{"id":4021,"date":"2022-11-25T13:22:23","date_gmt":"2022-11-25T13:22:23","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/differentiating-patellofemoral-and-tibiofemoral-pain-fr\/"},"modified":"2022-12-09T12:35:14","modified_gmt":"2022-12-09T12:35:14","slug":"differentiating-patellofemoral-and-tibiofemoral-pain-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/differentiating-patellofemoral-and-tibiofemoral-pain-fr\/","title":{"rendered":"Diff\u00e9renciation des douleurs f\u00e9moro-patellaires et tibio-f\u00e9morales"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"><b>R\u00e9dacteur en chef &#8211; <\/b> <a title=\"User:Mandy Roscher\" href=\"\/User:Mandy_Roscher\">Mandy Roscher<\/a> <b>Principaux contributeurs<\/b> <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Mandy Roscher\" href=\"\/User:Mandy_Roscher\"><bdi>Mandy Roscher<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User: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=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Brief_Anatomy_of_the_Knee\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Br\u00e8ve anatomie du genou<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Common_Causes_of_Knee_Pain\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Causes courantes de la douleur au genou<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Patellofemoral_Joint\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">L&rsquo;articulation f\u00e9moro-patellaire<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Tibiofemoral_Joint\"><span class=\"tocnumber\">3.2<\/span> <span class=\"toctext\">L&rsquo;articulation tibio-f\u00e9morale<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Interview.2F_Subjective_Examination\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Entretien \/ Examen subjectif<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Age\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">\u00c2ge<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Area_of_Pain\"><span class=\"tocnumber\">4.2<\/span> <span class=\"toctext\">Zone de douleur<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#Mechanism_of_injury\"><span class=\"tocnumber\">4.3<\/span> <span class=\"toctext\">M\u00e9canisme de la blessure<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-10\"><a href=\"#Insidious_Onset\"><span class=\"tocnumber\">4.3.1<\/span> <span class=\"toctext\">Apparition insidieuse<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-11\"><a href=\"#Traumatic_Injury\"><span class=\"tocnumber\">4.3.2<\/span> <span class=\"toctext\">L\u00e9sions traumatiques<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Sounds\"><span class=\"tocnumber\">4.4<\/span> <span class=\"toctext\">Sons<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-13\"><a href=\"#Speed_of_Swelling\"><span class=\"tocnumber\">4.5<\/span> <span class=\"toctext\">Vitesse de gonflement<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-14\"><a href=\"#Ability_to_Continue_with_Activity\"><span class=\"tocnumber\">4.6<\/span> <span class=\"toctext\">Capacit\u00e9 \u00e0 poursuivre l&rsquo;activit\u00e9<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-15\"><a href=\"#Aggravating_Factors\"><span class=\"tocnumber\">4.7<\/span> <span class=\"toctext\">Facteurs aggravants<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-16\"><a href=\"#Giving_way\"><span class=\"tocnumber\">4.8<\/span> <span class=\"toctext\">Genou qui c\u00e8de<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-17\"><a href=\"#Clicking_and_Locking\"><span class=\"tocnumber\">4.9<\/span> <span class=\"toctext\">Clics et blocage<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-18\"><a href=\"#Objective_Examination\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Examen objectif<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-19\"><a href=\"#Observation\"><span class=\"tocnumber\">5.1<\/span> <span class=\"toctext\">Observation<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-20\"><a href=\"#Range_of_Movement\"><span class=\"tocnumber\">5.2<\/span> <span class=\"toctext\">Amplitude de mouvement<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-21\"><a href=\"#Palpation\"><span class=\"tocnumber\">5.3<\/span> <span class=\"toctext\">Palpation<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-22\"><a href=\"#Special_tests_of_the_Knee\"><span class=\"tocnumber\">5.4<\/span> <span class=\"toctext\">Tests sp\u00e9cifiques du genou<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-23\"><a href=\"#Conclusion\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Conclusion<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-24\"><a href=\"#References\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La douleur au genou est une affection courante, qui touche environ 25 % des adultes, <sup id=\"cite_ref-:6_1-0\" class=\"reference\"><a href=\"#cite_note-:6-1\">(1)<\/a><\/sup> et les douleurs ant\u00e9rieures du genou sont signal\u00e9es chez environ 40 % des jeunes athl\u00e8tes.<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup> La pr\u00e9valence des douleurs du genou a augment\u00e9 de pr\u00e8s de 65 % au cours des deux derni\u00e8res d\u00e9cennies.<sup id=\"cite_ref-:6_1-1\" class=\"reference\"><a href=\"#cite_note-:6-1\">(1)<\/a><\/sup> Le genou est constitu\u00e9 de l&rsquo;articulation tibio-f\u00e9morale et de l&rsquo;articulation f\u00e9moro-patellaire. Une douleur ressentie au niveau du genou peut avoir diff\u00e9rentes causes. Un examen subjectif et un examen physique complets et d\u00e9taill\u00e9s peuvent vous aider \u00e0 raisonner cliniquement les diff\u00e9rents diagnostics diff\u00e9rentiels et \u00e0 isoler la cause exacte des sympt\u00f4mes.