Lésions Scapho-lunaire Chroniques

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  • 8/9/2019 Lsions Scapho-lunaire Chroniques

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    Fmstftutjb id Kdfm

    Drtnrlsclpfc trbdtkbmt laScdpnliumdtb ifodkbmt jfsruptflms

    Cn. KdtnluifmDcemlwibjobkbmts tl dii B_DS kbk`brs,

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    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)

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    Fmstftutjb id Kdfm

    SI

    ZACCrsi

    Scdpnl iumdtb ifodkbmt 7dmtbrflr, jlrsdi dmj fmtbrkbjfdtb

    Cidssfcdi DMDZLKV

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    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

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    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

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    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 !!!!

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    Fmstftutjb id Kdfm

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

    DMDZLKV

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    Fmstftutjb id Kdfm

    DMDZLKV

    Fslidtbj jlrsdi cdpsuib tbdrwftn kfjcdrpdi SI spdcfmo

    Kfjcdrpdi

    Mlrkdi dspbct

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    Fmstftutjb id Kdfm

    DMDZLKV

    PdjflcdrpdiKfjcdrpdi

    Mlrkdi dspbct

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    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

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    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

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    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

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    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

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    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))

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    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))

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    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%

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    Fmstftutjb id Kdfm

    Afrst7 jfdomlsfs

    Znbm7 tnbrdpbutfc lptflm 7

    dcclrjfmo tl stdofmo

    _rfst Drtnrlsclpy

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    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

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    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

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    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)

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    Fmstftutjb id Kdfm

    Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

    DJCIP

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    Fmstftutjb id Kdfm

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

    Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

    DJCIP

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    Fmstftutjb id Kdfm

    Pbtrfbvdi tnrluon PKCX

    Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

    DJCIP

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    Fmstftutjb id Kdfm

    0mj tnrbdj tnrluon J_C dmj PDJFDIrbkmdmt

    Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

    DJCIP

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    Fmstftutjb id Kdfm

    Pbtrfbvdi tnrluon tnb sdkb PKCX

    Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

    DJCIP

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    Fmstftutjb id KdfmXuiibj fmsfjb KCG `y prlxfkdi trdctflm

    Emlt kdjb lutsfjb pdtfbmt (Mfceys emlt)

    Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

    DJCIP

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    Fmstftutjb id Kdfm

    Sbclmj emlt su`cutdmblus fm 3,: Xlrtdi

    Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

    DJCIP

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    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

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    Fmstftutjb id Kdfm

    Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

    DJCIP

    D tn f J i C i if t P f

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    Fmstftutjb id Kdfm

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

    Drtnrlsclpfc Jlrsdi Cdpsuilifodkbmtlus Pbpdfr

    DJCIP

    _ftnlut pfmmfmo!!!

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    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:)

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    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

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    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)

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    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 +++

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    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)

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    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

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    Fmstftutjb id Kdfm

    Cifmfcdi cdsb

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    Fmstftutjb id Kdfm

    DJCIPStdob B_DS :, Obfssibr :, Odrcfd-Bifds :

    Cifmfcdi cdsb

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    Fmstftutjb id Kdfm

    DJCIPSI pfmmfmo + Scdpnl-cdpftdtb pfmmfmo

    Cifmfcdi cdsb

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    Fmstftutjb id Kdfm

    DJCIPSI pfmmfmo + Scdpnl-cdpftdtb pfmmfmo

    Cimfcdi cdsb

    Xlst DJCIP

    Xrb DJCIP

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    Fmstftutjb id Kdfm

    DJCIPSI pfmmfmo + Scdpnl-cdpftdtb pfmmfmo

    Cifmfcdi cdsb

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    Fmstftutjb id Kdfm

    J + 0 klmtns

    PBSRIZS

    SIFLI umrbpdfrbj, Std fifty la jlrsdi pdrt

    Mlrkdi dspbct

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    Fmstftutjb id Kdfm

    J + 6 klmtns

    PBSRIZS

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    Fmstftutjb id Kdfm

    J + 3> klmtns

    PBSRIZS

    B_DS Cidssfafcdtflm

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    Fmstftutjb id Kdfm

    B_DS CidssfafcdtflmZrbdtkbmt diolrytnk

    SZDOB

    DCRZB/ CNPLMFC

    Xrlplsbj trbdtkbmt

    F D lmiy Drtnrlsclpfc E-_frb, cdst