{"id":4293,"date":"2022-12-14T23:08:53","date_gmt":"2022-12-14T23:08:53","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/understanding-red-flags-in-patellofemoral-pain-fr\/"},"modified":"2022-12-16T18:00:58","modified_gmt":"2022-12-16T18:00:58","slug":"understanding-red-flags-in-patellofemoral-pain-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/understanding-red-flags-in-patellofemoral-pain-fr\/","title":{"rendered":"Comprendre les drapeaux rouges d&rsquo;une douleur f\u00e9moro-patellaire"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>\u00c9diteur original <\/b>&#8211; <a href=\"\/User:Carin_Hunter\" title=\"User:Carin Hunter\">Carin Hunter<\/a> bas\u00e9 sur le cours de <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/claire-robertson\/\/\">Claire Robertson<\/a><br \/>\n<b>Principaux contributeurs<\/b> &#8211; <a href=\"\/User:Carin_Hunter\" class=\"mw-userlink\" title=\"User:Carin Hunter\"><bdi>Carin Hunter<\/bdi><\/a>, <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a> et <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"User:Kim Jackson\"><bdi>Kim Jackson<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/p>\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=\"#Non-Traumatic_Masquerading_Conditions\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Affections masqu\u00e9es non traumatiques<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Osgood-Schlatter_Disease_.28OSD.29\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">La maladie d&rsquo;Osgood-Schlatter (OSD)<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Sinding_Larsen_Johansson_Syndrome\"><span class=\"tocnumber\">2.2<\/span> <span class=\"toctext\">Le syndrome de Sinding Larsen Johansson<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Knee_Effusion\"><span class=\"tocnumber\">2.3<\/span> <span class=\"toctext\">Un \u00e9panchement au niveau du genou <\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Osteochondritis_Dissecans.2FOsteochondral_Defect\"><span class=\"tocnumber\">2.4<\/span> <span class=\"toctext\">L&rsquo;ost\u00e9ochondrite diss\u00e9quante \/ le d\u00e9faut ost\u00e9ochondral<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Slipped_Capital_Femoral_Epiphysis\"><span class=\"tocnumber\">2.5<\/span> <span class=\"toctext\">L&rsquo;\u00e9piphysiolyse<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Others\"><span class=\"tocnumber\">2.6<\/span> <span class=\"toctext\">Autres<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Conditions_That_Can_Occur_in_the_Adult_Population\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Affections pouvant survenir dans la population adulte<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Posterior_Cruciate_Ligament_Rupture\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">Rupture du ligament crois\u00e9 post\u00e9rieur<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Synovial_Plica\"><span class=\"tocnumber\">3.2<\/span> <span class=\"toctext\">La plica synoviale<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Patellar_Tendinopathy\"><span class=\"tocnumber\">3.3<\/span> <span class=\"toctext\">La tendinopathie rotulienne<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-13\"><a href=\"#Femoroacetabular_Impingement\"><span class=\"tocnumber\">3.4<\/span> <span class=\"toctext\">Le conflit f\u00e9moro-ac\u00e9tabulaire<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#Assessment_Tools\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Outils d&rsquo;\u00e9valuation<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-15\"><a href=\"#References\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Introduction\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=1\" title=\"Edit section: Introduction\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La d\u00e9tection des drapeaux rouges est une partie importante du processus d&rsquo;\u00e9valuation, mais elle est souvent n\u00e9glig\u00e9e chez les patients souffrant de douleurs au genou. Il est important d&rsquo;avoir une bonne compr\u00e9hension des drapeaux rouges pour la s\u00e9curit\u00e9 des patients et de veiller \u00e0 ce que des r\u00e9f\u00e9rences appropri\u00e9es et opportunes soient faites si n\u00e9cessaire. En cas de traumatisme au genou, il faut s&rsquo;assurer que tous les examens pertinents ont \u00e9t\u00e9 effectu\u00e9s. Pour plus d&rsquo;informations sur les drapeaux rouges, veuillez consulter cette page : <a href=\"\/An_Introduction_to_Red_Flags_in_Serious_Pathology\" title=\"An Introduction to Red Flags in Serious Pathology\">Une introduction aux drapeaux rouges pour les pathologies s\u00e9rieuses<\/a>.<\/p>\n<h2><span class=\"mw-headline\" id=\"Non-Traumatic_Masquerading_Conditions\">Affections masqu\u00e9es non traumatiques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Non-Traumatic Masquerading Conditions\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=2\" title=\"Edit section: Non-Traumatic Masquerading Conditions\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Certaines affections peuvent pr\u00e9senter un profil de douleur similaire \u00e0 celui de la douleur f\u00e9moro-patellaire, et il convient de les consid\u00e9rer dans le diagnostic diff\u00e9rentiel. Les affections non traumatiques suivantes surviennent dans la population adolescente (c&rsquo;est-\u00e0-dire les pr\u00e9adolescents et les adolescents).