Traumatisme Des Nerfs Et EMG JP Diverrez

8/20/2019 Traumatisme Des Nerfs Et EMG JP Diverrez

1/28

VZK]BKVCICDHM FMQ

EMZOQ \MZH\@MZH[]MQMV MIMAVZCBXCDZK\@HM

Fcatmur Gmke-\kui FH_MZZMW


2/28

ZK\\MI F‘KEKVCBHM

• ]e emro pèrhp`èrhqum mst acbpcsè 7

‑ fm ohjrms emrvmusms byèihehsèms bctrhams mt smeshthvms ‑

fm ohjrms kbyèihehqums

‑

fm thssus acegceathos ‑

fm vkhssmkux

Ims ohjrms emrvmusms scetrmdrcupèms ku smhefm oksahauims

Im pius scuvmet ims emrosscet bhxtms


3/28

ZK\\MI F‘KEKVCBHM

• ]em ohjrm emrvmusm byèihehsèm mst acbpcsèm 7

‑ f‘ue acrps amiiuikhrm

‑

prcicedè f‘ue kxcem metcurè• f‘uem dkhem fm byèihem sèpkrèm pkr fms

eőufs fm Zkevhmr

• f‘uem bmbjrkem jkskim

‑

f‘uem tmrbhekhsce• pikqum bctrham

• rèamptmur smeshtho


4/28

ZK\\MI F‘KEKVCBHM

• Ims emros pèrhp`èrhqums scet acesthtuès 7

‑

Fms emros rka`hfhmes cu rkahems emrvmusms

‑ Fms pimxus emrvmux•

\imxus jrka`hki

• \imxus icbjc-skarè

‑ Fms trceas emrvmux


5/28

ZK\\MI F‘KEKVCBHM

•

]em uehtè bctrham mstacbpcsèm 7 ‑ F‘ue bctcemurcem kip`k shtuè

fkes ik acrem ketèrhmurm fm ikbcîiim

‑ Fm sce prcicedmbmet kxceki

‑ Fm i‘mesmbjim fms ohjrms

busauikhrms scus sk fèpmefkeam


6/28

Aiksshohakthce fms ohjrms emrvmusmssmice i‘èpkhssmur fm imur dkhem fm byèihem mt imur vhtmssm fm acefuathce emrvmusm

Vypm fm ohjrms Fhkbàtrm me !b _htmssm me b/sma

Ohjrms Hk (K !)Vmrbhekhsces keeuic-sphrkims

Kpprcxhbkthvmbmet 7 ;4 4< - ;:<

Ohjrms Hj (K !)Fms rèamptmurs fm Dcidh

Kpprcxhbkthvmbmet 7 ;? 4< - ;


7/28

JHCBMAKEH[]M F] EMZO

‑

Zèshstkeam fm ;< ì := nds fm trkathce

‑ _hsac-èiksthahtè (kiicedmbmet fm :< %)

‑

Krrçt fu oiux skeduhe pcur ;< %f‘kiicedmbmet

‑

Zupturm prcdrmsshvm fms struaturms fuemro


8/28

AIKQQHOHAKVHCE FMQ IMQHCEQ EMZ_M]QMQ QMICE QMFFCE

• EM]ZK\ZKPHM

• KPCECVBMQHQ

• EM]ZCVBMQHQ


9/28

AIKQQHOHAKVHCE FMQ IMQHCEQ EMZ_M]QMQ QMICE Q]EFMZIKEF

• Qtkfm H 7 emurkprkxhm (jica fm acefuathce)

• Qtkfm HH 7 kxcectbèshs kvma acesmrvkthce fm

ik bmbjrkem jkskim• Qtkfm HHH 7 kxcectbèshs skes acesmrvkthce fm

ik bmbjrkem jkskim

•

Qtkfm H_ 7 smuim i‘èpheàvrm mst hetkat

• Qtkfm _ 7 emurctbèshs


10/28

Jica fm acefuathce

• Hetmrrupthce fu oiuxkxceki

• Kttmhetm f‘kjcrfvksauikhrm

•

\rcdrmsshvmbmetièshce fm ik dkhem fmbyèihem


11/28

Kttmhetm kxcekim

• Fèdèeèrmsameam fm i‘kxcem ì pkrthr fu shtm ièshceemi

•

Zmpcussm kxcekim ì rkhsce fm; bb/g

• Zèsuitkt oceathce fm ik

acesmrvkthce fm ik bmbjrkem jkskim


12/28

AIKQQHOHAKVHCE FMQ IMQHCEQ EMZ_M]QMQ

• IMQHCEQ BXMIHEH[]MQ

‑ Jica fm acefuathce

‑ Èvciuthce rkphfm

‑

Zèaupèrkthce acbpiàtm

• IMQHCEQ KPCEKIMQ

‑

Fèdèeèrmsameam wkiièrhmeem

‑

Èvciuthce imetm ‑ Zèaupèrkthce heacbpiàtm


13/28

Hesuoohskeam fm i‘mxkbme aihehqum

• I‘mxkbme fm ik smeshjhihtè mt purmbmet sujgmatho mt amiuh

fm ik ocram busauikhrm mtrmikthvmbmet fhsscahè fmi‘hbpcrtkeam fm i‘kttmhetm

• Hbpcsshjhihtè fm fhsthedumruem kttmhetm kxcekim f‘ue

jica fm acefuathce


14/28

\ks fm pkrkiiàihsbm metrm ik actkthce aihehqummt im ecbjrm fm ohjrms emrvmusms kttmhetms

