20-30 minutes);<\/li>\n<li>douleur en phase d&rsquo;appui terminale (en extension);<\/li>\n<li>boiterie possible \u00e0 la marche;<\/li>\n<li>changements neurologiques sensoriels;<\/li>\n<li>douleurs nocturnes intenses et sommeil perturb\u00e9.<\/li>\n<\/ul>\n<h2><span id=\"Anatomy\" class=\"mw-headline\"><b>Anatomie<\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Anatomy\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;veaction=edit&amp;section=2\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Anatomy\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;action=edit&amp;section=2\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Piriformis,_gemmeli,_obturator,_quadratus_femoris.PNG\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/18\/Piriformis%2C_gemmeli%2C_obturator%2C_quadratus_femoris.PNG\/300px-Piriformis%2C_gemmeli%2C_obturator%2C_quadratus_femoris.PNG\" srcset=\"https:\/\/www.physio-pedia.com\/images\/1\/18\/Piriformis%2C_gemmeli%2C_obturator%2C_quadratus_femoris.PNG 1.5x\" alt=\"Piriformis, gemmeli, obturator, quadratus femoris.PNG\" width=\"300\" height=\"364\" data-file-width=\"360\" data-file-height=\"437\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>L&rsquo;espace glut\u00e9al profond a une anatomie unique. La compr\u00e9hension de ses d\u00e9limitations et de ses contacts aide le clinicien \u00e0 am\u00e9liorer ses comp\u00e9tences en mati\u00e8re de palpation et \u00e0 diagnostiquer les sympt\u00f4mes et la pr\u00e9sentation du patient.<\/p>\n<p><b>L&rsquo;espace glut\u00e9al profond est d\u00e9limit\u00e9 par :<\/b><\/p>\n<ul>\n<li>en post\u00e9rieur, le muscle grand glut\u00e9al;<\/li>\n<li>en ant\u00e9rieur : la colonne ac\u00e9tabulaire post\u00e9rieure, la capsule de l&rsquo;articulation de la hanche et le f\u00e9mur proximal;<\/li>\n<li>en lat\u00e9ral : la l\u00e8vre lat\u00e9rale de la ligne \u00e2pre et la tub\u00e9rosit\u00e9 glut\u00e9ale;<\/li>\n<li>en m\u00e9dial : le <a title=\"Sacrotuberous Ligament\" href=\"\/Sacrotuberous_Ligament\">ligament sacrotub\u00e9ral<\/a> et le <a title=\"Les fascias\" href=\"\/Fascia\">fascia<\/a> falciforme;<\/li>\n<li>en sup\u00e9rieur : la grande incisure ischiatique;<\/li>\n<li>en inf\u00e9rieur, l&rsquo;origine proximale des ischiojambiers sur la tub\u00e9rosit\u00e9 ischiatique. <sup id=\"cite_ref-:2_8-0\" class=\"reference\"><a href=\"#cite_note-:2-8\">(8)<\/a><\/sup><\/li>\n<\/ul>\n<p>Les <b>\u00ab\u00a0six profonds\u00a0\u00bb<\/b> sont des structures importantes qui se trouvent sous les <a title=\"Gluteus Maximus\" href=\"\/Gluteus_Maximus\">muscles grand glut\u00e9al<\/a> et <a title=\"Gluteus Medius\" href=\"\/Gluteus_Medius\">moyen glut\u00e9al.<\/a> Les \u00ab\u00a0six profonds\u00a0\u00bb sont le muscle piriforme, le <a title=\"Gemellus Superior\" href=\"\/Gemellus_Superior\">muscle jumeau sup\u00e9rieur,<\/a>,  <a title=\"le muscle obturateur interne,\" href=\"\/Obturator_Internus\">le muscle obturateur interne,<\/a>,  <a title=\"Muscle obturateur externe\" href=\"\/Obturator_Externus\">le muscle obturateur externe;<\/a>,<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup> le muscle jumeau <a title=\"Gemellus Inferior\" href=\"\/Gemellus_Inferior\">inf\u00e9rieur<\/a> et <a title=\"Quadratus Femoris\" href=\"\/Quadratus_Femoris\">le muscle carr\u00e9 crural.<\/a><sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup>. Les muscles piriforme et carr\u00e9 crural sont les plus faciles \u00e0 palper. <sup id=\"cite_ref-:0_5-2\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5) <\/a><\/sup><\/p>\n<p>Le nerf sciatique passe au-dessus du complexe obturateur interne et jumeaux,<sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup> puis se dirige ensuite lat\u00e9ralement jusqu&rsquo;\u00e0 la tub\u00e9rosit\u00e9 ischiatique o\u00f9 s&rsquo;attache le <a title=\"Biceps Femoris\" href=\"\/Biceps_Femoris\">biceps f\u00e9moral<\/a>. Il est entour\u00e9, du c\u00f4t\u00e9 m\u00e9dial, par la tub\u00e9rosit\u00e9 ischiatique et, du c\u00f4t\u00e9 lat\u00e9ral, par le petit trochanter du f\u00e9mur.<\/p>\n<p>Le nerf sciatique peut \u00e9ventuellement \u00eatre comprim\u00e9 sous le muscle piriforme. <sup id=\"cite_ref-:1_12-0\" class=\"reference\"><a href=\"#cite_note-:1-12\">(12)<\/a><\/sup><\/p>\n<p>La cin\u00e9matique du <a title=\"Neurone\" href=\"\/Neurone\">nerf<\/a> est un aspect crucial de la physiopathologie de compression. <sup id=\"cite_ref-:2_8-1\" class=\"reference\"><a href=\"#cite_note-:2-8\">(8)<\/a><\/sup> Le nerf sciatique glisse sur le bord post\u00e9rieur du grand trochanter lorsque la hanche est en forte position de flexion, d&rsquo;abduction et de rotation externe. De plus, en position de compl\u00e8te de flexion, d&rsquo;abduction et de rotation externe, l&rsquo;origine du <a title=\"Semimembranosus\" href=\"\/Semimembranosus\">muscle semi-membraneux<\/a> et le bord post\u00e9rieur du grand