{"id":4102,"date":"2026-02-18T07:25:32","date_gmt":"2026-02-18T07:25:32","guid":{"rendered":"https:\/\/epaule-and-rehab.fr\/?p=4102"},"modified":"2026-02-18T13:09:36","modified_gmt":"2026-02-18T13:09:36","slug":"imagerie-epaule-irm-necessaire","status":"publish","type":"post","link":"https:\/\/epaule-and-rehab.fr\/?p=4102","title":{"rendered":"Imagerie de l&rsquo;\u00e9paule : quand est-elle vraiment n\u00e9cessaire ?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4102\" class=\"elementor elementor-4102\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-799c1ec e-con-full e-flex e-con e-parent\" data-id=\"799c1ec\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c029afb elementor-widget elementor-widget-heading\" data-id=\"c029afb\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Imagerie de l'\u00e9paule : quand est-elle vraiment n\u00e9cessaire ?<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c91278e e-con-full e-flex e-con e-parent\" data-id=\"c91278e\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-04218f6 e-con-full e-flex e-con e-child\" data-id=\"04218f6\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-9e8140a e-grid e-con-full e-con e-child\" data-id=\"9e8140a\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1214bb1 elementor-toc--minimized-on-tablet elementor-widget elementor-widget-table-of-contents\" data-id=\"1214bb1\" data-element_type=\"widget\" data-settings=\"{&quot;headings_by_tags&quot;:[&quot;h2&quot;],&quot;exclude_headings_by_selector&quot;:[],&quot;no_headings_message&quot;:&quot;No headings were found on this page.&quot;,&quot;marker_view&quot;:&quot;numbers&quot;,&quot;minimize_box&quot;:&quot;yes&quot;,&quot;minimized_on&quot;:&quot;tablet&quot;,&quot;hierarchical_view&quot;:&quot;yes&quot;,&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"table-of-contents.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toc__header\">\n\t\t\t<h4 class=\"elementor-toc__header-title\">\n\t\t\t\tSommaire\t\t\t<\/h4>\n\t\t\t\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--expand\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__1214bb1\" aria-expanded=\"true\" aria-label=\"Open table of contents\"><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-down\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z\"><\/path><\/svg><\/div>\n\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--collapse\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__1214bb1\" aria-expanded=\"true\" aria-label=\"Close table of contents\"><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-up\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M240.971 130.524l194.343 194.343c9.373 9.373 9.373 24.569 0 33.941l-22.667 22.667c-9.357 9.357-24.522 9.375-33.901.04L224 227.495 69.255 381.516c-9.379 9.335-24.544 9.317-33.901-.04l-22.667-22.667c-9.373-9.373-9.373-24.569 0-33.941L207.03 130.525c9.372-9.373 24.568-9.373 33.941-.001z\"><\/path><\/svg><\/div>\n\t\t\t\t\t<\/div>\n\t\t<div id=\"elementor-toc__1214bb1\" class=\"elementor-toc__body\">\n\t\t\t<div class=\"elementor-toc__spinner-container\">\n\t\t\t\t<svg class=\"elementor-toc__spinner eicon-animation-spin e-font-icon-svg e-eicon-loading\" aria-hidden=\"true\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M500 975V858C696 858 858 696 858 500S696 142 500 142 142 304 142 500H25C25 237 238 25 500 25S975 237 975 500 763 975 500 975Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c0f8bc9 elementor-widget elementor-widget-image\" data-id=\"c0f8bc9\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"614\" src=\"https:\/\/epaule-and-rehab.fr\/wp-content\/uploads\/2026\/02\/Nouveau-2500x1920-6-1024x786.png\" class=\"attachment-large size-large wp-image-4116\" alt=\"Appareil IRM pour imagerie de l&#039;\u00e9paule - diagnostic et examen m\u00e9dical\" srcset=\"https:\/\/epaule-and-rehab.fr\/wp-content\/uploads\/2026\/02\/Nouveau-2500x1920-6-1024x786.png 1024w, https:\/\/epaule-and-rehab.fr\/wp-content\/uploads\/2026\/02\/Nouveau-2500x1920-6-300x230.png 300w, https:\/\/epaule-and-rehab.fr\/wp-content\/uploads\/2026\/02\/Nouveau-2500x1920-6-768x590.png 768w, https:\/\/epaule-and-rehab.fr\/wp-content\/uploads\/2026\/02\/Nouveau-2500x1920-6-1536x1180.png 1536w, https:\/\/epaule-and-rehab.fr\/wp-content\/uploads\/2026\/02\/Nouveau-2500x1920-6-2048x1573.png 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ebd7327 elementor-widget elementor-widget-spacer\" data-id=\"ebd7327\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b3f8f13 elementor-widget elementor-widget-text-editor\" data-id=\"b3f8f13\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Tu as mal \u00e0 l&rsquo;\u00e9paule et tu te demandes si tu devrais passer une IRM ou une radiographie ? Ton m\u00e9decin t&rsquo;a prescrit un examen d&rsquo;imagerie et tu veux comprendre ce que \u00e7a va r\u00e9v\u00e9ler ? Ou pire encore : tu as d\u00e9j\u00e0 fait une \u00e9chographie qui montre des \u00ab\u00a0anomalies\u00a0\u00bb et maintenant tu stresses ?<\/p><p data-source-line=\"9-9\">Respire un bon coup.<\/p><p data-source-line=\"11-11\">Je vais t&rsquo;expliquer pourquoi\u00a0<strong>l&rsquo;imagerie de l&rsquo;\u00e9paule n&rsquo;est pas toujours n\u00e9cessaire<\/strong>\u00a0et surtout, pourquoi\u00a0<strong>voir des anomalies \u00e0 l&rsquo;imagerie ne veut pas forc\u00e9ment dire que tu as un probl\u00e8me grave<\/strong>.<\/p><p data-source-line=\"13-13\">Tu vas d\u00e9couvrir que ton \u00e9paule est probablement plus \u00ab\u00a0normale\u00a0\u00bb que tu ne le penses, m\u00eame si le compte-rendu du radiologue te dit le contraire.<\/p><p><!-- notionvc: ec5d1010-dd7b-45d3-aba6-bf7b8245cdf0 --><\/p><p><!-- notionvc: 48d1d741-370d-4f88-a129-11e57ea96630 --><\/p><p><!-- notionvc: 88132938-7efb-425d-909e-4621d1e4250b --><\/p><p><!-- notionvc: 662d4149-c09b-4772-a666-f8dea52dd575 --><\/p><p><!-- notionvc: 5416c416-ff33-40de-8706-353c0539f5c1 --><\/p><p data-start=\"427\" data-end=\"800\"><!