{"id":3730,"date":"2022-11-14T07:05:02","date_gmt":"2022-11-14T07:05:02","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/snapping-hip-and-trochanteric-bursitis-fr\/"},"modified":"2022-11-23T18:21:59","modified_gmt":"2022-11-23T18:21:59","slug":"snapping-hip-and-trochanteric-bursitis-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/snapping-hip-and-trochanteric-bursitis-fr\/","title":{"rendered":"Claquement de la hanche et bursite trochant\u00e9rienne"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"><b>R\u00e9dacteur original &#8211; <\/b> <a title=\"User:Ewa Jaraczewska\" href=\"\/User:Ewa_Jaraczewska\">Ewa Jaraczewska<\/a> d&rsquo;apr\u00e8s le cours de <a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/instructor\/rina-pandya\/\" rel=\"nofollow\">Rina Pandya<\/a><br \/>\n<b>Contributeurs principaux<\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\" href=\"\/User:Ewa_Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/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=\"#Snapping_Hip_Syndrome_.28SHS.29\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Le syndrome de claquement ou ressaut de la hanche<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-2\"><a href=\"#External_Snapping_Hip_Syndrome_.28ESHS.29\"><span class=\"tocnumber\">1.1<\/span> <span class=\"toctext\">Syndrome du claquement externe de la hanche<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Internal_Snapping_Hip_Syndrome_.28ISHS.29\"><span class=\"tocnumber\">1.2<\/span> <span class=\"toctext\">Syndrome de claquement interne de la hanche<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Intra-Articular_Snapping_Hip\"><span class=\"tocnumber\">1.3<\/span> <span class=\"toctext\">Claquement intra-articulaire de la hanche<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-5\"><a href=\"#Clinically_Relevant_Anatomy\"><span class=\"tocnumber\">1.3.1<\/span> <span class=\"toctext\">Anatomie cliniquement pertinente<\/span><\/a>\n<ul>\n<li class=\"toclevel-4 tocsection-6\"><a href=\"#Iliotibial_Band\"><span class=\"tocnumber\">1.3.1.1<\/span> <span class=\"toctext\">La bandelette Ilio-tibiale<\/span><\/a><\/li>\n<li class=\"toclevel-4 tocsection-7\"><a href=\"#Gluteus_Maximus\"><span class=\"tocnumber\">1.3.1.2<\/span> <span class=\"toctext\">Le grand fessier<\/span><\/a><\/li>\n<li class=\"toclevel-4 tocsection-8\"><a href=\"#Iliopsoas\"><span class=\"tocnumber\">1.3.1.3<\/span> <span class=\"toctext\">Le psoa iliaque<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#Pathophysiology\"><span class=\"tocnumber\">1.4<\/span> <span class=\"toctext\">Physiopathologie<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Clinical_Presentation\"><span class=\"tocnumber\">1.5<\/span> <span class=\"toctext\">Pr\u00e9sentation clinique<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Evaluation\"><span class=\"tocnumber\">1.6<\/span> <span class=\"toctext\">\u00c9valuation<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-12\"><a href=\"#Physiotherapy_Assessment\"><span class=\"tocnumber\">1.6.1<\/span> <span class=\"toctext\">\u00c9valuation en physioth\u00e9rapie<\/span><\/a>\n<ul>\n<li class=\"toclevel-4 tocsection-13\"><a href=\"#Patient.27s_History\"><span class=\"tocnumber\">1.6.1.1<\/span> <span class=\"toctext\">Anamn\u00e8se du patient<\/span><\/a><\/li>\n<li class=\"toclevel-4 tocsection-14\"><a href=\"#Physical_Examination\"><span class=\"tocnumber\">1.6.1.2<\/span> <span class=\"toctext\">Examen physique<\/span><\/a><\/li>\n<li class=\"toclevel-4 tocsection-15\"><a href=\"#Special_Tests\"><span class=\"tocnumber\">1.6.1.3<\/span> <span class=\"toctext\">Tests sp\u00e9cifiques<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-3 tocsection-16\"><a href=\"#Imaging\"><span class=\"tocnumber\">1.6.2<\/span> <span class=\"toctext\">Imagerie<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-17\"><a href=\"#Management_.2F_Interventions\"><span class=\"tocnumber\">1.7<\/span> <span class=\"toctext\">Traitement \/ Interventions<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-18\"><a href=\"#Conservative_Management\"><span class=\"tocnumber\">1.7.1<\/span> <span class=\"toctext\">Traitement conservateur<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-19\"><a href=\"#Surgical_Intervention\"><span class=\"tocnumber\">1.7.2<\/span> <span class=\"toctext\">Intervention chirurgicale<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-20\"><a href=\"#Trochanteric_Bursitis\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Bursite trochant\u00e9rienne<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-21\"><a href=\"#Clinically_Relevant_Anatomy_2\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">Anatomie cliniquement pertinente<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-22\"><a href=\"#Pathophysiology_2\"><span class=\"tocnumber\">2.2<\/span> <span class=\"toctext\">Physiopathologie<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-23\"><a href=\"#Clinical_Presentation_2\"><span class=\"tocnumber\">2.3<\/span> <span class=\"toctext\">Pr\u00e9sentation clinique<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-24\"><a href=\"#Evaluation_2\"><span class=\"tocnumber\">2.4<\/span> <span class=\"toctext\">\u00c9valuation<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-25\"><a href=\"#Physiotherapy_Assessment_2\"><span class=\"tocnumber\">2.4.1<\/span> <span class=\"toctext\">\u00c9valuation en physioth\u00e9rapie<\/span><\/a>\n<ul>\n<li class=\"toclevel-4 tocsection-26\"><a href=\"#Patient.27s_History_2\"><span class=\"tocnumber\">2.4.1.1<\/span> <span class=\"toctext\">Anamn\u00e8se du patient<\/span><\/a><\/li>\n<li class=\"toclevel-4 tocsection-27\"><a href=\"#Physical_Examination_2\"><span class=\"tocnumber\">2.4.1.2<\/span> <span class=\"toctext\">Examen physique<\/span><\/a><\/li>\n<li class=\"toclevel-4 tocsection-28\"><a href=\"#Special_Tests_2\"><span class=\"tocnumber\">2.4.1.3<\/span> <span class=\"toctext\">Tests sp\u00e9cifiques<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-3 tocsection-29\"><a href=\"#Imaging_2\"><span class=\"tocnumber\">2.4.2<\/span> <span class=\"toctext\">Imagerie<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-30\"><a href=\"#Management.2FInterventions\"><span class=\"tocnumber\">2.5<\/span> <span class=\"toctext\">Traitement\/Interventions<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-31\"><a href=\"#Conservative_Management_2\"><span class=\"tocnumber\">2.5.1<\/span> <span class=\"toctext\">Traitement conservateur<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-32\"><a href=\"#Surgical_Intervention_2\"><span class=\"tocnumber\">2.5.2<\/span> <span class=\"toctext\">Intervention chirurgicale<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-33\"><a href=\"#Resources\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Ressources<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-34\"><a href=\"#References\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Snapping_Hip_Syndrome_(SHS)\"><\/span><span id=\"Snapping_Hip_Syndrome_.28SHS.29\" class=\"mw-headline\">Le syndrome de claquement ou ressaut de la hanche <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Snapping Hip Syndrome (SHS)\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=1\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Snapping Hip Syndrome (SHS)\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=1\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Trois types de syndrome de claquement ou ressaut de la hanche ont \u00e9t\u00e9 identifi\u00e9s : le claquement externe, interne et intra-articulaire de la hanche.