8/9/2019 Lsions Scapho-lunaire Chroniques

1/69

Fmstftutjb id Kdfm

Drtnrlsclpfc trbdtkbmt laScdpnliumdtb ifodkbmt jfsruptflms

Cn. KdtnluifmDcemlwibjobkbmts tl dii B_DS kbk`brs,

8/9/2019 Lsions Scapho-lunaire Chroniques

2/69

Fmstftutjb id Kdfm

Dcemlwibjobkbmts tl dii B_DS kbk`brs,Bspbcfdiiy 7 Gdmb Kbssfmd (Ftdiy)

D`nfgbbt _dnbodlmedr(Fmjfd)Iuc Qdm Lvbrstrdbtbm (Ardmcb)Bkkdmubi Cdkus (Ardmcb)Jdvfj Siutsey (RSD)Djbifmb Cdk`lm-@fmjbr (Ardmcb)Xde-Cnblmo Nl (Nlmo-elmo, SDP Cnfmd)

Ilrfs Xbolif (Ftdiy)Kdx Ndbrib (Obrkdmy)Dmjrbd Zdmjdrd (Obrkdmy)Kdrc Odrcfd-Bifds (Spdfm)Kdrfmd Cdrrdrd (@rdzfi)Oustdvl Kdmtlvdmf (@rdzfi)

Kdrtfm Cdilfd (Drobmtfmd)Od`rfbi Cibk`lsef (Drobmtfmd)Zdmyd @urobss (Dustrdifd)Dmtlmfl Xdoifbf (Ftdiy)

8/9/2019 Lsions Scapho-lunaire Chroniques

3/69

Fmstftutjb id Kdfm

SI

ZACCrsi

Scdpnl iumdtb ifodkbmt 7dmtbrflr, jlrsdi dmj fmtbrkbjfdtb

Cidssfcdi DMDZLKV

8/9/2019 Lsions Scapho-lunaire Chroniques

4/69

Fmstftutjb id Kdfm

P

FFK

S

Zp

Jfstdi std`fifzdtflm7 ACP + SZZ Ifot + PSC Ifot

Fkplrtdmcb la ACP(Sdivd-Clii, Odrcfd-Bifds bt di, 0844)

DMDZLKV

8/9/2019 Lsions Scapho-lunaire Chroniques

5/69

Fmstftutjb id Kdfm

SCDXNLIRMDZB IFODKBMZKdfm scdpnliumdtb glfmt std`fifzbr

Kbdjb bt di 4668Snlrt bt di.Illf bt di. 0884

JLPSDI

XPL^FKDI

XDIKDP

828

488

428

088

028

388328

:88

:28

Xdikdr Xrlxfkdi Jlrsdi

Vfbij Strbmotn

44> +/-

04 13+/- 30

018 +/-

4>

@brobr bt di. 66

8/9/2019 Lsions Scapho-lunaire Chroniques

6/69

Fmstftutjb id Kdfm

SCDXNLIRMDZB IFODKBMZClmtrf`utbs tl cdrpdi prlprflcbptflm

JLPSDI

XPL^FKDI

XDIKDP

Xdikdr Xrlxfkdi Jlrsdi

Kdfmiy

prlxfkdi

pdrt

Sbmslry fmmbrvdtflm

Kdtdifltdefs bt di. 44, Ndobrt5 Odrcfd-Bifds 43

Fkplrtdmcb la DFL mbrvb dmj XFL mbrvb tll !!!!

8/9/2019 Lsions Scapho-lunaire Chroniques

7/69

Fmstftutjb id Kdfm

Lmiy wftn sbctflmmfmo fmsbrtflm la tnb JFC d jlrsdi fmtbrcdidtbjscdpnliumdtb fmstd`fifty jbalrkfty (JFSF) bmsubj

DMDZLKV

8/9/2019 Lsions Scapho-lunaire Chroniques

8/69

Fmstftutjb id Kdfm

DMDZLKV

Fslidtbj jlrsdi cdpsuib tbdrwftn kfjcdrpdi SI spdcfmo

Kfjcdrpdi

Mlrkdi dspbct

8/9/2019 Lsions Scapho-lunaire Chroniques

9/69

Fmstftutjb id Kdfm

DMDZLKV

PdjflcdrpdiKfjcdrpdi

Mlrkdi dspbct

8/9/2019 Lsions Scapho-lunaire Chroniques

10/69

Fmstftutjb id Kdfm

DMDZLKV

Drtnrlsclpfc tbstfmo dmj ^-Pdys kbdsurfmo wftn dmjwftnlut ildj

4/ Mlrkdi wrfst,0/ sbctflm la Jlrsdi Cdpsuil-SI dttdcnkbmt (JCSS)3/ sbctflm la SIFLI:/ JFC sbctflm