trochanter peuvent entrer en contact. <sup id=\"cite_ref-:0_5-3\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> Lorsque le genou est fl\u00e9chi, le nerf se d\u00e9place en post\u00e9ro-lat\u00e9ral et lorsque le genou est \u00e9tendu, le nerf glisse plus profond\u00e9ment dans le tunnel. <sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/p>\n<h2><span id=\"Pudendal_Nerve_Entrapment\" class=\"mw-headline\">Syndrome de compression du nerf pudendal <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Pudendal Nerve Entrapment\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;veaction=edit&amp;section=3\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Pudendal Nerve Entrapment\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;action=edit&amp;section=3\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Pudendal_nerve.svg.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/16\/Pudendal_nerve.svg.png\/300px-Pudendal_nerve.svg.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/16\/Pudendal_nerve.svg.png\/450px-Pudendal_nerve.svg.png 1.5x, https:\/\/www.physio-pedia.com\/images\/1\/16\/Pudendal_nerve.svg.png 2x\" alt=\"Pudendal nerve.svg.png\" width=\"300\" height=\"214\" data-file-width=\"512\" data-file-height=\"365\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>Le <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Sacrotuberous_Ligament?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">ligament sacrotub\u00e9ral<\/a> prend naissance sur la tub\u00e9rosit\u00e9 ischiatique et s&rsquo;ins\u00e8re sur le sacrum et le coccyx, tandis que le ligament sacrospinal lui est perpendiculaire, est situ\u00e9 plus bas et s&rsquo;attache \u00e0 l&rsquo;\u00e9pine ischiatique. L&rsquo;\u00e9paisseur de ces ligaments peut entra\u00eener la compression du <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Pudendal_Neuralgia?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">nerf pudendal<\/a>, souvent appel\u00e9 \u00ab\u00a0syndrome du canal d&rsquo;Alcock\u00a0\u00bb ou \u00ab\u00a0syndrome du cycliste\u00a0\u00bb. <sup id=\"cite_ref-:0_5-4\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> Ce syndrome de compression est assez peu connu et est souvent mal diagnostiqu\u00e9, car on le confond avec d&rsquo;autres affections du plancher pelvien.<sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/p>\n<p>Outre la douleur fessi\u00e8re, les sympt\u00f4mes de la <a title=\"Pudendal Neuralgia\" href=\"\/Pudendal_Neuralgia\">n\u00e9vralgie pudendale<\/a> comprennent des troubles sexuels, des douleurs rectales, une incontinence f\u00e9cale et une incontinence urinaire. La compression du nerf pudendal peut affecter de mani\u00e8re significative la qualit\u00e9 de vie.<\/p>\n<p>Cette compression peut \u00eatre provoqu\u00e9e par une position assise prolong\u00e9e, en particulier sur un v\u00e9lo, ou par un changement r\u00e9cent de la selle du v\u00e9lo. En g\u00e9n\u00e9ral, les sympt\u00f4mes peuvent \u00eatre aggrav\u00e9s par la position assise, mais il semblerait que le fait de s&rsquo;asseoir sur le si\u00e8ge de la toilette soulage la douleur en raison du rel\u00e2chement de la pression sur le nerf.<\/p>\n<h2><span id=\"Ischiofemoral_Impingement\" class=\"mw-headline\">Conflit ischio-f\u00e9moral <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Ischiofemoral Impingement\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;veaction=edit&amp;section=4\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Ischiofemoral Impingement\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;action=edit&amp;section=4\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\"><a class=\"image\" href=\"\/File:Quadratus_Femoris_-_Bigstock_Images.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e1\/Quadratus_Femoris_-_Bigstock_Images.jpg\/300px-Quadratus_Femoris_-_Bigstock_Images.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e1\/Quadratus_Femoris_-_Bigstock_Images.jpg\/450px-Quadratus_Femoris_-_Bigstock_Images.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e1\/Quadratus_Femoris_-_Bigstock_Images.jpg\/600px-Quadratus_Femoris_-_Bigstock_Images.jpg 2x\" alt=\"Quadratus Femoris - Bigstock Images.jpg\" width=\"300\" height=\"400\" data-file-width=\"1200\" data-file-height=\"1600\"><\/a><\/div>\n<p>Apr\u00e8s une chirurgie de la hanche, en particulier une <a title=\"Total Hip Replacement\" href=\"\/Total_Hip_Replacement\">arthroplastie totale de la hanche<\/a>, certains patients rapportent des douleurs dans la partie post\u00e9rieure de la jambe et dans la partie profonde de la fesse, en particulier lors de l&rsquo;extension et de l&rsquo;adduction de la hanche. <sup id=\"cite_ref-:0_5-5\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> La douleur ischiof\u00e9morale est une cause rare de douleur de la hanche, d\u00e9crite pour la premi\u00e8re fois chez trois patients apr\u00e8s