<\/p>\n<h3><span id=\"External_Snapping_Hip_Syndrome_(ESHS)\"><\/span><span id=\"External_Snapping_Hip_Syndrome_.28ESHS.29\" class=\"mw-headline\">Syndrome du claquement externe de la hanche <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: External Snapping Hip Syndrome (ESHS)\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=2\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: External Snapping Hip Syndrome (ESHS)\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=2\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le claquement externe (lat\u00e9ral) de la hanche est une affection douloureuse \u00e9galement connue sous le nom de coxa saltans lat\u00e9rale. Elle survient chez environ 10 % de la population g\u00e9n\u00e9rale.<sup id=\"cite_ref-:2_1-0\" class=\"reference\"><a href=\"#cite_note-:2-1\">(1)<\/a><\/sup> Le claquement <i>extra-articulaire externe<\/i> est provoqu\u00e9 soit par la bandelette ilio-tibiale post\u00e9rieure, soit par la face ant\u00e9rieure du grand fessier lorsqu&rsquo;ils se d\u00e9placent sur le grand trochanter pendant la flexion\/extension de la hanche ou la rotation interne\/externe de la hanche.<sup id=\"cite_ref-:0_2-0\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup> Cela peut conduire \u00e0 l&rsquo;inflammation de la bourse trochant\u00e9rienne.<sup id=\"cite_ref-:0_2-1\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup> Les personnes atteintes de Syndrome du claquement externe de la hanche peuvent \u00e9galement pr\u00e9senter une coxa vara, un tissu cicatriciel fibrotique, un grand trochanter pro\u00e9minent, une largeur lat\u00e9rale du bassin r\u00e9duite ou avoir \u00e9t\u00e9 op\u00e9r\u00e9es dans le pass\u00e9 pour une instabilit\u00e9 ant\u00e9rolat\u00e9rale du genou.<sup id=\"cite_ref-:1_3-0\" class=\"reference\"><a href=\"#cite_note-:1-3\">(3)<\/a><\/sup><sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup><\/p>\n<h3><span id=\"Internal_Snapping_Hip_Syndrome_(ISHS)\"><\/span><span id=\"Internal_Snapping_Hip_Syndrome_.28ISHS.29\" class=\"mw-headline\">Syndrome du claquement interne de la hanche <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Internal Snapping Hip Syndrome (ISHS)\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=3\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Internal Snapping Hip Syndrome (ISHS)\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=3\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le claquement <i>extra-articulaire<\/i> <i>interne<\/i> est caus\u00e9 par le claquage du tendon du psoas iliaque sur l&rsquo;\u00e9minence iliopectinale ou la t\u00eate f\u00e9morale et est plus susceptible de se produire lorsque les fl\u00e9chisseurs de la hanche se contractent. D&rsquo;autres m\u00e9canismes <i>extra-articulaires<\/i> propos\u00e9s pour cette affection sont les suivants : <sup id=\"cite_ref-:0_2-2\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li>Glissements du tendon du psoas iliaque accessoire<\/li>\n<li>Accrochage du psoas iliaque sur une cr\u00eate au niveau du petit trochanter<\/li>\n<li>Claquement du ligament ilio-f\u00e9moral sur la t\u00eate f\u00e9morale<\/li>\n<li>Subluxation du long chef du biceps f\u00e9moral au niveau de l&rsquo;ischion<\/li>\n<li>Claquement au niveau de l&rsquo;\u00e9pine iliaque ant\u00e9ro-inf\u00e9rieure<sup id=\"cite_ref-:0_2-3\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<h3><span id=\"Intra-Articular_Snapping_Hip\" class=\"mw-headline\">Claquement intra-articulaire de la hanche <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Intra-Articular Snapping Hip\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=4\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Intra-Articular Snapping Hip\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=4\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Des facteurs <i>intra-articulaires<\/i> peuvent \u00e9galement entra\u00eener l&rsquo;apparition de sympt\u00f4mes de claquement de la hanche, notamment des d\u00e9chirures labrales, des d\u00e9chirures du ligament rond, des corps \u00e9trangers tels que des fragments ost\u00e9ochondraux ou une instabilit\u00e9 articulaire.<\/p>\n<h4><span id=\"Clinically_Relevant_Anatomy\" class=\"mw-headline\">Anatomie cliniquement pertinente <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinically Relevant Anatomy\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=5\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Clinically Relevant Anatomy\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=5\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Iliotibial-band-itb-anatomy-diagrams.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/ce\/Iliotibial-band-itb-anatomy-diagrams.jpeg\/300px-Iliotibial-band-itb-anatomy-diagrams.jpeg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/ce\/Iliotibial-band-itb-anatomy-diagrams.jpeg\/450px-Iliotibial-band-itb-anatomy-diagrams.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/c\/ce\/Iliotibial-band-itb-anatomy-diagrams.jpeg\/600px-Iliotibial-band-itb-anatomy-diagrams.jpeg 2x\" alt=\"Iliotibial-band-itb-anatomy-diagrams.jpeg\" width=\"300\" height=\"300\" \/><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h5><span id=\"Iliotibial_Band\" class=\"mw-headline\">La bandelette Ilio-tibiale <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Iliotibial Band\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=6\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Iliotibial Band\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=6\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>La <a title=\"Iliotibial Band Syndrome\" href=\"\/Iliotibial_Band_Syndrome\">bandelette ilio-tibiale<\/a> (BIT) est une \u00e9paisse bande de fascia qui s&rsquo;\u00e9tend sur le c\u00f4t\u00e9 lat\u00e9ral de la cuisse depuis la cr\u00eate iliaque et s&rsquo;ins\u00e8re au niveau du genou.<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup> Elle est compos\u00e9e d&rsquo;un tissu conjonctif fibreux dense qui provient des fibres ant\u00e9rieures du tensor du fascia lata et des fibres post\u00e9rieures du grand fessier. Apr\u00e8s sa descente sur la partie lat\u00e9rale de la cuisse, la plupart de ses fibres s&rsquo;ins\u00e8rent sur la tub\u00e9rosit\u00e9 tibiale, certaines s&rsquo;ins\u00e8rent sur le tendon du grand fessier, l&rsquo;\u00e9picondyle f\u00e9moral lat\u00e9ral et le bord lat\u00e9ral distal de la rotule.<sup id=\"cite_ref-:2_1-1\" class=\"reference\"><a href=\"#cite_note-:2-1\">(1)<\/a><\/sup> Pendant la flexion de la hanche, la BIT se d\u00e9place en avant du grand trochanter et pendant l&rsquo;extension de la hanche, il se d\u00e9place derri\u00e8re celui-ci.<sup id=\"cite_ref-:0_2-4\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/p>\n<p>Sur la face lat\u00e9rale de l&rsquo;articulation de la hanche, on trouve trois bourses : la bourse du grand trochanter, la bourse du moyen fessier et la bourse du petit fessier. La bourse trochant\u00e9rienne est la plus grande des trois et elle couvre l&rsquo;insertion du tendon du moyen fessier et la face post\u00e9rieure du grand trochanter. Son r\u00f4le principal est de r\u00e9duire la friction entre les tendons du moyen fessier et de la bandelette ilio-tibiale lorsqu&rsquo;ils passent sur le grand trochanter.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup><\/p>\n<p>La bandelette iliotibiale est impliqu\u00e9e dans la stabilisation de la hanche lors de l&rsquo;appui sur une jambe et de la marche, lorsqu&rsquo;elle agit comme un tendon du <a title=\"Tensor Fascia Lata\" href=\"\/Tensor_Fascia_Lata\">tenseur du fascia lata (TFL)<\/a> et du <a title=\"Gluteus Maximus\" href=\"\/Gluteus_Maximus\">grand fessier<\/a>. La contraction des muscles grand fessier et TFL entra\u00eene un resserrement de la bandelette.