{"id":1131,"date":"2022-06-22T21:35:21","date_gmt":"2022-06-22T21:35:21","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/splinting-fr\/"},"modified":"2022-06-22T21:35:21","modified_gmt":"2022-06-22T21:35:21","slug":"splinting-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/splinting-fr\/","title":{"rendered":"Attelles"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>\u00c9diteur original <\/b>&#8211; <a href=\"\/User:Shwe_Shwe_U_Marma\" title=\"User:Shwe Shwe U Marma\">Shwe Shwe U Marma<\/a><br \/>\n<b>Principaux contributeurs<\/b> &#8211; <a href=\"\/User:Shwe_Shwe_U_Marma\" class=\"mw-userlink\" title=\"User:Shwe Shwe U Marma\"><bdi>Shwe Shwe U Marma<\/bdi><\/a>, <a href=\"\/User:Naomi_O%27Reilly\" class=\"mw-userlink\" title=\"User:Naomi O'Reilly\"><bdi>Naomi O&rsquo;Reilly<\/bdi><\/a>, <a href=\"\/User:Nikhil_Benhur_Abburi\" class=\"mw-userlink\" title=\"User:Nikhil Benhur Abburi\"><bdi>Nikhil Benhur Abburi<\/bdi><\/a> et <a href=\"\/User:Tarina_van_der_Stockt\" class=\"mw-userlink\" title=\"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 type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Definition\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">D\u00e9finition<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Purpose_of_Splinting\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\"><b>L&rsquo;objectif de l&rsquo;attelle<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Different_Types_of_Splints\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Diff\u00e9rents types d&rsquo;attelles<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Splints_for_Upper_Extremity\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">Les attelles pour le membre sup\u00e9rieur<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Splints_for_Lower_Extremity\"><span class=\"tocnumber\">3.2<\/span> <span class=\"toctext\">Les attelles pour le membre inf\u00e9rieur<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Indications_of_Splinting\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Indications \u00e0 l&rsquo;utilisation d&rsquo;une attelle<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Contraindications_of_Splinting\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Contre-indications \u00e0 l&rsquo;utilisation d&rsquo;une attelle<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#Side_Effects_of_Splinting\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Effets secondaires d&rsquo;une attelle<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Advantages_of_Splinting\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Avantages d&rsquo;une attelle<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-10\"><a href=\"#Disadvantages_of_Splinting\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">D\u00e9savantages d&rsquo;une attelle<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-11\"><a href=\"#Complications_of_Splinting\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">Complications li\u00e9es \u00e0 l&rsquo;attelle<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Considerations_for_Effective_Splinting\"><span class=\"tocnumber\">9.1<\/span> <span class=\"toctext\">Consid\u00e9rations pour une attelle efficace<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#References\"><span class=\"tocnumber\">10<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Definition\">D\u00e9finition<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Definition\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=1\" title=\"Edit section: Definition\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Une <a href=\"\/Splint\" class=\"mw-redirect\" title=\"Splint\">attelle<\/a> est un support rigide fabriqu\u00e9 en m\u00e9tal, en pl\u00e2tre ou en plastique. Elle sert \u00e0 prot\u00e9ger <sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup>, soutenir ou immobiliser une partie du corps bless\u00e9e ou inflamm\u00e9e.<sup id=\"cite_ref-:1_2-0\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup>\n<\/p>\n<div class=\"row\">\n<div class=\"col-md-6\">\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width:402px;\"><a href=\"\/File:Arm_splint.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/22\/Arm_splint.png\/400px-Arm_splint.png\" decoding=\"async\" width=\"400\" height=\"300\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/22\/Arm_splint.png\/600px-Arm_splint.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/2\/22\/Arm_splint.png\/800px-Arm_splint.png 2x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Arm_splint.