-- notionvc: 8bb01e6b-9200-4077-9b7b-4a0adf464ddc --><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-889b99a elementor-widget elementor-widget-spacer\" data-id=\"889b99a\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c529a4 elementor-widget elementor-widget-heading\" data-id=\"1c529a4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Pourquoi l'examen clinique doit toujours passer en premier<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-425ee7a elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"425ee7a\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"614\" src=\"https:\/\/epaule-and-rehab.fr\/wp-content\/uploads\/2025\/12\/Test-600x820-4-1024x786.png\" class=\"attachment-large size-large wp-image-3879\" alt=\"\" srcset=\"https:\/\/epaule-and-rehab.fr\/wp-content\/uploads\/2025\/12\/Test-600x820-4-1024x786.png 1024w, https:\/\/epaule-and-rehab.fr\/wp-content\/uploads\/2025\/12\/Test-600x820-4-300x230.png 300w, https:\/\/epaule-and-rehab.fr\/wp-content\/uploads\/2025\/12\/Test-600x820-4-768x590.png 768w, https:\/\/epaule-and-rehab.fr\/wp-content\/uploads\/2025\/12\/Test-600x820-4-1536x1180.png 1536w, https:\/\/epaule-and-rehab.fr\/wp-content\/uploads\/2025\/12\/Test-600x820-4-2048x1573.png 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ab58e07 elementor-widget elementor-widget-spacer\" data-id=\"ab58e07\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-30610ad elementor-widget elementor-widget-text-editor\" data-id=\"30610ad\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-source-line=\"17-17\">Avant de te diriger vers un examen d&rsquo;imagerie, parlons de ce qui compte vraiment :\u00a0<strong>l&rsquo;examen clinique<\/strong>.<\/p><p data-source-line=\"19-19\">\u00a0<\/p><p data-source-line=\"19-19\">La Haute Autorit\u00e9 de Sant\u00e9 (HAS) est formelle dans ses recommandations 2023 : face \u00e0 une \u00e9paule douloureuse non traumatique,\u00a0<strong>l&rsquo;examen clinique est la priorit\u00e9 absolue<\/strong>\u00a0pour poser un diagnostic. L&rsquo;imagerie ne doit \u00eatre envisag\u00e9e que si cet examen fait suspecter une pathologie s\u00e9v\u00e8re.<\/p><p data-source-line=\"21-21\">\u00a0<\/p><p data-source-line=\"21-21\">Pourquoi cette insistance sur le clinique ?<\/p><p data-source-line=\"23-23\">Parce que\u00a0<strong>ton histoire et tes sympt\u00f4mes racontent bien plus que n&rsquo;importe quelle image<\/strong>.<\/p><p data-source-line=\"25-25\">Quand je t&rsquo;examine au cabinet, je cherche \u00e0 comprendre :<\/p><ul data-source-line=\"26-31\"><li data-source-line=\"26-26\">Comment ta douleur a commenc\u00e9<\/li><li data-source-line=\"27-27\">Ce qui la d\u00e9clenche ou la soulage<\/li><li data-source-line=\"28-28\">Comment ton \u00e9paule bouge r\u00e9ellement<\/li><li data-source-line=\"29-29\">Quelle est ta force musculaire<\/li><li data-source-line=\"30-31\">Quelles sont tes amplitudes articulaires<\/li><\/ul><p data-source-line=\"32-32\">\u00a0<\/p><p data-source-line=\"32-32\">Ces informations cliniques, combin\u00e9es \u00e0 des tests sp\u00e9cifiques, me permettent dans\u00a0<strong>la majorit\u00e9 des cas<\/strong>\u00a0de savoir ce qui se passe dans ton \u00e9paule. Sans avoir besoin d&rsquo;une seule image.<\/p><p data-source-line=\"34-34\">D&rsquo;ailleurs, les \u00e9tudes scientifiques le confirment :\u00a0<strong>l&rsquo;examen clinique seul permet un diagnostic pr\u00e9cis dans 70 \u00e0 80% des cas de douleurs d&rsquo;\u00e9paule<\/strong>\u00a0(Cools et al, 2016 ; Lewis et al, 2018).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f9c6e59 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"f9c6e59\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b6fa1f0 elementor-widget elementor-widget-heading\" data-id=\"b6fa1f0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">La r\u00e9alit\u00e9 scientifique sur les anomalies \"asymptomatiques\"<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6ed88e4 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"6ed88e4\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-858b5f7 elementor-widget elementor-widget-text-editor\" data-id=\"858b5f7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-source-line=\"38-38\">Maintenant, abordons ce qui inqui\u00e8te souvent les patients : les r\u00e9sultats d&rsquo;imagerie.<\/p><p data-source-line=\"40-40\">Tu sais ce que r\u00e9v\u00e8lent les recherches scientifiques ? Quelque chose d&rsquo;absolument fascinant et qui devrait te rassurer :<\/p><p data-source-line=\"42-42\"><strong>Des personnes sans aucune douleur \u00e0 l&rsquo;\u00e9paule pr\u00e9sentent des anomalies \u00e0 l&rsquo;imagerie.<\/strong><\/p><p data-source-line=\"44-44\">Et ce n&rsquo;est pas anecdotique. On parle de chiffres consid\u00e9rables.<\/p><h3 data-source-line=\"46-46\">\u00a0<\/h3><h3 id=\"les-donn%C3%A9es-scientifiques-qui-changent-la-perspective\" data-source-line=\"46-46\"><span style=\"color: #000000;\">Les donn\u00e9es scientifiques qui changent la perspective<\/span><\/h3><p data-source-line=\"48-48\">\u00a0<\/p><p data-source-line=\"48-48\">L&rsquo;\u00e9tude de\u00a0<strong>Minagawa et al. (2013)<\/strong>\u00a0a r\u00e9alis\u00e9 un d\u00e9pistage de masse dans un village japonais en examinant les \u00e9paules de centaines de personnes, qu&rsquo;elles aient mal ou non. Les r\u00e9sultats sont r\u00e9v\u00e9lateurs :<\/p><p data-source-line=\"50-50\">\ud83d\udcca\u00a0<strong>Dans la population g\u00e9n\u00e9rale, 22,1% des personnes ont une rupture de la coiffe des rotateurs<\/strong>.<\/p><p data-source-line=\"52-52\">Mais voici l&rsquo;\u00e9l\u00e9ment crucial :\u00a0<strong>les ruptures asymptomatiques (sans douleur) sont deux fois plus fr\u00e9quentes que les ruptures symptomatiques<\/strong>\u00a0(avec douleur).<\/p><p data-source-line=\"54-54\">Les donn\u00e9es deviennent encore plus int\u00e9ressantes quand on observe par tranche d&rsquo;\u00e2ge :<\/p><ul data-source-line=\"56-60\"><li data-source-line=\"56-56\"><strong>50-59 ans<\/strong>\u00a0: 10,7% de ruptures de la coiffe<\/li><li data-source-line=\"57-57\"><strong>60-69 ans<\/strong>\u00a0: 15,2% de ruptures<\/li><li data-source-line=\"58-58\"><strong>70-79 ans<\/strong>\u00a0: 26,5% de ruptures<\/li><li data-source-line=\"59-60\"><strong>Plus de 80 ans<\/strong>\u00a0: 36,6% de ruptures<\/li><\/ul><p data-source-line=\"61-61\">Et voici le point essentiel : la majorit\u00e9 de ces personnes\u00a0<strong>n&rsquo;ont aucune douleur<\/strong>.<\/p><p data-source-line=\"63-63\">Plus on vieillit, plus l&rsquo;imagerie risque de montrer des \u00ab\u00a0anomalies\u00a0\u00bb. Mais cela ne signifie pas n\u00e9cessairement que la douleur est pr\u00e9sente ou qu&rsquo;un traitement est n\u00e9cessaire.<\/p><h3 data-source-line=\"65-65\">\u00a0<\/h3><h3 id=\"ce-que-d%C3%A9montrent-les-autres-recherches\" data-source-line=\"65-65\"><span style=\"color: #000000;\">Ce que d\u00e9montrent les autres recherches<\/span><\/h3><p data-source-line=\"67-67\">\u00a0<\/p><p data-source-line=\"67-67\"><strong>Lawrence et al. (2019)<\/strong>\u00a0ont compar\u00e9 les IRM des deux \u00e9paules de personnes qui avaient mal uniquement d&rsquo;un c\u00f4t\u00e9. R\u00e9sultat surprenant ?\u00a0<strong>L&rsquo;\u00e9paule qui ne fait pas mal montre souvent autant d&rsquo;anomalies que l&rsquo;\u00e9paule douloureuse<\/strong>.