<\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 202px;\"><a class=\"image\" href=\"\/File:Gluteus_Medius.PNG\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0c\/Gluteus_Medius.PNG\/200px-Gluteus_Medius.PNG\" srcset=\"https:\/\/www.physio-pedia.com\/images\/0\/0c\/Gluteus_Medius.PNG 1.5x\" alt=\"\" width=\"200\" height=\"286\" \/><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h5><span id=\"Gluteus_Maximus\" class=\"mw-headline\">Le grand fessier <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Gluteus Maximus\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=7\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Gluteus Maximus\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=7\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>Le <a title=\"Gluteus Maximus\" href=\"\/Gluteus_Maximus\">grand fessier<\/a> na\u00eet du versant externe du segment dorsal de la cr\u00eate iliaque, de la surface fessi\u00e8re de l&rsquo;ilium, de la surface dorsale de la partie inf\u00e9rieure du sacrum, du c\u00f4t\u00e9 du coccyx et du ligament sacro-tub\u00e9rositaire. Il partage \u00e9galement son attache au fascia thoracolombaire avec le <a title=\"Multifidus Muscle\" href=\"\/Multifidus_Muscle\">multifidus<\/a> ipsilat\u00e9ral et le <a title=\"Latissimus Dorsi Muscle\" href=\"\/Latissimus_Dorsi_Muscle\">latissimus dorsi<\/a> controlat\u00e9ral. Le muscle s&rsquo;ins\u00e8re sur la tub\u00e9rosit\u00e9 fessi\u00e8re et la bandelette iliotibiale.<\/p>\n<p>Le grand fessier est principalement impliqu\u00e9 dans l&rsquo;extension, la rotation externe et l&rsquo;abduction de la hanche. Sa fonction est essentielle pour maintenir une posture \u00e9rig\u00e9e.<\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 202px;\"><a class=\"image\" href=\"\/File:Iliopsoas_Anatomy.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/42\/Iliopsoas_Anatomy.png\/200px-Iliopsoas_Anatomy.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/4\/42\/Iliopsoas_Anatomy.png 1.5x\" alt=\"\" width=\"200\" height=\"403\" \/><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h5><span id=\"Iliopsoas\" class=\"mw-headline\">Iliopsoas<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Iliopsoas\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=8\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Iliopsoas\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=8\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>Le complexe musculaire <a title=\"Iliopsoas\" href=\"\/Iliopsoas\">psoas iliaque<\/a> est compos\u00e9 par trois muscles : l&rsquo;<a title=\"Iliacus\" href=\"\/Iliacus\">iliaque<\/a>, le <a title=\"Psoas Major\" href=\"\/Psoas_Major\">grand psoas<\/a> et le <a title=\"Psoas Minor\" href=\"\/Psoas_Minor\">petit psoas<\/a>.<sup id=\"cite_ref-:0_2-5\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup> Il peut fonctionner comme une unit\u00e9, mais les trois muscles ont tous des fonctions distinctes. Le psoas iliaque na\u00eet de la fusion du muscle grand psoas et iliaque. Cette fusion se fait au niveau de L5 \u00e0 S2, et les muscles combin\u00e9s passent du bassin \u00e0 la cuisse sous le ligament inguinal. Le muscle psoas iliaque s&rsquo;ins\u00e8re dans le petit trochanter du f\u00e9mur via le tendon du psoas.<\/p>\n<p>La bourse du psoas iliaque est la plus grande bourse de l&rsquo;articulation de la hanche et est situ\u00e9e en profondeur dans la jonction musculotendineuse du psoas iliaque et en avant de la capsule articulaire de la hanche. On pense que la bourse communique avec l&rsquo;articulation de la hanche chez environ 15 % des patients. Il aide le muscle \u00e0 glisser sur l&rsquo;avant de la hanche pendant le mouvement.<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/p>\n<p>Le muscle psoas iliaque est le fl\u00e9chisseur de la hanche le plus puissant et aide \u00e0 la rotation externe du f\u00e9mur. Il est essentiel \u00e0 la conservation d&rsquo;une posture lombaire correcte en position debout et assise, ainsi que pendant la marche et la course.<\/p>\n<h3><span id=\"Pathophysiology\" class=\"mw-headline\">Physiopathologie<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Pathophysiology\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=9\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Pathophysiology\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=9\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Claquement externe de la hanche\n<ul>\n<li>Il existe une composante visuelle du claquement observ\u00e9 par le patient lorsque la BIT glisse de l&rsquo;aspect <i>ant\u00e9rieur \u00e0 l&rsquo;aspect post\u00e9rieur<\/i> du grand trochanter pendant le mouvement de la hanche de l&rsquo;<i>extension \u00e0 la flexion.<\/i> Ce ph\u00e9nom\u00e8ne est g\u00e9n\u00e9ralement caus\u00e9 par l&rsquo;\u00e9paississement de la partie post\u00e9rieure de la BIT et\/ou de la partie ant\u00e9rieure du grand fessier. <sup id=\"cite_ref-:3_8-0\" class=\"reference\"><a href=\"#cite_note-:3-8\">(8)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Claquement interne de la hanche\n<ul>\n<li>Il existe une composante audible du claquement lorsque le mouvement du tendon du psoas iliaque d&rsquo;une position <i>externe \u00e0 interne<\/i> est restreint pendant l&rsquo;<i>extension et la rotation interne de la hanche<\/i>. Cette restriction peut \u00eatre caus\u00e9e par la t\u00eate f\u00e9morale ou l&rsquo;\u00e9minence pectin\u00e9e du bassin.<sup id=\"cite_ref-:3_8-1\" class=\"reference\"><a href=\"#cite_note-:3-8\">(8)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Claquage intra-articulaire de la hanche\n<ul>\n<li>Processus pathologique de l&rsquo;articulation de la hanche lorsque des corps \u00e9trangers, des d\u00e9chirures labrales ac\u00e9tabulaires ou des fractures ost\u00e9ochondrales peuvent interf\u00e9rer avec l&rsquo;articulation de la t\u00eate f\u00e9morale dans l&rsquo;ac\u00e9tabulum.<sup id=\"cite_ref-:3_8-2\" class=\"reference\"><a href=\"#cite_note-:3-8\">(8)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3><span id=\"Clinical_Presentation\" class=\"mw-headline\">Pr\u00e9sentation clinique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Presentation\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=10\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Clinical Presentation\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=10\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Les personnes atteintes d&rsquo;un syndrome de <i>claquement externe de la hanche<\/i> d\u00e9crivent g\u00e9n\u00e9ralement une sensation qui ressemble \u00e0 une luxation de la hanche. Dans le cas d&rsquo;un <i>claquement interne de la hanche,<\/i> les patients d\u00e9crivent une sensation de blocage de l&rsquo;articulation de la hanche et entendent un bruit de claquement. Le bruit intermittent de claquement ou d&rsquo;accrochage caract\u00e9rise la pathologie <i>intra-articulaire<\/i>.<\/p>\n<p>En outre, les patients peuvent signaler :<\/p>\n<ul>\n<li>Une douleur<\/li>\n<li>Une faiblesse musculaire<\/li>\n<li>Des limitations dans leurs activit\u00e9s <sup id=\"cite_ref-:1_3-1\" class=\"reference\"><a href=\"#cite_note-:1-3\">(3)<\/a><\/sup><\/li>\n<\/ul>\n<h3><span id=\"Evaluation\" class=\"mw-headline\">\u00c9valuation<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Evaluation\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=11\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Evaluation\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=11\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Physiotherapy_Assessment\" class=\"mw-headline\">\u00c9valuation en physioth\u00e9rapie <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiotherapy Assessment\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=12\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Physiotherapy Assessment\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=12\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>L&rsquo;\u00e9valuation physioth\u00e9rapeutique comprend l&rsquo;anamn\u00e8se du patient, un examen physique et des tests sp\u00e9cifiques.