<\/p>\n<h2><span id=\"Brief_Anatomy_of_the_Knee\" class=\"mw-headline\">Br\u00e8ve anatomie du <a title=\"Genou\" href=\"\/Knee\">genou <\/a><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Brief Anatomy of the Knee\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=2\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Brief Anatomy of the Knee\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=2\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&rsquo;<a title=\"Genou\" href=\"\/Knee\">articulation tibio-f\u00e9morale<\/a> est l&rsquo;endroit o\u00f9 le f\u00e9mur rencontre le tibia. Elle comprend des structures intra-articulaires telles que les m\u00e9nisques et les ligaments crois\u00e9s (le ligament crois\u00e9 ant\u00e9rieur (LCA) et le ligament crois\u00e9 post\u00e9rieur (LCP)) et des structures extracapsulaires telles que les ligaments collat\u00e9raux (le ligament collat\u00e9ral interne (LCI) et le ligament collat\u00e9ral externe (LCE)).<\/p>\n<p>L&rsquo;<a title=\"Patellofemoral Joint\" href=\"\/Patellofemoral_Joint\">articulation f\u00e9moro-patellaire <\/a>est le lieu o\u00f9 la rotule, un os s\u00e9samo\u00efde triangulaire, s&rsquo;articule avec le f\u00e9mur. La <a title=\"Patella\" href=\"\/Patella\">rotule<\/a> agit comme une poulie pour augmenter le bras de levier des muscles quadriceps. Le pad graisseux infrapatellaire se trouve juste en dessous de la rotule.<\/p>\n<table width=\"100%\" cellspacing=\"1\" cellpadding=\"1\">\n<tbody>\n<tr>\n<td>\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\/0R95KGJc0GY?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<\/td>\n<td>\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\/XnYO4TnpTCo?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span id=\"Common_Causes_of_Knee_Pain\" class=\"mw-headline\">Causes courantes de la douleur au genou <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Common Causes of Knee Pain\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=3\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Common Causes of Knee Pain\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=3\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Patellofemoral_Joint\" class=\"mw-headline\">L&rsquo;articulation f\u00e9moro-patellaire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Patellofemoral Joint\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=4\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Patellofemoral Joint\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=4\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li><a title=\"Patellofemoral Pain Syndrome\" href=\"\/Patellofemoral_Pain_Syndrome\">Patellofemoral Pain Syndrome<\/a><\/li>\n<li><a title=\"Tendinopathie rotulienne\" href=\"\/Patellar_Tendinopathy\">Tendinopathie rotulienne<\/a><\/li>\n<li><a title=\"Patellar dislocation\" href=\"\/Patellar_dislocation\">Dislocation de la rotule<\/a><\/li>\n<li><a title=\"Fat Pad Syndrome\" href=\"\/Fat_Pad_Syndrome\">Conflit du pad graisseux infrapatellaire<\/a><\/li>\n<li><a title=\"Arthrose f\u00e9moro-patellaire\" href=\"\/Patellofemoral_Osteoarthritis\">Arthrose f\u00e9moro-patellaire<\/a><\/li>\n<\/ul>\n<h3><span id=\"Tibiofemoral_Joint\" class=\"mw-headline\">L&rsquo;articulation tibio-f\u00e9morale <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Tibiofemoral Joint\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=5\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Tibiofemoral Joint\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=5\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Entorses ligamentaires <a title=\"Anterior Cruciate Ligament (ACL) Injury\" href=\"\/Anterior_Cruciate_Ligament_(ACL)_Injury\">(LCA<\/a>, <a title=\"PCL Reconstruction\" href=\"\/PCL_Reconstruction\">LCP<\/a>, <a title=\"Medial Collateral Ligament Injury of the Knee\" href=\"\/Medial_Collateral_Ligament_Injury_of_the_Knee\">LCI<\/a>, <a title=\"Lateral Collateral Ligament Injury of the Knee\" href=\"\/Lateral_Collateral_Ligament_Injury_of_the_Knee\">LCE<\/a>)<\/li>\n<li><a title=\"Meniscal Lesions\" href=\"\/Meniscal_Lesions\">D\u00e9chirure du m\u00e9nisque interne<\/a><\/li>\n<li>L\u00e9sion du cartilage articulaire<\/li>\n<li><a title=\"Knee Osteoarthritis\" href=\"\/Knee_Osteoarthritis\">Arthrose tibio-f\u00e9morale<\/a> (\u00e9galement appel\u00e9e commun\u00e9ment arthrose du genou)<\/li>\n<\/ul>\n<h2><span id=\"Interview\/_Subjective_Examination\"><\/span><span id=\"Interview.2F_Subjective_Examination\" class=\"mw-headline\">Entretien \/ Examen subjectif <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Interview\/ Subjective Examination\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=6\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Interview\/ Subjective Examination\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=6\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Age\" class=\"mw-headline\">\u00c2ge<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Age\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=7\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Age\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=7\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La probabilit\u00e9 de d\u00e9velopper de l&rsquo;arthrose augmente avec l&rsquo;\u00e2ge,<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup> y compris dans les genoux asymptomatiques et non bless\u00e9s.