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p><b>Figure 1<\/b> Attelle de bras<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"col-md-6\">\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width:445px;\"><a href=\"\/File:Thomas%27s_splint.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e5\/Thomas%27s_splint.jpg\/443px-Thomas%27s_splint.jpg\" decoding=\"async\" width=\"443\" height=\"300\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/e\/e5\/Thomas%27s_splint.jpg 1.5x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Thomas%27s_splint.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p><b>Figure 2<\/b> Attelle de Thomas<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Purpose_of_Splinting\"><b>L&rsquo;objectif de l&rsquo;attelle<\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Purpose of Splinting\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=2\" title=\"Edit section: Purpose of Splinting\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Immobilisation<\/li>\n<li>Soutien pour favoriser la gu\u00e9rison<\/li>\n<li>Positionnement ou soutien pendant la fonction<\/li>\n<li><a href=\"\/Pain-Modulation\" title=\"Pain-Modulation\">Soulagement de la douleur<\/a> <sup id=\"cite_ref-:0_3-0\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/li>\n<li>Substitut aux muscles faibles<\/li>\n<li>Pr\u00e9vention et correction des contractures et des d\u00e9formations <sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup><\/li>\n<li>Restauration ou maintien de l&rsquo;amplitude des mouvements<a href=\"\/Range_of_Motion\" title=\"Range of Motion\"> <sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/a><\/li>\n<li><a href=\"\/Edema_Assessment\" title=\"Edema Assessment\">Contr\u00f4le de l&rsquo;\u0153d\u00e8me<\/a> <sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Different_Types_of_Splints\">Les diff\u00e9rents types d&rsquo;attelle<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Different Types of Splints\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=3\" title=\"Edit section: Different Types of Splints\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les attelles sont class\u00e9es en fonction du mouvement permis, comme suit\n<\/p>\n<ul>\n<li>Statique<\/li>\n<li>Dynamique<\/li>\n<li>Statique en s\u00e9rie<\/li>\n<li>Statique Progressive<\/li>\n<\/ul>\n<h4><span class=\"mw-headline\" id=\"Splints_for_Upper_Extremity\">Les attelles pour le membre sup\u00e9rieur <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Splints for Upper Extremity\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=4\" title=\"Edit section: Splints for Upper Extremity\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<table cellspacing=\"1\" cellpadding=\"1\" border=\"1\" width=\"800\">\n<caption><b>Tableau 1<\/b> Attelles pour le membre sup\u00e9rieur <sup id=\"cite_ref-:0_3-1\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><br \/>\n<\/caption>\n<tbody>\n<tr>\n<th scope=\"col\"><b>Partie du corps<\/b>\n<\/th>\n<th><b>Type d&rsquo;attelle<\/b>\n<\/th>\n<\/tr>\n<tr>\n<td>C\u00f4t\u00e9 cubital (ulnaire) de la main\n<\/td>\n<td>Attelle de goutti\u00e8re ulnaire\n<\/td>\n<\/tr>\n<tr>\n<td>C\u00f4t\u00e9 radial de la main\n<\/td>\n<td>Attelle de goutti\u00e8re radiale\n<\/td>\n<\/tr>\n<tr>\n<td>Pouce, premier m\u00e9tacarpien et os du carpe\n<\/td>\n<td>Attelle de pouce Spica\n<\/td>\n<\/tr>\n<tr>\n<td>Blessures aux doigts\n<\/td>\n<td>\n<ul>\n<li>syndactylisation (Buddy Taping)<\/li>\n<li>Attelle d&rsquo;aluminium en U<\/li>\n<li>Attelle de blocage de l&rsquo;extension<\/li>\n<li>Attelle de doigt maillet<\/li>\n<\/ul>\n<div class=\"thumb tleft\">\n<div class=\"thumbinner\" style=\"width:173px;\"><a href=\"\/File:Mallet_finger_splint_(thermoplastic).jpg\" class=\"image\"><img loading=\"lazy\" alt=\"Image showing mallet finger splint applied\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/15\/Mallet_finger_splint_%28thermoplastic%29.jpg\/171px-Mallet_finger_splint_%28thermoplastic%29.jpg\" decoding=\"async\" width=\"171\" height=\"128\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/15\/Mallet_finger_splint_%28thermoplastic%29.jpg\/257px-Mallet_finger_splint_%28thermoplastic%29.