<\/p><p data-source-line=\"69-69\">Autrement dit : tu peux avoir une rupture de la coiffe, une tendinopathie ou une arthrose\u00a0<strong>sur les deux \u00e9paules<\/strong>, mais n&rsquo;avoir mal que d&rsquo;un seul c\u00f4t\u00e9.<\/p><p data-source-line=\"71-71\">Qu&rsquo;est-ce que cela signifie ?<\/p><p data-source-line=\"73-73\">Que\u00a0<strong>les anomalies visibles \u00e0 l&rsquo;imagerie ne sont pas n\u00e9cessairement la cause de ta douleur<\/strong>.<\/p><p data-source-line=\"75-75\">D&rsquo;autres \u00e9tudes montrent que :<\/p><ul data-source-line=\"76-79\"><li data-source-line=\"76-76\">Chez les plus de 50 ans,\u00a0<strong>40% ont des ruptures asymptomatiques<\/strong>\u00a0de la coiffe<\/li><li data-source-line=\"77-77\">Chez les plus de 60 ans, ce chiffre monte \u00e0\u00a0<strong>54%<\/strong><\/li><li data-source-line=\"78-79\">Chez les plus de 70 ans,\u00a0<strong>65% ont des ruptures sans douleur<\/strong><\/li><\/ul><p data-source-line=\"80-80\">Tu comprends maintenant pourquoi je dis toujours \u00e0 mes patients : \u00ab\u00a0Ne t&rsquo;inqui\u00e8te pas outre mesure de ce que montre l&rsquo;imagerie. Ce qui compte, c&rsquo;est comment tu te sens et comment tu fonctionnes.\u00a0\u00bb<\/p><p><!-- notionvc: 87cd2f98-df7d-4954-8206-1f997273d77b --><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d61c969 elementor-widget elementor-widget-spacer\" data-id=\"d61c969\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2e7389d elementor-widget elementor-widget-heading\" data-id=\"2e7389d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Les diff\u00e9rents types d'imagerie de l'\u00e9paule<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-db1e504 elementor-widget elementor-widget-spacer\" data-id=\"db1e504\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-407766f elementor-widget elementor-widget-text-editor\" data-id=\"407766f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-source-line=\"84-84\"><span style=\"color: #000000;\">Si ton examen clinique sugg\u00e8re qu&rsquo;une imagerie est n\u00e9cessaire, plusieurs options existent. Chacune a ses avantages et ses indications sp\u00e9cifiques.<\/span><\/p><h3 data-source-line=\"86-86\">\u00a0<\/h3><h3 id=\"la-radiographie-%3A-le-point-de-d%C3%A9part\" data-source-line=\"86-86\"><span style=\"color: #000000;\">La radiographie : le point de d\u00e9part<\/span><\/h3><p>\u00a0<\/p><p data-source-line=\"88-88\"><span style=\"color: #000000;\"><strong>Qu&rsquo;est-ce qu&rsquo;elle montre ?<\/strong><\/span><\/p><ul data-source-line=\"89-93\"><li data-source-line=\"89-89\"><span style=\"color: #000000;\">L&rsquo;\u00e9tat des os (fractures, arthrose)<\/span><\/li><li data-source-line=\"90-90\"><span style=\"color: #000000;\">Les calcifications tendineuses<\/span><\/li><li data-source-line=\"91-91\"><span style=\"color: #000000;\">L&rsquo;espace entre les os<\/span><\/li><li data-source-line=\"92-93\"><span style=\"color: #000000;\">La position de l&rsquo;articulation<\/span><\/li><\/ul><p data-source-line=\"94-95\"><span style=\"color: #000000;\"><strong>Ses limites ?<\/strong>\u00a0La radiographie ne visualise pas les tendons, les muscles ou les ligaments. Elle montre uniquement les structures osseuses et les calcifications.<\/span><\/p><p data-source-line=\"97-98\"><span style=\"color: #000000;\"><strong>Quand est-elle utile ?<\/strong>\u00a0Elle est recommand\u00e9e en premi\u00e8re intention si on suspecte une pathologie osseuse, de l&rsquo;arthrose ou des calcifications.<\/span><\/p><h3 data-source-line=\"100-100\">\u00a0<\/h3><h3 id=\"l'%C3%A9chographie-%3A-dynamique-et-accessible\" data-source-line=\"100-100\"><span style=\"color: #000000;\">L&rsquo;\u00e9chographie : dynamique et accessible<\/span><\/h3><p>\u00a0<\/p><p data-source-line=\"102-102\"><span style=\"color: #000000;\"><strong>Qu&rsquo;est-ce qu&rsquo;elle montre ?<\/strong><\/span><\/p><ul data-source-line=\"103-107\"><li data-source-line=\"103-103\"><span style=\"color: #000000;\">L&rsquo;\u00e9tat des tendons de la coiffe<\/span><\/li><li data-source-line=\"104-104\"><span style=\"color: #000000;\">Les bursites (inflammations des bourses)<\/span><\/li><li data-source-line=\"105-105\"><span style=\"color: #000000;\">Les \u00e9panchements articulaires<\/span><\/li><li data-source-line=\"106-107\"><span style=\"color: #000000;\">Le mouvement en temps r\u00e9el<\/span><\/li><\/ul><p data-source-line=\"108-109\"><span style=\"color: #000000;\"><strong>Ses avantages ?<\/strong>\u00a0Elle est non irradiante, accessible, moins co\u00fbteuse et permet un examen dynamique (on peut bouger ton \u00e9paule pendant l&rsquo;examen).<\/span><\/p><p data-source-line=\"111-112\"><span style=\"color: #000000;\"><strong>Ses limites ?<\/strong>\u00a0Elle est tr\u00e8s d\u00e9pendante de l&rsquo;op\u00e9rateur. Un \u00e9chographiste exp\u00e9riment\u00e9 en musculo-squelettique fera toute la diff\u00e9rence.<\/span><\/p><h3 data-source-line=\"114-114\">\u00a0<\/h3><h3 id=\"l'irm-%3A-l'examen-de-r%C3%A9f%C3%A9rence\" data-source-line=\"114-114\"><span style=\"color: #000000;\">L&rsquo;IRM : l&rsquo;examen de r\u00e9f\u00e9rence<\/span><\/h3><p>\u00a0<\/p><p data-source-line=\"116-116\"><span style=\"color: #000000;\"><strong>Qu&rsquo;est-ce qu&rsquo;elle montre ?<\/strong><\/span><\/p><ul data-source-line=\"117-121\"><li data-source-line=\"117-117\"><span style=\"color: #000000;\">Tous les tissus mous (tendons, muscles, ligaments, cartilage)<\/span><\/li><li data-source-line=\"118-118\"><span style=\"color: #000000;\">L&rsquo;\u00e9tat de la moelle osseuse<\/span><\/li><li data-source-line=\"119-119\"><span style=\"color: #000000;\">Les l\u00e9sions du bourrelet (labrum)<\/span><\/li><li data-source-line=\"120-121\"><span style=\"color: #000000;\">Les ruptures partielles ou compl\u00e8tes<\/span><\/li><\/ul><p data-source-line=\"122-123\"><span style=\"color: #000000;\"><strong>Quand est-elle prescrite ?<\/strong>\u00a0Selon la HAS, l&rsquo;IRM peut \u00eatre prescrite si :<\/span><\/p><ul data-source-line=\"124-128\"><li data-source-line=\"124-124\"><span style=\"color: #000000;\">Les sympt\u00f4mes persistent malgr\u00e9 un traitement bien conduit<\/span><\/li><li data-source-line=\"125-125\"><span style=\"color: #000000;\">On suspecte une rupture complexe de la coiffe<\/span><\/li><li data-source-line=\"126-126\"><span style=\"color: #000000;\">Une intervention chirurgicale est envisag\u00e9e<\/span><\/li><li data-source-line=\"127-128\"><span style=\"color: #000000;\">L&rsquo;examen clinique et l&rsquo;\u00e9chographie n&rsquo;ont pas permis de conclure<\/span><\/li><\/ul><p data-source-line=\"129-129\"><span style=\"color: #000000;\"><strong>Important :<\/strong>\u00a0L&rsquo;IRM doit \u00eatre r\u00e9alis\u00e9e par un radiologue exp\u00e9riment\u00e9 en ost\u00e9o-articulaire pour une interpr\u00e9tation fiable.