<sup id=\"cite_ref-:6_1-0\" class=\"reference\"><a href=\"#cite_note-:6-1\">(1)<\/a><\/sup><\/p>\n<h4><span id=\"Osgood-Schlatter_Disease_(OSD)\"><\/span><span class=\"mw-headline\" id=\"Osgood-Schlatter_Disease_.28OSD.29\">La maladie d&rsquo;Osgood-Schlatter <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Osgood-Schlatter Disease (OSD)\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=3\" title=\"Edit section: Osgood-Schlatter Disease (OSD)\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:Osgood_Schlatters.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/81\/Osgood_Schlatters.jpg\/400px-Osgood_Schlatters.jpg\" decoding=\"async\" width=\"400\" height=\"223\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/81\/Osgood_Schlatters.jpg\/600px-Osgood_Schlatters.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/8\/81\/Osgood_Schlatters.jpg 2x\"><\/a><\/div>\n<p><b><u>Les signes et sympt\u00f4mes :<\/u><\/b><\/p>\n<ul>\n<li>Cette affection est fr\u00e9quente chez les adolescents \u00e2g\u00e9s de 11 \u00e0 15 ans <sup id=\"cite_ref-:0_2-0\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup>.<\/li>\n<li>Elle est pr\u00e9valente chez les enfants pratiquant des sports \u00e0 dominante quadriceps, c&rsquo;est-\u00e0-dire la course, les coups de pied et le saut <sup id=\"cite_ref-:0_2-1\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup>.<\/li>\n<li>Les patients pr\u00e9sentent une bosse \u00e9vidente au niveau de la tub\u00e9rosit\u00e9 tibiale <sup id=\"cite_ref-:1_3-0\" class=\"reference\"><a href=\"#cite_note-:1-3\">(3)<\/a><\/sup>.<\/li>\n<li>La douleur est sp\u00e9cifique \u00e0 la tub\u00e9rosit\u00e9 tibiale.<\/li>\n<li>Une inflammation et une \u00e9l\u00e9vation des plaques de croissance sont pr\u00e9sentes au niveau de la tub\u00e9rosit\u00e9 tibiale.<\/li>\n<li>Une IRM pour montrer le niveau d&rsquo;inflammation peut \u00eatre utilis\u00e9e pour confirmer, mais cela ne changera pas le plan de traitement.<\/li>\n<li>En l&rsquo;absence de traitement, la douleur peut atteindre un niveau tel qu&rsquo;elle emp\u00eache toute participation \u00e0 un sport.<\/li>\n<\/ul>\n<p><b><u>Le traitement :<\/u><\/b><\/p>\n<ul>\n<li>\u00c9ducation<\/li>\n<li>Modification de l&rsquo;activit\u00e9 : <sup id=\"cite_ref-:6_1-1\" class=\"reference\"><a href=\"#cite_note-:6-1\">(1) <\/a><\/sup><sup id=\"cite_ref-:0_2-2\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2) <\/a><\/sup><sup id=\"cite_ref-:1_3-1\" class=\"reference\"><a href=\"#cite_note-:1-3\">(3)<\/a><\/sup>\n<ul>\n<li>Essayer d&rsquo;\u00e9liminer le sport le moins aim\u00e9 du patient, ou<\/li>\n<li>Changer leur position de jeu pour une position moins active afin de r\u00e9duire la mise en charge<\/li>\n<\/ul>\n<\/li>\n<li>AINS (anti-inflammatoires non st\u00e9ro\u00efdiens)<\/li>\n<li>Massage \u00e0 la glace &#8211; soulage les sympt\u00f4mes<\/li>\n<li>Traiter la surcharge :\n<ul>\n<li>Facteurs extrins\u00e8ques\n<ul>\n<li>Gestion de la mise en charge dans le sport <sup id=\"cite_ref-:0_2-3\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/li>\n<li>Chaussures <sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup><\/li>\n<li>Technique d&rsquo;atterrissage <sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Facteurs intrins\u00e8ques\n<ul>\n<li>Longueur des muscles <sup id=\"cite_ref-:0_2-4\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/li>\n<li>Force musculaire <sup id=\"cite_ref-:0_2-5\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Pour plus d&rsquo;informations, veuillez consulter la page suivante <a href=\"\/Osgood-Schlatter_Disease\" title=\"Osgood-Schlatter Disease\">Maladie d&rsquo;Osgood-Schlatter<\/a>.<\/p>\n<h4><span class=\"mw-headline\" id=\"Sinding_Larsen_Johansson_Syndrome\">Le syndrome de Sinding Larsen Johansson <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Sinding Larsen Johansson Syndrome\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=4\" title=\"Edit section: Sinding Larsen Johansson Syndrome\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:Adapted_Sinding-Larsen-Johansson_Syndrome_-_Shutterstock_Image_-_ID_633281234.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0c\/Adapted_Sinding-Larsen-Johansson_Syndrome_-_Shutterstock_Image_-_ID_633281234.jpg\/300px-Adapted_Sinding-Larsen-Johansson_Syndrome_-_Shutterstock_Image_-_ID_633281234.jpg\" decoding=\"async\" width=\"300\" height=\"566\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0c\/Adapted_Sinding-Larsen-Johansson_Syndrome_-_Shutterstock_Image_-_ID_633281234.jpg\/450px-Adapted_Sinding-Larsen-Johansson_Syndrome_-_Shutterstock_Image_-_ID_633281234.