{"id":1131,"date":"2025-09-02T19:18:50","date_gmt":"2025-09-02T16:18:50","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/diseases\/uncategorized\/fractures-de-la-scapula\/"},"modified":"2026-04-28T15:42:29","modified_gmt":"2026-04-28T12:42:29","slug":"fractures-de-la-scapula","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/traumatologie\/fractures-de-la-scapula\/","title":{"rendered":"Fractures de l&rsquo;omoplate : classification, tableau clinique, diagnostic, traitement"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>\u041b\u043e\u043f\u0430\u0442\u043a\u0430 (\u043e\u0442 \u043b\u0430\u0442. <em>scapula<\/em>) \u2014 \u043f\u043b\u043e\u0441\u043a\u0430\u044f \u0442\u0440\u0435\u0443\u0433\u043e\u043b\u044c\u043d\u0430\u044f \u043a\u043e\u0441\u0442\u044c \u0441 \u0447\u0435\u0442\u044b\u0440\u044c\u043c\u044f \u0431\u043e\u043b\u044c\u0448\u0438\u043c\u0438 \u043e\u0442\u0440\u043e\u0441\u0442\u043a\u0430\u043c\u0438 (\u043e\u0441\u0442\u044c \u043b\u043e\u043f\u0430\u0442\u043a\u0438, \u0441\u0443\u0441\u0442\u0430\u0432\u043d\u043e\u0439 \u043e\u0442\u0440\u043e\u0441\u0442\u043e\u043a \u2014 \u0433\u043b\u0435\u043d\u043e\u0438\u0434, \u0430\u043a\u0440\u043e\u043c\u0438\u0430\u043b\u044c\u043d\u044b\u0439 \u043e\u0442\u0440\u043e\u0441\u0442\u043e\u043a, \u043a\u043b\u044e\u0432\u043e\u0432\u0438\u0434\u043d\u044b\u0439 \u043e\u0442\u0440\u043e\u0441\u0442\u043e\u043a), \u0440\u0430\u0441\u043f\u043e\u043b\u043e\u0436\u0435\u043d\u043d\u0430\u044f \u0432 \u0432\u0435\u0440\u0445\u043d\u0435\u0439 \u0447\u0430\u0441\u0442\u0438 \u0441\u043f\u0438\u043d\u044b \u0438 \u043e\u0431\u0440\u0430\u0437\u0443\u044e\u0449\u0430\u044f \u0437\u0430\u0434\u043d\u044e\u044e \u0447\u0430\u0441\u0442\u044c \u043f\u043b\u0435\u0447\u0435\u0432\u043e\u0433\u043e \u043f\u043e\u044f\u0441\u0430.<\/p>\n<p>L\u2019omoplate joue un r\u00f4le cl\u00e9 dans :<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>\u0434<\/strong><strong>\u0432\u0438\u0436\u0435\u043d\u0438\u0438 \u0440\u0443\u043a\u0438<\/strong>: \u0443\u0447\u0430\u0441\u0442\u0432\u0443\u0435\u0442 \u0432\u043e \u0432\u0440\u0430\u0449\u0435\u043d\u0438\u0438 \u0438 \u043e\u0442\u0432\u0435\u0434\u0435\u043d\u0438\u0438 \u0432 \u043f\u043b\u0435\u0447\u0435\u0432\u043e\u043c \u0441\u0443\u0441\u0442\u0430\u0432\u0435 (1\/3 \u043e\u0431\u044a\u0435\u043c\u0430 \u0434\u0432\u0438\u0436\u0435\u043d\u0438\u044f \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u043b\u043e\u043f\u0430\u0442\u043e\u0447\u043d\u043e-\u0433\u0440\u0443\u0434\u043d\u044b\u043c, 2\/3\u00a0\u2014 \u043f\u043b\u0435\u0447\u0435-\u043b\u043e\u043f\u0430\u0442\u043e\u0447\u043d\u044b\u043c);<\/li>\n<li><strong>\u0441<\/strong><strong>\u0442\u0430\u0431\u0438\u043b\u044c\u043d\u043e\u0441\u0442\u0438 \u043f\u043b\u0435\u0447\u0430<\/strong>: \u043e\u0431\u0435\u0441\u043f\u0435\u0447\u0438\u0432\u0430\u0435\u0442\u0441\u044f \u0437\u0430 \u0441\u0447\u0435\u0442 \u0441\u043e\u0431\u0441\u0442\u0432\u0435\u043d\u043d\u043e \u043f\u043b\u0435\u0447\u0435\u0432\u043e\u0433\u043e \u0441\u0443\u0441\u0442\u0430\u0432\u0430, \u0430 \u0442\u0430\u043a\u0436\u0435 \u043b\u043e\u043f\u0430\u0442\u043e\u0447\u043d\u043e-\u0433\u0440\u0443\u0434\u043d\u043e\u0433\u043e, \u0430\u043a\u0440\u043e\u043c\u0438\u0430\u043b\u044c\u043d\u043e-\u043a\u043b\u044e\u0447\u0438\u0447\u043d\u043e\u0433\u043e \u0441\u0443\u0441\u0442\u0430\u0432\u043e\u0432 \u0438 \u0432\u0435\u0440\u0445\u043d\u0435\u0433\u043e \u043f\u043b\u0435\u0447\u0435\u0432\u043e\u0433\u043e \u043f\u043e\u0434\u0434\u0435\u0440\u0436\u0438\u0432\u0430\u044e\u0449\u0435\u0433\u043e \u043a\u043e\u043c\u043f\u043b\u0435\u043a\u0441\u0430.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"epidemiologie\"><strong>\u00c9pid\u00e9miologie<\/strong><\/h2>\n<p>\u041f\u0435\u0440\u0435\u043b\u043e\u043c\u044b \u043b\u043e\u043f\u0430\u0442\u043a\u0438 \u2014 \u0440\u0435\u0434\u043a\u0430\u044f \u0442\u0440\u0430\u0432\u043c\u0430, \u0441\u043e\u0441\u0442\u0430\u0432\u043b\u044f\u044e\u0449\u0430\u044f \u043c\u0435\u043d\u0435\u0435 1 % \u043e\u0442 \u0432\u0441\u0435\u0445 \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u043e\u0432 \u0438 3\u20135 % \u043e\u0442 \u0442\u0440\u0430\u0432\u043c \u043f\u043b\u0435\u0447\u0435\u0432\u043e\u0433\u043e \u043f\u043e\u044f\u0441\u0430. \u0427\u0430\u0449\u0435 \u0432\u0441\u0435\u0433\u043e \u043e\u043d\u0438 \u0432\u0441\u0442\u0440\u0435\u0447\u0430\u044e\u0442\u0441\u044f \u0443 \u043c\u043e\u043b\u043e\u0434\u044b\u0445 \u043c\u0443\u0436\u0447\u0438\u043d (25\u201350 \u043b\u0435\u0442).<\/p>\n<p><strong>\u0420\u0430\u0441\u043f\u0440\u043e\u0441\u0442\u0440\u0430\u043d<\/strong><strong>\u0435<\/strong><strong>\u043d\u043d\u043e\u0441\u0442\u044c \u043f\u043e \u0442\u0438\u043f\u0430\u043c \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u043e\u0432:<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>\u0442\u0435\u043b\u043e \u043b\u043e\u043f\u0430\u0442\u043a\u0438 \u2014 \u0441\u0430\u043c\u044b\u0439 \u0447\u0430\u0441\u0442\u044b\u0439 \u0442\u0438\u043f, 50\u201360 % \u0441\u043b\u0443\u0447\u0430\u0435\u0432;<\/li>\n<li>\u0432\u043d\u0435\u0441\u0443\u0441\u0442\u0430\u0432\u043d\u044b\u0435 \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u044b \u0433\u043b\u0435\u043d\u043e\u0438\u0434\u0430 \u2014 20\u201325 %. \u0427\u0430\u0441\u0442\u043e \u0441\u043e\u0447\u0435\u0442\u0430\u044e\u0442\u0441\u044f \u0441 \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u043e\u043c \u043a\u043b\u044e\u0447\u0438\u0446\u044b (\u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u0435 \u00ab\u0444\u043b\u043e\u0442\u0438\u0440\u0443\u044e\u0449\u0435\u0435 \u043f\u043b\u0435\u0447\u043e\u00bb);<\/li>\n<li>\u0432\u043d\u0443\u0442\u0440\u0438\u0441\u0443\u0441\u0442\u0430\u0432\u043d\u044b\u0435 \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u044b \u0433\u043b\u0435\u043d\u043e\u0438\u0434\u0430 \u2014 10 %;<\/li>\n<li>\u0430\u043a\u0440\u043e\u043c\u0438\u0430\u043b\u044c\u043d\u044b\u0439 \u043e\u0442\u0440\u043e\u0441\u0442\u043e\u043a \u2014 \u043f\u0440\u0438\u043c\u0435\u0440\u043d\u043e 8 %;<\/li>\n<li>\u043a\u043b\u044e\u0432\u043e\u0432\u0438\u0434\u043d\u044b\u0439 \u043e\u0442\u0440\u043e\u0441\u0442\u043e\u043a \u2014 3\u20135 %;<\/li>\n<li>\u043e\u0441\u0442\u044c \u043b\u043e\u043f\u0430\u0442\u043a\u0438 \u2014 2\u20133 %.