<\/p>\n<h5><span id=\"Patient's_History\"><\/span><span id=\"Patient.27s_History\" class=\"mw-headline\">Anamn\u00e8se du patient <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Patient's History\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=13\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Patient's History\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=13\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ul>\n<li>Description des sympt\u00f4mes (localisation, sensation, moment et dur\u00e9e)<\/li>\n<li>Impact sur les activit\u00e9s de la vie quotidienne<\/li>\n<\/ul>\n<h5><span id=\"Physical_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: Physical Examination\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=14\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Physical Examination\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=14\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ul>\n<li>Palpation de l&rsquo;articulation : un claquement palp\u00e9 sur la hanche ant\u00e9rieure indique une coxa saltans interna.<\/li>\n<li>\u00c9valuation de l&rsquo;amplitude de mouvement<\/li>\n<li>\u00c9valuation de la force<\/li>\n<li>\u00c9valuation de la douleur <a title=\"Visual Analogue Scale\" href=\"\/Visual_Analogue_Scale\">(\u00e9chelle visuelle analogique<\/a>)<\/li>\n<li>\u00c9valuation fonctionnelle, y compris <a title=\"Gait\" href=\"\/Gait\">\u00e9valuation de la marche<\/a>.<\/li>\n<\/ul>\n<h5><span id=\"Special_Tests\" class=\"mw-headline\">Tests sp\u00e9cifiques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Special Tests\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=15\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Special Tests\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=15\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p><b>Syndrome de claquement externe de la hanche :<\/b><\/p>\n<ul>\n<li>Test FADIR : incluant la flexion, l&rsquo;adduction et la rotation interne ou le conflit.<\/li>\n<li><a title=\"Ober's Test\" href=\"\/Ober%27s_Test\">Test d&rsquo;Ober <\/a>: \u00e9valuation de la tension au niveau de la bandelette iliotibiale <sup id=\"cite_ref-:10_9-0\" class=\"reference\"><a href=\"#cite_note-:10-9\">(9)<\/a><\/sup><\/li>\n<li>Flexion active de la hanche suivie d&rsquo;une extension et d&rsquo;une abduction passives : un test positif reproduit le claquement sur le grand trochanter.<\/li>\n<li>Le test Hula hoop est un test alternatif alors la hanche est plac\u00e9e en adduction et effectue la circumduction en position debout. Test positif : reproduction du claquement sur le grand trochanter.<\/li>\n<li>Anomalies biom\u00e9caniques (<a title=\"Trendelenburg Sign\" href=\"\/Trendelenburg_Sign\">signe de Trendelenburg<\/a>)<\/li>\n<\/ul>\n<p><b>Syndrome du claquement interne de la hanche :<\/b><\/p>\n<ul>\n<li>Test dynamique (loop-the-loop) : d\u00e9part en position <a title=\"FABER Test\" href=\"\/FABER_Test\">FABER<\/a> (flexion, abduction et rotation externe) et passage en position EADIR (extension, adduction et rotation interne). Test positif : claquage du tendon du psoas iliaque <sup id=\"cite_ref-:11_10-0\" class=\"reference\"><a href=\"#cite_note-:11-10\">(10)<\/a><\/sup><\/li>\n<\/ul>\n<ul>\n<li><a title=\"Thomas Test\" href=\"\/Thomas_Test\">Test de Thomas<\/a>: un test positif indique une contracture du psoas <sup id=\"cite_ref-:12_11-0\" class=\"reference\"><a href=\"#cite_note-:12-11\">(11)<\/a><\/sup><\/li>\n<li><a class=\"external text\" href=\"https:\/\/www.physio-pedia.com\/Snapping_Hip_Syndrome?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal#Examination\" rel=\"nofollow\">Test de Stinchfield <\/a>: Le patient est allong\u00e9 en d\u00e9cubitus dorsal avec la hanche fl\u00e9chie \u00e0 30\u00b0. On demande au patient de fl\u00e9chir compl\u00e8tement la hanche, tandis que l&rsquo;examinateur applique une force de r\u00e9sistance. Une douleur dans la partie ant\u00e9rieure de l&rsquo;aine indique un test positif.<\/li>\n<\/ul>\n<div class=\"row\">\n<div class=\"col-md-6\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/xkEq7nGUA1o?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-:11_10-1\" class=\"reference\"><a href=\"#cite_note-:11-10\">(10)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-6\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/6FEvmhjMVNs?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-:10_9-1\" class=\"reference\"><a href=\"#cite_note-:10-9\">(9)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\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\/qsgrMVuataI?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-:12_11-1\" class=\"reference\"><a href=\"#cite_note-:12-11\">(11)<\/a><\/sup><\/p>\n<h4><span id=\"Imaging\" class=\"mw-headline\">Imagerie<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Imaging\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=16\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Imaging\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=16\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Radiographie :il n&rsquo;existe aucun r\u00e9sultat typique indiquant une coxa saltans interna sur la radiographie. On peut trouver des signes de conflit f\u00e9moro-ac\u00e9tabulaire sur une radiographie simple.<sup id=\"cite_ref-:0_2-6\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/li>\n<li>IRM : non sp\u00e9cifique d&rsquo;une atteinte au niveau du psoas iliaque. Peut aider au diagnostic d&rsquo;une inflammation de la bourse du psoas iliaque ou du muscle psoas iliaque. Cette modalit\u00e9 permet de visualiser un \u00e9paississement de la bandelette ilio-tibiale et un \u00e9paississement focal du grand fessier lorsque l&rsquo;on soup\u00e7onne un syndrome de claquement externe de la hanche.<sup id=\"cite_ref-:0_2-7\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/li>\n<li>\u00c9chographie : aide \u00e0 visualiser le mouvement dynamique du tendon psoas iliaque, mais n\u00e9cessite un clinicien qualifi\u00e9 pour r\u00e9aliser et interpr\u00e9ter les r\u00e9sultats. <sup id=\"cite_ref-:0_2-8\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2) <\/a><\/sup><sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><\/li>\n<li>Echographie dynamique : capable de d\u00e9tecter le mouvement de la bandelette ilio-tibiale sur le grand trochanter.<\/li>\n<li>Bursographie du psoas iliaque : sous fluoroscopie, la bourse est remplie d&rsquo;un produit de contraste afin de visualiser le mouvement de va-et-vient du tendon. Cette imagerie est r\u00e9alis\u00e9e pour confirmer le syndrome de claquement interne de la hanche.<sup id=\"cite_ref-:0_2-9\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<h3><span id=\"Management_\/_Interventions\"><\/span><span id=\"Management_.2F_Interventions\" class=\"mw-headline\">Traitement \/ Interventions<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Management \/ Interventions\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=17\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Management \/ Interventions\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=17\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 452px;\"><a class=\"image\" href=\"\/File:ITB_stretch.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/b8\/ITB_stretch.jpg\/450px-ITB_stretch.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/b8\/ITB_stretch.jpg\/675px-ITB_stretch.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/b\/b8\/ITB_stretch.jpg\/900px-ITB_stretch.jpg 2x\" alt=\"\" width=\"450\" height=\"146\" \/><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Assouplissement de la bandelette ilio-tibiale<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h4><span id=\"Conservative_Management\" class=\"mw-headline\">Traitement conservateur <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Conservative Management\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=18\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Conservative Management\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=18\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p><i>Objectif <\/i>: am\u00e9liorer la douleur, augmenter la flexibilit\u00e9 et \u00e9galiser la diff\u00e9rence de longueur des membres si n\u00e9cessaire.