une arthroplastie totale de la hanche et une <a title=\"Osteotomy\" href=\"\/Osteotomy\">ost\u00e9otomie<\/a> f\u00e9morale proximale. <sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><\/p>\n<p>L&rsquo;espace ischiof\u00e9moral est un tr\u00e8s petit espace d\u00e9limit\u00e9 par la tub\u00e9rosit\u00e9 ischiatique et le petit trochanter. Si le muscle carr\u00e9 crural <sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup> est tendu ou \u00e9paissi, ou si une inflammation telle qu&rsquo;une <a title=\"Bursitis\" href=\"\/Bursitis\">bursite <\/a> est pr\u00e9sente, cela peut entra\u00eener un r\u00e9tr\u00e9cissement et une compression des structures nociceptives dans cette r\u00e9gion. Une \u00e9tude a \u00e9tabli un lien entre ces sympt\u00f4mes et le rapprochement des bords osseux de l&rsquo;ischion et du <a title=\"Femur\" href=\"\/Femur\">f\u00e9mur<\/a>, mesur\u00e9 sur des s\u00e9quences axiales d&rsquo;imagerie par r\u00e9sonance magn\u00e9tique (<a title=\"MRI Scans\" href=\"\/MRI_Scans\">IRM<\/a>). <sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/p>\n<p>Image : muscle carr\u00e9 crural<\/p>\n<p><b>Sympt\u00f4mes :<\/b><\/p>\n<ul>\n<li>Douleur glut\u00e9ale profonde, souvent d\u00e9crite comme un mal profond, avec occasionnellement des douleurs projet\u00e9es au genou<\/li>\n<li>En course \u00e0 pied, les petites foul\u00e9es sont souvent plus pr\u00e9f\u00e9r\u00e9es aux grandes. Cela s&rsquo;explique par le r\u00e9tr\u00e9cissement de l&rsquo;espace ischiof\u00e9moral lors de l&rsquo;extension et de l&rsquo;adduction de la hanche, qui augmente avec la longueur des pas.<\/li>\n<li>La douleur peut \u00eatre confondue avec un probl\u00e8me du rachis lombaire primaire, car le patron de douleur des <a title=\"Facet Joints\" href=\"\/Facet_Joints\">facettes <\/a> articulaires L3-4 ou L4-5 se recoupe avec celui du conflit ischiof\u00e9moral. D&rsquo;autre part, la perte de l&rsquo;extension de la hanche peut elle-m\u00eame entra\u00eener des douleurs lombaires.<\/li>\n<li>La douleur du conflit ischiof\u00e9moral est augment\u00e9e en fin d&rsquo;extension et d&rsquo;adduction de la hanche.<\/li>\n<li>Sensibilit\u00e9 \u00e0 la palpation de l&rsquo;ischion lors d&rsquo;un mouvement de provocation passif <sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/li>\n<li>Sensation de ressaut, de craquement ou de blocage de l&rsquo;articulation de la hanche lors de la marche \u00e0 grandes enjamb\u00e9es, caus\u00e9e par le petit trochanter qui frotte violemment contre l&rsquo;ischion.<\/li>\n<\/ul>\n<p>Les r\u00e9sultats de l&rsquo;examen physique ne permettent pas de conclure au diagnostic de conflit ischio-f\u00e9moral. Un mouvement passif combinant l&rsquo;extension, l&rsquo;adduction et la rotation externe de la hanche est utilis\u00e9 pour provoquer les sympt\u00f4mes. <sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup><\/p>\n<p>Le test de marche \u00e0 grandes foul\u00e9es (marche \u00e0 grands pas) a une sensibilit\u00e9 de 92 % et une sp\u00e9cificit\u00e9 de 82 %. <sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/qobPzFnhRY0?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup><\/p>\n<h2><span id=\"Hamstring_tendinopathy\" class=\"mw-headline\">Tendinopathie des ischiojambiers <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Hamstring tendinopathy\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;veaction=edit&amp;section=5\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Hamstring tendinopathy\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;action=edit&amp;section=5\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le point d&rsquo;insertion des <a title=\"Ischiojambiers\" href=\"\/Hamstrings\">ischiojambiers <\/a> se situe sur la tub\u00e9rosit\u00e9 ischiatique, tr\u00e8s pr\u00e8s du nerf sciatique. La <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Proximal_Hamstring_Tendinopathy?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">tendinopathie des ischiojambiers proximaux<\/a> est fr\u00e9quente chez les coureurs de fond et les athl\u00e8tes effectuant des activit\u00e9s dans le plan sagittal (p. ex. sprint, course de haies) ou des activit\u00e9s de changement de direction telles que les entra\u00eenements de football et de hockey. <sup id=\"cite_ref-:6_22-0\" class=\"reference\"><a href=\"#cite_note-:6-22\">(22)<\/a><\/sup><\/p>\n<p><b>Signes et sympt\u00f4mes <\/b><b>: <\/b> <sup id=\"cite_ref-:0_5-6\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<ul>\n<li>Ant\u00e9c\u00e9dents de sollicitations r\u00e9p\u00e9t\u00e9es en position initiale de flexion. Lors des mouvements de flexion tels que les soulev\u00e9 de terre (\u00a0\u00bb deadlift \u00ab\u00a0) et autres activit\u00e9s de flexion, les tendons proximaux des ischiojambiers subissent une charge de traction sur la tub\u00e9rosit\u00e9 ischiatique.