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0c\/Adapted_Sinding-Larsen-Johansson_Syndrome_-_Shutterstock_Image_-_ID_633281234.jpg\/600px-Adapted_Sinding-Larsen-Johansson_Syndrome_-_Shutterstock_Image_-_ID_633281234.jpg 2x\"><\/a><\/div>\n<p>Le syndrome de Sinding Larsen Johansson est une ost\u00e9ochondrose juv\u00e9nile et une \u00e9piphysite de traction. Elle affecte le m\u00e9canisme d&rsquo;extension du genou, de fa\u00e7on \u00e0 perturber la fixation du tendon rotulien au p\u00f4le inf\u00e9rieur de <a href=\"\/Patella\" title=\"Patella\">la rotule<\/a>. Il y a une sensibilit\u00e9 au p\u00f4le inf\u00e9rieur de la rotule. Et le syndr\u00f4me est accompagn\u00e9 g\u00e9n\u00e9ralement d&rsquo;une preuve radiographique du fractionnement de ce p\u00f4le. La plupart des patients atteints du syndrome de Sinding Larsen Johansson pr\u00e9sentent \u00e9galement une calcification au p\u00f4le inf\u00e9rieur de la rotule.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup><\/p>\n<p>Le syndrome appara\u00eet g\u00e9n\u00e9ralement \u00e0 l&rsquo;adolescence, pendant une pouss\u00e9e de croissance. Il est associ\u00e9e \u00e0 une douleur localis\u00e9e, aggrav\u00e9e par l&rsquo;exercice. On observe g\u00e9n\u00e9ralement une sensibilit\u00e9 localis\u00e9e et un gonflement des tissus mous. Les muscles environnants peuvent \u00e9galement \u00eatre tendus, notamment les <a href=\"\/Rectus_Femoris\" title=\"Rectus Femoris\">quadriceps<\/a>, les <a href=\"\/Hamstrings\" title=\"Ischio-jambiers\">ischio-jambiers<\/a> et les <a href=\"\/Gastrocnemius\" title=\"Gastrocnemius\">gastrocn\u00e9miens<\/a>. Cette crispation se traduit g\u00e9n\u00e9ralement par une inflexibilit\u00e9 au niveau de l&rsquo;<a href=\"\/Knee\" title=\"Genou\">articulation du genou<\/a>, modifiant les contraintes appliqu\u00e9es par l&rsquo;<a href=\"\/Patellofemoral_Joint\" title=\"Patellofemoral Joint\">articulation f\u00e9moro-patellaire<\/a>&amp;nbsp;<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup>.<\/p>\n<p><b><u>Les signes et sympt\u00f4mes :<\/u><\/b><\/p>\n<ul>\n<li>Inflammation au niveau de la plaque de croissance du p\u00f4le distal de la rotule <sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><\/li>\n<li>Cette condition est plus susceptible de se produire pendant les pouss\u00e9es de croissance<\/li>\n<li>Le traitement principal se concentre sur le suivi de la croissance afin de modifier les activit\u00e9s pendant une pouss\u00e9e de croissance <sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup>.<\/li>\n<li>La douleur peut \u00e9voluer \u00e0 un niveau tel qu&rsquo;elle emp\u00eache toute participation \u00e0 un sport.<\/li>\n<\/ul>\n<p><b><u>Le traitement :<\/u><\/b><\/p>\n<ul>\n<li>\u00c9ducation<\/li>\n<li>Modification de l&rsquo;activit\u00e9 : <sup id=\"cite_ref-:6_1-2\" class=\"reference\"><a href=\"#cite_note-:6-1\">(1)<\/a><\/sup>\n<ul>\n<li>Essayer d&rsquo;\u00e9liminer le sport le moins aim\u00e9 du patient, ou<\/li>\n<li>Changer leur position de jeu pour une position moins active afin de r\u00e9duire la charge<\/li>\n<\/ul>\n<\/li>\n<li>AINS (anti-inflammatoires non st\u00e9ro\u00efdiens)<\/li>\n<li>Massage \u00e0 la glace &#8211; soulage les sympt\u00f4mes<\/li>\n<li>Traiter la surcharge :\n<ul>\n<li>Facteurs extrins\u00e8ques\n<ul>\n<li>Gestion de la mise en charge dans le sport<\/li>\n<li>Chaussures<\/li>\n<li>Technique d&rsquo;atterrissage<\/li>\n<\/ul>\n<\/li>\n<li>Facteurs intrins\u00e8ques\n<ul>\n<li>Longueur des muscles<\/li>\n<li>Force musculaire<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Pour plus d&rsquo;informations, veuillez consulter la page <a href=\"\/Sinding_Larsen_Johansson_Syndrome\" title=\"Sinding Larsen Johansson Syndrome\">Syndrome de Sinding-Larsen-Johansson<\/a>.<\/p>\n<h4><span class=\"mw-headline\" id=\"Knee_Effusion\">Un \u00e9panchement au niveau du genou <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Knee Effusion\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=5\" title=\"Edit section: Knee Effusion\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:Osteochondritis_Dissecans.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/2b\/Osteochondritis_Dissecans.jpg\/300px-Osteochondritis_Dissecans.jpg\" decoding=\"async\" width=\"300\" height=\"337\" srcset=\"https:\/\/www.physio-pedia.com\/images\/2\/2b\/Osteochondritis_Dissecans.jpg 1.5x\"><\/a><\/div>\n<p>Il n&rsquo;y a aucun cas o\u00f9 un enfant devrait avoir un \u00e9panchement du genou sans cause apparente. Ainsi, tout \u00e9panchement en l&rsquo;absence de traumatisme doit toujours \u00eatre investigu\u00e9. Un \u00e9panchement du genou peut souvent entra\u00eener une douleur f\u00e9moro-patellaire.