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/1\/15\/Mallet_finger_splint_%28thermoplastic%29.jpg\/342px-Mallet_finger_splint_%28thermoplastic%29.jpg 2x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Mallet_finger_splint_(thermoplastic).jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Attelle de doigt maillet<\/p><\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<tr>\n<td>Poignet \/ Main\n<\/td>\n<td>\n<ul>\n<li>Attelle de bras palmaire ou dorsale<\/li>\n<li>Pl\u00e2tre de bras court<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Avant-bras\n<\/td>\n<td>\n<ul>\n<li>Attelle simple pince \u00e0 sucre<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Blessures au coude, \u00e0 l&rsquo;avant-bras proximal et au poignet squelettiquement immature\n<\/td>\n<td>\n<ul>\n<li>Attelle longue de bras post\u00e9rieure<\/li>\n<li>Pl\u00e2tre de bras long<\/li>\n<li>Attelle double pince \u00e0 sucre<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h4><span class=\"mw-headline\" id=\"Splints_for_Lower_Extremity\">Les attelles pour le membre inf\u00e9rieur <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Splints for Lower Extremity\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=5\" title=\"Edit section: Splints for Lower Extremity\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<table cellspacing=\"1\" cellpadding=\"1\" border=\"1\" width=\"800\">\n<caption><b>Table.2<\/b> Attelles pour le membre inf\u00e9rieur <sup id=\"cite_ref-:0_3-2\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><br \/>\n<\/caption>\n<tbody>\n<tr>\n<th scope=\"col\"><b>Partie du corps<\/b>\n<\/th>\n<th><b>Type d&rsquo;attelle<\/b>\n<\/th>\n<\/tr>\n<tr>\n<td>Cheville\n<\/td>\n<td>\n<ul>\n<li>Attelle de cheville post\u00e9rieure<\/li>\n<li>Attelle \u00e9trier<\/li>\n<\/ul>\n<div class=\"thumb tleft\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Ankle_splint.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0d\/Ankle_splint.png\/300px-Ankle_splint.png\" decoding=\"async\" width=\"300\" height=\"300\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0d\/Ankle_splint.png\/450px-Ankle_splint.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0d\/Ankle_splint.png\/600px-Ankle_splint.png 2x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Ankle_splint.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p><b>Figure 3<\/b> Attelle \u00e9trier de cheville<\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<tr>\n<td>Jambe inf\u00e9rieure, cheville et pied\n<\/td>\n<td>Pl\u00e2tre de jambe court\n<\/td>\n<\/tr>\n<tr>\n<td>Genou et jambe inf\u00e9rieure\n<\/td>\n<td>Attelle de genou post\u00e9rieure\n<\/td>\n<\/tr>\n<tr>\n<td>Pied\n<\/td>\n<td>Pl\u00e2tre de jambe court avec plaque pour les orteils\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span class=\"mw-headline\" id=\"Indications_of_Splinting\">Indications \u00e0 l&rsquo;utilisation d&rsquo;une attelle <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Indications of Splinting\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=6\" title=\"Edit section: Indications of Splinting\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Sprained_Ankle.JPG\" class=\"image\"><img loading=\"lazy\" alt=\"Image showing swollen sprained left ankle\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/71\/Sprained_Ankle.JPG\/300px-Sprained_Ankle.JPG\" decoding=\"async\" width=\"300\" height=\"165\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/71\/Sprained_Ankle.JPG\/450px-Sprained_Ankle.JPG 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/7\/71\/Sprained_Ankle.JPG\/600px-Sprained_Ankle.JPG 2x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Sprained_Ankle.JPG\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p><b>Figure 4<\/b> Une entorse de cheville gonfl\u00e9e est une indication pour la pose d&rsquo;une attelle<\/div>\n<\/div>\n<\/div>\n<p>Les attelles sont utilis\u00e9es pour immobiliser les blessures musculo-squelettiques et neurologiques, favoriser la gu\u00e9rison et pr\u00e9venir d&rsquo;autres dommages. Les indications pour la pose d&rsquo;une attelle sont larges, mais incluent g\u00e9n\u00e9ralement :\n<\/p>\n<ul>\n<li>La stabilisation temporaire de fractures, d&rsquo;entorses, de foulures ou de l\u00e9sions nerveuses aigu\u00ebs avant une \u00e9valuation plus approfondie ou une gestion op\u00e9ratoire d\u00e9finitive<\/li>\n<li>L&rsquo;immobilisation d&rsquo;une fracture occulte suspect\u00e9e (telle qu&rsquo;une fracture du scapho\u00efde)<\/li>\n<li>Les blessures graves des tissus mous n\u00e9cessitant une immobilisation et une protection contre des dommages suppl\u00e9mentaires<\/li>\n<li>La gestion d\u00e9finitive de mod\u00e8les de fractures stables sp\u00e9cifiques <\/li>\n<li>La neuropathie p\u00e9riph\u00e9rique n\u00e9cessitant une protection des extr\u00e9mit\u00e9s<\/li>\n<li>L&rsquo;immobilisation partielle pour les blessures mineures des