<\/li>\n<li>Douleur profonde et localis\u00e9e dans la r\u00e9gion de la tub\u00e9rosit\u00e9 ischiatique<\/li>\n<li>La douleur s&rsquo;aggrave en position assise (d\u00e9crite comme \u00e9tant assise sur une \u00ab masse spongieuse \u00bb), en conduisant une voiture, en soulevant des caisses et en courant en mont\u00e9e. Cela est d\u00fb aux forces de cisaillement entre l&rsquo;attache des ischiojambiers et la tub\u00e9rosit\u00e9 ischiatique lors d&rsquo;une flexion accrue de la hanche. Pendant la course, la force maximale se produit \u00e0 la fin de l&rsquo;oscillation, avec un deuxi\u00e8me pic rapport\u00e9e au d\u00e9but de l&rsquo;appui.<\/li>\n<li>\u00c9preuve de l&rsquo;\u00e9l\u00e9vation de la jambe tendue (\u00ab\u00a0SLR\u00a0\u00bb) positive<\/li>\n<li>Tests de <a title=\"Slump Test\" href=\"\/Slump_Test\">Slump <\/a> et neurodynamiques qui indiquent une pression sur le nerf sciatique positifs, mais n&rsquo;excluant pas une tendinopathie des ischiojambiers.<\/li>\n<li>\u00c0 la palpation, \u00e9paississement autour de la tub\u00e9rosit\u00e9 ischiatique, lat\u00e9ralement \u00e0 l&rsquo;ischion<\/li>\n<\/ul>\n<p>La douleur peut \u00eatre reproduite par des tests de charge dans lesquels les tendons proximaux des muscles ischiojambiers sont soumis \u00e0 une pression et une traction progressivement croissantes (par augmentation de l&rsquo;angle de flexion) : <sup id=\"cite_ref-:6_22-1\" class=\"reference\"><a href=\"#cite_note-:6-22\">(22)<\/a><\/sup><\/p>\n<ul>\n<li>La progression se fait ainsi : (1) pont unipodal, genou oppos\u00e9 fl\u00e9chi; (2) pont \u00e0 levier long; (3) arabesque; (4) soulev\u00e9 de terre unipodal (\u00ab single leg deadlift \u00bb). Cela est d\u00e9montr\u00e9 dans les illustrations ci-dessous :<\/li>\n<\/ul>\n<p>Pont unipodal \u00e0 long levier :<\/p>\n<p><a class=\"image\" href=\"\/File:Single_Leg_Long_Lever_Bridge.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/dd\/Single_Leg_Long_Lever_Bridge.png\/340px-Single_Leg_Long_Lever_Bridge.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/dd\/Single_Leg_Long_Lever_Bridge.png\/510px-Single_Leg_Long_Lever_Bridge.png 1.5x, https:\/\/www.physio-pedia.com\/images\/d\/dd\/Single_Leg_Long_Lever_Bridge.png 2x\" alt=\"Single Leg Long Lever Bridge.png\" width=\"340\" height=\"341\" data-file-width=\"616\" data-file-height=\"618\"><\/a><\/p>\n<div class=\"thumbnail tnone\">\n<div class=\"thumbinner\" style=\"width: 402px;\"><a class=\"image\" href=\"\/File:Long_lever_bridge.gif\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e0\/Long_lever_bridge.gif\/400px-Long_lever_bridge.gif\" srcset=\"https:\/\/www.physio-pedia.com\/images\/e\/e0\/Long_lever_bridge.gif 1.5x\" alt=\"\" width=\"400\" height=\"225\" data-file-width=\"480\" data-file-height=\"270\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Pont \u00e0 levier long<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"thumbnail tnone\">\n<div class=\"thumbinner\" style=\"width: 402px;\"><a class=\"image\" href=\"\/File:Arabesque.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/2\/27\/Arabesque.jpg\" alt=\"\" width=\"400\" height=\"224\" data-file-width=\"400\" data-file-height=\"224\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Exercice d&rsquo;arabesque<\/p>\n<\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Soulev\u00e9 de terre unipodal (\u00ab single leg deadlift \u00bb) :<\/li>\n<\/ul>\n<div class=\"thumnail tnone\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Single_leg_dead_lift.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/94\/Single_leg_dead_lift.jpg\/300px-Single_leg_dead_lift.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/94\/Single_leg_dead_lift.jpg\/450px-Single_leg_dead_lift.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/9\/94\/Single_leg_dead_lift.jpg 2x\" alt=\"\" width=\"300\" height=\"300\" data-file-width=\"500\" data-file-height=\"500\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Soulev\u00e9 de terre unipodal (\u00ab single leg deadlift \u00bb)<\/p>\n<\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Trois tests d&rsquo;\u00e9tirement passifs ont une validit\u00e9 mod\u00e9r\u00e9e \u00e0 \u00e9lev\u00e9e et une sensibilit\u00e9 et une sp\u00e9cificit\u00e9 \u00e9lev\u00e9es pour le diagnostic de la tendinopathie proximale des ischiojambiers en cas de reproduction des sympt\u00f4mes. Il s&rsquo;agit du \u00ab\u00a0Bent-Knee Stretch\u00a0\u00bb (en position de flexion maximale de la hanche, passer lentement de la flexion \u00e0 l&rsquo;extension du genou), du \u00ab\u00a0Modified Bent-Knee Stretch\u00a0\u00bb (ex\u00e9cution plus rapide de l&rsquo;extension du genou) et du test de Puranen-Orava (en position debout, flexion du tronc vers l&rsquo;avant avec le talon sur\u00e9lev\u00e9).<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/sgbhl1yU3cc?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/5JhQpLt2YZ8?