<\/p>\n<p><b><u>Les causes possibles de l&rsquo;\u00e9panchement :<\/u><\/b><\/p>\n<ul>\n<li>Une maladie auto-immune syst\u00e9mique (par exemple, l&rsquo;<a href=\"\/Juvenile_Rheumatoid_Arthritis\" class=\"mw-redirect\" title=\"Juvenile Rheumatoid Arthritis\">arthrite juv\u00e9nile<\/a>)<\/li>\n<li><a href=\"\/Septic_(Infectious)_Arthritis\" title=\"Septic (Infectious) Arthritis\">Une arthrite infectieuse<\/a><\/li>\n<li>Une ost\u00e9ochondrite diss\u00e9quante<\/li>\n<\/ul>\n<p><b><u>Les drapeaux rouges des maladies auto-immunes :<\/u><\/b><\/p>\n<ul>\n<li>Atteinte de plusieurs articulations<\/li>\n<li>L&rsquo;articulation est raide au r\u00e9veil<\/li>\n<li>Fatigue<\/li>\n<\/ul>\n<p><b><u>Les drapeaux rouges de l&rsquo;arthrite infectieuse :<\/u><\/b><\/p>\n<ul>\n<li>Temp\u00e9rature<\/li>\n<li>Maladie r\u00e9cente<\/li>\n<\/ul>\n<h4><span id=\"Osteochondritis_Dissecans\/Osteochondral_Defect\"><\/span><span class=\"mw-headline\" id=\"Osteochondritis_Dissecans.2FOsteochondral_Defect\">L&rsquo;ost\u00e9ochondrite diss\u00e9quante \/ le d\u00e9faut ost\u00e9ochondral <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Osteochondritis Dissecans\/Osteochondral Defect\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=6\" title=\"Edit section: Osteochondritis Dissecans\/Osteochondral Defect\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:OD.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a5\/OD.jpg\/300px-OD.jpg\" decoding=\"async\" width=\"300\" height=\"344\" srcset=\"https:\/\/www.physio-pedia.com\/images\/a\/a5\/OD.jpg 1.5x\"><\/a><\/div>\n<p>L&rsquo;<a href=\"\/Osteochondritis_Dissecans_of_the_Knee\" title=\"Osteochondritis Dissecans of the Knee\">ost\u00e9ochondrite diss\u00e9quante<\/a> est d\u00e9finie comme une pathologie inflammatoire de l&rsquo;os et du cartilage. Cela peut entra\u00eener une n\u00e9crose localis\u00e9e et une fragmentation de l&rsquo;os et du cartilage <sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup>. Le cartilage et l&rsquo;os sous-chondral peuvent se d\u00e9tacher et se retrouver \u00e0 flotter dans l&rsquo;articulation. Cela irrite la synovie, ce qui provoque un \u00e9panchement.<\/p>\n<p><b><u>Le traitement de l&rsquo;ost\u00e9ochondrite diss\u00e9quante :<\/u><\/b><\/p>\n<ul>\n<li>Traitement conservateur pour les l\u00e9sions stables <sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/li>\n<li>D\u00e9bridement possible \/ nettoyage du genou<\/li>\n<li>R\u00e9section chirurgicale possible (r\u00e9s\u00e9quer jusqu&rsquo;\u00e0 une marge stable)<\/li>\n<li>Examiner les d\u00e9fauts ost\u00e9ochondraux \u00e0 l&rsquo;aide d&rsquo;une IRM <sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup> &#8211; v\u00e9rifiez la stabilit\u00e9 des marges du d\u00e9faut ost\u00e9ochondral et si l&#8217;emplacement est une zone de mise en charge<\/li>\n<li>Surveillez l&rsquo;\u0153d\u00e8me osseux autour d&rsquo;un d\u00e9faut &#8211; l&rsquo;\u0153d\u00e8me devrait diminuer lors d&rsquo;une surveillance r\u00e9guli\u00e8re<\/li>\n<li>Conseils en physioth\u00e9rapie : gestion de la mise en charge\n<ul>\n<li>En pr\u00e9sence d&rsquo;un d\u00e9faut ost\u00e9ochondral trochl\u00e9en dans l&rsquo;articulation f\u00e9moro-patellaire, n&rsquo;oubliez pas d&rsquo;\u00e9viter toute mise en charge excessive en flexion profonde.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Pour plus d&rsquo;informations, voir <a href=\"\/Osteochondritis_Dissecans\" class=\"mw-redirect\" title=\"Ost\u00e9ochondrite diss\u00e9quante\">Ost\u00e9ochondrite diss\u00e9quante<\/a> et <a href=\"\/Osteochondritis_Dissecans_of_the_Knee\" title=\"Osteochondritis Dissecans of the Knee\">Ost\u00e9ochondrite diss\u00e9quante du genou<\/a>.<\/p>\n<h4><span class=\"mw-headline\" id=\"Slipped_Capital_Femoral_Epiphysis\">L&rsquo;\u00e9piphysiolyse <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Slipped Capital Femoral Epiphysis\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=7\" title=\"Edit section: Slipped Capital Femoral Epiphysis\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:SCFE.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/4b\/SCFE.jpg\/300px-SCFE.jpg\" decoding=\"async\" width=\"300\" height=\"164\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/4b\/SCFE.jpg\/450px-SCFE.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/4\/4b\/SCFE.jpg\/600px-SCFE.jpg 2x\"><\/a><\/div>\n<p>L&rsquo;\u00e9piphysiolyse n&rsquo;est pas fr\u00e9quente. Cependant, elle doit \u00eatre consid\u00e9r\u00e9e comme un diagnostic diff\u00e9rentiel <sup id=\"cite_ref-:2_13-0\" class=\"reference\"><a href=\"#cite_note-:2-13\">(13)<\/a><\/sup> car elle peut renvoyer la douleur vers le genou en ant\u00e9ro-interne. Une affection b\u00e9nigne diagnostiqu\u00e9e \u00e0 un stade pr\u00e9coce a un meilleur pronostic, car l&rsquo;affection \u00e9voluera jusqu&rsquo;\u00e0 une fusion de l&rsquo;\u00e9piphyse.<sup id=\"cite_ref-:2_13-1\" class=\"reference\"><a href=\"#cite_note-:2-13\">(13)<\/a><\/sup><\/p>\n<p>Pour plus d&rsquo;informations, veuillez consulter la rubrique <a href=\"\/Slipped_Capital_Femoral_Epiphysis\" title=\"Slipped Capital Femoral Epiphysis\">\u00c9piphysiolyse<\/a>.