tissus mous<\/li>\n<li>Le traitement de l&rsquo;instabilit\u00e9 articulaire, incluant la dislocation <sup id=\"cite_ref-:1_2-1\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Contraindications_of_Splinting\">Contre-indications \u00e0 l&rsquo;utilisation d&rsquo;une attelle <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Contraindications of Splinting\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=7\" title=\"Edit section: Contraindications of Splinting\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Il n&rsquo;existe aucune contre-indication sp\u00e9cifique \u00e0 la pose d&rsquo;attelles. Toutefois, certaines blessures et comorbidit\u00e9s sp\u00e9cifiques aux patients n\u00e9cessitent une attention particuli\u00e8re :\n<\/p>\n<ul>\n<li><b>Les blessures qui transgressent la peau ou les plaies ouvertes :<\/b>\n<ul>\n<li>L&rsquo;administration d&rsquo;antibiotiques doit \u00eatre consid\u00e9r\u00e9e pour ces patients en fonction de la gravit\u00e9 de la l\u00e9sion. Ces patients n\u00e9cessitent \u00e9galement des soins suppl\u00e9mentaires des tissus mous, pouvant impliquer qu&rsquo;un d\u00e9bridement des tissus et une fermeture de la peau soient effectu\u00e9s avant l&rsquo;application de l&rsquo;attelle.<\/li>\n<\/ul>\n<\/li>\n<li><b>Les blessures qui entra\u00eenent des d\u00e9ficits sensoriels ou neurologiques :<\/b>\n<ul>\n<li>Les complications li\u00e9es \u00e0 la pose d&rsquo;une attelle, telles que le syndrome des loges, les l\u00e9sions dues \u00e0 la pression ou la malr\u00e9duction, peuvent passer inaper\u00e7ues si le patient pr\u00e9sente une l\u00e9sion nerveuse concomitante. Ces patients doivent \u00eatre \u00e9valu\u00e9s par un chirurgien avant l&rsquo;application de l&rsquo;attelle car les observations neurologiques peuvent \u00eatre signe d&rsquo;une urgence chirurgicale.<\/li>\n<\/ul>\n<\/li>\n<li><b>Les l\u00e9sions vasculaires :<\/b>\n<ul>\n<li>Celles-ci requi\u00e8rent une attention particuli\u00e8re de la part des chirurgiens vasculaires, car elles peuvent n\u00e9cessiter une intervention chirurgicale urgente. De plus, l&rsquo;\u00e9valuation de la vascularisation est essentielle avant et apr\u00e8s la pose d&rsquo;une attelle, la r\u00e9duction de certaines fractures pouvant entra\u00eener la l\u00e9sion ou l&rsquo;obstruction aigu\u00eb d&rsquo;une art\u00e8re si elle est coinc\u00e9e entre les fragments de la fracture.<\/li>\n<\/ul>\n<\/li>\n<li><b>Les patients atteints de maladie vasculaire p\u00e9riph\u00e9rique ou de neuropathie p\u00e9riph\u00e9rique :<\/b>\n<ul>\n<li>Il convient d&rsquo;\u00eatre particuli\u00e8rement prudent lors de l&rsquo;application d&rsquo;attelles aux membres inf\u00e9rieurs chez ces patient puisque leur sensation de base peut \u00eatre alt\u00e9r\u00e9e. Ces patients ont de la difficult\u00e9 \u00e0 d\u00e9tecter les escarres, les irritations cutan\u00e9es et les compromis vasculaires possibles.<sup id=\"cite_ref-:1_2-2\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Side_Effects_of_Splinting\">Effets secondaires d&rsquo;une attelle <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Side Effects of Splinting\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=8\" title=\"Edit section: Side Effects of Splinting\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>L&rsquo;utilisation excessive d&rsquo;attelles peut entra\u00eener des douleurs chroniques, des raideurs articulaires et un affaiblissement de la musculature <sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/li>\n<li>Irritation de la peau <sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><\/li>\n<li>Inconfort <sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Advantages_of_Splinting\">Avantages d&rsquo;une attelle <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Advantages of Splinting\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=9\" title=\"Edit section: Advantages of Splinting\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&rsquo;utilisation d&rsquo;une attelle pr\u00e9sente de nombreux avantages par rapport au pl\u00e2tre.\n<\/p>\n<ul>\n<li>Les attelles sont plus rapides et plus faciles \u00e0 appliquer.<\/li>\n<li>Elles peuvent \u00eatre statiques (c&rsquo;est-\u00e0-dire emp\u00eacher le mouvement) ou dynamiques (c&rsquo;est-\u00e0-dire fonctionnelles ; assister le mouvement contr\u00f4l\u00e9).<\/li>\n<li>Les attelles sont non circonf\u00e9rentielles, ce qui laisse place au gonflement naturel qui se produit pendant la phase inflammatoire initiale de la blessure.