<sup id=\"cite_ref-:7_4-0\" class=\"reference\"><a href=\"#cite_note-:7-4\">(4)<\/a><\/sup> Une r\u00e9cente m\u00e9ta-analyse a r\u00e9v\u00e9l\u00e9 que 4 \u00e0 14 % des adultes asymptomatiques \u00e2g\u00e9s de moins de 40 ans pr\u00e9sentaient des caract\u00e9ristiques d&rsquo;arthrose \u00e0 l&rsquo;IRM, contre 19 \u00e0 43 % des adultes \u00e2g\u00e9s de plus de 40 ans.<sup id=\"cite_ref-:7_4-1\" class=\"reference\"><a href=\"#cite_note-:7-4\">(4)<\/a><\/sup><\/p>\n<h3><span id=\"Area_of_Pain\" class=\"mw-headline\">Zone de douleur <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Area of Pain\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=8\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Area of Pain\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=8\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La zone de douleur est importante au niveau du genou. Une douleur sous ou autour de la rotule, qui n&rsquo;est pas aussi facile \u00e0 localiser, est souvent plus indicative d&rsquo;une douleur f\u00e9moro-patellaire. En revanche, une douleur localis\u00e9e au p\u00f4le inf\u00e9rieur de la rotule peut \u00eatre plus indicative d&rsquo;une pathologie du pad graisseux infrapatellaire ou d&rsquo;une tendinopathie rotulienne <sup id=\"cite_ref-:0_5-0\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup>. Apr\u00e8s une blessure traumatique aigu\u00eb, la zone de douleur peut aider \u00e0 d\u00e9terminer quelles structures sont endommag\u00e9es. Par exemple, une douleur sur la ligne articulaire tibio-f\u00e9morale interne associ\u00e9e \u00e0 des ant\u00e9c\u00e9dents de contrainte en valgus du genou impliquerait le LCI.<\/p>\n<h3><span id=\"Mechanism_of_injury\" class=\"mw-headline\">M\u00e9canisme de la blessure <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Mechanism of injury\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=9\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Mechanism of injury\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=9\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Insidious_Onset\" class=\"mw-headline\">Apparition insidieuse <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Insidious Onset\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=10\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Insidious Onset\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=10\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>La douleur au genou qui a un d\u00e9but insidieux est plus fr\u00e9quemment rencontr\u00e9e dans la tendinopathie rotulienne <sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup> (fr\u00e9quente dans les sports impliquant la course et le saut <sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup>), le syndrome de douleur f\u00e9moro-patellaire <sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup> (surtout si la douleur est \u00e0 pr\u00e9dominance ant\u00e9rieure) et l&rsquo;arthrose. Chez les patients plus jeunes (c&rsquo;est-\u00e0-dire les adolescents), l&rsquo;apparition insidieuse d&rsquo;une douleur ant\u00e9rieure du genou qui survient pendant une croissance rapide en conjonction avec un surmenage peut \u00eatre caus\u00e9e par la maladie d&rsquo;Osgood-Schlatter ou le syndrome de Sinding-Larsen-Johansson <sup id=\"cite_ref-:6_1-2\" class=\"reference\"><a href=\"#cite_note-:6-1\">(1)<\/a><\/sup>. Un questionnement attentif sur les changements d&rsquo;activit\u00e9 peut aider au raisonnement clinique par rapport aux structures impliqu\u00e9es. Une personne qui a r\u00e9cemment augment\u00e9 la mise en charge sur son genou par des activit\u00e9s r\u00e9p\u00e9titives comme le saut (par exemple, un joueur de volley-ball ou de basket-ball) risque de souffrir d&rsquo;une tendinopathie rotulienne<sup id=\"cite_ref-:6_1-3\" class=\"reference\"><a href=\"#cite_note-:6-1\">(1)<\/a><\/sup><sup id=\"cite_ref-:1_9-0\" class=\"reference\"><a href=\"#cite_note-:1-9\">(9)<\/a><\/sup>. Alors que les mouvements r\u00e9p\u00e9titifs en extension finale sans charge excessive, comme le coup de pied en natation, pourraient aggraver les sympt\u00f4mes associ\u00e9s \u00e0 une affection au niveau du pad graisseux.<sup id=\"cite_ref-:0_5-1\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<h4><span id=\"Traumatic_Injury\" class=\"mw-headline\">Blessure traumatique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Traumatic Injury\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=11\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Traumatic Injury\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=11\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Une blessure traumatique est plus susceptible d&rsquo;entra\u00eener une l\u00e9sion ligamentaire, m\u00e9niscale ou ost\u00e9ochondrale du genou. Un questionnement attentif sur la direction exacte des forces impliqu\u00e9es peut aider \u00e0 d\u00e9terminer quelles structures ont \u00e9t\u00e9 potentiellement compromises. Les ligaments crois\u00e9s ont tendance \u00e0 \u00eatre vuln\u00e9rables en situations de rotation et d&rsquo;extension forc\u00e9e en fin d&rsquo;amplitude (pour le LCA) ou de flexion forc\u00e9e en fin d&rsquo;amplitude (pour le LCP) <sup id=\"cite_ref-:0_5-2\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup>. Les blessures par torsion, en particulier avec un pied fixe, entra\u00eenent souvent des d\u00e9chirures m\u00e9niscales avec ou sans blessures associ\u00e9es du LCA <sup id=\"cite_ref-:0_5-3\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup>.