<\/p>\n<h4><span class=\"mw-headline\" id=\"Others\">Autres<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Others\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=8\" title=\"Edit section: Others\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Moins fr\u00e9quents mais plus graves :<\/p>\n<ul>\n<li>Les maladies auto-immunes syst\u00e9miques<\/li>\n<li>L&rsquo;\u00e9piphysiolyse<\/li>\n<li><a href=\"\/Femoroacetabular_Impingement\" title=\"Le conflit f\u00e9moro-ac\u00e9tabulaire\">Le conflit f\u00e9moro- ac\u00e9tabulaire<\/a><\/li>\n<li>La leuc\u00e9mie<\/li>\n<li><a href=\"\/Neuroblastoma\" title=\"Neuroblastoma\">Le neuroblastome<\/a> m\u00e9tastatique<\/li>\n<li>La tumeur osseuse primaire<\/li>\n<li>Les drapeaux rouges\n<ul>\n<li>Douleur nocturne<\/li>\n<li>Perte de poids<\/li>\n<li>Malaise<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Conditions_That_Can_Occur_in_the_Adult_Population\">Affections pouvant survenir dans la population adulte <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Conditions That Can Occur in the Adult Population\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=9\" title=\"Edit section: Conditions That Can Occur in the Adult Population\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les affections suivantes doivent \u00eatre prises en compte dans le diagnostic diff\u00e9rentiel des adultes pr\u00e9sentant des sympt\u00f4mes de douleur f\u00e9moro-patellaire.<\/p>\n<h3><span class=\"mw-headline\" id=\"Posterior_Cruciate_Ligament_Rupture\">Rupture du ligament crois\u00e9 post\u00e9rieur <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Posterior Cruciate Ligament Rupture\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=10\" title=\"Edit section: Posterior Cruciate Ligament Rupture\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:PCL_Rupture.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/08\/PCL_Rupture.jpg\/400px-PCL_Rupture.jpg\" decoding=\"async\" width=\"400\" height=\"220\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/08\/PCL_Rupture.jpg\/600px-PCL_Rupture.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/08\/PCL_Rupture.jpg\/800px-PCL_Rupture.jpg 2x\"><\/a><\/div>\n<p>Une rupture du ligament crois\u00e9 post\u00e9rieur (LCP) peut \u00eatre caus\u00e9e par un coup port\u00e9 \u00e0 l&rsquo;avant du genou <sup id=\"cite_ref-:3_14-0\" class=\"reference\"><a href=\"#cite_note-:3-14\">(14)<\/a><\/sup>. Chez certains patients, le seul sympt\u00f4me signal\u00e9 est une douleur f\u00e9moro-patellaire. Il est donc conseill\u00e9 d&rsquo;\u00e9valuer tous les ligaments pour voir si une intervention chirurgicale est n\u00e9cessaire <sup id=\"cite_ref-:3_14-1\" class=\"reference\"><a href=\"#cite_note-:3-14\">(14)<\/a><\/sup>. La physioth\u00e9rapie pour une blessure au LCP se concentrera souvent sur la r\u00e9adaptation du quadriceps.<\/p>\n<p>Pour plus d&rsquo;informations, veuillez consulter cette page : <a href=\"\/PCL_Reconstruction\" title=\"PCL Reconstruction\">Reconstruction du LCP<\/a>.<\/p>\n<h3><span class=\"mw-headline\" id=\"Synovial_Plica\">La plica synoviale <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Synovial Plica\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=11\" title=\"Edit section: Synovial Plica\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:Synovial_Plica.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a6\/Synovial_Plica.jpg\/300px-Synovial_Plica.jpg\" decoding=\"async\" width=\"300\" height=\"338\" srcset=\"https:\/\/www.physio-pedia.com\/images\/a\/a6\/Synovial_Plica.jpg 1.5x\"><\/a><\/div>\n<p>Une plica est un pli dans la membrane synoviale. Elles sont fr\u00e9quentes et sont normalement asymptomatiques. Une plica peut souvent \u00eatre palp\u00e9e ant\u00e9ro-m\u00e9dialement, en bordure de la moiti\u00e9 sup\u00e9rieure de la rotule. Parfois, elles peuvent se coincer dans l&rsquo;articulation f\u00e9moro-patellaire, et devenir g\u00eanantes ou enflamm\u00e9es et douloureuses.<sup id=\"cite_ref-:4_15-0\" class=\"reference\"><a href=\"#cite_note-:4-15\">(15)<\/a><\/sup><\/p>\n<p><b><u>Le diagnostic <\/u>:<\/b><\/p>\n<ul>\n<li>Injecter un anesth\u00e9sique local pour soulager les sympt\u00f4mes. Si cela r\u00e9ussit, cela indique fortement une plica synoviale enflamm\u00e9e.<\/li>\n<\/ul>\n<p><b><u>Le traitement <\/u>:<\/b><\/p>\n<ul>\n<li>Injections de st\u00e9ro\u00efdes pour diminuer l&rsquo;inflammation<\/li>\n<li>R\u00e9section de la plica<\/li>\n<li>R\u00e9adaptation <sup id=\"cite_ref-:4_15-1\" class=\"reference\"><a href=\"#cite_note-:4-15\">(15)<\/a><\/sup><\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Patellar_Tendinopathy\">La tendinopathie rotulienne <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Patellar Tendinopathy\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=12\" title=\"Edit section: Patellar Tendinopathy\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:Patella_Tendinopathy.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/ab\/Patella_Tendinopathy.jpg\/350px-Patella_Tendinopathy.jpg\" decoding=\"async\" width=\"350\" height=\"194\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/ab\/Patella_Tendinopathy.jpg\/525px-Patella_Tendinopathy.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/a\/ab\/Patella_Tendinopathy.jpg\/700px-Patella_Tendinopathy.jpg 2x\"><\/a><\/div>\n<p>La tendinopathie est un \u00e9chec de la r\u00e9ponse de gu\u00e9rison du tendon, avec une prolif\u00e9ration d\u00e9sordonn\u00e9e des t\u00e9nocytes, des anomalies intracellulaires dans les t\u00e9nocytes, une rupture des fibres de <a href=\"\/Collagen\" title=\"Collagen\">collag\u00e8ne<\/a> et une augmentation ult\u00e9rieure de la matrice non collag\u00e8ne.<sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16) <\/a><\/sup><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17) <\/a><\/sup><sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup> Le terme tendinopathie est un descripteur g\u00e9n\u00e9rique des conditions cliniques (douleur et caract\u00e9ristiques pathologiques) associ\u00e9es \u00e0 la surutilisation des <a href=\"\/Tendon_Anatomy\" title=\"Tendon Anatomy\">tendons<\/a> et de leur environnement.<sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup><\/p>\n<p><b><u>Le traitement :<\/u><\/b><\/p>\n<ul>\n<li>Forte mise en charge de r\u00e9sistance<\/li>\n<li>Mise en charge excentrique <sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup> en d\u00e9clin<\/li>\n<\/ul>\n<table class=\"wikitable\">\n<caption>\n<\/caption>\n<tbody>\n<tr>\n<th><\/th>\n<th>Tendinopathie rotulienne<\/th>\n<th>Douleur f\u00e9moro-patellaire<\/th>\n<\/tr>\n<tr>\n<td>Facteurs aggravants<\/td>\n<td>Rester immobile <sup id=\"cite_ref-:5_21-0\" class=\"reference\"><a href=\"#cite_note-:5-21\">(21)<\/a><\/sup><\/p>\n<p>T\u00f4t le matin<\/td>\n<td>Rester immobile avec le genou est en fin de flexion.<\/td>\n<\/tr>\n<tr>\n<td>Description de la douleur<\/td>\n<td>Pointe au tendon proximal <sup id=\"cite_ref-:5_21-1\" class=\"reference\"><a href=\"#cite_note-:5-21\">(21)<\/a><\/sup><\/td>\n<td>Douleur vague<\/td>\n<\/tr>\n<tr>\n<td>Effet de l&rsquo;exercice<\/td>\n<td>La douleur diminue lorsque le tendon se r\u00e9chauffe <sup id=\"cite_ref-:5_21-2\" class=\"reference\"><a href=\"#cite_note-:5-21\">(21)<\/a><\/sup><\/td>\n<td>S&rsquo;aggrave avec une mise en charge r\u00e9p\u00e9titive<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Pour plus d&rsquo;informations, veuillez consulter la page <a href=\"\/Patellar_Tendinopathy\" title=\"Tendinopathie rotulienne\">Tendinopathie rotulienne<\/a>.<\/p>\n<h3><span class=\"mw-headline\" id=\"Femoroacetabular_Impingement\">Le conflit f\u00e9moro-ac\u00e9tabulaire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Femoroacetabular Impingement\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=13\" title=\"Edit section: Femoroacetabular Impingement\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"floatright\"><a href=\"https:\/\/www.physio-pedia.com\/File:Femoral_AI.jpg\" rel=\"nofollow\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7b\/Femoral_AI.jpg\/300px-Femoral_AI.jpg\" decoding=\"async\" width=\"300\" height=\"165\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7b\/Femoral_AI.jpg\/450px-Femoral_AI.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7b\/Femoral_AI.jpg\/600px-Femoral_AI.jpg 2x\"><\/a><\/div>\n<p>Bien que le conflit f\u00e9moroac\u00e9tabulaire ne soit pas fr\u00e9quent, il peut provoquer des douleurs au niveau du genou en ant\u00e9ro-interne. Cette douleur r\u00e9f\u00e9r\u00e9e peut \u00eatre confondue avec une douleur f\u00e9moro-patellaire. L&rsquo;un des signes cliniques les plus fr\u00e9quemment reconnus pour le conflit f\u00e9moro-ac\u00e9tabulaire est la douleur \u00e0 la flexion, l&rsquo;adduction et la rotation interne de la hanche <sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup>. Il peut donc \u00eatre utile de r\u00e9aliser le <a href=\"\/Hip_Quadrant_Test\" title=\"Hip Quadrant Test\">Test du quadrant <\/a>. En ce qui concerne la douleur f\u00e9moro-patellaire, vous chercherez \u00e0 savoir si la douleur du <i>genou<\/i> du patient est reproduite \u00e0 l&rsquo;ex\u00e9cution des tests.<\/p>\n<p>Pour plus d&rsquo;informations, veuillez consulter la page <a href=\"\/Femoroacetabular_Impingement\" title=\"Le conflit f\u00e9moro-ac\u00e9tabulaire\">Conflit f\u00e9moro-ac\u00e9tabulaire<\/a>.<\/p>\n<h2><span class=\"mw-headline\" id=\"Assessment_Tools\">Outils d&rsquo;\u00e9valuation <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=14\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Assessment Tools\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=14\" title=\"Edit section: Assessment Tools\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Lorsque vous encouragez une personne \u00e0 modifier son niveau d&rsquo;activit\u00e9, il peut \u00eatre utile d&rsquo;imprimer ou de lui fournir un tableau lui permettant de suivre avec pr\u00e9cision son volume d&rsquo;exercice au cours d&rsquo;une semaine (voir la figure ci-dessous). Veillez \u00e0 encourager votre client \u00e0 remplir le formulaire avec pr\u00e9cision, car cela vous permettra de lui offrir les conseils les plus pertinents. Il est \u00e9galement conseill\u00e9 d&rsquo;enregistrer correctement la dur\u00e9e de chaque activit\u00e9 et son intensit\u00e9.<\/p>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width:552px;\"><a href=\"https:\/\/www.physio-pedia.com\/File:Load_Assessment_Table.jpg\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/ec\/Load_Assessment_Table.jpg\/550px-Load_Assessment_Table.jpg\" decoding=\"async\" width=\"550\" height=\"298\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/ec\/Load_Assessment_Table.jpg\/825px-Load_Assessment_Table.