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-24\" class=\"reference\"><a href=\"#cite_note-24\">(24)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/7e4_MDlsU0w?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-25\" class=\"reference\"><a href=\"#cite_note-25\">(25)<\/a><\/sup><\/p>\n<h2><span id=\"Examination\" class=\"mw-headline\">Examen physique<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Examination\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;veaction=edit&amp;section=6\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Examination\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;action=edit&amp;section=6\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Une pathologie du rachis lombaire doit \u00eatre exclue en premier lieu. L&rsquo;examen physique comprend la palpation, les tests de la ceinture pelvienne et de l&rsquo;articulation sacro-iliaque et d&rsquo;autres tests tels que le test de Gillet et le <a title=\"Straight Leg Raise Test\" href=\"\/Straight_Leg_Raise_Test\">test actif d&rsquo;\u00e9l\u00e9vation de la jambe tendue<\/a>.<\/p>\n<p>Les patients souffrant d&rsquo;une compression du nerf sciatique pr\u00e9sentent souvent des ant\u00e9c\u00e9dents de traumatisme, des douleurs en position assise, des douleurs radiculaires dans la jambe et des paresth\u00e9sies. <sup id=\"cite_ref-26\" class=\"reference\"><a href=\"#cite_note-26\">(26)<\/a><\/sup><\/p>\n<p>Un test de Gillet positif ou un test actif d&rsquo;\u00e9l\u00e9vation de la jambe tendue indiquent un contr\u00f4le moteur m\u00e9diocre et un transfert de la <a title=\"Load and Shift\" href=\"\/Load_and_Shift\">charge<\/a> probl\u00e9matique, mais aucun ne permet de diff\u00e9rencier la structure pathologique. <sup id=\"cite_ref-:0_5-7\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/jxhR5iCpPz0?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-27\" class=\"reference\"><a href=\"#cite_note-27\">(27)<\/a><\/sup><\/p>\n<p>Pour exclure une <a title=\"Hip Osteoarthritis\" href=\"\/Hip_Osteoarthritis\">coxarthrose<\/a>, on utilise l&rsquo;amplitude totale des mouvements et le test FADIR. Un test de FADIR n\u00e9gatif permet d&rsquo;exclure une pathologie intra-articulaire, telle qu&rsquo;une l\u00e9sion <a title=\"Labral Tear\" href=\"\/Labral_Tear\">du labrum<\/a> ou une <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Hip_Osteoarthritis?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">coxarthrose<\/a>. <sup id=\"cite_ref-:0_5-8\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/PqgPWRqmQ_A?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-28\" class=\"reference\"><a href=\"#cite_note-28\">(28)<\/a><\/sup><\/p>\n<p>Un test FABER positif d\u00e9clenche des sympt\u00f4mes du nerf sciatique si le nerf glisse sur le bord post\u00e9rieur du grand trochanter dans cette position. <sup id=\"cite_ref-:0_5-9\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> Le m\u00eame test peut indiquer une tendinopathie glut\u00e9ale si la douleur est ressentie au grand trochanter. Si le patient a ressenti une douleur profonde dans la fesse, il est plus probable qu&rsquo;il s&rsquo;agisse d&rsquo;une compression ou d&rsquo;une irritation autour du muscle piriforme ou de certains des \u00ab\u00a0six profonds\u00a0\u00bb.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/RMgaRoBg0do?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-29\" class=\"reference\"><a href=\"#cite_note-29\">(29)<\/a><\/sup><\/p>\n<p>Les patients souffrant d&rsquo;un syndrome douloureux glut\u00e9al profond peuvent pr\u00e9senter des tests de conduction nerveuse alt\u00e9r\u00e9s, des r\u00e9flexes alt\u00e9r\u00e9s, une faiblesse motrice <sup id=\"cite_ref-30\" class=\"reference\"><a href=\"#cite_note-30\">(30)<\/a><\/sup> et des troubles de la sensibilit\u00e9, ce qui rend difficile la diff\u00e9renciation entre le rachis lombaire et les structures situ\u00e9es dans la fesse. <sup id=\"cite_ref-:0_5-10\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<p>La combinaison du test d&rsquo;\u00e9tirement du piriforme en position assise avec le test actif du piriforme a d\u00e9montr\u00e9 une sensibilit\u00e9 de 91 % et une sp\u00e9cificit\u00e9 de 80 % pour la d\u00e9tection endoscopique d&rsquo;une compression du nerf sciatique. <sup id=\"cite_ref-31\" class=\"reference\"><a href=\"#cite_note-31\">(31)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/JR1rtQ-PF38?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-32\" class=\"reference\"><a href=\"#cite_note-32\">(32)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/iL19XaxMmP4?