<\/p>\n<h3><span id=\"Sounds\" class=\"mw-headline\">Sons<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Sounds\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=12\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Sounds\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=12\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Si l&rsquo;on entend un bruit sec ou un claquement au moment de la blessure, il est tr\u00e8s probable que le ligament crois\u00e9 ant\u00e9rieur ait \u00e9t\u00e9 bless\u00e9. Une rotule lux\u00e9e est une autre d\u00e9couverte fr\u00e9quente lorsqu&rsquo;un bruit sec a \u00e9t\u00e9 entendu pendant la blessure.<sup id=\"cite_ref-:0_5-4\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup><\/p>\n<h3><span id=\"Speed_of_Swelling\" class=\"mw-headline\">Vitesse du gonflement <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Speed of Swelling\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=13\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Speed of Swelling\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=13\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La vitesse et l&rsquo;ampleur du gonflement au genou apr\u00e8s un incident traumatique peuvent \u00eatre de bons indicateurs des structures impliqu\u00e9es dans la blessure. Un gonflement imm\u00e9diat et important qui survient dans un d\u00e9lai d&rsquo;une heure \u00e0 deux heures est un signe de gonflement intra-articulaire ou d&rsquo;h\u00e9marthrose <sup id=\"cite_ref-:0_5-5\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup>. Un gonflement imm\u00e9diat est souvent le signe d&rsquo;une l\u00e9sion importante des structures intra-capsulaires telles que le LCA, ou une fracture. Un \u00e9panchement qui se d\u00e9veloppe 6 \u00e0 24 heures plus tard est plus souvent un signe de blessures m\u00e9niscales et chondrales <sup id=\"cite_ref-:2_10-0\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup>. les l\u00e9sions des ligaments collat\u00e9raux pr\u00e9sentant souvent un gonflement minimal, voire nul <sup id=\"cite_ref-:0_5-6\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup>.<\/p>\n<h3><span id=\"Ability_to_Continue_with_Activity\" class=\"mw-headline\">Capacit\u00e9 \u00e0 poursuivre l&rsquo;activit\u00e9 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Ability to Continue with Activity\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=14\">modifier<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Ability to Continue with Activity\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=14\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Si la personne bless\u00e9e peut continuer \u00e0 jouer apr\u00e8s avoir subi une blessure au genou, c&rsquo;est souvent le signe d&rsquo;une blessure moins importante que si elle est incapable de mise en charge et doit \u00eatre transport\u00e9e hors du terrain.<\/p>\n<h3><span id=\"Aggravating_Factors\" class=\"mw-headline\">Facteurs aggravants <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Aggravating Factors\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=15\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Aggravating Factors\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=15\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Une douleur ant\u00e9rieure du genou qui s&rsquo;aggrave pendant l&rsquo;activit\u00e9 est plus souvent le signe d&rsquo;une douleur f\u00e9moro-patellaire, alors que la tendinopathie rotulienne s&rsquo;\u00e9chauffe g\u00e9n\u00e9ralement pendant l&rsquo;activit\u00e9 et peut se manifester par la suite <sup id=\"cite_ref-:1_9-1\" class=\"reference\"><a href=\"#cite_note-:1-9\">(9)<\/a><\/sup>. Une augmentation de la douleur au niveau du tendon rotulien avec une mise en charge dose-d\u00e9pendante est un signe classique de tendinopathie rotulienne <sup id=\"cite_ref-:1_9-2\" class=\"reference\"><a href=\"#cite_note-:1-9\">(9) <\/a><\/sup><sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup>.<\/p>\n<h3><span id=\"Giving_way\" class=\"mw-headline\">Genou qui c\u00e8de <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Giving way\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=16\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Giving way\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=16\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Un genou qui c\u00e8de est un sympt\u00f4me fr\u00e9quemment rapport\u00e9 au niveau du genou. Le fait que le genou s&rsquo;effondre est g\u00e9n\u00e9ralement le signe d&rsquo;une laxit\u00e9 ligamentaire et normalement d&rsquo;un LCA affect\u00e9. Une \u00e9tude r\u00e9alis\u00e9e en 2018 par An <sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup> sugg\u00e8re qu&rsquo;un genou qui c\u00e8de apr\u00e8s une l\u00e9sion du LCA pourrait \u00eatre d\u00fb \u00e0 une alt\u00e9ration du syst\u00e8me nerveux central. Un genou qui pseudo-c\u00e8de, souvent plus une sensation que le genou va c\u00e9der qu&rsquo;un effondrement r\u00e9el, est un signe de mauvais contr\u00f4le dynamique du quadriceps, soit par faiblesse, soit par inhibition par la douleur <sup id=\"cite_ref-:0_5-7\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup>.