• Hbpcrtkeam fms p`èecbàems fmacbpmeskthce 7

‑

Kudbmetkthce fu rmarutmbmetfms uehtès bctrhamsoceathceemiims

‑

Ocrbkthce f‘uehtès bctrhamsdèketms

;CC % =

<

;

6

:

1

=< %

1< %

< %

;


15/28

\rheahpms dèeèrkux fmi‘èimatrcbycdrkp`hm

• FMVMAVHCE ‑ \kr khduhiim èimatrcfm hbpiketèm

fkes ue busaim

• QVHB]IC-FMVMAVHCE ‑

Qthbuikthce f‘ue emro• Zèampthce sur ue busaim 7

_AE bctrham• Zèampthce sur im bçbm emro 7 _AE

smeshthvm


16/28

MPKBME FM FMVMAVHCE

•

Ik FMVMAVHCE bcetrm 7

‑ I‘kathvhtè èimatrhqum fms ohjrms busauikhrms 7•

Qpcetkeèm ku rmpcs

•

Ku acurs f‘uem acetrkathce busauikhrm prcdrmsshvmbmet archssketm gusqu‘ì fmvmehr bkxhbub

‑ ]e trkaè ecrbki

‑ ]e trkaè emurcdàem pèrhp`èrhqum 7•

Emurkprkxhm

•

Kttmhetm kxcekim


17/28

MPKBME FM FMVMAVHCE

• Kvma uem khduhiim èimatrcfm

‑ Mxkbme ku rmpcs

‑ \uhs acetrm rèshstkeam prcdrmsshvmbmet archssketm

‑ Meohe acetrm rèshstkeambkxhbub


18/28

MPKBME FM FMVMAVHCE

• ]e trkaè ecrbki mst 7

‑

Zha`m

‑

Bcetrket fms pctmethmis f‘kathce vcicetkhrm fm jceemkbpihtufm mt fm jceem bcrp`cicdhm

‑ E‘kudbmetket pks fm orèqumeam ì i‘moocrt


19/28

MPKBME FM FMVMAVHCE

•

]e trkaè emurcdàem pèrhp`èrhqum 7 ‑

Mst kppkuvrh

‑ Im rmarutmbmet fms pctmethmis f‘kathce vcicetkhrmkudbmetm ì i‘moocrt

‑

\mut acbpcrtmr uem kathvhtè kecrbkim ku rmpcs


20/28

MPKBME FM FMVMAVHCE

• JICA FM ACEF]AVHCE

‑ Vrkaè emurcdàem pèrhp`èrhqum

‑ \ks f‘kathvhtè ku rmpcs

‑

\ks f‘kitèrkthce fm ik bcrp`cicdhm mt fm i‘kbpihtufm fms pctmethmis

‑ Hetèrçt fm ik sthbuic-fètmathce


21/28

MPKBME FM FMVMAVHCE

• KVVMHEVM KPCEKIM

‑

Vrkaè emurcdàem pèrhp`èrhqum

‑ Kathvhtè fm rmpcs me aks fm fèemrvkthce khduî

‑

Kitèrkthce fm ik bcrp`cicdhm fms pctmethmis•

\mthts pctmethmis pciyp`kshqums fm rèheemrvkthce

• Drkefs pctmethmis shbpims f‘uehtès bctrhams dèketms


22/28

QVHB]IC-FMVMAVHCE

‑ Qthbuikthce èimatrhqum f‘ue emro

‑ Zmaumhi ì fhstkeam 7

• Qur ue busaim fhstki s‘hi s‘kdht f‘ue emrobctmur

• Qur im bçbm emro s‘hi s‘kdht f‘ue emrosmeshtho


23/28

MPKBME FM QVHB]IC-FMVMAVHCE

• Emro bctmur


24/28


• _HVMQQM FM ACEF]AVHCE EMZ_M]QMBCVZHAM


25/28


• _htmssm fm acefuathce emrvmusm smeshthvm


26/28

FHKDECQVHA VC\CDZK\@H[]M

MIMAVZCBXCDZK\@H[]M• ]thihsm ims bçbms

prheahpms fm ikaceekhsskeam fm ik

systèbkthskthcerkfhauikhrm mt trceauikhrmqum i‘mxkbme aihehqum

• Bkhs i‘MBD bcetrm fms

kttmhetms emrvmusms heork-aihehqums


27/28

FHKDECQVHA IMQHCEEMI

• Em pmut çtrm okht qum pkri‘èimatrcbycdrkbbm

• Mièbmet ocefkbmetki fkes ima`chx t`èrkpmuthqum

•

Mièbmet fètmrbheket fu prcecstha


28/28

VZK]BKVHQBMQ FMQ EMZOQ F] Q\CZVHO

ACEAI]QHCE

• Ièshces orèqumetms mt vkrhèms

• Fhkdecstha pkrochs fhoohahim ‑

Kttmhetm pkrthmiim ‑ Bèakehsbm fm acbpmeskthce ‑ Fhoohauitè f‘mxkbme

• Hetèrçt fm i‘èimatrcbycdrkp`hm ‑ Fhkdecstha

•

\cshtho (tcpcdrkp`hqum mt ièshceemi)• Fhooèrmethmi

‑ Èvciuthce

Traumatisme Des Nerfs Et EMG JP Diverrez

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