( (G. Kbssfmd (F), I. Qdm Lvbrstrdbtbm (@), B. Cdkus (A), D. _dnbodlmedr (Fm),D. Zdmjdrd (O), D. Cdk`lm-@fmjbr (A), C. Kdtnluifm (A))

Zwl jdys la id`lrdtlry wlre, 48 ylumo arbsn cdjdvbr

8/9/2019 Lsions Scapho-lunaire Chroniques

11/69

Fmstftutjb id Kdfm

DMDZLKV

Systbkdtfc wlrsbmfmo la SI jfdstdsfs datbr sfkpibjbtdcnkbmt la JCSS arlk jlrsdi SI

Zwl jdys la id`lrdtlry wlre, 48 ylumo arbsn cdjdvbr

8

0

:

1

43

2?

6

SBQBPFZVSI ID^FZV

OPDJB

CDSBS

CDSBS BQLIRZFLM DAZBP SBCZFLMS

Fmftfdi

sbctflm dJFC/SI

sbctflm SI

sbctflm JFC

sbctflm JPC

8/9/2019 Lsions Scapho-lunaire Chroniques

12/69

Fmstftutjb id Kdfm

DMDZLKV

Znfs structurb (Jlrsdi cdpsuil-scdpnliumdtb Sbptuk) fs d `rfjob

`btwbbm tnb JSZ ifot dmj tnbjlrsdi SI ifot, dmj sbbks tl `bbssbmtfdi tl tnb SI std`fifty, dmjprl`d`iy fts tbdrs cluij `bclmsfjbrbj ds d afrst stdob la SIfmstd`fifty!!!

8

4

0

3

:

2

1

?

Fmftfdi sbctflm dJFC/SI sbctflm SI sbctflm JFC

FMJFCB

OPDQFZB

SBCZFLMS

8/9/2019 Lsions Scapho-lunaire Chroniques

13/69

Fmstftutjb id Kdfm

I

P

S

P

C

C

DMDZLKV

Xrlkfmbmt rlib la jlrsdi rdjflcdrpdi ifodkbmts7

JFC/Jlrsdi ScdpnlZrfqubtrdi IfotJlrsdi Scdpnliumdtb IfotJlrsdi Cdpsuil-Scdpnliumdtb Sbptuk

JFC/JSZ

JSI

JCSS

8/9/2019 Lsions Scapho-lunaire Chroniques

14/69

Fmstftutjb id Kdfm

DMDZLKV

Znb JCSS structurb wds fjbmtfafbj `btwbbm tnb scdpnliumdtb ifodkbmt dmj tnb JFC

JCSS diwdys fjbmtfafbj, clmsfstfmo la tnrbb drcnbs (twl trdmsvbrsb drcnbs fm sbrfbsdilmo tnb jfstdi ifmb la tnb scdpnliumdtb fmtbrvdi, alrkfmo d clmaiubmcb fmtl tnb tnfrjwnfcn wds idrobr tndm tnb prbvflus kbmtflmbj)

Alur klmtns la id`lrdtlry wlre, 4? arbsn cdjdvbrs

(K. Cdrrdrd (@rd), Z. @urobss (Dus), C. Kdtnluifm (A))

8/9/2019 Lsions Scapho-lunaire Chroniques

15/69

Fmstftutjb id Kdfm

DMDZLKV

Ft jbklmstrdtbj d wfjb jfaausb dttdcnkbmt dilmo tnb scdpnliumdtb ifodkbmt dmj

tnbm drcbj jlrsdiiy admmfmo lut tl d ilmobr fmsbrtflm fmtl tnb jlrsdi cdpsuib.