<\/p>\n<h3><span id=\"Clicking_and_Locking\" class=\"mw-headline\">Clic et blocage <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clicking and Locking\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=17\">modifier<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Clicking and Locking\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=17\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Un v\u00e9ritable blocage, o\u00f9 le genou ne peut plus bouger au-del\u00e0 d&rsquo;un certain point, est souvent le signe d&rsquo;un corps \u00e9tranger intra-articulaire ou d&rsquo;une d\u00e9chirure en anse de seau du m\u00e9nisque.<sup id=\"cite_ref-:0_5-8\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup> En d\u00e9pla\u00e7ant le genou dans diverses directions, ils peuvent \u00eatre en mesure de le \u00a0\u00bb d\u00e9verrouiller \u00ab\u00a0, ce qui indique que quelque chose a boug\u00e9 dans l&rsquo;articulation.<sup id=\"cite_ref-:3_13-0\" class=\"reference\"><a href=\"#cite_note-:3-13\">(13)<\/a><\/sup> Un v\u00e9ritable blocage n\u00e9cessite une orientation imm\u00e9diate vers une chirurgie arthroscopique. On parle de pseudo-blocage lorsque le genou est incapable de s&rsquo;\u00e9tendre ou de se fl\u00e9chir en raison d&rsquo;une raideur ou d&rsquo;une inhibition par la douleur <sup id=\"cite_ref-:3_13-1\" class=\"reference\"><a href=\"#cite_note-:3-13\">(13)<\/a><\/sup>. Ceci peut se produire dans les blessures tibio-f\u00e9morales mais aussi dans un genou o\u00f9 la rotule ne s&rsquo;engage pas correctement avec le trochl\u00e9e <sup id=\"cite_ref-:4_14-0\" class=\"reference\"><a href=\"#cite_note-:4-14\">(14)<\/a><\/sup>.<\/p>\n<h2><span id=\"Objective_Examination\" class=\"mw-headline\">Examen objectif <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Objective Examination\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=18\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Objective Examination\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=18\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Une fois l&rsquo;examen subjectif termin\u00e9, vous devriez avoir assez d&rsquo;informations pour raisonner cliniquement<\/p>\n<h3><span id=\"Observation\" class=\"mw-headline\">Observations<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Observation\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=19\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Observation\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=19\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La meilleure fa\u00e7on d&rsquo;obtenir une image globale du genou est de commencer l&rsquo;examen physique par une observation g\u00e9n\u00e9rale et locale de la zone. L&rsquo;observation doit se faire aussi bien en position debout qu&rsquo;en position couch\u00e9e. Il est utile de rechercher tout gonflement, toute contusion ou toute d\u00e9formation physique \u00e9vidente.<\/p>\n<p>En position debout, l&rsquo;alignement g\u00e9n\u00e9ral du membre inf\u00e9rieur peut \u00eatre \u00e9valu\u00e9 <sup id=\"cite_ref-:0_5-9\" class=\"reference\"><a href=\"#cite_note-:0-5\">(5)<\/a><\/sup>. Un genu varum peut se produire s&rsquo;il y a une diminution de l&rsquo;espace articulaire de l&rsquo;articulation tibio-f\u00e9morale m\u00e9diale. Un genou valgum peut indiquer un r\u00e9tr\u00e9cissement de l&rsquo;espace articulaire tibio-f\u00e9moral lat\u00e9ral. La position de la rotule peut \u00eatre observ\u00e9e en position debout et en position couch\u00e9e.<\/p>\n<p>En cas de gonflement autour du genou, il peut \u00eatre utile de d\u00e9terminer s&rsquo;il s&rsquo;agit de l&rsquo;ensemble de l&rsquo;articulation ou d&rsquo;une partie sp\u00e9cifique, par exemple autour du pad graisseux infra-patellaire. La masse musculaire peut \u00eatre compar\u00e9e \u00e0 celle de l&rsquo;autre jambe en position debout et couch\u00e9e pour d\u00e9terminer s&rsquo;il y a une atrophie ou hypertrophie de certains muscles.<\/p>\n<h3><span id=\"Range_of_Movement\" class=\"mw-headline\">Amplitude de mouvement <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Range of Movement\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=20\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Range of Movement\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=20\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>L&rsquo;\u00e9valuation du mouvement physiologique actif et passif de l&rsquo;articulation du genou est essentielle \u00e0 un examen approfondi du genou. L&rsquo;amplitude du mouvement, la qualit\u00e9 du mouvement, la sensation finale, le fait que le patient soit effray\u00e9 ou anxieux pendant le mouvement ou qu&rsquo;il soit sur ses gardes sont tous des facteurs cruciaux qui doivent \u00eatre \u00e9valu\u00e9s et qui aideront \u00e0 formuler un tableau clinique complet.<\/p>\n<h3><span id=\"Palpation\" class=\"mw-headline\">Palpation<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Palpation\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=21\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Palpation\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=21\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La palpation des structures du genou peut \u00eatre utile pour aider \u00e0 diff\u00e9rencier la source des sympt\u00f4mes. La palpation doit \u00eatre utilis\u00e9e avec prudence ; par contre, ce n&rsquo;est pas parce qu&rsquo;une structure est douloureuse \u00e0 la palpation que cette structure est la cause de la douleur. La sensibilit\u00e9 de l&rsquo;interligne articulaire a \u00e9t\u00e9 utilis\u00e9e pour faciliter le diagnostic des l\u00e9sions m\u00e9niscales et du cartilage articulaire <sup