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8e12c45 elementor-widget elementor-widget-spacer\" data-id=\"8e12c45\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f8e5aa6 elementor-widget elementor-widget-heading\" data-id=\"f8e5aa6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Quand l'imagerie devient-elle vraiment n\u00e9cessaire ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f8b825 elementor-widget elementor-widget-spacer\" data-id=\"5f8b825\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d289f8 elementor-widget elementor-widget-text-editor\" data-id=\"4d289f8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-source-line=\"133-133\"><span style=\"color: #000000;\">Maintenant que tu comprends les limites de l&rsquo;imagerie, voyons quand elle devient effectivement utile.<\/span><\/p><h3 data-source-line=\"135-135\">\u00a0<\/h3><h3 id=\"les-%22red-flags%22-qui-justifient-une-imagerie-rapide\" data-source-line=\"135-135\"><span style=\"color: #000000;\">Les \u00ab\u00a0red flags\u00a0\u00bb qui justifient une imagerie rapide<\/span><\/h3><p>\u00a0<\/p><p data-source-line=\"137-137\"><span style=\"color: #000000;\">Certains signes cliniques imposent une imagerie urgente :<\/span><\/p><p data-source-line=\"139-145\"><span style=\"color: #000000;\">\ud83d\udea8\u00a0<strong>Traumatisme violent<\/strong>\u00a0(chute sur l&rsquo;\u00e9paule, accident) <\/span><\/p><p data-source-line=\"139-145\"><span style=\"color: #000000;\">\ud83d\udea8\u00a0<strong>Perte brutale de force<\/strong>\u00a0ou impossibilit\u00e9 de lever le bras <\/span><\/p><p data-source-line=\"139-145\"><span style=\"color: #000000;\">\ud83d\udea8\u00a0<strong>Douleur nocturne intense<\/strong>\u00a0qui r\u00e9veille syst\u00e9matiquement <\/span><\/p><p data-source-line=\"139-145\"><span style=\"color: #000000;\">\ud83d\udea8\u00a0<strong>Perte de poids inexpliqu\u00e9e<\/strong>\u00a0associ\u00e9e \u00e0 la douleur <\/span><\/p><p data-source-line=\"139-145\"><span style=\"color: #000000;\">\ud83d\udea8\u00a0<strong>Ant\u00e9c\u00e9dent de cancer<\/strong>\u00a0(risque de m\u00e9tastase) <\/span><\/p><p data-source-line=\"139-145\"><span style=\"color: #000000;\">\ud83d\udea8\u00a0<strong>Fi\u00e8vre<\/strong>\u00a0associ\u00e9e \u00e0 la douleur <\/span><\/p><p data-source-line=\"139-145\"><span style=\"color: #000000;\">\ud83d\udea8\u00a0<strong>Aucune am\u00e9lioration<\/strong>\u00a0apr\u00e8s 6 semaines de traitement bien conduit<\/span><\/p><h3 data-source-line=\"149-149\">\u00a0<\/h3><h3 id=\"les-situations-o%C3%B9-l'imagerie-guide-le-traitement\" data-source-line=\"149-149\"><span style=\"color: #000000;\">Les situations o\u00f9 l&rsquo;imagerie guide le traitement<\/span><\/h3><p>\u00a0<\/p><p data-source-line=\"151-151\"><span style=\"color: #000000;\">L&rsquo;imagerie devient pertinente quand elle va\u00a0<strong>changer la prise en charge<\/strong>\u00a0:<\/span><\/p><p data-source-line=\"153-153\"><span style=\"color: #000000;\"><strong>Avant une infiltration<\/strong>\u00a0pour s&rsquo;assurer qu&rsquo;elle est indiqu\u00e9e et pour guider le geste avec pr\u00e9cision.<\/span><\/p><p data-source-line=\"155-155\"><span style=\"color: #000000;\"><strong>En pr\u00e9op\u00e9ratoire<\/strong>\u00a0si une chirurgie est envisag\u00e9e, pour planifier l&rsquo;intervention avec pr\u00e9cision.<\/span><\/p><p data-source-line=\"157-157\"><span style=\"color: #000000;\"><strong>Pour les tendinopathies calcifiantes<\/strong>\u00a0afin de confirmer la pr\u00e9sence et la taille des calcifications avant un traitement sp\u00e9cifique.<\/span><\/p><p data-source-line=\"159-159\"><span style=\"color: #000000;\"><strong>Apr\u00e8s \u00e9chec du traitement conservateur<\/strong>\u00a0(kin\u00e9sith\u00e9rapie, m\u00e9dicaments) apr\u00e8s 3 \u00e0 6 mois, pour comprendre pourquoi la r\u00e9cup\u00e9ration ne progresse pas.<\/span><\/p><h3 data-source-line=\"161-161\">\u00a0<\/h3><h3 id=\"ce-que-recommande-la-has-(2023)\" data-source-line=\"161-161\"><span style=\"color: #000000;\">Ce que recommande la HAS (2023)<\/span><\/h3><p>\u00a0<\/p><p data-source-line=\"163-163\"><span style=\"color: #000000;\">Voici les recommandations officielles fran\u00e7aises :<\/span><\/p><ol data-source-line=\"165-170\"><li data-source-line=\"165-165\"><span style=\"color: #000000;\"><strong>Pas d&rsquo;imagerie syst\u00e9matique<\/strong>\u00a0pour une \u00e9paule douloureuse r\u00e9cente<\/span><\/li><li data-source-line=\"166-166\"><span style=\"color: #000000;\"><strong>Examen clinique en priorit\u00e9<\/strong>\u00a0pour \u00e9tablir le diagnostic<\/span><\/li><li data-source-line=\"167-167\"><span style=\"color: #000000;\"><strong>Radiographie simple<\/strong>\u00a0si suspicion de pathologie osseuse<\/span><\/li><li data-source-line=\"168-168\"><span style=\"color: #000000;\"><strong>\u00c9chographie ou IRM<\/strong>\u00a0seulement apr\u00e8s r\u00e9\u00e9valuation clinique<\/span><\/li><li data-source-line=\"169-170\"><span style=\"color: #000000;\"><strong>Attendre 6 semaines<\/strong>\u00a0avant de prescrire une imagerie pour une tendinopathie simple<\/span><\/li><\/ol><p data-source-line=\"171-171\"><span style=\"color: #000000;\">Le message est clair : l&rsquo;imagerie doit rester un outil compl\u00e9mentaire, pas le premier r\u00e9flexe.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-79d6ebc elementor-widget elementor-widget-spacer\" data-id=\"79d6ebc\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5448d8c elementor-widget elementor-widget-heading\" data-id=\"5448d8c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Comment interpr\u00e9ter ton compte-rendu d'imagerie<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e1052a elementor-widget elementor-widget-spacer\" data-id=\"7e1052a\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e90ac6 elementor-widget elementor-widget-text-editor\" data-id=\"4e90ac6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-source-line=\"175-175\">Tu as quand m\u00eame pass\u00e9 une IRM ou une \u00e9chographie ? Voici comment d\u00e9crypter ce que tu vas lire, avec le recul n\u00e9cessaire.<\/p><h3 data-source-line=\"177-177\">\u00a0<\/h3><h3 id=\"les-termes-qui-inqui%C3%A8tent-(mais-qui-ne-devraient-pas)\" data-source-line=\"177-177\"><span style=\"color: #000000;\">Les termes qui inqui\u00e8tent (mais qui ne devraient pas)<\/span><\/h3><p>\u00a0<\/p><p data-source-line=\"179-180\"><strong>\u00ab\u00a0Tendinopathie\u00a0\u00bb<\/strong>\u00a0ou\u00a0<strong>\u00ab\u00a0tendinose\u00a0\u00bb<\/strong>\u00a0Cela signifie que le tendon a chang\u00e9 de structure avec le temps. C&rsquo;est un ph\u00e9nom\u00e8ne normal li\u00e9 au vieillissement. Cela ne signifie pas forc\u00e9ment que tu as mal ou que la situation va s&rsquo;aggraver.