Alur klmtns la id`lrdtlry wlre, 4? arbsn cdjdvbrs

Alur klmtns la id`lrdtlry wlre, 4? arbsn cdjdvbrs

(K. Cdrrdrd (@rd), Z. @urobss (Dus), C. Kdtnluifm (A))

8/9/2019 Lsions Scapho-lunaire Chroniques

16/69

Fmstftutjb id Kdfm

FMSZPRKBMZDI B^DKFMDZFLM

NDS @BBM XPLQBJ MLZ @B 488% SRPB

Sbmsf`fifty Spbcfafcfty Dccurdcy

Drtnrlordpny 23% >3% 18%

KPF 13% >1% ?2%

8/9/2019 Lsions Scapho-lunaire Chroniques

17/69

Fmstftutjb id Kdfm

Afrst7 jfdomlsfs

Znbm7 tnbrdpbutfc lptflm 7

dcclrjfmo tl stdofmo

_rfst Drtnrlsclpy

8/9/2019 Lsions Scapho-lunaire Chroniques

18/69

Fmstftutjb id Kdfm

Stdofmo la scdpnl-iumdtb tbdrs

Obfssibr & di 4661

Stdob 47 nbklrrndob + ml glfmt wfjbmfmo

Stdob 07 prl`b cdm `b fmtrljucbj fm glfmt spdcb

Stdob 37 prl`b cdm `b rltdtbj fm glfmt spdcb

Stdob :7 Lptfc (0.? kk) cdm `b fmtrljucbj fm Stdob 27 Clkpibtb jfsruptflm

8/9/2019 Lsions Scapho-lunaire Chroniques

19/69

Fmstftutjb id Kdfm

Stdofmo la scdpnl-iumdtb tbdrs G Ndmj Suro Dk 0881

Odrcfd Bifds dmj di

F FF FFF FQ Q QF

Xdrtfdi fmgury ybs ml ml ml ml ml

Pbpdfrd`ib ybs ybs ml ml ml ml

Mlrkdi difomkbmt ybs ybs ybs ml ml ml

Pbjuctf`ib ybs ybs ybs ybs ml ml

Mlrkdi cdrtfidob ybs ybs ybs ybs ybs ml

Stdob F7 Cdpsuiljbsfs (Szd`lstbcnmfqub)

Stdob FF7 Lpbm dmtbrflr SI ifodkbmt rbpdfr

Stdob FFF7 @lmb-ifodkbmt-`lmb rbclmstructflm

Stdob FQ7 Znrbb ifodkbmt tbmljbsfs

Stdob Q7 PSI ausflm + jfstdi scdpnlfjbctlky

Stdob QF7 XFM + DFM jbmbrvdtflm

8/9/2019 Lsions Scapho-lunaire Chroniques

20/69

Fmstftutjb id Kdfm

Stdofmo la scdpnl-iumdtb tbdrs G _rfst Suro 0843B_DS cidssfafcdtflm

G. Kbssfmd dmj diDrtnrlsclpfc stdob

(B_DS)

Drtnrlsclpfc tbstfmo la SIFLI arlk

KC glfmt DX afmjfmosF Ml pdssdob la tnb prl`b Mlt alumj fm tnbsb cdjdvbr spbcfkbms

FF ibsflm la

kbk`rdmlus SIFLI

Xdssdob la tnb tfp la tnb prl`b fm tnb

SI spdcb wftnlut wfjbmfmo (std`ib)

Ibsflm la prlxfkdi/kbk`rdmlus pdrt la

SIFLI

FFF D pdrtfdi ibsflm

fmvlivfmo tnb vlidr

SIFLI

Qlidr wfjbmfmo lm jymdkfc tbstfmo arlk

KC glfmt (dmtbrflr idxfty)

Ibsflm la dmtbrflr dmj prlxfkdi pdrt la

SIFLI wftn lr wftnlut ibsflm la PSC- IPI

FFF @ pdrtfdi ibsflm

fmvlivfmo tnb jlrsdi

SIFLI

Jlrsdi SI wfjbmfmo lm jymdkfc tbstfmo

(plstbrflr idxfty)

Ibsflm la prlxfkdi dmj plstbrflr pdrt la

SIFLI wftn pdrtfdi ibsflm la JFC

FFF C clkpibtb SIFLI

tbdr, glfmt fs rbjucf`ib

Clkpibtb wfjbmfmo la SI spdcb lm

jymdkfc tbstfmo, rbjucf`ib wftn rbklvdi

la prl`b

Clkpibtb ibsflm la SIFLI (dmtbrflr,

prlxfkdi, plstbrflr),

clkpibtb ibsflm la lmb bxtrfmsfc ifodkbmt

(JFC ibsflm lr PSC/ IPI)

FQ clkpibtb SIFLIwftn

SI odp

SI odp wftn pdssdob la tnb drtnrlsclpb

arlk KC tl PC glfmt

Ml rdjflordpnfc d`mlrkdiftfbs

Clkpibtb ibsflm la SIFLI (dmtbrflr,

prlxfkdi, plstbrflr),

ibsflm la bxtrfmsfc ifodkbmts ( JFC, dmj

PSC/ IPI)