id=\"cite_ref-:2_10-1\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup>. Cependant, il a \u00e9galement \u00e9t\u00e9 d\u00e9montr\u00e9 que les personnes atteintes d&rsquo;un SDFP pr\u00e9sentent aussi une sensibilit\u00e9 de l&rsquo;interligne articulaire \u00e0 la palpation. L&rsquo;interpr\u00e9tation des structures douloureuses \u00e0 la palpation doit donc \u00eatre utilis\u00e9e avec prudence. Une bonne question \u00e0 poser lorsqu&rsquo;une structure est douloureuse \u00e0 la palpation serait \u00ab\u00a0est-ce votre douleur de r\u00e9f\u00e9rence\u00a0\u00bb ? <sup id=\"cite_ref-:4_14-1\" class=\"reference\"><a href=\"#cite_note-:4-14\">(14)<\/a><\/sup><\/p>\n<p>La palpation peut \u00eatre utile pour identifier les r\u00e9actions inflammatoires dans le genou. Un genou chaud au toucher peut indiquer un processus inflammatoire actif d\u00fb \u00e0 une nouvelle blessure, une arthrose active ou un trouble inflammatoire syst\u00e9mique. Les informations recueillies lors de l&rsquo;examen subjectif permettront de d\u00e9terminer dans quelle cat\u00e9gorie ils se situent.<\/p>\n<h3><span id=\"Special_tests_of_the_Knee\" class=\"mw-headline\">Tests sp\u00e9cifiques du genou <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Special tests of the Knee\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=22\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Special tests of the Knee\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=22\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Il existe un grand nombre de tests sp\u00e9cifiques pour les genoux. Apr\u00e8s un examen subjectif approfondi, l&rsquo;examen physique et une s\u00e9lection minutieuse des tests appropri\u00e9s doivent \u00eatre utilis\u00e9s pour confirmer l&rsquo;hypoth\u00e8se.<\/p>\n<p>Un seul test isol\u00e9 ne permet pas de diagnostiquer les affections du genou. Il faut plut\u00f4t utiliser des groupes de r\u00e9sultats cliniques pour obtenir un tableau clinique complet.<sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><\/p>\n<p>Les tests sp\u00e9ciaux du genou sont influenc\u00e9s par de nombreux facteurs qui influent sur la pr\u00e9cision clinique et diagnostique des tests : l&rsquo;exp\u00e9rience de l&rsquo;examinateur, les spasmes musculaires ou la r\u00e9sistance du patient, ainsi que le gonflement et l&rsquo;\u00e9tendue de la blessure, jouent tous un r\u00f4le.<sup id=\"cite_ref-:5_16-0\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16)<\/a><\/sup><\/p>\n<p>Une revue syst\u00e9matique men\u00e9e en 2015 a r\u00e9v\u00e9l\u00e9 que la sensibilit\u00e9 et la sp\u00e9cificit\u00e9 du test de <a title=\"Lachman Test\" href=\"\/Lachman_Test\">Lachman<\/a> et du test de d\u00e9calage de <a title=\"Pivot Shift\" href=\"\/Pivot_Shift\">Pivot<\/a> pour diagnostiquer une insuffisance du LCA d\u00e9pendaient du fait que les patients \u00e9taient \u00e9veill\u00e9s ou anesth\u00e9si\u00e9s, ainsi que du fait qu&rsquo;il s&rsquo;agissait d&rsquo;une d\u00e9chirure partielle ou compl\u00e8te <sup id=\"cite_ref-:5_16-1\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16)<\/a><\/sup>.<\/p>\n<p>Smith et ses coll\u00e8gues <sup id=\"cite_ref-:8_17-0\" class=\"reference\"><a href=\"#cite_note-:8-17\">(17)<\/a><\/sup> ont r\u00e9alis\u00e9 une \u00e9tude syst\u00e9matique sur l&rsquo;exactitude du diagnostic des l\u00e9sions m\u00e9niscales \u00e0 l&rsquo;aide des tests de <a title=\"McMurrays Test\" href=\"\/McMurrays_Test\">McMurra<\/a>y, d&rsquo;<a title=\"Apley's Test\" href=\"\/Apley%27s_Test\">Apley<\/a>, de <a title=\"Joint Line Tenderness of the Knee\" href=\"\/Joint_Line_Tenderness_of_the_Knee\">sensibilit\u00e9 de la ligne articulaire<\/a> et de <a title=\"Thessaly test\" href=\"\/Thessaly_test\">Thessaly<\/a>. Ils ont conclu \u00e0 une faible pr\u00e9cision diagnostique. Ils mentionnent toutefois que la qualit\u00e9 des \u00e9tudes concern\u00e9es \u00e9tait g\u00e9n\u00e9ralement m\u00e9diocre et que ces r\u00e9sultats doivent \u00eatre interpr\u00e9t\u00e9s avec prudence <sup id=\"cite_ref-:8_17-1\" class=\"reference\"><a href=\"#cite_note-:8-17\">(17)<\/a><\/sup>. Une \u00e9tude ult\u00e9rieure men\u00e9e par Antunes et ses coll\u00e8gues <sup id=\"cite_ref-:9_18-0\" class=\"reference\"><a href=\"#cite_note-:9-18\">(18)<\/a><\/sup> a examin\u00e9 un diff\u00e9rent groupe de tests. Ils ont constat\u00e9 que l&rsquo;utilisation du test de McMurray, de la palpation de l&rsquo;interligne articulaire et du <a title=\"Steinman Test\" href=\"\/Steinman_Test\">test i de Steinmann<\/a> montrait une sensibilit\u00e9 de 85 % pour d\u00e9tecter une d\u00e9chirure du m\u00e9nisque interne par rapport \u00e0 l&rsquo;arthroscopie et une sensibilit\u00e9 de 70 % pour les d\u00e9chirures du m\u00e9nisque externe <sup id=\"cite_ref-:9_18-1\" class=\"reference\"><a href=\"#cite_note-:9-18\">(18)<\/a><\/sup>.<\/p>\n<p>Dans la recherche, les tests sp\u00e9cifiques pr\u00e9sentent une grande variabilit\u00e9 en termes de sp\u00e9cificit\u00e9 et de sensibilit\u00e9. Ainsi, lors de l&rsquo;\u00e9valuation d&rsquo;un genou, il est important de prendre en compte toutes les informations plut\u00f4t que de se fier \u00e0 un seul test pris isol\u00e9ment.