<\/p>\n<p>Une approche conservatrice doit \u00eatre poursuivie pendant au moins 6 mois et les strat\u00e9gies suivantes sont recommand\u00e9es : <sup id=\"cite_ref-:2_1-2\" class=\"reference\"><a href=\"#cite_note-:2-1\">(1)<\/a><\/sup><\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 297px;\"><a class=\"image\" href=\"\/File:Iliopsoas_stretch.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/3\/3d\/Iliopsoas_stretch.jpg\" alt=\"\" width=\"295\" height=\"217\" \/><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Assouplissement du psoas iliaque<\/p>\n<\/div>\n<\/div>\n<\/div>\n<ol>\n<li>Le repos, le gla\u00e7age et les anti-inflammatoires doivent \u00eatre pr\u00e9conis\u00e9s pour r\u00e9duire l&rsquo;inflammation. <sup id=\"cite_ref-:0_2-10\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/li>\n<li>Il faut identifier les tensions musculaires \u00e0 l&rsquo;origine du claquement : un programme d&rsquo;\u00e9tirement passif et actif sp\u00e9cifique \u00e0 la bandelette ilio-tibiale et au muscle psoas iliaque doit \u00eatre mis en place. <sup id=\"cite_ref-:0_2-11\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/li>\n<li>Exercices d&rsquo;appui sur une jambe (syndrome de claquement externe de la hanche) <sup id=\"cite_ref-:18_13-0\" class=\"reference\"><a href=\"#cite_note-:18-13\">(13)<\/a><\/sup><\/li>\n<li>Marche lat\u00e9rale avec theraband (syndrome de claquement externe de la hanche) <sup id=\"cite_ref-:18_13-1\" class=\"reference\"><a href=\"#cite_note-:18-13\">(13)<\/a><\/sup><\/li>\n<li>Exercices de randonn\u00e9e de la hanche (syndrome de claquement externe de la hanche) <sup id=\"cite_ref-:18_13-2\" class=\"reference\"><a href=\"#cite_note-:18-13\">(13)<\/a><\/sup><\/li>\n<li>Il faut \u00e9viter les mouvements qui provoquent le claquement.<\/li>\n<li>Les activit\u00e9s sportives doivent \u00eatre r\u00e9duites<\/li>\n<li>Active release techniques <sup id=\"cite_ref-:18_13-3\" class=\"reference\"><a href=\"#cite_note-:18-13\">(13)<\/a><\/sup><\/li>\n<li>Utilisation de modalit\u00e9s : th\u00e9rapie au laser ou <a title=\"Extracorporeal Shockwave Therapy (ESWT)\" href=\"\/Extracorporeal_Shockwave_Therapy_(ESWT)\">th\u00e9rapie extracorporelle par ondes de choc (ESWT) <\/a><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/li>\n<\/ol>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 152px;\"><a class=\"image\" href=\"\/File:ITB_release_technique.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9e\/ITB_release_technique.png\/150px-ITB_release_technique.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9e\/ITB_release_technique.png\/225px-ITB_release_technique.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9e\/ITB_release_technique.png\/299px-ITB_release_technique.png 2x\" alt=\"\" width=\"150\" height=\"297\" \/><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p><small><i>Release technique Ilizaliturri pour la bandelette ilio-tibiale Adapt\u00e9 de : Randelli F, Mazzoleni MG, Fioruzzi A, Giai Via A, Calvisi V, Ayeni OR. Interventions chirurgicales pour le syndrome du claquement externe de la hanche.<\/i><\/small><\/p>\n<\/div>\n<\/div>\n<\/div>\n<h4><span id=\"Surgical_Intervention\" class=\"mw-headline\">Intervention chirurgicale <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Surgical Intervention\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=19\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Surgical Intervention\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=19\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p><i>Objectif <\/i>: lib\u00e9rer la bandelette ilio-tibiale contract\u00e9e ou le psoas iliaque pour r\u00e9soudre le claquement <sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><\/p>\n<p><b>Claquement externe de la hanche :<\/b><\/p>\n<ol>\n<li>Allongement fractionn\u00e9 du tendon<\/li>\n<li>Lib\u00e9ration compl\u00e8te de la partie tendineuse <sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/li>\n<\/ol>\n<p>Les proc\u00e9dures d&rsquo;allongement comprennent : La lib\u00e9ration en Z, l&rsquo;allongement en Z formel, la lib\u00e9ration en croix et la lib\u00e9ration de l&rsquo;insertion du tendon du grand fessier au f\u00e9mur. <sup id=\"cite_ref-:0_2-12\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2) <\/a><\/sup><sup id=\"cite_ref-:2_1-3\" class=\"reference\"><a href=\"#cite_note-:2-1\">(1)<\/a><\/sup><\/p>\n<p><b>Claquement interne de la hanche :<\/b><\/p>\n<ol>\n<li>Approche ant\u00e9rieure pour lib\u00e9rer la partie tendineuse post\u00e9ro-interne du psoa iliaque<\/li>\n<li>Lib\u00e9ration endoscopique du tendon psoa iliaque <sup id=\"cite_ref-:0_2-13\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2) <\/a><\/sup><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/li>\n<\/ol>\n<h2><span id=\"Trochanteric_Bursitis\" class=\"mw-headline\">Bursite trochant\u00e9rienne <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Trochanteric Bursitis\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=20\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Trochanteric Bursitis\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=20\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La douleur lat\u00e9rale de la hanche due \u00e0 l&rsquo;inflammation de la bourse s\u00e9reuse, g\u00e9n\u00e9ralement \u00e0 la suite de microtraumatismes, produit une affection appel\u00e9e bursite trochant\u00e9rienne ou syndrome douloureux du grand trochanter (SDGT).<sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18) <\/a><\/sup><sup id=\"cite_ref-:4_19-0\" class=\"reference\"><a href=\"#cite_note-:4-19\">(19)<\/a><\/sup> Elle touche le plus souvent les femmes \u00e2g\u00e9es de 40 \u00e0 60 ans.<sup id=\"cite_ref-:5_20-0\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup> La biom\u00e9canique anormale de la hanche est la principale cause du d\u00e9veloppement des sympt\u00f4mes. Une tendinopathie du moyen et du petit fessier, associ\u00e9e ou non \u00e0 une bursite, peut entra\u00eener ce syndrome douloureux de la hanche.<sup id=\"cite_ref-:5_20-1\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Trochanteric_Bursitis.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0c\/Trochanteric_Bursitis.jpg\/300px-Trochanteric_Bursitis.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0c\/Trochanteric_Bursitis.jpg\/450px-Trochanteric_Bursitis.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0c\/Trochanteric_Bursitis.jpg\/600px-Trochanteric_Bursitis.jpg 2x\" alt=\"\" width=\"300\" height=\"325\" \/><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Bursite trochant\u00e9rienne<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h4><span id=\"Clinically_Relevant_Anatomy_2\" class=\"mw-headline\">Anatomie cliniquement pertinente <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinically Relevant Anatomy\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=21\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Clinically Relevant Anatomy\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=21\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Une bourse est un sac membranaire tapiss\u00e9 d&rsquo;une membrane synoviale contenant le liquide synovial.<sup id=\"cite_ref-:6_21-0\" class=\"reference\"><a href=\"#cite_note-:6-21\">(21)<\/a><\/sup> Elle est situ\u00e9e entre l&rsquo;os et les tissus mous environnants et pr\u00e8s d&rsquo;une articulation.<sup id=\"cite_ref-:6_21-1\" class=\"reference\"><a href=\"#cite_note-:6-21\">(21)<\/a><\/sup> Son r\u00f4le est de lubrifier et de r\u00e9duire la tension et la friction entre l&rsquo;interface tissu mou \/ os. Elle agit \u00e9galement comme un amortisseur de chocs lors du mouvement des muscles et des articulations. Des informations d\u00e9taill\u00e9es sur le m\u00e9canisme de la blessure ou le processus pathologique de la bursite sont disponibles <a title=\"Bursitis\" href=\"\/Bursitis\">ici<\/a>.