<\/li>\n<\/ul>\n<p>\u0418\u0437-\u0437\u0430 \u0432\u044b\u0441\u043e\u043a\u043e\u0439 \u044d\u043d\u0435\u0440\u0433\u0438\u0438 \u0443\u0434\u0430\u0440\u0430 \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u044b \u043b\u043e\u043f\u0430\u0442\u043a\u0438 \u0447\u0430\u0441\u0442\u043e \u0441\u043e\u043f\u0440\u043e\u0432\u043e\u0436\u0434\u0430\u044e\u0442\u0441\u044f \u0434\u0440\u0443\u0433\u0438\u043c\u0438 \u0441\u0435\u0440\u044c\u0435\u0437\u043d\u044b\u043c\u0438 \u043f\u043e\u0432\u0440\u0435\u0436\u0434\u0435\u043d\u0438\u044f\u043c\u0438:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0442\u0440\u0430\u0432\u043c\u044b \u0433\u0440\u0443\u0434\u043d\u043e\u0439 \u043a\u043b\u0435\u0442\u043a\u0438 (80 %) \u2014 \u0447\u0430\u0441\u0442\u043e \u0432\u043a\u043b\u044e\u0447\u0430\u044e\u0442 \u0443\u0448\u0438\u0431 \u043b\u0435\u0433\u043a\u043e\u0433\u043e (40 %) \u0438 \u0433\u0435\u043c\u043e\/\u043f\u043d\u0435\u0432\u043c\u043e\u0442\u043e\u0440\u0430\u043a\u0441 (\u0431\u043e\u043b\u0435\u0435 30 %);<\/li>\n<li>\u043f\u0435\u0440\u0435\u043b\u043e\u043c\u044b \u043a\u043e\u0441\u0442\u0435\u0439 \u043f\u043b\u0435\u0447\u0435\u0432\u043e\u0433\u043e \u043f\u043e\u044f\u0441\u0430 (50 %), \u0432 \u0442\u043e\u043c \u0447\u0438\u0441\u043b\u0435 \u043a\u043b\u044e\u0447\u0438\u0446\u044b (25 %);<\/li>\n<li>\u043f\u0435\u0440\u0435\u043b\u043e\u043c\u044b \u0440\u0435\u0431\u0435\u0440 (50 %);<\/li>\n<li>\u0442\u0440\u0430\u0432\u043c\u044b \u0433\u043e\u043b\u043e\u0432\u044b (35\u201350 %);<\/li>\n<li>\u043f\u0435\u0440\u0435\u043b\u043e\u043c\u044b \u043f\u043e\u0437\u0432\u043e\u043d\u043e\u0447\u043d\u0438\u043a\u0430 (25\u201330 %);<\/li>\n<li>\u043f\u0435\u0440\u0435\u043b\u043e\u043c\u044b \u0442\u0430\u0437\u0430 (15 %);<\/li>\n<li>\u043f\u043e\u0432\u0440\u0435\u0436\u0434\u0435\u043d\u0438\u044f \u0441\u043e\u0441\u0443\u0434\u043e\u0432 \u0438 \u043d\u0435\u0440\u0432\u043e\u0432 \u0440\u0443\u043a\u0438 (10 %).<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"etiologie\"><strong>\u00c9tiologie<\/strong><\/h2>\n<p>\u041f\u0435\u0440\u0435\u043b\u043e\u043c\u044b \u043b\u043e\u043f\u0430\u0442\u043a\u0438 \u043f\u043e\u0447\u0442\u0438 \u0432\u0441\u0435\u0433\u0434\u0430 \u044f\u0432\u043b\u044f\u044e\u0442\u0441\u044f \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u043e\u043c \u0432\u044b\u0441\u043e\u043a\u043e\u044d\u043d\u0435\u0440\u0433\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0442\u0440\u0430\u0432\u043c\u044b, \u0447\u0430\u0449\u0435 \u0432\u0441\u0435\u0433\u043e \u2014 \u0414\u0422\u041f (80\u201390 %). \u042d\u0442\u043e \u0441\u0432\u044f\u0437\u0430\u043d\u043e \u0441 \u0442\u0435\u043c, \u0447\u0442\u043e \u043a\u043e\u0441\u0442\u044c \u0445\u043e\u0440\u043e\u0448\u043e \u0437\u0430\u0449\u0438\u0449\u0435\u043d\u0430 \u043e\u043a\u0440\u0443\u0436\u0430\u044e\u0449\u0438\u043c\u0438 \u0435\u0435 \u043c\u044b\u0448\u0446\u0430\u043c\u0438.<\/p>\n<p>Les principaux m\u00e9canismes d\u2019endommagement :<\/p>\n<ol class=\"wp-block-list\">\n<li><strong>\u041f\u0440\u044f\u043c\u0430\u044f \u0442\u0440\u0430\u0432\u043c\u0430<\/strong>: \u0441\u0438\u043b\u044c\u043d\u044b\u0439 \u0443\u0434\u0430\u0440, \u043d\u0430\u043d\u0435\u0441\u0435\u043d\u043d\u044b\u0439 \u043d\u0435\u043f\u043e\u0441\u0440\u0435\u0434\u0441\u0442\u0432\u0435\u043d\u043d\u043e \u043f\u043e \u043f\u043b\u0435\u0447\u0443.<\/li>\n<li><strong>\u041a\u043e\u0441\u0432\u0435\u043d\u043d\u0430\u044f \u0442\u0440\u0430\u0432\u043c\u0430<\/strong>: \u043f\u0435\u0440\u0435\u0434\u0430\u0447\u0430 \u0443\u0434\u0430\u0440\u0430 \u0447\u0435\u0440\u0435\u0437 \u0440\u0443\u043a\u0443 (\u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, \u043f\u0440\u0438 \u043f\u0430\u0434\u0435\u043d\u0438\u0438 \u043d\u0430 \u0432\u044b\u0442\u044f\u043d\u0443\u0442\u0443\u044e \u0440\u0443\u043a\u0443 \u2014 Fall On Outstretched Hand, FOOSH).<\/li>\n<\/ol>\n<p>M\u00e9canismes de fracture pour les diff\u00e9rentes parties de l\u2019omoplate :<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>\u0442\u0435\u043b\u043e \u043b\u043e\u043f\u0430\u0442\u043a\u0438<\/strong>: \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442 \u043f\u0440\u044f\u043c\u043e\u0433\u043e \u0443\u0434\u0430\u0440\u0430, \u043f\u0430\u0434\u0435\u043d\u0438\u044f \u0438\u043b\u0438 \u0441\u0434\u0430\u0432\u043b\u0438\u0432\u0430\u043d\u0438\u044f;<\/li>\n<li><strong>\u0448\u0435\u0439\u043a\u0430 \u0433\u043b\u0435\u043d\u043e\u0438\u0434\u0430<\/strong>: \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442 \u043a\u043e\u0441\u0432\u0435\u043d\u043d\u043e\u0439 \u0442\u0440\u0430\u0432\u043c\u044b, \u0447\u0430\u0449\u0435 \u0432\u0441\u0435\u0433\u043e \u2014 \u043f\u0430\u0434\u0435\u043d\u0438\u044f \u043d\u0430 \u0432\u044b\u0442\u044f\u043d\u0443\u0442\u0443\u044e \u0440\u0443\u043a\u0443;<\/li>\n<li><strong>\u0432\u043d\u0443\u0442\u0440\u0438\u0441\u0443\u0441\u0442\u0430\u0432\u043d\u044b\u0435 \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u044b \u0433\u043b\u0435\u043d\u043e\u0438\u0434\u0430<\/strong>: \u043e\u0431\u044b\u0447\u043d\u043e \u043f\u0440\u043e\u0438\u0441\u0445\u043e\u0434\u044f\u0442 \u0432\u043e \u0432\u0440\u0435\u043c\u044f \u043f\u0435\u0440\u0435\u0434\u043d\u0435\u0433\u043e \u0432\u044b\u0432\u0438\u0445\u0430 \u043f\u043b\u0435\u0447\u0430 (\u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u043e \u0440\u0435\u0436\u0435 \u2014 \u0437\u0430\u0434\u043d\u0435\u0433\u043e, \u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, \u043f\u0440\u0438 \u043f\u043e\u0440\u0430\u0436\u0435\u043d\u0438\u0438 \u044d\u043b\u0435\u043a\u0442\u0440\u043e\u0442\u043e\u043a\u043e\u043c \u0438\u043b\u0438 \u043f\u0440\u0438\u0441\u0442\u0443\u043f\u0435 \u044d\u043f\u0438\u043b\u0435\u043f\u0441\u0438\u0438);<\/li>\n<li><strong>\u0430\u043a\u0440\u043e\u043c\u0438\u0430\u043b\u044c\u043d\u044b\u0439 \u043e\u0442\u0440\u043e\u0441\u0442\u043e\u043a<\/strong>: \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442 \u043f\u0440\u044f\u043c\u043e\u0439 \u0442\u0440\u0430\u0432\u043c\u044b; \u0442\u0430\u043a\u0436\u0435 \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u044b \u0441\u0442\u0440\u0435\u0441\u0441\u043e\u0432\u044b\u0435 \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u044b \u0443 \u0441\u043f\u043e\u0440\u0442\u0441\u043c\u0435\u043d\u043e\u0432;<\/li>\n<li><strong>\u043a\u043b\u044e\u0432\u043e\u0432\u0438\u0434\u043d\u044b\u0439 \u043e\u0442\u0440\u043e\u0441\u0442\u043e\u043a<\/strong>: \u043c\u043e\u0436\u0435\u0442 \u0431\u044b\u0442\u044c \u0432\u044b\u0437\u0432\u0430\u043d \u043f\u0440\u044f\u043c\u043e\u0439 \u0442\u0440\u0430\u0432\u043c\u043e\u0439, \u0440\u0435\u0437\u043a\u0438\u043c \u0441\u043e\u043a\u0440\u0430\u0449\u0435\u043d\u0438\u0435\u043c \u043c\u044b\u0448\u0446 \u0438\u043b\u0438 \u043d\u0430\u0442\u044f\u0436\u0435\u043d\u0438\u0435\u043c \u0441\u0432\u044f\u0437\u043e\u043a \u043f\u0440\u0438 \u0432\u044b\u0432\u0438\u0445\u0435 \u043f\u043b\u0435\u0447\u0430;<\/li>\n<li><strong>\u043e\u0441\u0442\u044c \u043b\u043e\u043f\u0430\u0442\u043a\u0438<\/strong>: \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442 \u043f\u0440\u044f\u043c\u043e\u0439 \u0442\u0440\u0430\u0432\u043c\u044b; \u0432 \u0440\u0435\u0434\u043a\u0438\u0445 \u0441\u043b\u0443\u0447\u0430\u044f\u0445 \u043c\u043e\u0436\u0435\u0442 \u0431\u044b\u0442\u044c \u043f\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u043c \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u043e\u043c \u0438\u0437-\u0437\u0430 \u043c\u0435\u0442\u0430\u0441\u0442\u0430\u0437\u0430 \u043e\u043f\u0443\u0445\u043e\u043b\u0438.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"classification-des-fractures-de-l-omoplate\"><strong>Classification des fractures de l\u2019omoplate<\/strong><\/h2>\n<p>\u041f\u0435\u0440\u0435\u043b\u043e\u043c\u044b \u043b\u043e\u043f\u0430\u0442\u043a\u0438 \u043a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u0446\u0438\u0440\u0443\u044e\u0442\u0441\u044f \u0432 \u043e\u0441\u043d\u043e\u0432\u043d\u043e\u043c \u043f\u043e \u0430\u043d\u0430\u0442\u043e\u043c\u0438\u0447\u0435\u0441\u043a\u043e\u043c\u0443 \u0440\u0430\u0441\u043f\u043e\u043b\u043e\u0436\u0435\u043d\u0438\u044e. \u0414\u043e\u043f\u043e\u043b\u043d\u0438\u0442\u0435\u043b\u044c\u043d\u043e \u0443\u0447\u0438\u0442\u044b\u0432\u0430\u044e\u0442 \u043d\u0430\u043b\u0438\u0447\u0438\u0435 \u043e\u0441\u043a\u043e\u043b\u043a\u043e\u0432 \u0438 \u0444\u043e\u0440\u043c\u0443 \u043b\u0438\u043d\u0438\u0438 \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u0430 \u0432 \u0441\u043e\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u0438\u0438 \u0441 \u043e\u0431\u0449\u0435\u043f\u0440\u0438\u043d\u044f\u0442\u043e\u0439 \u0442\u0435\u0440\u043c\u0438\u043d\u043e\u043b\u043e\u0433\u0438\u0435\u0439. \u041d\u0438\u0436\u0435 \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u043b\u0435\u043d\u044b \u043d\u0430\u0438\u0431\u043e\u043b\u0435\u0435 \u0447\u0430\u0441\u0442\u043e \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0435\u043c\u044b\u0435 \u043a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u0438.<\/p>\n<h3 class=\"wp-block-heading\" id=\"%d0%9a%d0%bb%d0%b0%d1%81%d1%81%d0%b8%d1%84%d0%b8%d0%ba%d0%b0%d1%86%d0%b8%d1%8f-%d0%bf%d0%be-%d0%a5%d0%b0%d1%80%d0%b4%d0%b5%d0%b3%d0%b3%d0%b5%d1%80%d1%83\">\u041a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u044f \u043f\u043e \u0425\u0430\u0440\u0434\u0435\u0433\u0433\u0435\u0440\u0443<\/h3>\n<p>\u042d\u0442\u043e \u043d\u0430\u0438\u0431\u043e\u043b\u0435\u0435 \u043f\u0440\u043e\u0441\u0442\u0430\u044f \u0438 \u0447\u0430\u0441\u0442\u043e \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0435\u043c\u0430\u044f \u043a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u044f, \u043e\u0441\u043d\u043e\u0432\u0430\u043d\u043d\u0430\u044f \u043d\u0430 \u043b\u043e\u043a\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u0438 \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u0430 (Hardegger classification).<\/p>\n<p><strong>Classification anatomique des fractures du scapho\u00efde selon Hardegger<\/strong><\/p>\n<figure class=\"wp-block-table table-to-cards\">\n<table>\n<thead>\n<tr>\n<th class=\"has-text-align-center\" data-align=\"center\"><strong>Localisation<\/strong><\/th>\n<th class=\"has-text-align-center\" data-align=\"center\"><strong>Description<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Corps<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Fractures de la zone centrale plate<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Le col de l\u2019apophyse articulaire<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Fractures \u00e0 la jonction gl\u00e9no\u00efde<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u0413\u043b\u0435\u043d\u043e\u0438\u0434 (\u0441\u0443\u0441\u0442\u0430\u0432\u043d\u043e\u0439 \u043e\u0442\u0440\u043e\u0441\u0442\u043e\u043a)<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Intra-articulaire, comprenant la cavit\u00e9 articulaire<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Excroissance acromiale<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Implication du processus acromial<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Processus en forme de bec<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Atteinte du processus claviculaire<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Awn<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Fracture de l\u2019apophyse \u00e9pineuse de l\u2019omoplate<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<p><a href=\"https:\/\/catalog.voka.io\/en\/models\/172682d4-e3d9-460c-8ad0-f4cc3bbe976d\/15ae3b98-3ff4-4335-9700-722d38e8a5af\/8d22df56-cb8f-42ef-a621-6ec0ca212553\/fd0cb791-ef02-4b10-bfa5-7d501076dd70\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8les 3D<\/a> de fractures de l\u2019omoplate :<\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_69f1c99709de2\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/traumatology\/scapula-fractures\/comminuted-fracture-scapular-body.webp\" alt=\"Fracture