<\/li>\n<li>Une attelle peut \u00eatre retir\u00e9e plus facilement qu&rsquo;un pl\u00e2tre, permettant une inspection r\u00e9guli\u00e8re du site de la blessure.<sup id=\"cite_ref-:2_10-0\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Disadvantages_of_Splinting\">D\u00e9savantages d&rsquo;une attelle <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Disadvantages of Splinting\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=10\" title=\"Edit section: Disadvantages of Splinting\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les inconv\u00e9nients li\u00e9s \u00e0 l&rsquo;utilisation d&rsquo;une attelle incluent ;\n<\/p>\n<ul>\n<li>Une conformit\u00e9 des patients sujette \u00e0 \u00eatre plus faible<\/li>\n<li>Une possibilit\u00e9 de mouvement excessif au site de la blessure<\/li>\n<li>Restrictions dans leur utilisation, comme dans les fractures instables ou potentiellement instables.<sup id=\"cite_ref-:2_10-1\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Complications_of_Splinting\">Complications li\u00e9es \u00e0 l&rsquo;attelle <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Complications of Splinting\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=11\" title=\"Edit section: Complications of Splinting\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Acute_Compartment_Syndrome.JPG\" class=\"image\"><img loading=\"lazy\" alt=\"Image showing compartment syndrome in arm with blister formation\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/f1\/Acute_Compartment_Syndrome.JPG\/300px-Acute_Compartment_Syndrome.JPG\" decoding=\"async\" width=\"300\" height=\"225\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/f1\/Acute_Compartment_Syndrome.JPG\/450px-Acute_Compartment_Syndrome.JPG 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/f\/f1\/Acute_Compartment_Syndrome.JPG\/600px-Acute_Compartment_Syndrome.JPG 2x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Acute_Compartment_Syndrome.JPG\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p><b>Figure 5<\/b> Syndrome de compartiment<\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Le syndrome de compartiment<\/li>\n<li>L&rsquo;isch\u00e9mie<\/li>\n<li>Les l\u00e9sions dues \u00e0 la chaleur<\/li>\n<li>Les escarres et la d\u00e9gradation de la peau<\/li>\n<li>L&rsquo;\u0153d\u00e8me<\/li>\n<li>L&rsquo;infection<\/li>\n<li>La dermatite<\/li>\n<li>La raideur articulaire<\/li>\n<li>L&rsquo;alt\u00e9ration de l&rsquo;amplitude des mouvements<\/li>\n<li>La perte de force<\/li>\n<li>L&rsquo;alt\u00e9ration des sensations<\/li>\n<li>Les l\u00e9sions neurologiques<sup id=\"cite_ref-:2_10-2\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Considerations_for_Effective_Splinting\">Consid\u00e9rations pour une attelle efficace <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Considerations for Effective Splinting\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=12\" title=\"Edit section: Considerations for Effective Splinting\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Les plis servent de points de rep\u00e8re pour la fabrication des attelles.<\/li>\n<li>Les pro\u00e9minences osseuses peuvent provoquer une pression<\/li>\n<li>Pr\u00e9voir trois points de pression<\/li>\n<li>Des attelles faites sur mesure en fonction des contours du corps plut\u00f4t que des attelles toutes faites.<\/li>\n<li>\u00c9duquer le patient pour une meilleure conformit\u00e9<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"References\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=13\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap\">\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\">VanBlarcom CW, editor. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.thejpd.org\/article\/S0022-3913(99)70234-9\/fulltext\">The glossary of prosthodontic terms<\/a>. Mosby; 1999.<\/span>\n<\/li>\n<li id=\"cite_note-:1-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-1\">2.1<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-2\">2.2<\/a><\/sup><\/span> <span class=\"reference-text\">Althoff AD, Reeves RA. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK557673\/\">Splinting<\/a>. StatPearls (Internet). 2020 May 24.<\/span>\n<\/li>\n<li id=\"cite_note-:0-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-1\">3.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-2\">3.2<\/a><\/sup><\/span> <span class=\"reference-text\">Boyd AS, Benjamin HJ, Asplund CA. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.researchgate.net\/publication\/26784832_Splints_and_Casts_Indications_and_Methods\">Splints and casts: indications and methods<\/a>. American family physician. 