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-33\" class=\"reference\"><a href=\"#cite_note-33\">(33)<\/a><\/sup><\/p>\n<p>Les comp\u00e9tences en mati\u00e8re de palpation peuvent \u00eatre utiles pour diff\u00e9rencier le site de la douleur et la texture des tissus mous. <sup id=\"cite_ref-:0_5-11\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> On peut utiliser la tub\u00e9rosit\u00e9 ischiatique comme point de r\u00e9f\u00e9rence en essayant de reproduire la douleur du patient \u00e0 la palpation pour d\u00e9terminer l&rsquo;origine probable des sympt\u00f4mes. <sup id=\"cite_ref-:3_34-0\" class=\"reference\"><a href=\"#cite_note-:3-34\">(34)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/IhvVoKGyl8E?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-35\" class=\"reference\"><a href=\"#cite_note-35\">(35)<\/a><\/sup><\/p>\n<h3><span id=\"Differential_Diagnosis\" class=\"mw-headline\">Diagnostic diff\u00e9rentiel <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Differential Diagnosis\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;veaction=edit&amp;section=7\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Differential Diagnosis\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;action=edit&amp;section=7\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le tableau suivant associe les affections causant des douleurs glut\u00e9ales profondes \u00e0 leurs sympt\u00f4mes les plus typiques : <sup id=\"cite_ref-:0_5-12\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<table border=\"1\" cellspacing=\"1\" cellpadding=\"1\">\n<tbody>\n<tr>\n<th scope=\"row\">Affection<\/th>\n<th scope=\"col\">Sympt\u00f4mes<\/th>\n<\/tr>\n<tr>\n<th scope=\"row\">Irritation du tendon des ischiojambiers, bursite<\/th>\n<td>Course en mont\u00e9e; soulev\u00e9s de terre (\u00ab deadlifts \u00bb)<br \/>\nSoul\u00e8vement de bo\u00eetes\/autres activit\u00e9s qui impliquent des soul\u00e8vements de charge en flexion<br \/>\nSensation d&rsquo;\u00eatre assis sur une \u00ab masse spongieuse \u00bb<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Compression du nerf sciatique non discog\u00e9nique<\/th>\n<td>Douleur radiculaire du membre inf\u00e9rieur lors de la flexion de la hanche<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Syndrome de compression du nerf pudendal<\/th>\n<td>Augmentation du temps pass\u00e9 sur le v\u00e9lo ou changement de selle; s&rsquo;asseoir sur un si\u00e8ge de toilette soulage la douleur<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Conflit ischiof\u00e9moral, douleur facettaire (lombaire), douleur de l&rsquo;articulation sacro-iliaque<\/th>\n<td>Douleur lors de l&rsquo;extension de la hanche ou de longues foul\u00e9es<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Conflit ischiof\u00e9moral<\/th>\n<td>Ant\u00e9c\u00e9dents de traumatisme ou de chirurgie de la hanche<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\">Tendinopathie glut\u00e9ale, ou tendinopathie des obturateurs\/jumeaux<\/th>\n<td>Boiterie apr\u00e8s une position assise prolong\u00e9e<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span id=\"Management\" class=\"mw-headline\">Prise en charge<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Management\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;veaction=edit&amp;section=8\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Management\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;action=edit&amp;section=8\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Principals:\" class=\"mw-headline\">Principes<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Principals:\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;veaction=edit&amp;section=9\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Principals:\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;action=edit&amp;section=9\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Diff\u00e9rencier la source de la douleur \u00e0 l&rsquo;aide du raisonnement clinique, de ses propres connaissances et de ses comp\u00e9tences d&rsquo;\u00e9valuation<\/li>\n<li>\u00c9duquer son patient sur l&rsquo;anatomie et les causes des sympt\u00f4mes<\/li>\n<li>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 452px;\"><a class=\"image\" href=\"\/File:Principals_of_Deep_Gluteal_Pain_management.PNG\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/f8\/Principals_of_Deep_Gluteal_Pain_management.PNG\/450px-Principals_of_Deep_Gluteal_Pain_management.PNG\" srcset=\"https:\/\/www.physio-pedia.com\/images\/f\/f8\/Principals_of_Deep_Gluteal_Pain_management.PNG 1.5x\" alt=\"Principals of Deep Gluteal Pain management.PNG\" width=\"450\" height=\"317\" data-file-width=\"454\" data-file-height=\"320\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>Traiter les facteurs de la <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Chronic_Pain?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">douleur chronique<\/a> \u00e0 l&rsquo;aide de l&rsquo;approche biopsychosociale<\/li>\n<li>Conseiller le patient la <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Load_Management?