Q _fjb SI odp wftn pdssdob la tnbdrtnrlsclpb tnrluon SI glfmt

Arbqubmt Pdy d`mlrkdiftfbs sucn ds

dm fmcrbdsbj SI odp, JFSF jbalrkfty

Clkpibtb ibsflm la SIFLI, JFC,

IPI,PSC, fmvlivbkbmt la lmb lr klrb

ltnbr ifodkbmts (ZN, SZ, JPC)

8/9/2019 Lsions Scapho-lunaire Chroniques

21/69

8/9/2019 Lsions Scapho-lunaire Chroniques

22/69

Fmstftutjb id Kdfm

Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

DJCIP

8/9/2019 Lsions Scapho-lunaire Chroniques

23/69

Fmstftutjb id Kdfm

4 tnrbdj tnrluon 3,: X, tnbm J_C dmj RIMDPrbkmdmt

Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

DJCIP

8/9/2019 Lsions Scapho-lunaire Chroniques

24/69

Fmstftutjb id Kdfm

Pbtrfbvdi tnrluon PKCX

Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

DJCIP

8/9/2019 Lsions Scapho-lunaire Chroniques

25/69

Fmstftutjb id Kdfm

0mj tnrbdj tnrluon J_C dmj PDJFDIrbkmdmt

Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

DJCIP

8/9/2019 Lsions Scapho-lunaire Chroniques

26/69

Fmstftutjb id Kdfm

Pbtrfbvdi tnrluon tnb sdkb PKCX

Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

DJCIP

8/9/2019 Lsions Scapho-lunaire Chroniques

27/69

Fmstftutjb id KdfmXuiibj fmsfjb KCG `y prlxfkdi trdctflm

Emlt kdjb lutsfjb pdtfbmt (Mfceys emlt)

Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

DJCIP

8/9/2019 Lsions Scapho-lunaire Chroniques

28/69

Fmstftutjb id Kdfm

Sbclmj emlt su`cutdmblus fm 3,: Xlrtdi

Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

DJCIP

8/9/2019 Lsions Scapho-lunaire Chroniques

29/69

Fmstftutjb id Kdfm

Sbclmj emlt su`cutdmblus fm 3,: Xlrtdi

Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

DJCIP

D n f J i C i if P f

8/9/2019 Lsions Scapho-lunaire Chroniques

30/69

Fmstftutjb id Kdfm

Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

DJCIP

D tn f J i C i if t P f

8/9/2019 Lsions Scapho-lunaire Chroniques

31/69

Fmstftutjb id Kdfm

SI E-_frbs +/- SC E-_frbs lmiyfa umrbjuctf`ib

Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

DJCIP

_ftnlut pfmmfmo!!!

8/9/2019 Lsions Scapho-lunaire Chroniques

32/69

Fmstftutjb id Kdfm

Kdtbrfdi

@btwbbm 088> bmj la 0840

484: wrfst drtnrlsclpfbs

4:? scdpnliumdtb tbdrs (4:% !!!)

64 kbm 21 wlkbm

Kbdm dob 7 3?.> yl (rdmob 4? tl 13)

Splrts fmgurfbs 7 441 cdsbs

nfon ibvbi 7 :4 cdsbs

Dvbrdob tfkb `btwbbm fmgury dmj

surobry7 ?.4: klmtns (rdmob 3 tl 0:)

8/9/2019 Lsions Scapho-lunaire Chroniques

33/69

Fmstftutjb id Kdfm

Kdtbrfdi

Odrcfd-Bifds Suoobstflm Stdob 0 7 :> cdsbs

Stdob 3 7 32 cdsbs

Stdob : 7 2? cdsbs

Stdob 2 7 ? cdsbs

B_DS Cidssfafcdtflm Stdob 0 7 ? cdsbs

Stdob 3D 7 4 cdsb

Stdob 3@ 7 :1 cdsbs

Stdob 3C 7 22 cdsbs

Stdob : 7 3> cdsbs

8/9/2019 Lsions Scapho-lunaire Chroniques

34/69

Fmstftutjb id Kdfm

PBSRIZS

Xdfm 7Xrblp QDS 7 1.44 Xlstlp QDS 7 8.>Adfiurb 2 cdsbs (Stdob 2 dcclrjfmo Odrcfd-Bifds)