2009 Sep 1;80(5):491-9.<\/span>\n<\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Singh KA, Shah H, Joseph B. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/online.boneandjoint.org.uk\/doi\/abs\/10.1302\/0301-620X.102B10.BJJ-2020-0181.R4\">Comparison of plaster-of-Paris casts and Woodcast splints for immobilization of the limb during serial manipulation and casting for idiopathic clubfoot in infants: a prospective randomized trial<\/a>. The Bone &amp; Joint Journal. 2020 Oct 3;102(10):1399-404.<\/span>\n<\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">Rezaei B, Mahdavinejad R. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/japer.in\/storage\/models\/article\/PuhlW9qhFMTWZ0y8u4MRHzXx4GSaVQRsF5R7Y7JeXDZtYo4GMUcPDkPvWRyt\/massage-therapy-and-splint-in-males-with-carpal-tunnel-syndrome.pdf\">Massage therapy and Splint in males with Carpal Tunnel syndrome<\/a>. Journal of Advanced Pharmacy Education &amp; Research| Jan-Mar. 2020;10(S1).<\/span>\n<\/li>\n<li id=\"cite_note-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-6\">\u2191<\/a><\/span> <span class=\"reference-text\">Giang TA, Ong AW, Krishnamurthy K, Fong KN. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.sagepub.com\/doi\/full\/10.1016\/j.hkjot.2016.03.002\">Rehabilitation interventions for poststroke hand oedema: a systematic review<\/a>. Hong Kong Journal of Occupational Therapy. 2016 Jun 1;27:7-17.<\/span>\n<\/li>\n<li id=\"cite_note-7\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-7\">\u2191<\/a><\/span> <span class=\"reference-text\">Gravlee JR, Van Durme DJ. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.aafp.org\/afp\/2007\/0201\/p342.html\">Braces and splints for musculoskeletal conditions<\/a>. American family physician. 2007 Feb 1;75(3):342-8.<\/span>\n<\/li>\n<li id=\"cite_note-8\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-8\">\u2191<\/a><\/span> <span class=\"reference-text\">Johnston JJ, Spelman L. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27613591\/\">Pressure-induced localised granuloma annulare following use of an elbow splint<\/a>. Prosthetics and orthotics international. 2017 Jun;41(3):311-3.<\/span>\n<\/li>\n<li id=\"cite_note-9\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-9\">\u2191<\/a><\/span> <span class=\"reference-text\">So H, Chung VC, Cheng JC, Yip RM. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/1756-185X.13162\">Local steroid injection versus wrist splinting for carpal tunnel syndrome: a randomized clinical trial<\/a>. International Journal of Rheumatic Diseases. 2018 Jan;21(1):102-7.<\/span>\n<\/li>\n<li id=\"cite_note-:2-10\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_10-0\">10,0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_10-1\">10,1<\/a><\/sup> <sup><a href=\"#cite_ref-:2_10-2\">10,2<\/a><\/sup><\/span> <span class=\"reference-text\">Boyd AS, Benjamin HJ, Asplund CA. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.aafp.org\/afp\/2009\/0101\/p16.html\">Principles of casting and splinting<\/a>. American family physician. 2009 Jan 1;79(1):16-22.<\/span>\n<\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20220429155058 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.076 seconds Real time usage: 0.081 seconds Preprocessor visited node count: 198\/1000000 Post\u2010expand include size: 35\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/40 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 6389\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 13.624 1 Special:Contributors\/Splinting 100.00% 13.624 1 -total -->\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9diteur original &#8211; Shwe Shwe U Marma Principaux contributeurs &#8211; Shwe Shwe U Marma, Naomi O&rsquo;Reilly, Nikhil Benhur Abburi et Tarina van der Stockt Contenu 1 D\u00e9finition 2 L&rsquo;objectif de l&rsquo;attelle 3 Diff\u00e9rents types d&rsquo;attelles 3.1 Les attelles pour le membre sup\u00e9rieur 3.2 Les attelles pour le membre inf\u00e9rieur 4 Indications \u00e0 l&rsquo;utilisation d&rsquo;une attelle [&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-1131","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/1131","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=1131"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/1131\/revisions"}],"predecessor-version":[{"id":1132,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/1131\/revisions\/1132"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=1131"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}