du corps de l'omoplate\"><span class=\"small-text-article text-main-text-color\">Fracture du corps de l\u2019omoplate<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/traumatology\/scapula-fractures\/fracture-neck-acromion-scapula-14f0-ao-ota.webp\" alt=\"Fracture du col de l'apophyse articulaire de l'omoplate (14F0 selon la classification AO\/OTA)\"><span class=\"small-text-article text-main-text-color\">Fracture du col de l\u2019apophyse articulaire de l\u2019omoplate (14F0 selon la classification AO\/OTA)<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/traumatology\/scapula-fractures\/intraarticular-glenoid-fracture-type-ia-ideberg.webp\" alt=\"Fracture gl\u00e9no\u00efdienne intra-articulaire (type IA d'Ideberg)\"><span class=\"small-text-article text-main-text-color\">Fracture gl\u00e9no\u00efdienne intra-articulaire (type IA d\u2019Ideberg)<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/traumatology\/scapula-fractures\/acromion-process-fracture-type-ii-kuhn.webp\" alt=\"Fracture du processus acromial de l'omoplate (type II de Kuhn)\"><span class=\"small-text-article text-main-text-color\">Fracture du processus acromial de l\u2019omoplate (type II de Kuhn)<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/traumatology\/scapula-fractures\/coracoid-process-fracture-type-i-ogawa-type-ii-eyres.webp\" alt=\"Fracture du processus claviculaire de l'omoplate (type Ogawa I ; type Eyres II)\"><span class=\"small-text-article text-main-text-color\">Fracture du processus claviculaire de l\u2019omoplate (type Ogawa I ; type Eyres II)<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-carousel__controls\">\n<div class=\"swiper-article-carousel__pagination-container swiper-article-carousel__pagination-container-block_69f1c99709de2\"><\/div>\n<div class=\"swiper-article-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev carousel-swiper-button-prev swiper__arrow swiper__arrow--prev carousel-swiper-button-prev-block_69f1c99709de2\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><button class=\"swiper__arrow swiper__arrow--next carousel-swiper-button-next swiper__arrow swiper__arrow--next carousel-swiper-button-next-block_69f1c99709de2\" tabindex=\"0\" aria-label=\"Next slide\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const imagesCarouselSwiper = new Swiper('.carousel-swiper-block_69f1c99709de2', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-carousel__pagination-container-block_69f1c99709de2',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.carousel-swiper-button-next-block_69f1c99709de2',\n                prevEl: '.carousel-swiper-button-prev-block_69f1c99709de2',\n            },\n        })\n    })\n<\/script><\/p>\n<h3 class=\"wp-block-heading\" id=\"classification-d-ideberg-des-fractures-de-la-glene\"><strong>Classification d\u2019Ideberg des fractures de la gl\u00e8ne<\/strong><\/h3>\n<p>\u0414\u043b\u044f \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u043e\u0432 \u0441\u0443\u0441\u0442\u0430\u0432\u043d\u043e\u0439 \u0432\u043f\u0430\u0434\u0438\u043d\u044b \u043b\u043e\u043f\u0430\u0442\u043a\u0438 \u0440\u0430\u0437\u0440\u0430\u0431\u043e\u0442\u0430\u043d\u0430 \u043a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u044f \u0418\u0434\u0435\u0431\u0435\u0440\u0433\u0430 (Ideberg classification, 1984), \u0432\u043a\u043b\u044e\u0447\u0430\u044e\u0449\u0430\u044f 6 \u0442\u0438\u043f\u043e\u0432:<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Type I<\/strong>: fracture du bord de la cavit\u00e9 articulaire :\n<ul class=\"wp-block-list\">\n<li>\u043f\u043e\u0434\u0442\u0438\u043f IA \u2014 \u043f\u0435\u0440\u0435\u043b\u043e\u043c \u043f\u0435\u0440\u0435\u0434\u043d\u0435\u0433\u043e \u043a\u0440\u0430\u044f (\u043a\u043e\u0441\u0442\u043d\u044b\u0439 \u0442\u0438\u043f \u0411\u0430\u043d\u043a\u0430\u0440\u0442\u0430);<\/li>\n<li>\u043f\u043e\u0434\u0442\u0438\u043f IB \u2014 \u043f\u0435\u0440\u0435\u043b\u043e\u043c \u0437\u0430\u0434\u043d\u0435\u0433\u043e \u043a\u0440\u0430\u044f.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Type II <\/strong>: fracture transversale \u00e0 travers la cavit\u00e9 articulaire avec extension au col de l\u2019omoplate. Dans ce type de fracture, l\u2019articulation de l\u2019\u00e9paule est instable. <\/li>\n<li><strong>Type III <\/strong>: rare fracture oblique traversant la partie sup\u00e9rieure de la cavit\u00e9 et s\u2019\u00e9tendant au corps de l\u2019omoplate.<\/li>\n<li><strong>Type IV <\/strong>: fracture transversale s\u2019\u00e9tendant au bord m\u00e9dial de l\u2019omoplate. Elle r\u00e9sulte d\u2019un choc \u00e0 haute \u00e9nergie. <\/li>\n<li><strong>Type V <\/strong>: une fracture compos\u00e9e, qui est une combinaison de plusieurs types (II et IV, III et IV, ou II, III et IV), divis\u00e9e en sous-types A, B, C. Cette fracture est extr\u00eamement instable. Cette fracture est tr\u00e8s instable.<\/li>\n<li><strong>\u0422\u0438\u043f VI<\/strong>: \u0442\u044f\u0436\u0435\u043b\u043e\u0435 \u043c\u043d\u043e\u0433\u043e\u043e\u0441\u043a\u043e\u043b\u044c\u0447\u0430\u0442\u043e\u0435 \u043f\u043e\u0432\u0440\u0435\u0436\u0434\u0435\u043d\u0438\u0435 \u0432\u0441\u0435\u0433\u043e \u0441\u0443\u0441\u0442\u0430\u0432\u043d\u043e\u0433\u043e \u043e\u0442\u0440\u043e\u0441\u0442\u043a\u0430.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"classification-de-kuhn-des-fractures-de-l-acromion\"><strong>Classification de Kuhn des fractures de l\u2019acromion<\/strong><\/h3>\n<p>\u041f\u0435\u0440\u0435\u043b\u043e\u043c\u044b \u0430\u043a\u0440\u043e\u043c\u0438\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u043e\u0442\u0440\u043e\u0441\u0442\u043a\u0430 \u043b\u043e\u043f\u0430\u0442\u043a\u0438 \u043a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u0446\u0438\u0440\u0443\u044e\u0442\u0441\u044f \u043f\u043e \u041a\u0443\u043d\u0443 (Kuhn classification). \u0412 \u043a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u0438 \u0432\u044b\u0434\u0435\u043b\u044f\u044e\u0442 \u0442\u0440\u0438 \u0442\u0438\u043f\u0430 \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u0430, \u0438 \u0432 \u0437\u0430\u0432\u0438\u0441\u0438\u043c\u043e\u0441\u0442\u0438 \u043e\u0442 \u0442\u0438\u043f\u0430 \u043e\u043f\u0440\u0435\u0434\u0435\u043b\u044f\u044e\u0442 \u0442\u0430\u043a\u0442\u0438\u043a\u0443 \u043b\u0435\u0447\u0435\u043d\u0438\u044f:\u00a0<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Type I <\/strong>: fracture avec d\u00e9placement minime, ne n\u00e9cessitant pas de traitement chirurgical. <\/li>\n<li><strong>Type II <\/strong>: fracture d\u00e9plac\u00e9e sans r\u00e9tr\u00e9cissement de l\u2019espace sous-acromial. Ce type de fracture peut faire l\u2019objet d\u2019un traitement chirurgical ou conservateur.  <\/li>\n<li><strong>\u0422\u0438\u043f III<\/strong>: \u0441\u043c\u0435\u0449\u0435\u043d\u043d\u044b\u0439 \u043f\u0435\u0440\u0435\u043b\u043e\u043c \u0441 \u0441\u0443\u0436\u0435\u043d\u0438\u0435\u043c \u0441\u0443\u0431\u0430\u043a\u0440\u043e\u043c\u0438\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u043f\u0440\u043e\u0441\u0442\u0440\u0430\u043d\u0441\u0442\u0432\u0430. \u0422\u0430\u043a\u043e\u0439 \u0442\u0438\u043f \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u0430 \u0442\u0440\u0435\u0431\u0443\u0435\u0442 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0433\u043e \u043b\u0435\u0447\u0435\u043d\u0438\u044f.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"classification-des-fractures-du-processus-claviculaire\"><strong>Classification des fractures du processus claviculaire<\/strong><\/h3>\n<p>\u0421\u0443\u0449\u0435\u0441\u0442\u0432\u0443\u044e\u0442 \u0434\u0432\u0435 \u043e\u0441\u043d\u043e\u0432\u043d\u044b\u0435 \u043a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u0438 \u0434\u043b\u044f \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u043e\u0432 \u044d\u0442\u043e\u0439 \u043e\u0431\u043b\u0430\u0441\u0442\u0438.<\/p>\n<ol class=\"wp-block-list\">\n<li><strong>Classification Ogawa<\/strong><\/li>\n<\/ol>\n<p>Cette classification (classification d\u2019Ogawa) est bas\u00e9e sur la relation entre le trait de fracture et le site d\u2019attachement des ligaments claviculaires :<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>\u0422\u0438\u043f I<\/strong>: \u043b\u0438\u043d\u0438\u044f \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u0430 \u0440\u0430\u0441\u043f\u043e\u043b\u0430\u0433\u0430\u0435\u0442\u0441\u044f \u043f\u0440\u043e\u043a\u0441\u0438\u043c\u0430\u043b\u044c\u043d\u0435\u0435 \u043c\u0435\u0441\u0442\u0430 \u043a\u0440\u0435\u043f\u043b\u0435\u043d\u0438\u044f (\u043f\u0435\u0440\u0435\u043b\u043e\u043c \u043e\u0441\u043d\u043e\u0432\u0430\u043d\u0438\u044f).<\/li>\n<li><strong>Type II <\/strong>: le trait de fracture est distal par rapport au point d\u2019attache des ligaments claviculaires. <\/li>\n<\/ul>\n<p>\u0422\u0430\u043a\u043e\u0435 \u0440\u0430\u0437\u0434\u0435\u043b\u0435\u043d\u0438\u0435 \u043e\u0431\u043e\u0441\u043d\u043e\u0432\u0430\u043d\u043d\u043e \u0441 \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0438 \u0444\u0443\u043d\u043a\u0446\u0438\u043e\u043d\u0430\u043b\u044c\u043d\u043e\u0439 \u0442\u043e\u0447\u043a\u0438 \u0437\u0440\u0435\u043d\u0438\u044f. \u041a\u0430\u043a \u043f\u0440\u0430\u0432\u0438\u043b\u043e, \u043f\u0435\u0440\u0435\u043b\u043e\u043c \u043f\u0435\u0440\u0432\u043e\u0433\u043e \u0442\u0438\u043f\u0430 \u0430\u0441\u0441\u043e\u0446\u0438\u0438\u0440\u0443\u0435\u0442\u0441\u044f \u0441 \u043d\u0435\u0441\u0442\u0430\u0431\u0438\u043b\u044c\u043d\u043e\u0441\u0442\u044c\u044e \u0432\u0435\u0440\u0445\u043d\u0435\u0433\u043e \u043f\u043b\u0435\u0447\u0435\u0432\u043e\u0433\u043e \u043f\u043e\u0434\u0434\u0435\u0440\u0436\u0438\u0432\u0430\u044e\u0449\u0435\u0433\u043e \u043a\u043e\u043c\u043f\u043b\u0435\u043a\u0441\u0430 (Superior Shoulder Suspensor Complex, SSSC).<\/p>\n<ol start=\"2\" class=\"wp-block-list\">\n<li><strong>Classification Ayres<\/strong><\/li>\n<\/ol>\n<p>La classification propos\u00e9e par la classification anatomique d\u2019Eyres propose 5 types de fractures : <\/p>\n<ul class=\"wp-block-list\">\n<li><strong>\u0422\u0438\u043f I<\/strong>: \u043f\u0435\u0440\u0435\u043b\u043e\u043c \u0432\u0435\u0440\u0445\u0443\u0448\u043a\u0438 \u043e\u0442\u0440\u043e\u0441\u0442\u043a\u0430.\u00a0<\/li>\n<li><strong>\u0422\u0438\u043f II<\/strong>: \u043f\u0435\u0440\u0435\u043b\u043e\u043c \u0441\u0440\u0435\u0434\u043d\u0435\u0433\u043e \u043e\u0442\u0440\u0435\u0437\u043a\u0430 \u043e\u0442\u0440\u043e\u0441\u0442\u043a\u0430.\u00a0<\/li>\n<li><strong>\u0422\u0438\u043f III<\/strong>: \u043f\u0435\u0440\u0435\u043b\u043e\u043c \u043e\u0441\u043d\u043e\u0432\u0430\u043d\u0438\u044f \u043e\u0442\u0440\u043e\u0441\u0442\u043a\u0430.\u00a0<\/li>\n<li><strong>\u0422\u0438\u043f IV<\/strong>: \u043f\u0435\u0440\u0435\u043b\u043e\u043c \u0441 \u0432\u043e\u0432\u043b\u0435\u0447\u0435\u043d\u0438\u0435\u043c \u0432\u0435\u0440\u0445\u043d\u0435\u0439 \u0447\u0430\u0441\u0442\u0438 \u0442\u0435\u043b\u0430 \u043b\u043e\u043f\u0430\u0442\u043a\u0438.\u00a0<\/li>\n<li><strong>Type V <\/strong>: fracture avec extension \u00e0 la fosse articulaire de l\u2019omoplate.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"classification-ao-ota-complete\"><strong>Classification AO\/OTA compl\u00e8te<\/strong><\/h3>\n<p>Est une classification compl\u00e8te et standardis\u00e9e des fractures du scapho\u00efde.<\/p>\n<h2 class=\"wp-block-heading\" id=\"diagnostic-des-fractures-de-l-omoplate\"><strong>Diagnostic des fractures de l\u2019omoplate<\/strong><\/h2>\n<p>Le diagnostic des fractures du scapho\u00efde repose sur l\u2019\u00e9valuation clinique et les techniques d\u2019examen radial.<\/p>\n<h3 class=\"wp-block-heading\" id=\"evaluation-clinique\"><strong>\u00c9valuation clinique<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li><strong>\u0410\u043d\u0430\u043c\u043d\u0435\u0437<\/strong> \u2014 \u0432\u044b\u0441\u043e\u043a\u043e\u044d\u043d\u0435\u0440\u0433\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u0442\u0440\u0430\u0432\u043c\u0430 \u0438\u043b\u0438 \u043f\u0440\u044f\u043c\u043e\u0439 \u0443\u0434\u0430\u0440.