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/e\/ec\/Load_Assessment_Table.jpg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Load_Assessment_Table.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Tableau d&rsquo;\u00e9valuation des mises en charge pour le suivi de la croissance.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"References\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=15\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Understanding_Red_Flags_in_Patellofemoral_Pain&amp;action=edit&amp;section=15\" title=\"Edit section: References\">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><\/span> <span class=\"reference-text\">Robertson C. Understanding Red Flags in Patellofemoral Pain Course. Plus. 2022.<\/span><\/li>\n<li id=\"cite_note-:0-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-1\">2.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-2\">2.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-3\">2.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-4\">2.4<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-5\">2.5<\/a><\/sup><\/span> <span class=\"reference-text\">Neuhaus C, Appenzeller-Herzog C, Faude O. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1466853X2100047X\">A systematic review on conservative treatment options for OSGOOD-Schlatter disease.<\/a> Physical Therapy in Sport. 2021 May 1;49:178-87.<\/span><\/li>\n<li id=\"cite_note-:1-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_3-1\">3.1<\/a><\/sup><\/span> <span class=\"reference-text\">Corbi F, Matas S, \u00c1lvarez-Herms J, Sitko S, Baiget E, Reverter-Masia J, L\u00f3pez-Laval I. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.mdpi.com\/2227-9032\/10\/6\/1011\">Osgood-Schlatter Disease: Appearance, Diagnosis and Treatment: A Narrative Review.<\/a> InHealthcare 2022 May 30 (Vol. 10, No. 6, p. 1011). MDPI.<\/span><\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">O\u2019Sullivan IC, Crossley KM, Kamper SJ, van Middelkoop M, Vicenzino B, Franettovich Smith MM, Menz HB, Smith AJ, Tucker K, O\u2019Leary KT, Costa N. HAPPi Kneecaps! <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1002\/tsm2.252\">A double-blind, randomised, parallel group superiority trial investigating the effects of sHoe inserts for adolescents with patellofemoral PaIn<\/a>: phase II feasibility study. Journal of Foot and Ankle Research. 2021 Dec;14(1):1-1.<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">Gaulrapp H, N\u00fchrenb\u00f6rger C. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s00264-021-05178-z\">The Osgood-Schlatter disease: A large clinical series with evaluation of risk factors, natural course, and outcomes.<\/a> International Orthopaedics. 2022 Feb;46(2):197-204.<\/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\">Medlar RC, Lyne ED. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/2325967121S00503\">Sinding-Larsen-Johansson disease. Its etiology and natural history.<\/a> The Journal of Bone and Joint surgery. American Volume. 1978 Dec 1;60(8):1113-6.<\/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\">Houghton, K. M., <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/ped-rheum.biomedcentral.com\/articles\/10.1186\/1546-0096-5-8\">\u2018Review for the generalist: evaluation of anterior knee pain<\/a>\u2019, Paediatric Rheumatology, (2007), vol. 5, p. 4-10.<\/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\">Fischer AN. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/link.springer.com\/chapter\/10.1007\/978-3-030-55870-3_8\">Sinding-Larsen-Johansson Syndrome.<\/a> InCommon Pediatric Knee Injuries 2021 (pp. 63-68). Springer, Cham.<\/span><\/li>\n<li id=\"cite_note-9\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-9\">\u2191<\/a><\/span> <span class=\"reference-text\">McCormick KL, Tedesco LJ, Bixby EC, Swindell HW, Popkin CA, Redler LH. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/2325967121S00503\">Sinding-Larsen-Johansson Disease: Analysis of the Associated Factors in the Largest Cohort to Date.<\/a> Orthopaedic Journal of Sports Medicine. 2022 May 31;10(5_suppl2):2325967121S00503.<\/span><\/li>\n<li id=\"cite_note-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-10\">\u2191<\/a><\/span> <span class=\"reference-text\"><a href=\"\/Osteochondritis_Dissecans_of_the_Elbow\" title=\"Osteochondritis Dissecans of the Elbow\">Osteochondritis Dissecans of the Elbow<\/a><\/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\">Chau MM, Klimstra MA, Wise KL, Ellermann JM, T\u00f3th F, Carlson CS, Nelson BJ, Tompkins MA. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.lww.com\/jbjsjournal\/Abstract\/2021\/06160\/Osteochondritis_Dissecans__Current_Understanding.11.aspx\">Osteochondritis dissecans: current understanding of epidemiology, etiology, management, and outcomes.<\/a> JBJS. 2021 Jun 16;103(12):1132-51.<\/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\">Detterline AJ, Goldstein JL, Rue JP, Bach BR. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18500061\/\">Evaluation and treatment of osteochondritis dissecans lesions of the knee.<\/a> Journal of Knee Surgery. 