<\/p>\n<p>Dans le cas d&rsquo;une <a title=\"Trochanteric Bursitis\" href=\"\/Trochanteric_Bursitis\">bursite trochant\u00e9rienne<\/a>, deux bourses sont g\u00e9n\u00e9ralement concern\u00e9es :<\/p>\n<ol>\n<li>Bourse du moyen fessier &#8211; situ\u00e9e au-dessus du grand trochanter et sous l&rsquo;insertion du moyen fessier.<\/li>\n<li>Bourse du grand fessier &#8211; situ\u00e9e entre le grand trochanter et l&rsquo;insertion des muscles moyen et grand fessier.<\/li>\n<\/ol>\n<h4><span id=\"Pathophysiology_2\" class=\"mw-headline\">Physiopathologie<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Pathophysiology\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=22\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Pathophysiology\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=22\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>L&rsquo;alt\u00e9ration de la biom\u00e9canique des membres inf\u00e9rieurs et les d\u00e9s\u00e9quilibres conduisent au d\u00e9veloppement du SDGT. L&rsquo;\u00e9tiologie de ce syndrome est multifactorielle. <sup id=\"cite_ref-:4_19-1\" class=\"reference\"><a href=\"#cite_note-:4-19\">(19)<\/a><\/sup> et l&rsquo;on pense que les \u00e9l\u00e9ments suivants contribuent \u00e0 sa pr\u00e9sence :<\/p>\n<ul>\n<li>Un angle plus faible entre le col du f\u00e9mur et la diaphyse <sup id=\"cite_ref-:7_22-0\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22) <\/a><\/sup><sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><\/li>\n<li>Une augmentation r\u00e9cente du niveau d&rsquo;activit\u00e9 <sup id=\"cite_ref-:7_22-1\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22) <\/a><\/sup><sup id=\"cite_ref-:8_24-0\" class=\"reference\"><a href=\"#cite_note-:8-24\">(24)<\/a><\/sup><\/li>\n<li>Des chaussures inadapt\u00e9es <sup id=\"cite_ref-:7_22-2\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22)<\/a><\/sup><\/li>\n<li>Des changements hormonaux apr\u00e8s la m\u00e9nopause <sup id=\"cite_ref-:7_22-3\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22) <\/a><\/sup><sup id=\"cite_ref-25\" class=\"reference\"><a href=\"#cite_note-25\">(25)<\/a><\/sup><\/li>\n<li>Une d\u00e9g\u00e9n\u00e9rescence ou tendinopathie de la musculature du moyen et du petit fessier <sup id=\"cite_ref-26\" class=\"reference\"><a href=\"#cite_note-26\">(26)<\/a><\/sup><\/li>\n<li>Des microtraumatismes r\u00e9p\u00e9t\u00e9s de la bourse caus\u00e9s par la friction entre le grand trochanter et la bandelette iliotibiale <sup id=\"cite_ref-27\" class=\"reference\"><a href=\"#cite_note-27\">(27)<\/a><\/sup><\/li>\n<\/ul>\n<h4><span id=\"Clinical_Presentation_2\" class=\"mw-headline\">Pr\u00e9sentation clinique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Presentation\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=23\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Clinical Presentation\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=23\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>La pr\u00e9sentation clinique suivante peut se produire :<\/p>\n<ul>\n<li>Douleur \u00e0 la face lat\u00e9rale de la hanche irradiant vers le bas <sup id=\"cite_ref-:5_20-2\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/li>\n<li>Difficult\u00e9s \u00e0 se coucher sur le c\u00f4t\u00e9 affect\u00e9 <sup id=\"cite_ref-:5_20-3\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/li>\n<li>Douleur en marchant <sup id=\"cite_ref-:5_20-4\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/li>\n<li>Anomalies de la d\u00e9marche <sup id=\"cite_ref-:5_20-5\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/li>\n<li>Sensibilit\u00e9 au niveau du grand trochanter <sup id=\"cite_ref-:8_24-1\" class=\"reference\"><a href=\"#cite_note-:8-24\">(24)<\/a><\/sup><\/li>\n<li>La douleur interf\u00e8re avec le sommeil et les fonctions physiques <sup id=\"cite_ref-:8_24-2\" class=\"reference\"><a href=\"#cite_note-:8-24\">(24)<\/a><\/sup><\/li>\n<\/ul>\n<p>Diagnostic diff\u00e9rentiel :<\/p>\n<ul>\n<li><a title=\"Iliotibial Band Syndrome\" href=\"\/Iliotibial_Band_Syndrome\">Syndrome de la bandelette ilio-tibiale<\/a><\/li>\n<li><a title=\"Snapping Hip Syndrome\" href=\"\/Snapping_Hip_Syndrome\">Syndrome de claquement ou ressaut de la hanche<\/a><\/li>\n<li>Dysfonctionnement et d\u00e9chirure du tendon du moyen fessier<\/li>\n<li><a title=\"Meralgia Paraesthetica\" href=\"\/Meralgia_Paraesthetica\">Meralgia paresthetica<\/a><\/li>\n<li>Douleur de r\u00e9f\u00e9rence<\/li>\n<li><a title=\"Osteoarthritis\" href=\"\/Osteoarthritis\">Osteoarthritis<\/a><\/li>\n<li><a title=\"Low Back Pain\" href=\"\/Low_Back_Pain\">Douleur au bas du dos<\/a><\/li>\n<li><a title=\"Pelvic Floor and Other Pelvic Disorders\" href=\"\/Pelvic_Floor_and_Other_Pelvic_Disorders\">Pathologie pelvienne<\/a><\/li>\n<\/ul>\n<h3><span id=\"Evaluation_2\" class=\"mw-headline\">\u00c9valuation<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Evaluation\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=24\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Evaluation\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=24\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Physiotherapy_Assessment_2\" class=\"mw-headline\">\u00c9valuation en physioth\u00e9rapie <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiotherapy Assessment\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=25\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Physiotherapy Assessment\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=25\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>L&rsquo;\u00e9valuation en physioth\u00e9rapie comprend l&rsquo;anamn\u00e8se du patient, un examen physique et des tests sp\u00e9cifiques.<\/p>\n<h5><span id=\"Patient's_History_2\"><\/span><span id=\"Patient.27s_History_2\" class=\"mw-headline\">Anamn\u00e8se du patient <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Patient's History\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=26\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Patient's History\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=26\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ul>\n<li>Description des sympt\u00f4mes (douleur)<\/li>\n<li>Impact sur les activit\u00e9s de la vie quotidienne<\/li>\n<\/ul>\n<h5><span id=\"Physical_Examination_2\" class=\"mw-headline\">Examen physique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physical Examination\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=27\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Physical Examination\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=27\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ul>\n<li>Observations\n<ul>\n<li>Observez la posture du patient en position assise et debout : surveillez une posture l\u00e9g\u00e8rement fl\u00e9chie, une position avachie, une inclinaison vers le c\u00f4t\u00e9 non concern\u00e9.<sup id=\"cite_ref-:9_28-0\" class=\"reference\"><a href=\"#cite_note-:9-28\">(28)<\/a><\/sup><\/li>\n<li>Regardez le patient marcher : observez l&rsquo;obliquit\u00e9 pelvienne, la tendance de la hanche \u00e0 se d\u00e9placer en adduction pendant la marche. <sup id=\"cite_ref-:5_20-6\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20) <\/a><\/sup><sup id=\"cite_ref-:13_29-0\" class=\"reference\"><a href=\"#cite_note-:13-29\">(29)<\/a><\/sup><\/li>\n<\/ul>\n<\/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\/ZUPQp5oxXj8?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-:13_29-1\" class=\"reference\"><a href=\"#cite_note-:13-29\">(29)<\/a><\/sup><\/p>\n<ul>\n<li>Palpation :\n<ul>\n<li>Palpez la bandelette ilio-tibiale et observez les tensions, les irritations, les douleurs et les points gachette.