<\/p><p data-source-line=\"182-183\"><strong>\u00ab\u00a0Bursite\u00a0\u00bb<\/strong>\u00a0Une inflammation de la bourse s\u00e9reuse (petit coussin entre les structures). Souvent r\u00e9versible avec du repos et de la kin\u00e9sith\u00e9rapie.<\/p><p data-source-line=\"185-186\"><strong>\u00ab\u00a0Arthrose acromio-claviculaire\u00a0\u00bb<\/strong>\u00a0L&rsquo;arthrose de la petite articulation en haut de l&rsquo;\u00e9paule. Extr\u00eamement fr\u00e9quente apr\u00e8s 50 ans. La plupart du temps asymptomatique.<\/p><p data-source-line=\"188-189\"><strong>\u00ab\u00a0Rupture partielle de la coiffe\u00a0\u00bb<\/strong>\u00a0Un tendon partiellement ab\u00eem\u00e9. Beaucoup de personnes vivent tr\u00e8s bien avec, sans douleur ni limitation. Le traitement conservateur fonctionne dans 70-80% des cas.<\/p><p data-source-line=\"191-192\"><strong>\u00ab\u00a0Conflit sous-acromial\u00a0\u00bb<\/strong>\u00a0Un terme radiologique qui d\u00e9crit un r\u00e9tr\u00e9cissement de l&rsquo;espace sous l&rsquo;acromion. \u00c0 interpr\u00e9ter avec prudence car il ne corr\u00e8le pas toujours avec les sympt\u00f4mes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3eda474 elementor-widget elementor-widget-spacer\" data-id=\"3eda474\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ab6897b elementor-widget elementor-widget-heading\" data-id=\"ab6897b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">La r\u00e9\u00e9ducation : plus efficace que tu ne le penses<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f3e9d2c elementor-widget elementor-widget-spacer\" data-id=\"f3e9d2c\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-36af18f elementor-widget elementor-widget-text-editor\" data-id=\"36af18f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-source-line=\"210-210\">Voici une information encourageante :\u00a0<strong>m\u00eame avec des anomalies visibles \u00e0 l&rsquo;imagerie, la kin\u00e9sith\u00e9rapie fonctionne<\/strong>.<\/p><h3 data-source-line=\"212-212\">\u00a0<\/h3><h3 id=\"ce-que-peut-accomplir-la-r%C3%A9%C3%A9ducation%2C-m%C3%AAme-avec-des-%22l%C3%A9sions%22\" data-source-line=\"212-212\"><span style=\"color: #000000;\">Ce que peut accomplir la r\u00e9\u00e9ducation, m\u00eame avec des \u00ab\u00a0l\u00e9sions\u00a0\u00bb<\/span><\/h3><p>\u00a0<\/p><p data-source-line=\"214-214\">\u00c9tude apr\u00e8s \u00e9tude, la recherche confirme que la r\u00e9\u00e9ducation bien conduite donne d&rsquo;excellents r\u00e9sultats, y compris quand l&rsquo;imagerie montre :<\/p><ul data-source-line=\"215-219\"><li data-source-line=\"215-215\">Des ruptures partielles de la coiffe<\/li><li data-source-line=\"216-216\">Des tendinopathies chroniques<\/li><li data-source-line=\"217-217\">De l&rsquo;arthrose mod\u00e9r\u00e9e<\/li><li data-source-line=\"218-219\">Des bursites<\/li><\/ul><p data-source-line=\"220-220\">\u00a0<\/p><p data-source-line=\"220-220\">Comment est-ce possible ?<\/p><p data-source-line=\"222-222\">Parce que\u00a0<strong>la douleur et la fonction ne d\u00e9pendent pas uniquement de ce qu&rsquo;on voit \u00e0 l&rsquo;imagerie<\/strong>. Elles d\u00e9pendent de :<\/p><ul data-source-line=\"223-228\"><li data-source-line=\"223-223\">La qualit\u00e9 de tes mouvements<\/li><li data-source-line=\"224-224\">Ta force musculaire<\/li><li data-source-line=\"225-225\">Ton contr\u00f4le moteur<\/li><li data-source-line=\"226-226\">Ta capacit\u00e9 \u00e0 g\u00e9rer la charge sur l&rsquo;\u00e9paule<\/li><li data-source-line=\"227-228\">Ton syst\u00e8me nerveux<\/li><\/ul><p><!-- notionvc: 8e2c51e8-a676-4ab2-ab59-68210bf0d78e --><\/p><p><!-- notionvc: 262ac73d-f511-46bf-b187-6e7659a8a3e2 --><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ddb6dc9 elementor-widget elementor-widget-spacer\" data-id=\"ddb6dc9\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bde8dce elementor-widget elementor-widget-heading\" data-id=\"bde8dce\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Les pi\u00e8ges \u00e0 \u00e9viter avec l'imagerie<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5e8aa47 elementor-widget elementor-widget-spacer\" data-id=\"5e8aa47\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a12ea17 elementor-widget elementor-widget-text-editor\" data-id=\"a12ea17\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-source-line=\"249-249\">Attention, l&rsquo;imagerie peut aussi cr\u00e9er des probl\u00e8mes si elle est mal utilis\u00e9e ou mal interpr\u00e9t\u00e9e.<\/p><h3 data-source-line=\"251-251\">\u00a0<\/h3><h3 id=\"l'effet-nocebo-de-l'imagerie\" data-source-line=\"251-251\"><span style=\"color: #000000;\">L&rsquo;effet nocebo de l&rsquo;imagerie<\/span><\/h3><p>\u00a0<\/p><p data-source-line=\"253-253\">Tu connais l&rsquo;effet placebo ? Le nocebo, c&rsquo;est l&rsquo;inverse.<\/p><p data-source-line=\"255-255\">Quand tu lis \u00ab\u00a0rupture\u00a0\u00bb, \u00ab\u00a0d\u00e9g\u00e9n\u00e9rescence\u00a0\u00bb ou \u00ab\u00a0arthrose\u00a0\u00bb sur ton compte-rendu, ton cerveau peut enregistrer :\u00a0<strong>\u00ab\u00a0Danger ! Mon \u00e9paule est ab\u00eem\u00e9e !\u00a0\u00bb<\/strong><\/p><p data-source-line=\"257-257\">Ce processus peut :<\/p><ul data-source-line=\"258-262\"><li data-source-line=\"258-258\">Augmenter ta perception de la douleur<\/li><li data-source-line=\"259-259\">Te faire \u00e9viter certains mouvements<\/li><li data-source-line=\"260-260\">Cr\u00e9er de l&rsquo;anxi\u00e9t\u00e9<\/li><li data-source-line=\"261-262\">Retarder ta r\u00e9cup\u00e9ration<\/li><\/ul><p data-source-line=\"263-263\">C&rsquo;est ce qu&rsquo;on appelle la\u00a0<strong>kin\u00e9siophobie<\/strong>\u00a0: la peur du mouvement.<\/p><p data-source-line=\"265-265\">Des \u00e9tudes montrent que les patients qui re\u00e7oivent des explications alarmantes sur leur imagerie ont\u00a0<strong>de moins bons r\u00e9sultats cliniques<\/strong>, m\u00eame avec le m\u00eame traitement.<\/p><h3 data-source-line=\"267-267\">\u00a0<\/h3><h3 id=\"la-sur-m%C3%A9dicalisation\" data-source-line=\"267-267\"><span style=\"color: #000000;\">La sur-m\u00e9dicalisation<\/span><\/h3><p data-source-line=\"269-269\">\u00a0<\/p><p data-source-line=\"269-269\">Une imagerie trop pr\u00e9coce peut mener \u00e0 :<\/p><ul data-source-line=\"270-274\"><li data-source-line=\"270-270\">Des traitements inutiles (infiltrations, chirurgie)<\/li><li data-source-line=\"271-271\">Des examens compl\u00e9mentaires en cascade<\/li><li data-source-line=\"272-272\">Une augmentation des co\u00fbts de sant\u00e9<\/li><li data-source-line=\"273-274\">Un stress et une anxi\u00e9t\u00e9 inutiles<\/li><\/ul><p data-source-line=\"275-275\">C&rsquo;est pourquoi les recommandations insistent :\u00a0<strong>attendre et traiter d&rsquo;abord conservativement<\/strong>.