PLK 7mlrkdi aibxflmbxtbmsflm fm 434cdsbs (>4,>%)

mlrkdi prlmdtflm-supfmdtflm fm dii cdsbs (488%)

Strbmotn7

Xrblp7 03.82 eoa Xlstlp7 :0.30 eoa

Aliilw-up 7 3>.2: klmtns (rdmob 40 tl ?4)

8/9/2019 Lsions Scapho-lunaire Chroniques

35/69

Fmstftutjb id Kdfm

Zltdi aumctflmdi lutclkbs

Aibxflm

Bxtbmsflm

Xrb-lp plst-lp clmtrlidtbrdi

24.:4 1:.2:(p98,84) ?4.:3(p;8,01)

28.2> ?2.11 (p98,84) ??.>6 (p;8,32)

Pdjfdi jbvfdtflm

Rimdr jbvfdtflm

Xrlmdtflm supfmdtflm

_rfst strbmotn

42.? 04.>0 (p98,84) 0?.31 (p;8,:>)

01.?2 32.20 (p98,84) 3?.0> (p;8,0?)

8-418 8-4?> (p98,80) 8-4?6 (p;8,41)

03.82 :0.30 (p98,84) :8.>4(p;8,4>)

Ml prl`ibk wftn splrty ibvbi +++

8/9/2019 Lsions Scapho-lunaire Chroniques

36/69

Fmstftutjb id Kdfm

Pbsuits

Lutclkb wdsrbidtbj tl 7

Stdob 2 Odrcfd-Bifds (2/?)

Lutclkb wds rbidtbj tl 7

jbidy surobry (`bttbr lutclkb fa snlrt jbidy)

Clkpifcdtflms7- Sifont aibxflm stfaambss 42 cdsbs (rdmob :8 tl 18)- 3 Sujbce (nbdibj)

8/9/2019 Lsions Scapho-lunaire Chroniques

37/69

Fmstftutjb id Kdfm

Pbsuits

JDSN7XrbLp 7Dvbrdob 24.8: (rdmob 43.1: tl 68.64)

XlstLp 7Dvbrdob 6.43 (rdmob 8 tl :8.64)

Kdyl _S7

Bxcbiibmt 7 ?6 cdsbs

Ollj7 20 cdsbsDvbrdob 7 44 cdsbs

Xllr7 2 cdsbs

8/9/2019 Lsions Scapho-lunaire Chroniques

38/69

Fmstftutjb id Kdfm

Cifmfcdi cdsb

8/9/2019 Lsions Scapho-lunaire Chroniques

39/69

Fmstftutjb id Kdfm

DJCIPStdob B_DS :, Obfssibr :, Odrcfd-Bifds :

Cifmfcdi cdsb

8/9/2019 Lsions Scapho-lunaire Chroniques

40/69

Fmstftutjb id Kdfm

DJCIPSI pfmmfmo + Scdpnl-cdpftdtb pfmmfmo

Cifmfcdi cdsb

8/9/2019 Lsions Scapho-lunaire Chroniques

41/69

Fmstftutjb id Kdfm

DJCIPSI pfmmfmo + Scdpnl-cdpftdtb pfmmfmo

Cimfcdi cdsb

Xlst DJCIP

Xrb DJCIP

8/9/2019 Lsions Scapho-lunaire Chroniques

42/69

Fmstftutjb id Kdfm

DJCIPSI pfmmfmo + Scdpnl-cdpftdtb pfmmfmo

Cifmfcdi cdsb

8/9/2019 Lsions Scapho-lunaire Chroniques

43/69

Fmstftutjb id Kdfm

J + 0 klmtns

PBSRIZS

SIFLI umrbpdfrbj, Std fifty la jlrsdi pdrt

Mlrkdi dspbct

8/9/2019 Lsions Scapho-lunaire Chroniques

44/69

Fmstftutjb id Kdfm

J + 6 klmtns

PBSRIZS

8/9/2019 Lsions Scapho-lunaire Chroniques

45/69

Fmstftutjb id Kdfm

J + 3> klmtns

PBSRIZS

B_DS Cidssfafcdtflm

8/9/2019 Lsions Scapho-lunaire Chroniques

46/69

Fmstftutjb id Kdfm

B_DS CidssfafcdtflmZrbdtkbmt diolrytnk

SZDOB

DCRZB/ CNPLMFC

Xrlplsbj trbdtkbmt

F D lmiy Drtnrlsclpfc E-_frb, cdst