<\/li>\n<li><strong>\u041e\u0441\u043c\u043e\u0442\u0440 <\/strong>\u2014 \u043e\u0442\u0435\u043a, \u0441\u0438\u043d\u044f\u043a\u0438, \u0441\u0441\u0430\u0434\u0438\u043d\u044b \u0432 \u043e\u0431\u043b\u0430\u0441\u0442\u0438 \u043b\u043e\u043f\u0430\u0442\u043a\u0438.<\/li>\n<li><strong>\u041f\u0430\u043b\u044c\u043f\u0430\u0446\u0438\u044f<\/strong> \u2014 \u043b\u043e\u043a\u0430\u043b\u044c\u043d\u0430\u044f \u0431\u043e\u043b\u0435\u0437\u043d\u0435\u043d\u043d\u043e\u0441\u0442\u044c \u0438\u043b\u0438 \u043e\u0449\u0443\u0449\u0435\u043d\u0438\u0435 \u0441\u0442\u0443\u043f\u0435\u043d\u044c\u043a\u0438 \u043f\u043e\u0434 \u043a\u043e\u0436\u0435\u0439.<\/li>\n<li><strong>\u041e\u0446\u0435\u043d\u043a\u0430 \u0441\u043e\u043f\u0443\u0442\u0441\u0442\u0432\u0443\u044e\u0449\u0438\u0445 \u0442\u0440\u0430\u0432\u043c<\/strong> \u2014 \u043f\u0440\u043e\u0432\u0435\u0440\u043a\u0430 \u043d\u0430 \u043d\u0430\u043b\u0438\u0447\u0438\u0435 \u0442\u0440\u0430\u0432\u043c\u044b \u0433\u0440\u0443\u0434\u043d\u043e\u0439 \u043a\u043b\u0435\u0442\u043a\u0438, \u0442\u0430\u0437\u0430, \u0433\u043e\u043b\u043e\u0432\u044b \u0438 \u043f\u043e\u0437\u0432\u043e\u043d\u043e\u0447\u043d\u0438\u043a\u0430 \u0438\u043b\u0438 \u043f\u043e\u0432\u0440\u0435\u0436\u0434\u0435\u043d\u0438\u0439 \u0441\u043e\u0441\u0443\u0434\u043e\u0432 \u0438 \u043d\u0435\u0440\u0432\u043e\u0432.<\/li>\n<\/ol>\n<h3 class=\"wp-block-heading\" id=\"diagnostic-radiologique\"><strong>Diagnostic radiologique<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li><strong>\u0420\u0435\u043d\u0442\u0433\u0435\u043d\u043e\u0433\u0440\u0430\u0444\u0438\u044f<\/strong> \u2014 \u0441\u0442\u0430\u043d\u0434\u0430\u0440\u0442\u043d\u0430\u044f \u043f\u0435\u0440\u0435\u0434\u043d\u0435-\u0437\u0430\u0434\u043d\u044f\u044f \u043f\u0440\u043e\u0435\u043a\u0446\u0438\u044f, \u0431\u043e\u043a\u043e\u0432\u0430\u044f (Y-\u043f\u0440\u043e\u0435\u043a\u0446\u0438\u044f) \u0438 \u043f\u043e\u0434\u043c\u044b\u0448\u0435\u0447\u043d\u0430\u044f \u043f\u0440\u043e\u0435\u043a\u0446\u0438\u0438.<\/li>\n<li><strong>\u041a\u043e\u043c\u043f\u044c\u044e\u0442\u0435\u0440\u043d\u0430\u044f \u0442\u043e\u043c\u043e\u0433\u0440\u0430\u0444\u0438\u044f (\u041a\u0422<\/strong>) \u2014 \u043f\u0440\u0435\u0434\u043e\u0441\u0442\u0430\u0432\u043b\u044f\u0435\u0442 \u043f\u043e\u0434\u0440\u043e\u0431\u043d\u0443\u044e \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044e, \u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e \u043f\u0440\u0438 \u0432\u043d\u0443\u0442\u0440\u0438\u0441\u0443\u0441\u0442\u0430\u0432\u043d\u044b\u0445 \u0438\u043b\u0438 \u0441\u043b\u043e\u0436\u043d\u044b\u0445 \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u0430\u0445, \u0438 \u043f\u043e\u043c\u043e\u0433\u0430\u0435\u0442 \u0432 \u043f\u0440\u0435\u0434\u043e\u043f\u0435\u0440\u0430\u0446\u0438\u043e\u043d\u043d\u043e\u043c \u043f\u043b\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0438.<\/li>\n<\/ol>\n<h3 class=\"wp-block-heading\" id=\"tableau-clinique\"><strong>Tableau clinique<\/strong><\/h3>\n<p>Tableau clinique typique<strong><\/strong>d\u2019une fracture du scapho\u00efde :<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>\u0441\u0438\u043c\u043f\u0442\u043e\u043c\u044b<\/strong> \u2014 \u043e\u0441\u0442\u0440\u0430\u044f \u0431\u043e\u043b\u044c \u0432 \u043f\u043b\u0435\u0447\u0435 \u0438\u043b\u0438 \u0432\u0435\u0440\u0445\u043d\u0435\u0439 \u0447\u0430\u0441\u0442\u0438 \u0441\u043f\u0438\u043d\u044b, \u043e\u0442\u0435\u043a \u0438 \u043e\u0433\u0440\u0430\u043d\u0438\u0447\u0435\u043d\u043d\u0430\u044f \u043f\u043e\u0434\u0432\u0438\u0436\u043d\u043e\u0441\u0442\u044c \u043f\u043b\u0435\u0447\u0430.<\/li>\n<li><strong>\u0444\u0438\u0437\u0438\u043a\u0430\u043b\u044c\u043d\u044b\u0435 \u0434\u0430\u043d\u043d\u044b\u0435<\/strong> \u2014 \u0432\u0438\u0434\u0438\u043c\u044b\u0439 \u043e\u0442\u0435\u043a, \u0431\u043e\u043b\u0435\u0437\u043d\u0435\u043d\u043d\u043e\u0441\u0442\u044c, \u043a\u0440\u0435\u043f\u0438\u0442\u0430\u0446\u0438\u044f (\u0445\u0440\u0443\u0441\u0442) \u043d\u0430\u0434 \u043b\u043e\u043f\u0430\u0442\u043a\u043e\u0439, \u0438\u043d\u043e\u0433\u0434\u0430 \u0434\u0435\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044f.<\/li>\n<li><strong>\u043f\u0440\u043e\u044f\u0432\u043b\u0435\u043d\u0438\u044f \u0441\u043e\u043f\u0443\u0442\u0441\u0442\u0432\u0443\u044e\u0449\u0438\u0445 \u0442\u0440\u0430\u0432\u043c<\/strong>.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"traitement-des-fractures-de-l-omoplate\"><strong>Traitement des fractures de l\u2019omoplate<\/strong><\/h2>\n<p>Gr\u00e2ce \u00e0 la structure solide de l\u2019omoplate et \u00e0 sa protection par les muscles et le thorax environnants, de nombreuses fractures se caract\u00e9risent par un d\u00e9placement minime et peuvent \u00eatre trait\u00e9es de mani\u00e8re conservatrice. Les fractures impliquant la cavit\u00e9 articulaire qui sont fortement d\u00e9plac\u00e9es et instables n\u00e9cessitent g\u00e9n\u00e9ralement un traitement chirurgical. <\/p>\n<h3 class=\"wp-block-heading\" id=\"traitement-conservateur\"><strong>Traitement conservateur<\/strong><\/h3>\n<p>\u041a\u043e\u043d\u0441\u0435\u0440\u0432\u0430\u0442\u0438\u0432\u043d\u043e\u0435 \u043b\u0435\u0447\u0435\u043d\u0438\u0435 \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u043e \u043f\u0440\u0438 \u0431\u043e\u043b\u044c\u0448\u0438\u043d\u0441\u0442\u0432\u0435 \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u043e\u0432 \u0442\u0435\u043b\u0430 \u043b\u043e\u043f\u0430\u0442\u043a\u0438, \u043e\u0441\u0442\u0438, \u0430\u043a\u0440\u043e\u043c\u0438\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u0438 \u043a\u043b\u044e\u0432\u043e\u0432\u0438\u0434\u043d\u043e\u0433\u043e \u043e\u0442\u0440\u043e\u0441\u0442\u043a\u043e\u0432 \u0431\u0435\u0437 \u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0433\u043e \u0441\u043c\u0435\u0449\u0435\u043d\u0438\u044f. \u0412\u043d\u0443\u0442\u0440\u0438\u0441\u0443\u0441\u0442\u0430\u0432\u043d\u044b\u0435 \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u044b \u0441\u0443\u0441\u0442\u0430\u0432\u043d\u043e\u0439 \u0432\u043f\u0430\u0434\u0438\u043d\u044b \u0441\u043e \u0441\u043c\u0435\u0449\u0435\u043d\u0438\u0435\u043c \u043c\u0435\u043d\u0435\u0435 2 \u043c\u043c \u0438 \u043e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0435\u043c \u043d\u0435\u0441\u0442\u0430\u0431\u0438\u043b\u044c\u043d\u043e\u0441\u0442\u0438 \u043f\u043b\u0435\u0447\u0435\u0432\u043e\u0433\u043e \u0441\u0443\u0441\u0442\u0430\u0432\u0430 \u0442\u0430\u043a\u0436\u0435 \u043c\u043e\u0433\u0443\u0442 \u0431\u044b\u0442\u044c \u0438\u0437\u043b\u0435\u0447\u0435\u043d\u044b \u043a\u043e\u043d\u0441\u0435\u0440\u0432\u0430\u0442\u0438\u0432\u043d\u044b\u043c \u043c\u0435\u0442\u043e\u0434\u043e\u043c.