<\/p><h3 data-source-line=\"277-277\">\u00a0<\/h3><h3 id=\"les-faux-positifs\" data-source-line=\"277-277\"><span style=\"color: #000000;\">Les faux positifs<\/span><\/h3><p>\u00a0<\/p><p data-source-line=\"279-279\">L&rsquo;imagerie peut montrer des anomalies qui n&rsquo;ont\u00a0<strong>aucun lien<\/strong>\u00a0avec ta douleur.<\/p><p data-source-line=\"281-281\">Exemple concret : tu as mal apr\u00e8s avoir repeint ton plafond (surcharge aigu\u00eb). L&rsquo;IRM montre une tendinopathie chronique (qui \u00e9tait probablement l\u00e0 depuis des ann\u00e9es sans te d\u00e9ranger).<\/p><p data-source-line=\"283-283\">Le risque ? Qu&rsquo;on traite la tendinopathie chronique au lieu de traiter le vrai probl\u00e8me : la surcharge aigu\u00eb et le manque de pr\u00e9paration musculaire.<\/p><p><!-- notionvc: 84ff3deb-f738-45fb-b2ac-895dfd6b9055 --><\/p><p data-start=\"3259\" data-end=\"3326\"><!-- notionvc: d94d74c4-6d53-4264-a914-9a45afc7375e --><\/p><p><!-- notionvc: f4c925b0-99dc-4dd7-97c9-f631e9a3d47c --><\/p><p><!-- notionvc: ce6ac5cd-6056-42e2-9ea4-7e490c864403 --><\/p><p><!-- notionvc: 0b20ad1f-287a-4dc0-ad88-98a23cddec99 --><\/p><p data-start=\"2671\" data-end=\"2699\"><!-- notionvc: cee6b166-6b1d-4af8-b4e4-24cdb8889859 --><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-59b3b1b elementor-widget elementor-widget-spacer\" data-id=\"59b3b1b\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8422f66 elementor-widget elementor-widget-heading\" data-id=\"8422f66\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Alors, faut-il faire une imagerie ou pas ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8a8470a elementor-widget elementor-widget-spacer\" data-id=\"8a8470a\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3fa0ec6 elementor-widget elementor-widget-text-editor\" data-id=\"3fa0ec6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-source-line=\"287-287\">Maintenant que tu as toutes ces informations, r\u00e9sumons.<\/p><h3 data-source-line=\"289-289\">\u00a0<\/h3><h3 id=\"les-5-questions-%C3%A0-te-poser-avant-une-imagerie\" data-source-line=\"289-289\"><span style=\"color: #000000;\">Les 5 questions \u00e0 te poser avant une imagerie<\/span><\/h3><p>\u00a0<\/p><p data-source-line=\"291-292\"><strong>1. Est-ce que je pr\u00e9sente des signes alarmants ?<\/strong>\u00a0Traumatisme violent, perte de force brutale, douleurs nocturnes insupportables, fi\u00e8vre ? \u2192 Oui, imagerie n\u00e9cessaire.<\/p><p data-source-line=\"294-295\"><strong>2. Est-ce que l&rsquo;examen clinique a \u00e9t\u00e9 complet ?<\/strong>\u00a0Si tu n&rsquo;as pas eu d&rsquo;\u00e9valuation clinique approfondie, commence par l\u00e0.<\/p><p data-source-line=\"297-298\"><strong>3. Ai-je essay\u00e9 un traitement conservateur ?<\/strong>\u00a0Kin\u00e9sith\u00e9rapie, repos relatif, ajustement des activit\u00e9s pendant au moins 4-6 semaines ? Si non, essaye d&rsquo;abord.<\/p><p data-source-line=\"300-301\"><strong>4. Le r\u00e9sultat changera-t-il ma prise en charge ?<\/strong>\u00a0Si la r\u00e9ponse est non, l&rsquo;imagerie n&rsquo;est probablement pas utile maintenant.<\/p><p data-source-line=\"303-304\"><strong>5. Suis-je pr\u00eat \u00e0 recevoir les r\u00e9sultats avec recul ?<\/strong>\u00a0Comprends-tu que des anomalies peuvent \u00eatre normales ? Si non, parle-en d&rsquo;abord avec ton soignant.<\/p><p><!-- notionvc: 75121fe9-f24f-4874-8ac7-7e2eed6f0bc3 --><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6640734 elementor-widget elementor-widget-spacer\" data-id=\"6640734\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-91e5e52 elementor-widget elementor-widget-heading\" data-id=\"91e5e52\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Pour r\u00e9sumer : l'essentiel \u00e0 retenir<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-52130cf elementor-widget elementor-widget-spacer\" data-id=\"52130cf\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b02648a elementor-widget elementor-widget-text-editor\" data-id=\"b02648a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-source-line=\"320-320\">\ud83c\udfaf\u00a0<strong>L&rsquo;examen clinique prime<\/strong>\u00a0: c&rsquo;est lui qui doit guider le diagnostic, pas l&rsquo;imagerie.<\/p><p data-source-line=\"322-322\">\ud83c\udfaf\u00a0<strong>Les anomalies asymptomatiques sont fr\u00e9quentes<\/strong>\u00a0: des millions de personnes vivent tr\u00e8s bien avec des \u00ab\u00a0l\u00e9sions\u00a0\u00bb visibles \u00e0 l&rsquo;imagerie.<\/p><p data-source-line=\"324-324\">\ud83c\udfaf\u00a0<strong>L&rsquo;\u00e2ge augmente les anomalies<\/strong>\u00a0: plus on vieillit, plus l&rsquo;imagerie risque de montrer des changements. C&rsquo;est physiologique.<\/p><p data-source-line=\"326-326\">\ud83c\udfaf\u00a0<strong>Ne pas confondre corr\u00e9lation et causalit\u00e9<\/strong>\u00a0: ce qui est visible \u00e0 l&rsquo;imagerie n&rsquo;est pas forc\u00e9ment la cause de ta douleur.<\/p><p data-source-line=\"328-328\">\ud83c\udfaf\u00a0<strong>Le traitement conservateur fonctionne<\/strong>\u00a0: 70-80% de r\u00e9ussite avec la r\u00e9\u00e9ducation bien conduite.<\/p><p data-source-line=\"330-330\">\ud83c\udfaf\u00a0<strong>L&rsquo;imagerie a sa place<\/strong>\u00a0: mais au bon moment, pour les bonnes raisons, avec la bonne interpr\u00e9tation.<\/p><p><!-- notionvc: 75121fe9-f24f-4874-8ac7-7e2eed6f0bc3 --><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ba5425a elementor-widget elementor-widget-spacer\" data-id=\"ba5425a\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4801bbf e-grid e-con-full e-con e-child\" data-id=\"4801bbf\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-87b25de elementor-widget elementor-widget-text-editor\" data-id=\"87b25de\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Que tu sois \u00e0 <strong>Bayonne, Biarritz, Anglet, Bidart, Gu\u00e9thary, Ascain<\/strong> ou dans un petit village de l\u2019int\u00e9rieur, je propose une prise en charge sp\u00e9cialis\u00e9e des douleurs d\u2019\u00e9paule, avec un <strong>bilan initial<\/strong> en cabinet \u00e0 Saint-Jean-de-Luz, puis un <strong>suivi sur mesure<\/strong> \u00e0 distance, o\u00f9 que tu sois dans le Pays Basque.<\/p><p>Avec mon suivi \u00e0 distance :<\/p><ul><li>Tu re\u00e7ois un programme personnalis\u00e9, adapt\u00e9 \u00e0 ta pathologie et \u00e0 ton niveau.