<\/p>\n<h2><span id=\"Conclusion\" class=\"mw-headline\">Conclusion<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Conclusion\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=23\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Conclusion\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=23\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Lors d&rsquo;un diagnostic diff\u00e9rentiel du genou, il est important de consid\u00e9rer l&rsquo;ensemble du tableau clinique, en utilisant les informations des examens subjectif et physique. Il est important de diff\u00e9rencier l&rsquo;origine des sympt\u00f4mes ainsi que les autres facteurs associ\u00e9s qui peuvent contribuer au probl\u00e8me.<\/p>\n<h2><span id=\"References\" class=\"mw-headline\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;veaction=edit&amp;section=24\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Differentiating_Patellofemoral_and_Tibiofemoral_Pain&amp;action=edit&amp;section=24\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-:6-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:6_1-0\">1.0<\/a><\/sup> <sup><a href=\"#cite_ref-:6_1-1\">1.1<\/a><\/sup> <sup><a href=\"#cite_ref-:6_1-2\">1.2<\/a><\/sup> <sup><a href=\"#cite_ref-:6_1-3\">1.3<\/a><\/sup><\/span> <span class=\"reference-text\">Bunt CW, Jonas CE, Chang JG. Knee Pain in Adults and Adolescents: The Initial Evaluation. Am Fam Physician. 2018;98(9):576-85.<\/span><\/li>\n<li id=\"cite_note-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-2\">\u2191<\/a><\/span> <span class=\"reference-text\">D&rsquo;Ambrosi R, Meena A, Raj A, Ursino N, Hewett TE. <a class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40798-022-00488-x\" rel=\"nofollow\">Anterior knee pain: state of the art<\/a>. Sports Med Open. 2022 Jul 30;8(1):98. <\/span><\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">Long H, Liu Q, Yin H, Wang K, Diao N, Zhang Y, et al. <a class=\"external text\" href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1002\/art.42089\" rel=\"nofollow\">Prevalence trends of site-specific osteoarthritis from 1990 to 2019: findings from the Global Burden of Disease Study 2019<\/a>. Arthritis Rheumatol. 2022 Jul;74(7):1172-83. <\/span><\/li>\n<li id=\"cite_note-:7-4\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:7_4-0\">4.0<\/a><\/sup> <sup><a href=\"#cite_ref-:7_4-1\">4.1<\/a><\/sup><\/span> <span class=\"reference-text\">Culvenor AG, \u00d8iestad BE, Hart HF, Stefanik JJ, Guermazi A, Crossley KM. Prevalence of knee osteoarthritis features on magnetic resonance imaging in asymptomatic uninjured adults: a systematic review and meta-analysis. British Journal of Sports Medicine. 2019;53:1268-78.<\/span><\/li>\n<li id=\"cite_note-:0-5\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_5-0\">5.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-1\">5.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-2\">5.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-3\">5.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-4\">5.4<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-5\">5.5<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-6\">5.6<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-7\">5.7<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-8\">5.8<\/a><\/sup> <sup><a href=\"#cite_ref-:0_5-9\">5.9<\/a><\/sup><\/span> <span class=\"reference-text\">Brukner P, Khan K. Clinical Sports Medicine 4th edition McGraw Hill.<\/span><\/li>\n<li id=\"cite_note-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-6\">\u2191<\/a><\/span> <span class=\"reference-text\">Abat F, Mart\u00edn A, de Rus I, Campos J, Sosa G, Capurro B. <a class=\"external text\" href=\"https:\/\/www.researchgate.net\/publication\/358758114_Patellar_tendinopathy_diagnosis_by_ultrasound_and_magnetic_resonance_imaging_Conservative_and_surgical_management_alternatives\" rel=\"nofollow\">Patellar tendinopathy: diagnosis by ultrasound and magnetic resonance imaging. Conservative and surgical management alternatives<\/a>. Revista Espa\u00f1ola de Artroscopia y Cirug\u00eda Articular English ed. 2022;29(1). <\/span><\/li>\n<li id=\"cite_note-7\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-7\">\u2191<\/a><\/span> <span class=\"reference-text\">Muaidi QI. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7716685\/\" rel=\"nofollow\">Rehabilitation of patellar tendinopathy<\/a>. J Musculoskelet Neuronal Interact. 2020 Dec 1;20(4):535-40. <\/span><\/li>\n<li id=\"cite_note-8\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-8\">\u2191<\/a><\/span> <span class=\"reference-text\">Begum R, Tassadaq N, Ahmad S, Qazi WA, Javed S, Murad S. <a class=\"external text\" href=\"https:\/\/jpma.org.pk\/article-details\/9751?article_id=9751\" rel=\"nofollow\">Effects of McConnell taping combined with strengthening exercises of vastus medialis oblique in females with patellofemoral pain syndrome<\/a>. J Pak Med Assoc. 2020 Apr;70(4):728-30. <\/span><\/li>\n<li id=\"cite_note-:1-9\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_9-0\">9.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_9-1\">9.1<\/a><\/sup> <sup><a href=\"#cite_ref-:1_9-2\">9.2<\/a><\/sup><\/span> <span class=\"reference-text\">Malliaras P, Cook J, Purdam C, Rio E. <a class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/pdfplus\/10.2519\/jospt.2015.5987\" rel=\"nofollow\">Patellar tendinopathy: clinical diagnosis, load management, and advice for challenging case presentations<\/a>. journal of orthopaedic &amp; sports physical therapy. 2015 Nov;45(11):887-98.