<\/p>\n<div class=\"videos-carousel-block\">\n<div class=\"swiper video-carousel-swiper video-carousel-swiper-block_69f1c9970ca6e\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide\"><video controls class=\"carousel-video\"><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/traumatology\/scapula-fractures\/comminuted-fracture-of-scapular-body.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">3D-\u0430\u043d\u0438\u043c\u0430\u0446\u0438\u044f \u2013 \u043e\u0441\u043a\u043e\u043b\u044c\u0447\u0430\u0442\u044b\u0439 \u043f\u0435\u0440\u0435\u043b\u043e\u043c \u0442\u0435\u043b\u0430 \u043b\u043e\u043f\u0430\u0442\u043a\u0438<\/span><\/div>\n<div class=\"swiper-slide\"><video controls class=\"carousel-video\"><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/traumatology\/scapula-fractures\/scapular-neck-fracture.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">3D-\u0430\u043d\u0438\u043c\u0430\u0446\u0438\u044f \u2013 \u043f\u0435\u0440\u0435\u043b\u043e\u043c \u0448\u0435\u0439\u043a\u0438 \u0441\u0443\u0441\u0442\u0430\u0432\u043d\u043e\u0433\u043e \u043e\u0442\u0440\u043e\u0441\u0442\u043a\u0430 \u043b\u043e\u043f\u0430\u0442\u043a\u0438<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-video-carousel__controls\">\n<div class=\"swiper-article-video-carousel__pagination-container swiper-article-video-carousel__pagination-container-block_69f1c9970ca6e\"><\/div>\n<div class=\"swiper-article-video-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev video-carousel-swiper-button-prev swiper__arrow swiper__arrow--prev video-carousel-swiper-button-prev-block_69f1c9970ca6e\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><button class=\"swiper__arrow swiper__arrow--next video-carousel-swiper-button-next swiper__arrow swiper__arrow--next video-carousel-swiper-button-next-block_69f1c9970ca6e\" tabindex=\"0\" aria-label=\"Next slide\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const videosCarouselSwiper = new Swiper('.video-carousel-swiper-block_69f1c9970ca6e', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-video-carousel__pagination-container-block_69f1c9970ca6e',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.video-carousel-swiper-button-next-block_69f1c9970ca6e',\n                prevEl: '.video-carousel-swiper-button-prev-block_69f1c9970ca6e',\n            },\n            on: {\n                slideChangeTransitionStart: function () {\n                    const videos = this.el.querySelectorAll('video');\n                    videos.forEach(video => {\n                        if (!video.paused) {\n                            video.pause();\n                            video.currentTime = 0;\n                        }\n                    });\n                },\n            }\n        })\n    })\n<\/script><\/p>\n<p>\u041b\u0435\u0447\u0435\u043d\u0438\u0435 \u0437\u0430\u043a\u043b\u044e\u0447\u0430\u0435\u0442\u0441\u044f \u0432 \u0438\u043c\u043c\u043e\u0431\u0438\u043b\u0438\u0437\u0430\u0446\u0438\u0438 \u043f\u043e\u0432\u044f\u0437\u043a\u043e\u0439 \u043d\u0430 \u0441\u0440\u043e\u043a 2\u20134 \u043d\u0435\u0434\u0435\u043b\u0438. \u0421 \u0446\u0435\u043b\u044c\u044e \u043f\u0440\u0435\u0434\u043e\u0442\u0432\u0440\u0430\u0449\u0435\u043d\u0438\u044f \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044f \u0430\u0434\u0433\u0435\u0437\u0438\u0432\u043d\u043e\u0433\u043e \u043a\u0430\u043f\u0441\u0443\u043b\u0438\u0442\u0430 \u0440\u0435\u043a\u043e\u043c\u0435\u043d\u0434\u043e\u0432\u0430\u043d\u044b \u0440\u0430\u043d\u043d\u0438\u0435 \u043f\u0430\u0441\u0441\u0438\u0432\u043d\u044b\u0435 \u0434\u0432\u0438\u0436\u0435\u043d\u0438\u044f \u0441\u043e \u0432\u0442\u043e\u0440\u043e\u0439 \u043d\u0435\u0434\u0435\u043b\u0438 \u043f\u043e\u0441\u043b\u0435 \u0442\u0440\u0430\u0432\u043c\u044b (\u043f\u043e\u0434 \u043a\u043e\u043d\u0442\u0440\u043e\u043b\u0435\u043c \u0431\u043e\u043b\u0435\u0432\u043e\u0433\u043e \u0441\u0438\u043d\u0434\u0440\u043e\u043c\u0430). \u0410\u043a\u0442\u0438\u0432\u043d\u044b\u0435 \u0434\u0432\u0438\u0436\u0435\u043d\u0438\u044f \u0440\u0430\u0437\u0440\u0435\u0448\u0435\u043d\u044b \u043d\u0435 \u0440\u0430\u043d\u0435\u0435 \u0447\u0435\u043c \u0447\u0435\u0440\u0435\u0437 4 \u043d\u0435\u0434\u0435\u043b\u0438 \u043f\u043e\u0441\u043b\u0435 \u0442\u0440\u0430\u0432\u043c\u044b. \u041a\u0430\u043a \u043f\u0440\u0430\u0432\u0438\u043b\u043e, \u0437\u0430\u0436\u0438\u0432\u043b\u0435\u043d\u0438\u0435 \u0434\u043e\u0441\u0442\u0438\u0433\u0430\u0435\u0442\u0441\u044f \u0432 \u0441\u0440\u043e\u043a 6\u201312 \u043d\u0435\u0434\u0435\u043b\u044c \u0438 \u0437\u0430\u0432\u0438\u0441\u0438\u0442 \u043e\u0442 \u0442\u044f\u0436\u0435\u0441\u0442\u0438 \u0442\u0440\u0430\u0432\u043c\u044b.<\/p>\n<h3 class=\"wp-block-heading\" id=\"traitement-chirurgical\"><strong>Traitement chirurgical<\/strong><\/h3>\n<p>\u0425\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u043b\u0435\u0447\u0435\u043d\u0438\u0435 \u043f\u0440\u0438\u043c\u0435\u043d\u044f\u0435\u0442\u0441\u044f \u0432 10\u201320 % \u0441\u043b\u0443\u0447\u0430\u0435\u0432. \u041f\u043e\u043a\u0430\u0437\u0430\u043d\u0438\u044f \u043a \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438 \u0437\u0430\u0432\u0438\u0441\u044f\u0442 \u043e\u0442 \u043b\u043e\u043a\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u0438 \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u0430 \u0438 \u0441\u0442\u0435\u043f\u0435\u043d\u0438 \u0441\u043c\u0435\u0449\u0435\u043d\u0438\u044f.