<\/li><li>Tu as un acc\u00e8s direct \u00e0 moi pour poser tes questions, ajuster un exercice, ou discuter de ta progression.<\/li><li>Tu \u00e9vites les contraintes de d\u00e9placement, tout en gardant un <strong>encadrement m\u00e9dical et scientifique<\/strong>.<\/li><\/ul><p>\u00a0<\/p><p><span style=\"color: #ff6700;\"><a style=\"color: #ff6700;\" href=\"https:\/\/epaule-and-rehab.fr\/?p=3073\">Voir article: \u00ab\u00a0R\u00e9\u00e9ducation \u00e0 distance pour l\u2019\u00e9paule : pourquoi c\u2019est aussi performant (voire plus) que la kin\u00e9 en pr\u00e9sentiel\u00a0\u00bb<\/a><\/span><\/p><p><!-- notionvc: 8b856d49-344c-41f1-b612-78dd11381b6a --><\/p><p><!-- notionvc: be79945f-f382-4ccc-82a1-1aff5b931d7d --><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a016bed elementor-widget elementor-widget-html\" data-id=\"a016bed\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<iframe src=\"https:\/\/www.google.fr\/maps\/d\/embed?mid=1-fawFAyfIZAzw8dvDNZUea1SfUEgM6Y&ehbc=2E312F&noprof=1\" width=\"640\" height=\"480\"><\/iframe>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-490cd8d elementor-widget elementor-widget-button\" data-id=\"490cd8d\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/www.doctolib.fr\/masseur-kinesitherapeute\/hendaye\/iban-berasategui\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Prendre rendez vous<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-12c879f elementor-widget elementor-widget-spacer\" data-id=\"12c879f\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9bfbf38 elementor-widget elementor-widget-heading\" data-id=\"9bfbf38\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">FAQ<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-de6696a elementor-widget elementor-widget-spacer\" data-id=\"de6696a\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ac4b47d elementor-widget elementor-widget-elementskit-accordion\" data-id=\"ac4b47d\" data-element_type=\"widget\" data-widget_type=\"elementskit-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\n        <div class=\"elementskit-accordion accoedion-primary\" id=\"accordion-69d2a892d2920\">\n\n            \n                <div class=\"elementskit-card active\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-0-ac4b47d\">\n                        <a href=\"#collapse-2e118f169d2a892d2920\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-2e118f169d2a892d2920\" aria-expanded=\"true\" aria-controls=\"Collapse-2e118f169d2a892d2920\">\n                            \n                            <span class=\"ekit-accordion-title\">Combien de temps faut-il attendre avant de faire une imagerie ?<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-down-arrow1\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-up-arrow\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-2e118f169d2a892d2920\" class=\" show collapse\" aria-labelledby=\"primaryHeading-0-ac4b47d\" data-parent=\"#accordion-69d2a892d2920\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Pour une douleur d'\u00e9paule non traumatique, les recommandations conseillent d'attendre au moins 6 semaines de traitement conservateur avant d'envisager une imagerie, sauf pr\u00e9sence de red flags.<\/p><p><!-- notionvc: 9a42f607-af07-4c4e-a0cc-ee3beeb7d761 --><br \/><!-- notionvc: 9af89d96-c1aa-476f-bdcc-1fea4d2e8720 --><\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                \n                <div class=\"elementskit-card active\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-1-ac4b47d\">\n                        <a href=\"#collapse-f7d9e1369d2a892d2920\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-f7d9e1369d2a892d2920\" aria-expanded=\"true\" aria-controls=\"Collapse-f7d9e1369d2a892d2920\">\n                            \n                            <span class=\"ekit-accordion-title\">Peut-on avoir mal avec une imagerie normale ? <\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-down-arrow1\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-up-arrow\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-f7d9e1369d2a892d2920\" class=\" show collapse\" aria-labelledby=\"primaryHeading-1-ac4b47d\" data-parent=\"#accordion-69d2a892d2920\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Absolument ! Environ 20-30% des douleurs d'\u00e9paule surviennent sans anomalie visible \u00e0 l'imagerie. La douleur peut venir de dysfonctions musculaires, de probl\u00e8mes de contr\u00f4le moteur ou de sensibilisation du syst\u00e8me nerveux.<\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                \n                <div class=\"elementskit-card \">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-2-ac4b47d\">\n                        <a href=\"#collapse-776d81b69d2a892d2920\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-776d81b69d2a892d2920\" aria-expanded=\"false\" aria-controls=\"Collapse-776d81b69d2a892d2920\">\n                            \n                            <span class=\"ekit-accordion-title\">Une rupture de la coiffe n\u00e9cessite-t-elle toujours une chirurgie ?<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-down-arrow1\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-up-arrow\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-776d81b69d2a892d2920\" class=\" collapse\" aria-labelledby=\"primaryHeading-2-ac4b47d\" data-parent=\"#accordion-69d2a892d2920\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Non ! La majorit\u00e9 des ruptures partielles et m\u00eame certaines ruptures compl\u00e8tes gu\u00e9rissent ou deviennent asymptomatiques avec la r\u00e9\u00e9ducation seule. La chirurgie n'est envisag\u00e9e qu'en cas d'\u00e9chec du traitement conservateur ou de ruptures massives.<br \/><!-- notionvc: 1d502b86-3889-4e8a-a3f9-4308f87f41c4 --><\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                \n                <div class=\"elementskit-card \">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-3-ac4b47d\">\n                        <a href=\"#collapse-8a610bf69d2a892d2920\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-8a610bf69d2a892d2920\" aria-expanded=\"false\" aria-controls=\"Collapse-8a610bf69d2a892d2920\">\n                            \n                            <span class=\"ekit-accordion-title\">Mon imagerie montre des calcifications, est-ce grave ?