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">gestion du stress m\u00e9canique <\/a><\/li>\n<\/ul>\n<p><b>Tendinopathie des ischiojambiers :<\/b><\/p>\n<ol>\n<li>\u00c9viter les soulev\u00e9s de terre et autres activit\u00e9s de flexion<\/li>\n<li>\u00c9viter les \u00e9tirements des ischiojambiers,comme l&rsquo;extension du genou \u00e0 90 degr\u00e9s de flexion de la hanche<\/li>\n<\/ol>\n<p><b>Implication du nerf sciatique :<\/b><\/p>\n<ol>\n<li>Au volant, rapprocher le si\u00e8ge de la voiture du volant pour soulager la tension neurale du nerf sciatique<\/li>\n<li>Conseiller aux coureurs de r\u00e9duire la longueur de leur foul\u00e9e pour soulager les sympt\u00f4mes<\/li>\n<\/ol>\n<p>En cas de <b>sympt\u00f4mes typiques du nerf pudendal,<\/b> il faudra peut-\u00eatre orienter le patient \u00e0 un physioth\u00e9rapeute sp\u00e9cialis\u00e9 dans la sant\u00e9 de la femme ou de l&rsquo;homme pour qu&rsquo;il aide \u00e0 traiter les sympt\u00f4mes tels que la douleur rectale, l&rsquo;incontinence f\u00e9cale ou l&rsquo;incontinence urinaire. Orienter les femmes de plus de 50 ans \u00e0 un gyn\u00e9cologue pour conna\u00eetre leur statut hormonal. Des changements de mode de vie et des conseils en mati\u00e8re de gestion du poids sont \u00e9galement recommand\u00e9s.<\/p>\n<p><b>Conseils g\u00e9n\u00e9raux sur les points suivants :<\/b><\/p>\n<ul>\n<li>gestion du poids;<\/li>\n<li>changements de mode de vie;<\/li>\n<li>hygi\u00e8ne du sommeil;<\/li>\n<li>facteurs de risque tels que le tabagisme.<\/li>\n<\/ul>\n<p>Le rel\u00e2chement myofascial et la th\u00e9rapie manuelle, combin\u00e9s \u00e0 la r\u00e9\u00e9ducation et aux conseils appropri\u00e9s, sont des outils cliniques utiles dans la prise en charge de la douleur glut\u00e9ale profonde. <sup id=\"cite_ref-:0_5-13\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<p>Un bloc anesth\u00e9sique guid\u00e9 par imagerie ou des injections de st\u00e9ro\u00efdes peuvent \u00e9galement s&rsquo;av\u00e9rer efficaces. <sup id=\"cite_ref-:4_7-1\" class=\"reference\"><a href=\"#cite_note-:4-7\">(7)<\/a><\/sup><\/p>\n<p><b>Les options chirurgicales sont les suivantes :<\/b><\/p>\n<p>plastie partielle du petit trochanter pour le conflit ischiof\u00e9moral;<\/p>\n<p>lib\u00e9ration arthroscopique ou endoscopique des adh\u00e9rences entre les tendons ischiojambiers ou le tendon du piriforme et le nerf sciatique. <sup id=\"cite_ref-36\" class=\"reference\"><a href=\"#cite_note-36\">(36) <\/a><\/sup><sup id=\"cite_ref-:1_12-1\" class=\"reference\"><a href=\"#cite_note-:1-12\">(12)<\/a><\/sup><\/p>\n<p>.<\/p>\n<h3><span id=\"Exercises\" class=\"mw-headline\">Exercices<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Exercises\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;veaction=edit&amp;section=10\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Exercises\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;action=edit&amp;section=10\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p><b>Principes de la prescription d&rsquo;exercices <\/b> <b>: <\/b> <sup id=\"cite_ref-:0_5-14\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 602px;\"><a class=\"image\" href=\"\/File:Exercise_principals_DGS.PNG\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7d\/Exercise_principals_DGS.PNG\/600px-Exercise_principals_DGS.PNG\" srcset=\"https:\/\/www.physio-pedia.com\/images\/7\/7d\/Exercise_principals_DGS.PNG 1.5x\" alt=\"Exercise principals DGS.PNG\" width=\"600\" height=\"220\" data-file-width=\"648\" data-file-height=\"238\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>Limiter les exercices \u00e0 15 \u00e0 20 minutes par jour afin d&rsquo;am\u00e9liorer l&rsquo;observance th\u00e9rapeutique.<\/p>\n<p>Au d\u00e9but du traitement d&rsquo;une tendinopathie, \u00e9viter les \u00e9tirements afin de r\u00e9duire la tension exerc\u00e9e sur le tendon. Les introduire \u00e9ventuellement plus tard, lorsque la douleur se r\u00e9sorbe.<\/p>\n<p>Lors de la prise en charge d&rsquo;une <a title=\"Tendinopathy\" href=\"\/Tendinopathy\">tendinopathie<\/a>, maintenir la douleur en dessous de 5\/10 et veiller \u00e0 ce qu&rsquo;elle ne s&rsquo;aggrave pas dans les 24 heures suivantes, en particulier avec des exercices fonctionnels en charge tels que le \u00ab step down \u00bb, la flexion sur une jambe (\u00ab single leg squat \u00bb), la fente dynamique et la fente.<\/p>\n<p>Lors de l&rsquo;\u00e9tirement du muscle piriforme avec la hanche \u00e0 90 degr\u00e9s, la hanche doit \u00eatre en position de rotation externe. Le muscle piriforme est un abducteur de la hanche et un rotateur externe en dessous de 45 \u00e0 60 degr\u00e9s de flexion de la hanche, mais il agit comme un rotateur interne au-dessus de 60 degr\u00e9s de flexion de la hanche.<\/p>\n<p>Combiner les exercices avec des techniques de glissement neurodynamique, telles que le glissement (\u00ab\u00a0slider\u00a0\u00bb) du nerf sciatique.