2008;21(02):106-15. <\/span><\/li>\n<li id=\"cite_note-:2-13\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_13-0\">13.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_13-1\">13.1<\/a><\/sup><\/span> <span class=\"reference-text\">Purcell M, Reeves R, Mayfield M. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0269745\">Examining delays in diagnosis for slipped capital femoral epiphysis from a health disparities perspective.<\/a> Plos one. 2022 Jun 24;17(6):e0269745.<\/span><\/li>\n<li id=\"cite_note-:3-14\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_14-0\">14.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_14-1\">14.1<\/a><\/sup><\/span> <span class=\"reference-text\">Perelli S, Masferrer-Pino \u00c1, Morales-\u00c1valos R, Fern\u00e1ndez DB, Ruiz AE, Gallego JT, Idiart R, Fabregat \u00c1A, Alcaraz10 NU. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/fondoscience.com\/sites\/default\/files\/articles\/pdf\/reacae.28373.fs2101003-current-management-posterior-cruciate.pdf\">Current management of posterior cruciate ligament rupture. 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StatPearls (Internet). 2021 Jul 25.<\/span><\/li>\n<li id=\"cite_note-16\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-16\">\u2191<\/a><\/span> <span class=\"reference-text\">Maffulli N, Longo UG, Franceschi F, Rabitti C, Denaro V. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s11999-008-0261-0\">Movin and Bonar scores assess the same characteristics of tendon histology.<\/a> Clinical orthopaedics and related research. 2008 Jul;466(7):1605-11.<\/span><\/li>\n<li id=\"cite_note-17\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-17\">\u2191<\/a><\/span> <span class=\"reference-text\">Maffulli N, Longo UG, Maffulli GD, Rabitti C, Khanna A, Denaro V. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s00167-010-1193-2\">Marked pathological changes proximal and distal to the site of rupture in acute Achilles tendon ruptures.<\/a> Knee Surgery, Sports Traumatology, Arthroscopy. 2011 Apr;19(4):680-7.<\/span><\/li>\n<li id=\"cite_note-18\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-18\">\u2191<\/a><\/span> <span class=\"reference-text\">Alexander L, Shim J, Harrison I, Moss R, Greig L, Pavlova A, Parkinson E, Maclean C, Morrissey D, Swinton P, Brandie D. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/rgu-repository.worktribe.com\/output\/1674382\/exercise-therapy-for-tendinopathy-a-scoping-review-mapping-interventions-and-outcomes\">Exercise therapy for tendinopathy: a scoping review mapping interventions and outcomes.<\/a><\/span><\/li>\n<li id=\"cite_note-19\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-19\">\u2191<\/a><\/span> <span class=\"reference-text\">Maffulli N. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0749806398700210\">Overuse tendon conditions: time to change a confusing terminology.<\/a> Arthroscopy: The Journal of Arthroscopic &amp; Related Surgery. 1998 Nov 1;14(8):840-3.<\/span><\/li>\n<li id=\"cite_note-20\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-20\">\u2191<\/a><\/span> <span class=\"reference-text\">Challoumas D, Pedret C, Biddle M, Ng NY, Kirwan P, Cooper B, Nicholas P, Wilson S, Clifford C, Millar NL. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/bmjopensem.bmj.com\/content\/7\/4\/e001110.abstract\">Management of patellar tendinopathy: a systematic review and network meta-analysis of randomised studies.<\/a> BMJ open sport &amp; exercise medicine. 2021 Nov 1;7(4):e001110.<\/span><\/li>\n<li id=\"cite_note-:5-21\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:5_21-0\">21.0<\/a><\/sup> <sup><a href=\"#cite_ref-:5_21-1\">21.1<\/a><\/sup> <sup><a href=\"#cite_ref-:5_21-2\">21.2<\/a><\/sup><\/span> <span class=\"reference-text\">Rosen AB, Wellsandt E, Nicola M, Tao MA. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/watermark.silverchair.com\/10.4085_1062-6050-0049.21.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAvwwggL4BgkqhkiG9w0BBwagggLpMIIC5QIBADCCAt4GCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQM5YViQASunIW7VgEhAgEQgIICr1LhRKQo5y9XATjyg0AJCRRCpV6XhW3BQj_x9kmRVgTG8Y4P5XPnww5uP2De-NzJz5PJxMbdJC_QLOc-yMiM11JwOfrjL7xWb5KmcvhnL8bBrElYGiEl4gLaUFupMCeDMi2NY1oRm6LDuQ5brwz-c6_hBb2uC3vFQPZZhvr_6ECKo86A2CYDkgMbANaV4-Wu2-EM78r4EeETNg16V4sJ72rVak9C2QHoIi84gYvznLtxE_fJJz7jsahWVi0gSWNA7QK46JzijB1TVlTaUhL07l2vhNnSTJMar0fcEqyJtNC1PXZ-xJ-TqGEcTPzDN03r5pUkkKLLxTIPapbN2h_gb5zBxsjOxwQlB6Mc5UlUh7o4sglt1IQRThQswro5WEFQFXgeGKeZ6MZRA4kU-V-mpeeAuwhxVBsR1hNg5yf8UAFAvSg3gFGPrStnRSpdFphzHuApRlhR-Eq2rPgEH8k5MkMvUQXfWq-eBhJwaagvujDpH_La4tFqfZR4C2xOBqLy1UkiTFaXpkKpvqkmivUgWe6Psw05r07ATRpXJlcVDK8RFYwlwZtAe1_sJfNOuZfpy0_XC7zhh61iocKzjmY-B4FgVsXSmWjE4hMTohghUXgAkuM2OZ_t7w15NE4Ib-dIYDzL35vhWWm35fWERXgq7gQH-W9HCMI-K6t2yJdC6bOoj4lK1bbKPoNSP7Sd5mU7DMQFOFUPT4Cmwo_LRO_nAPBZ4k9D0jiK3LwNYJzbkXjNPwoIIsmUOR9wRUQ7k5zytbYeAUeCV8WWc3MVLnJS1qW04GXBa8tV5m87abDRhuL3VX0HOPuUNCbLj6GM1q-KHcS9QbcOdh4YDaFhAOZKefkVl3OlX2-nyHHHMTsxmJE8WfV2-lDakNxmbklCJIj9C2UxXdbLRFTk1GInCinblg\">Current clinical concepts: clinical management of patellar tendinopathy<\/a>. 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