<sup id=\"cite_ref-:5_20-7\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/li>\n<li>Examinez la colonne lombaire, les articulations sacro-iliaques, les ischions, la cr\u00eate iliaque, la face lat\u00e9rale de la grande bourse trochant\u00e9rienne, les ventres musculaires et la symphyse pubienne pour d\u00e9terminer une source potentielle de sympt\u00f4mes ou de douleurs de la hanche.<sup id=\"cite_ref-:9_28-1\" class=\"reference\"><a href=\"#cite_note-:9-28\">(28)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>\u00c9valuation de l&rsquo;amplitude des mouvements : v\u00e9rifiez la flexion active de la hanche, la rotation interne et externe, l&rsquo;abduction et l&rsquo;adduction. Le mouvement peut reproduire la douleur dans la zone bless\u00e9e.<\/li>\n<li>\u00c9valuation de la force musculaire : \u00e9valuer les principaux groupes musculaires agissant sur l&rsquo;articulation de la hanche. La faiblesse des abducteurs de la hanche est fr\u00e9quente et le fait de tester les abducteurs peut provoquer une douleur lat\u00e9rale de la hanche pendant l&rsquo;examen.<\/li>\n<li>\u00c9valuation fonctionnelle : mobilit\u00e9, d\u00e9marche. Recherchez tout \u00e9cart de longueur des membres, toute faiblesse et toute frappe du talon qui contribue \u00e0 la fonction du grand fessier.<sup id=\"cite_ref-30\" class=\"reference\"><a href=\"#cite_note-30\">(30)<\/a><\/sup> L&rsquo;incapacit\u00e9 \u00e0 effectuer le test des chaussettes, qui demande au patient de s&rsquo;asseoir avec une jambe crois\u00e9e dans la position en chiffre 4, peut indiquer que des changements se produisent dans l&rsquo;articulation de la hanche. Ces changements peuvent entra\u00eener de l&rsquo;arthrose ou une bursite trochant\u00e9rienne.<\/li>\n<\/ul>\n<h5><span id=\"Special_Tests_2\" class=\"mw-headline\">Tests sp\u00e9cifiques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Special Tests\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=28\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Special Tests\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=28\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ul>\n<li>Signe du saut : patient en position couch\u00e9e sur le c\u00f4t\u00e9, de sorte que le c\u00f4t\u00e9 affect\u00e9 soit sur le dessus, appliquer une pression autour de la hanche en lat\u00e9ral ou de la r\u00e9gion du grand trochanter. <sup id=\"cite_ref-:5_20-8\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup> Ce test a une valeur pr\u00e9dictive positive d&rsquo;environ 83 % de confirmation par IRM. <sup id=\"cite_ref-:5_20-9\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/li>\n<li>Test d&rsquo;appui sur une jambe : le patient doit rester debout pendant 30 secondes sur une jambe. Le test est positif lorsque le patient n&rsquo;est pas capable de tenir l&rsquo;\u00e9quilibre. Ce test a une valeur pr\u00e9dictive positive de presque cent pour cent qui confirme les r\u00e9sultats de l&rsquo;IRM.<sup id=\"cite_ref-:5_20-10\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/li>\n<li>Test de FADIR<\/li>\n<li><a title=\"FABER Test\" href=\"\/FABER_Test\">Test de FABER <\/a><sup id=\"cite_ref-:14_31-0\" class=\"reference\"><a href=\"#cite_note-:14-31\">(31)<\/a><\/sup><\/li>\n<li><a title=\"Ober's Test\" href=\"\/Ober%27s_Test\">Test d&rsquo;Ober<\/a><\/li>\n<li>Test de la marche descente et mont\u00e9e <sup id=\"cite_ref-:15_32-0\" class=\"reference\"><a href=\"#cite_note-:15-32\">(32)<\/a><\/sup><\/li>\n<li><a class=\"mw-redirect\" title=\"Trendelenburg Test\" href=\"\/Trendelenburg_Test\">Test de Trendelenburg<\/a><\/li>\n<\/ul>\n<div class=\"row\">\n<div class=\"col-md-6\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/X6trjwpyjdM?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-:14_31-1\" class=\"reference\"><a href=\"#cite_note-:14-31\">(31)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-6\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/uUUDSxcO5VY?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-:15_32-1\" class=\"reference\"><a href=\"#cite_note-:15-32\">(32)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<h4><span id=\"Imaging_2\" class=\"mw-headline\">Imagerie<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Imaging\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=29\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Imaging\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=29\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>\u00c9chographie : montre une distension de la bourse du grand trochanter par un liquide an\u00e9chog\u00e8ne ou hypo\u00e9chog\u00e8ne <sup id=\"cite_ref-33\" class=\"reference\"><a href=\"#cite_note-33\">(33)<\/a><\/sup><\/li>\n<li>IRM : non n\u00e9cessaire pour diagnostiquer une bursite trochant\u00e9rienne. Il peut aider \u00e0 confirmer ou \u00e0 \u00e9carter des diagnostics possibles.<sup id=\"cite_ref-34\" class=\"reference\"><a href=\"#cite_note-34\">(34)<\/a><\/sup><\/li>\n<\/ul>\n<h3><span id=\"Management\/Interventions\"><\/span><span id=\"Management.2FInterventions\" class=\"mw-headline\">Traitement\/Interventions<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Management\/Interventions\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=30\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Management\/Interventions\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=30\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 352px;\"><a class=\"image\" href=\"\/File:Gluteal_tendinopathy_va_v12.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/bb\/Gluteal_tendinopathy_va_v12.png\/350px-Gluteal_tendinopathy_va_v12.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/bb\/Gluteal_tendinopathy_va_v12.png\/525px-Gluteal_tendinopathy_va_v12.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/b\/bb\/Gluteal_tendinopathy_va_v12.png\/700px-Gluteal_tendinopathy_va_v12.png 2x\" alt=\"\" width=\"350\" height=\"314\" \/><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p><small><i>Adapt\u00e9 de : Mellor R, Bennell K, Grimaldi A, Nicolson P, Kasza J, Hodges P, Wajswelner H, Vicenzino B., 2018. Education plus exercice versus injection de cortico-st\u00e9ro\u00efdes versus une approche attentiste sur le r\u00e9sultat global et la douleur de la tendinopathie fessi\u00e8re : un essai clinique prospectif, en simple aveugle et randomis\u00e9.<\/i><\/small><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<h4><span id=\"Conservative_Management_2\" class=\"mw-headline\">Traitement conservateur <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Conservative Management\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=31\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Conservative Management\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=31\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les revues de litt\u00e9rature indiquent qu&rsquo;environ 64 % des patients sont soulag\u00e9s apr\u00e8s un an de traitement conservateur de la bursite trochant\u00e9rienne et 71 % apr\u00e8s cinq ans. Il y a un taux \u00e9lev\u00e9 de r\u00e9currence des sympt\u00f4mes du SDGT n\u00e9cessitant un traitement conservateur r\u00e9p\u00e9t\u00e9.<sup id=\"cite_ref-:16_35-0\" class=\"reference\"><a href=\"#cite_note-:16-35\">(35)<\/a><\/sup><\/p>\n<p><i>Objectif <\/i>: r\u00e9duction de la douleur, am\u00e9lioration des activit\u00e9s fonctionnelles.