<\/p>\n<p>Conseiller le renforcement des muscles glut\u00e9aux gr\u00e2ce \u00e0 des exercices de type \u00ab Bird Dog \u00bb, fentes et des exercices fonctionnels en charge.<\/p>\n<p>La charge doit \u00eatre augment\u00e9e progressivement en mettant l&rsquo;accent sur les extenseurs de la hanche, les abducteurs et les rotateurs lat\u00e9raux, de mani\u00e8re g\u00e9n\u00e9rale.<\/p>\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Single_Leg_Squat_.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/5\/50\/Single_Leg_Squat_.jpg\/300px-Single_Leg_Squat_.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/5\/50\/Single_Leg_Squat_.jpg\/450px-Single_Leg_Squat_.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/5\/50\/Single_Leg_Squat_.jpg\/600px-Single_Leg_Squat_.jpg 2x\" alt=\"\" width=\"300\" height=\"200\" data-file-width=\"999\" data-file-height=\"667\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p style=\"text-align: center;\">Flexion sur une jambe (\u00ab Single Leg Squat \u00bb)<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Resisted_bird-dog.PNG\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a0\/Resisted_bird-dog.PNG\/300px-Resisted_bird-dog.PNG\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a0\/Resisted_bird-dog.PNG\/450px-Resisted_bird-dog.PNG 1.5x, https:\/\/www.physio-pedia.com\/images\/a\/a0\/Resisted_bird-dog.PNG 2x\" alt=\"\" width=\"300\" height=\"205\" data-file-width=\"551\" data-file-height=\"376\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p style=\"text-align: center;\">Stabilisation horizontale, bras et jambes oppos\u00e9s relev\u00e9s r\u00e9sist\u00e9s (\u00ab Resisted Bird Dog \u00bb)<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h2><span id=\"References\" class=\"mw-headline\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;veaction=edit&amp;section=11\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Deep_Gluteal_Pain_Syndrome&amp;action=edit&amp;section=11\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">McCrory P, Bell S (1999) Nerve entrapment syndromes as a cause of pain in the hip, groin and buttock. Sports Med 27(4):261\u2013274<\/span><\/li>\n<li id=\"cite_note-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-2\">\u2191<\/a><\/span> <span class=\"reference-text\">Gonzalez-Lomas G. Deep gluteal pain in orthopaedics: a challenging diagnosis. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2021 Dec 15;29(24):e1282-90.<\/span><\/li>\n<li id=\"cite_note-:7-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:7_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:7_3-1\">3.1<\/a><\/sup><\/span> <span class=\"reference-text\">Hu YW, Ho GW, Tortland PD. <a class=\"external text\" href=\"https:\/\/journals.lww.com\/acsm-csmr\/Fulltext\/2021\/06000\/Deep_Gluteal_Syndrome__A_Pain_in_the_Buttock.2.aspx\" rel=\"nofollow\"><a href=\"https:\/\/journals.lww.com\/acsm-csmr\/Fulltext\/2021\/06000\/Deep_Gluteal_Syndrome__A_Pain_in_the_Buttock.2.aspx\">Deep gluteal syndrome: a pain in the buttock.<\/a><\/a> Current Sports Medicine Reports. 2021 Jun 1;20(6):279-85.<\/span><\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Frank RM, Slabaugh MA, Grumet RC, Virkus WW, Bush-Joseph CA, Nho SJ (2010) Posterior hip pain in an athletic population: differential diagnosis and treatment options. 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Arthroscopy: The Journal of Arthroscopic &amp; Related Surgery. 2017 Dec 1;33(12):2263-78.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20240520063136 Cache expiry: 0 Reduced expiry: true Complications: (show\u2010toc) CPU time usage: 0.162 seconds Real time usage: 0.170 seconds Preprocessor visited node count: 596\/1000000 Post\u2010expand include size: 322\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/100 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 21737\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 10.316 1 Special:Contributors\/Deep_Gluteal_Pain_Syndrome 100.00% 10.316 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dactrice originale &#8211; Mariam Hashem Principaux collaborateurs &#8211; Mariam Hashem , Kim Jackson , Lucinda Hampton , Mandy Roscher , Ewa Jaraczewska , Tony Lowe et Tarina van der Stockt Contenu 1 Introduction 2 Anatomie 3 Syndrome de compression du nerf pudendal 4 Conflit ischio-f\u00e9moral 5 Tendinopathie des ischiojambiers 6 Examen physique 6.1 Diagnostic diff\u00e9rentiel [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-10606","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/10606","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/comments?post=10606"}],"version-history":[{"count":2,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/10606\/revisions"}],"predecessor-version":[{"id":10616,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/10606\/revisions\/10616"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=10606"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}