<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-down-arrow1\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-up-arrow\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-8a610bf69d2a892d2920\" class=\" collapse\" aria-labelledby=\"primaryHeading-3-ac4b47d\" data-parent=\"#accordion-69d2a892d2920\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Les calcifications tendineuses (tendinopathie calcifiante) sont fr\u00e9quentes et souvent b\u00e9nignes. Elles peuvent se r\u00e9sorber spontan\u00e9ment. Le traitement d\u00e9pend des sympt\u00f4mes, pas de la taille des calcifications.<br \/><!-- notionvc: 1d502b86-3889-4e8a-a3f9-4308f87f41c4 --><\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                                        <\/div>\n    <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-242fecb elementor-widget elementor-widget-spacer\" data-id=\"242fecb\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f5f17c elementor-widget elementor-widget-heading\" data-id=\"9f5f17c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">SOURCES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-027a88e elementor-widget elementor-widget-spacer\" data-id=\"027a88e\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a7cb128 elementor-widget elementor-widget-text-editor\" data-id=\"a7cb128\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-source-line=\"9-10\"><em><span style=\"color: #000000;\">\u2022\u00a0<strong>Minagawa et al. (2013)<\/strong>\u00a0&#8211; Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population<\/span><\/em><br \/><em><span style=\"color: #000000;\"><a style=\"color: #000000;\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24403741\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/pubmed.ncbi.nlm.nih.gov\/24403741\/<\/a><\/span><\/em><\/p><p data-source-line=\"12-13\"><em><span style=\"color: #000000;\">\u2022\u00a0<strong>Lawrence et al. (2014)<\/strong>\u00a0&#8211; Comparison of 3-dimensional shoulder complex kinematics<\/span><\/em><br \/><em><span style=\"color: #000000;\"><a style=\"color: #000000;\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25098196\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/pubmed.ncbi.nlm.nih.gov\/25098196\/<\/a><\/span><\/em><\/p><p data-source-line=\"15-16\"><em><span style=\"color: #000000;\">\u2022\u00a0<strong>Koorevaar et al. (2019)<\/strong>\u00a0&#8211; Bilateral magnetic resonance imaging findings in individuals with unilateral shoulder pain<\/span><\/em><br \/><em><span style=\"color: #000000;\"><a style=\"color: #000000;\" href=\"https:\/\/www.jshoulderelbow.org\/article\/S1058-2746(19)30234-4\/abstract\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.jshoulderelbow.org\/article\/S1058-2746(19)30234-4\/abstract<\/a><\/span><\/em><\/p><p data-source-line=\"18-19\"><em><span style=\"color: #000000;\">\u2022\u00a0<strong>Cools et al. (2016)<\/strong>\u00a0&#8211; Rehabilitation of scapular dyskinesis<\/span><\/em><br \/><em><span style=\"color: #000000;\"><a style=\"color: #000000;\" href=\"https:\/\/bjsm.bmj.com\/content\/48\/8\/692\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/bjsm.bmj.com\/content\/48\/8\/692<\/a><\/span><\/em><\/p><p data-source-line=\"21-22\"><em><span style=\"color: #000000;\">\u2022\u00a0<strong>Lewis et al. (2016)<\/strong>\u00a0&#8211; Rotator cuff related shoulder pain: Assessment, management and uncertainties<\/span><\/em><br \/><em><span style=\"color: #000000;\"><a style=\"color: #000000;\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27083390\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/pubmed.ncbi.nlm.nih.gov\/27083390\/<\/a><\/span><\/em><\/p><p data-source-line=\"26-27\"><em><span style=\"color: #000000;\">\u2022\u00a0<strong>HAS (2023)<\/strong>\u00a0&#8211; Conduite diagnostique devant une \u00e9paule douloureuse non traumatique de l&rsquo;adulte<\/span><\/em><br \/><em><span style=\"color: #000000;\"><a style=\"color: #000000;\" href=\"https:\/\/www.has-sante.fr\/jcms\/p_3463293\/fr\/quels-diagnostic-et-prise-en-charge-en-cas-d-epaule-douloureuse\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.has-sante.fr\/jcms\/p_3463293\/fr\/quels-diagnostic-et-prise-en-charge-en-cas-d-epaule-douloureuse<\/a><\/span><\/em><\/p><p data-source-line=\"31-32\"><em><span style=\"color: #000000;\">\u2022\u00a0<strong>Yamamoto et al. (2010)<\/strong>\u00a0&#8211; Prevalence and risk factors of a rotator cuff tear in the general population<\/span><\/em><br \/><em><span style=\"color: #000000;\"><a style=\"color: #000000;\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19540777\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/pubmed.ncbi.nlm.nih.gov\/19540777\/<\/a><\/span><\/em><\/p><p data-source-line=\"34-35\"><em><span style=\"color: #000000;\">\u2022\u00a0<strong>Sher et al. (1995)<\/strong>\u00a0&#8211; Abnormal findings on magnetic resonance images of asymptomatic shoulders<\/span><\/em><br \/><em><span style=\"color: #000000;\"><a style=\"color: #000000;\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7822341\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/pubmed.ncbi.nlm.nih.gov\/7822341\/<\/a><\/span><\/em><\/p><p data-source-line=\"37-38\"><em><span style=\"color: #000000;\">\u2022\u00a0<strong>Teunis et al. (2014)<\/strong>\u00a0&#8211; A systematic review and pooled analysis of the prevalence of rotator cuff disease with increasing age<\/span><\/em><br \/><em><span style=\"color: #000000;\"><a style=\"color: #000000;\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25441568\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/pubmed.ncbi.nlm.nih.gov\/25441568\/<\/a><\/span><\/em><\/p><p data-source-line=\"40-41\"><em><span style=\"color: #000000;\">\u2022\u00a0<strong>Tempelhof et al. (1999)<\/strong>\u00a0&#8211; Age-related prevalence of rotator cuff tears in asymptomatic shoulders<\/span><\/em><br \/><em><span style=\"color: #000000;\"><a style=\"color: #000000;\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10471998\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/pubmed.ncbi.nlm.nih.gov\/10471998\/<\/a><\/span><\/em><\/p><p><!-- notionvc: 75121fe9-f24f-4874-8ac7-7e2eed6f0bc3 --><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>L&rsquo;imagerie de l&rsquo;\u00e9paule est-elle n\u00e9cessaire ? D\u00e9couvre quand faire une IRM et pourquoi des anomalies peuvent \u00eatre normales sans douleur.<\/p>\n","protected":false},"author":1,"featured_media":4116,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4102","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.9 (Yoast SEO v25.7) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Imagerie de l&#039;\u00e9paule : quand est-elle vraiment n\u00e9cessaire ? - Iban Berasategui- Kin\u00e9 sp\u00e9cialiste \u00e9paule<\/title>\n<meta name=\"description\" content=\"L&#039;imagerie de l&#039;\u00e9paule est-elle n\u00e9cessaire ? 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