<\/span><\/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><\/span> <span class=\"reference-text\">Logerstedt DS, Snyder-Mackler L, Ritter RC, Axe MJ, Godges J, Altman RD, Briggs M, Chu C, Delitto A, Ferland A, Fearon H. <a class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/pdfplus\/10.2519\/jospt.2010.0304?download=true\" rel=\"nofollow\">Knee pain and mobility impairments: meniscal and articular cartilage lesions: clinical practice guidelines linked to the international classification of functioning, disability, and health from the orthopaedic section of the American Physical Therapy Association.<\/a> Journal of Orthopaedic &amp; Sports Physical Therapy. 2010 Jun;40(6):A1-597.<\/span><\/li>\n<li id=\"cite_note-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-11\">\u2191<\/a><\/span> <span class=\"reference-text\">Cardoso TB, Pizzari T, Kinsella R, Hope D, Cook JL. Current trends in tendinopathy management. Best Pract Res Clin Rheumatol. 2019;33(1):122-40.<\/span><\/li>\n<li id=\"cite_note-12\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-12\">\u2191<\/a><\/span> <span class=\"reference-text\">An YW. Neurophysiological Mechanisms Underlying Functional Knee Instability Following an Anterior Cruciate Ligament Injury. <i>Exerc Sci.<\/i> 2018;27(2):109-17.<\/span><\/li>\n<li id=\"cite_note-:3-13\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_13-0\">13.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_13-1\">13.1<\/a><\/sup><\/span> <span class=\"reference-text\">Shiraev T, Anderson SE, Hope N. <a class=\"external text\" href=\"https:\/\/www.racgp.org.au\/download\/documents\/AFP\/2012\/April\/201204shiraev.pdf\" rel=\"nofollow\">Meniscal tear: presentation, diagnosis and management.<\/a> Australian family physician. 2012 Apr;41(4):182.<\/span><\/li>\n<li id=\"cite_note-:4-14\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_14-0\">14.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_14-1\">14.1<\/a><\/sup><\/span> <span class=\"reference-text\">Robertson C. Differentiating Patellofemoral and Tibiofemoral Pain. Plus. 2019<\/span><\/li>\n<li id=\"cite_note-15\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-15\">\u2191<\/a><\/span> <span class=\"reference-text\">Logerstedt DS, Snyder-Mackler L, Ritter RC, Axe MJ, Godges JJ. <a class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/pdfplus\/10.2519\/jospt.2010.0303\" rel=\"nofollow\">Knee stability and movement coordination impairments: knee ligament sprain: clinical practice guidelines linked to the international classification of functioning, disability, and health from the Orthopaedic Section of the American Physical Therapy Association.<\/a> Journal of Orthopaedic &amp; Sports Physical Therapy. 2010 Apr;40(4):A1-37.<\/span><\/li>\n<li id=\"cite_note-:5-16\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:5_16-0\">16.0<\/a><\/sup> <sup><a href=\"#cite_ref-:5_16-1\">16.1<\/a><\/sup><\/span> <span class=\"reference-text\">Leblanc MC, Kowalczuk M, Andruszkiewicz N, Simunovic N, Farrokhyar F, Turnbull TL, Debski RE, Ayeni OR. <a class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s00167-015-3563-2\" rel=\"nofollow\">Diagnostic accuracy of physical examination for anterior knee instability: a systematic review.<\/a> Knee Surgery, Sports Traumatology, Arthroscopy. 2015 Oct 1;23(10):2805-13.<\/span><\/li>\n<li id=\"cite_note-:8-17\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:8_17-0\">17.0<\/a><\/sup> <sup><a href=\"#cite_ref-:8_17-1\">17.1<\/a><\/sup><\/span> <span class=\"reference-text\">Smith BE, Thacker D, Crewesmith A, Hall M. <a class=\"external text\" href=\"https:\/\/pdfs.semanticscholar.org\/d309\/b965e107a7954de934e71e8416409b4d6893.pdf\" rel=\"nofollow\">Special tests for assessing meniscal tears within the knee: a systematic review and meta-analysis.<\/a> BMJ Evidence-Based Medicine. 2015 Jun 1;20(3):88-97.<\/span><\/li>\n<li id=\"cite_note-:9-18\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:9_18-0\">18.0<\/a><\/sup> <sup><a href=\"#cite_ref-:9_18-1\">18.1<\/a><\/sup><\/span> <span class=\"reference-text\">Antunes LC, Souza JMG, Cerqueira NB, Dahmer C, Tavares BAP, Faria \u00c2JN. Evaluation of clinical tests and magnetic resonance imaging for knee meniscal injuries: correlation with video arthroscopy (published correction appears in Rev Bras Ortop (Sao Paulo). 2020;55(1):130). <i>Rev Bras Ortop<\/i>. 2017;52(5):582-88.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20221115233840 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.122 seconds Real time usage: 0.129 seconds Preprocessor visited node count: 421\/1000000 Post\u2010expand include size: 130\/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: 13479\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 19.439 1 Special:Contributors\/Differentiating_Patellofemoral_and_Tibiofemoral_Pain 100.00% 19.439 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dacteur en chef &#8211; Mandy Roscher Principaux contributeurs Kim Jackson, Mandy Roscher, Jess Bell et Tarina van der Stockt Contenu 1 Introduction 2 Br\u00e8ve anatomie du genou 3 Causes courantes de la douleur au genou 3.1 L&rsquo;articulation f\u00e9moro-patellaire 3.2 L&rsquo;articulation tibio-f\u00e9morale 4 Entretien \/ Examen subjectif 4.1 \u00c2ge 4.2 Zone de douleur 4.3 M\u00e9canisme de [&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-4021","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4021","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=4021"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4021\/revisions"}],"predecessor-version":[{"id":4201,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4021\/revisions\/4201"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=4021"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}