<\/p>\n<p>Phase aigu\u00eb :<\/p>\n<ul>\n<li>Modification de l&rsquo;activit\u00e9 : r\u00e9duction de l&rsquo;intensit\u00e9 et de la fr\u00e9quence de la course, \u00e9viter de courir sur des surfaces irr\u00e9guli\u00e8res ou des pistes inclin\u00e9es. <sup id=\"cite_ref-:4_19-2\" class=\"reference\"><a href=\"#cite_note-:4-19\">(19) <\/a><\/sup><sup id=\"cite_ref-:5_20-11\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/li>\n<li>Modification de la position : dormir sur le c\u00f4t\u00e9 non affect\u00e9 avec un oreiller entre les genoux ou sur le c\u00f4t\u00e9 <sup id=\"cite_ref-:5_20-12\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/li>\n<li>Glace <sup id=\"cite_ref-:4_19-3\" class=\"reference\"><a href=\"#cite_note-:4-19\">(19) <\/a><\/sup><sup id=\"cite_ref-:5_20-13\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/li>\n<li>AINS (anti-inflammatoires non st\u00e9ro\u00efdiens) par voie orale, et injections de corticost\u00e9ro\u00efdes et de plasma riche en plaquettes (PRP) <sup id=\"cite_ref-:4_19-4\" class=\"reference\"><a href=\"#cite_note-:4-19\">(19) <\/a><\/sup><sup id=\"cite_ref-36\" class=\"reference\"><a href=\"#cite_note-36\">(36)<\/a><\/sup><\/li>\n<li>Superficial release avec th\u00e9rapie des tissus mous <sup id=\"cite_ref-:5_20-14\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/li>\n<li>Taping <sup id=\"cite_ref-:5_20-15\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/li>\n<li>Th\u00e9rapie par ondes de choc : peut \u00eatre utilis\u00e9e dans des circonstances particuli\u00e8res <sup id=\"cite_ref-:5_20-16\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20) <\/a><\/sup><sup id=\"cite_ref-37\" class=\"reference\"><a href=\"#cite_note-37\">(37) <\/a><\/sup><sup id=\"cite_ref-38\" class=\"reference\"><a href=\"#cite_note-38\">(38)<\/a><\/sup><\/li>\n<li>Ultrasonoth\u00e9rapie : preuves insuffisantes <sup id=\"cite_ref-:5_20-17\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/li>\n<\/ul>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 202px;\"><a class=\"image\" href=\"\/File:3_quad_hip_abd_hep2go.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/ba\/3_quad_hip_abd_hep2go.JPG\/200px-3_quad_hip_abd_hep2go.JPG\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/ba\/3_quad_hip_abd_hep2go.JPG\/300px-3_quad_hip_abd_hep2go.JPG 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/b\/ba\/3_quad_hip_abd_hep2go.JPG\/400px-3_quad_hip_abd_hep2go.JPG 2x\" alt=\"\" width=\"200\" height=\"206\" \/><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Exercices de renforcement des abducteurs de la hanche<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Phase subaigu\u00eb :<\/p>\n<ul>\n<li>Renforcement des abducteurs de la hanche <sup id=\"cite_ref-:5_20-18\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/li>\n<li>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Adductors_stretch.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a2\/Adductors_stretch.jpg\/300px-Adductors_stretch.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a2\/Adductors_stretch.jpg\/450px-Adductors_stretch.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a2\/Adductors_stretch.jpg\/600px-Adductors_stretch.jpg 2x\" alt=\"\" width=\"300\" height=\"200\" \/><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Assouplissement des adducteurs<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Assouplissement des adducteurs <sup id=\"cite_ref-:5_20-19\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/li>\n<li>Modification de l&rsquo;activit\u00e9 : \u00e9viter l&rsquo;adduction de la hanche (jambes crois\u00e9es) <sup id=\"cite_ref-:5_20-20\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/li>\n<li>Modification de l&rsquo;exercice : \u00e9viter les exercices d&rsquo;\u00e9tirement excessifs de la bandelette ilio-tibiale <sup id=\"cite_ref-:5_20-21\" class=\"reference\"><a href=\"#cite_note-:5-20\">(20)<\/a><\/sup><\/li>\n<\/ul>\n<h4><span id=\"Surgical_Intervention_2\" class=\"mw-headline\">Intervention chirurgicale <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Surgical Intervention\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=32\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Surgical Intervention\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=32\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les cas de d\u00e9chirure de l&rsquo;abducteur ou de pathologie intra-articulaire confirm\u00e9e par l&rsquo;imagerie ne r\u00e9pondent pas bien au traitement conservateur et n\u00e9cessitent souvent une intervention chirurgicale.<sup id=\"cite_ref-:4_19-5\" class=\"reference\"><a href=\"#cite_note-:4-19\">(19)<\/a><\/sup><\/p>\n<p><i>Objectif <\/i>: r\u00e9duction de la douleur<\/p>\n<ul>\n<li>Bursectomie trochant\u00e9rienne avec ou sans lib\u00e9ration de la bandelette iliotibiale : bonne option th\u00e9rapeutique dans les tendinopathies de grades 1 et 2 <sup id=\"cite_ref-:4_19-6\" class=\"reference\"><a href=\"#cite_note-:4-19\">(19) <\/a><\/sup><sup id=\"cite_ref-:17_39-0\" class=\"reference\"><a href=\"#cite_note-:17-39\">(39)<\/a><\/sup><\/li>\n<li>Allongement ou lib\u00e9ration tardive de la bandelette ilio-tibiale et du fascia (plastie en Z) <sup id=\"cite_ref-:16_35-1\" class=\"reference\"><a href=\"#cite_note-:16-35\">(35)<\/a><\/sup><\/li>\n<li>Ost\u00e9otomie de r\u00e9duction trochant\u00e9rienne <sup id=\"cite_ref-:16_35-2\" class=\"reference\"><a href=\"#cite_note-:16-35\">(35)<\/a><\/sup><\/li>\n<li>R\u00e9paration chirurgicale pour les tendinopathies de grades 3 (d\u00e9chirures d&rsquo;\u00e9paisseur partielle) et 4 (d\u00e9chirures d&rsquo;\u00e9paisseur totale) : preuves scientifiques de faible niveau <sup id=\"cite_ref-:17_39-1\" class=\"reference\"><a href=\"#cite_note-:17-39\">(39)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"Resources\" class=\"mw-headline\">Ressources<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;veaction=edit&amp;section=33\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Resources\" href=\"\/index.php?title=Snapping_Hip_and_Trochanteric_Bursitis&amp;action=edit&amp;section=33\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Walker P, Ellis E, Scofield J, Kongchum T, Sherman WF, Kaye AD. <a class=\"external text\" href=\"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/25088-snapping-hip-syndrome-a-comprehensive-update\" rel=\"nofollow\">Snapping Hip Syndrome: A Comprehensive Update<\/a>. Orthopaedic Reviews. 2021;13(2).<\/p>\n<p>Olufade O, Yoo A, Negron G, McDermott H, Jayanthi N. <a class=\"external text\" href=\"https:\/\/www.acquirepublications.org\/Journal\/Orthopedic\/PDF\/JOP2100102.pdf\" rel=\"nofollow\">Greater Trochanteric Pain Syndrome (GTPS): A clinical prospective study of treatment options<\/a>. J Orthop Pract. 2021;1(1).<\/p>\n<p>Pianka MA, Serino J, DeFroda SF, Bodendorfer BM. <a class=\"external text\" href=\"https:\/\/journals.sagepub.com\/doi\/full\/10.1177\/20503121211022582\" rel=\"nofollow\">Greater trochanteric pain syndrome: Evaluation and management of a wide spectrum of pathology<\/a>. 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Orthopaedic Journal of Sports Medicine. 2021 Jul 29;9(7).<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20220708135610 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.313 seconds Real time usage: 0.341 seconds Preprocessor visited node count: 964\/1000000 Post\u2010expand include size: 226\/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: 30428\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 17.765 1 Special:Contributors\/Snapping_Hip_and_Trochanteric_Bursitis 100.00% 17.765 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dacteur original &#8211; Ewa Jaraczewska d&rsquo;apr\u00e8s le cours de Rina Pandya Contributeurs principaux &#8211; Ewa Jaraczewska, Jess Bell et Tarina van der Stockt Contenu 1 Le syndrome de claquement ou ressaut de la hanche 1.1 Syndrome du claquement externe de la hanche 1.2 Syndrome de claquement interne de la hanche 1.3 Claquement intra-articulaire de la [&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-3730","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/3730","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=3730"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/3730\/revisions"}],"predecessor-version":[{"id":3996,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/3730\/revisions\/3996"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=3730"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}