<\/p>\n<p><strong>Indications pour le traitement chirurgical des fractures du scapho\u00efde en fonction de la localisation<\/strong><\/p>\n<figure class=\"wp-block-table aligncenter table-to-cards\">\n<table>\n<thead>\n<tr>\n<th class=\"has-text-align-left\" data-align=\"left\"><strong>Localisation de la fracture<\/strong><\/th>\n<th class=\"has-text-align-left\" data-align=\"left\"><strong>Indications pour la chirurgie<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td class=\"has-text-align-left\" data-align=\"left\"><strong>Corps et col de l\u2019omoplate<\/strong><\/td>\n<td class=\"has-text-align-left\" data-align=\"left\">\u2022 Luxation > 20 mm<br \/>\u2022 D\u00e9formation angulaire > 40\u00b0<br \/>\u2022 Angle gl\u00e9nopolaire < 20\u00b0<br \/>\u2022 \u00ab\u00a0\u00c9paule flottante\u00a0\u00bb (fracture concomitante de la clavicule)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-left\" data-align=\"left\"><strong>Cavit\u00e9 articulaire (gl\u00e9no\u00efde)<\/strong><\/td>\n<td class=\"has-text-align-left\" data-align=\"left\">&bull; \u0421\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u0441\u0443\u0441\u0442\u0430\u0432\u043d\u044b\u0445 \u0444\u0440\u0430\u0433\u043c\u0435\u043d\u0442\u043e\u0432 > 2\u20134 \u043c\u043c<br \/>&bull; \u0412\u043e\u0432\u043b\u0435\u0447\u0435\u043d\u0438\u0435 \u0441\u0443\u0441\u0442\u0430\u0432\u043d\u043e\u0439 \u043f\u043e\u0432\u0435\u0440\u0445\u043d\u043e\u0441\u0442\u0438 > 20 %<br \/>&bull; \u0420\u0435\u0446\u0438\u0434\u0438\u0432\u0438\u0440\u0443\u044e\u0449\u0438\u0435 \u0432\u044b\u0432\u0438\u0445\u0438 \u043f\u043b\u0435\u0447\u0430 \u043f\u043e\u0441\u043b\u0435 \u0442\u0440\u0430\u0432\u043c\u044b<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-left\" data-align=\"left\"><strong>Excroissance acromiale<\/strong><\/td>\n<td class=\"has-text-align-left\" data-align=\"left\">\u2022 Luxation provoquant un conflit sous-acromial<br \/>\u2022 Progression de la luxation sur les images de contr\u00f4le<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-left\" data-align=\"left\"><strong>Processus en forme de bec<\/strong><\/td>\n<td class=\"has-text-align-left\" data-align=\"left\">\u2022 Instabilit\u00e9 du complexe d\u2019appui de l\u2019\u00e9paule sup\u00e9rieure (SSSC)<br \/>\u2022 Luxation associ\u00e9e de l\u2019articulation acromio-claviculaire<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-left\" data-align=\"left\"><strong>Aube de l\u2019omoplate<\/strong><\/td>\n<td class=\"has-text-align-left\" data-align=\"left\">\u2022 D\u00e9veloppement d\u2019une d\u00e9ficience fonctionnelle significative<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<p><strong>\u041c\u0435\u0442\u043e\u0434\u0438\u043a\u0430 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0433\u043e \u043b\u0435\u0447\u0435\u043d\u0438\u044f<\/strong><strong>\u043f\u0435\u0440\u0435\u043b\u043e\u043c\u0430 \u043b\u043e\u043f\u0430\u0442\u043a\u0438<\/strong>:<\/p>\n<ol class=\"wp-block-list\">\n<li>Repositionnement ouvert et fixation interne (ORIF) \u00e0 l\u2019aide de plaques et de vis.<\/li>\n<li>Fixation arthroscopique \u00e0 l\u2019aide de sutures et de vis pour les petits fragments de la cavit\u00e9 articulaire.<\/li>\n<\/ol>\n<p>Un traitement chirurgical pr\u00e9coce peut am\u00e9liorer le r\u00e9sultat fonctionnel chez les patients s\u00e9lectionn\u00e9s de mani\u00e8re appropri\u00e9e.<\/p>\n<h2 class=\"wp-block-heading\" id=\"pronostic-de-la-fracture-du-scaphoide\"><strong>Pronostic de la fracture du scapho\u00efde<\/strong><\/h2>\n<p>Les fractures de l\u2019omoplate ont g\u00e9n\u00e9ralement une forte probabilit\u00e9 de fusion en raison d\u2019une bonne irrigation sanguine et des tissus mous environnants. Chez la plupart des patients, la fonction de l\u2019\u00e9paule est enti\u00e8rement r\u00e9tablie. En cas de l\u00e9sions \u00e9tendues des tissus mous, le syndrome douloureux peut persister longtemps.  <\/p>\n<p>Ainsi, les fractures du corps de l\u2019omoplate ont un excellent pronostic. Les fractures des processus acromial et claviculaire ont un bon pronostic. Les fractures du col gl\u00e9no\u00efdien ont \u00e9galement un pronostic g\u00e9n\u00e9ralement favorable, mais une fusion incorrecte peut r\u00e9duire la force et la stabilit\u00e9 de l\u2019\u00e9paule. Les fractures intra-articulaires de la gl\u00e8ne ont un pronostic mitig\u00e9. Elles peuvent entra\u00eener une arthrose post-traumatique de l\u2019articulation de l\u2019\u00e9paule, une instabilit\u00e9 de l\u2019articulation et une restriction de l\u2019amplitude des mouvements de l\u2019articulation l\u00e9s\u00e9e.    <\/p>\n<p>\u0421\u0432\u043e\u0435\u0432\u0440\u0435\u043c\u0435\u043d\u043d\u0430\u044f \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0430, \u043a\u043e\u043c\u043f\u043b\u0435\u043a\u0441\u043d\u043e\u0435 \u043b\u0435\u0447\u0435\u043d\u0438\u0435 \u0441\u043e\u043f\u0443\u0442\u0441\u0442\u0432\u0443\u044e\u0449\u0438\u0445 \u0442\u0440\u0430\u0432\u043c \u0438 \u0441\u043e\u0431\u043b\u044e\u0434\u0435\u043d\u0438\u0435 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u043c \u043f\u0440\u043e\u0433\u0440\u0430\u043c\u043c \u0440\u0435\u0430\u0431\u0438\u043b\u0438\u0442\u0430\u0446\u0438\u0438 \u044f\u0432\u043b\u044f\u044e\u0442\u0441\u044f \u0437\u0430\u043b\u043e\u0433\u043e\u043c \u0434\u043e\u0441\u0442\u0438\u0436\u0435\u043d\u0438\u044f \u043e\u043f\u0442\u0438\u043c\u0430\u043b\u044c\u043d\u044b\u0445 \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u043e\u0432.<\/p>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Retrouvez d\u2019autres contenus scientifiquement exacts sur nos m\u00e9dias sociaux<\/p>\n<p><span class=\"social-banner-text text-grey\">Abonnez-vous et ne manquez pas les derni\u00e8res ressources<\/span><\/p>\n<div class=\"social-links-wrapper\"><a class=\"social-icon-link\" href=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 class=\"wp-block-heading\" id=\"rehabilitation-apres-une-fracture-de-l-omoplate\"><strong>R\u00e9habilitation apr\u00e8s une fracture de l\u2019omoplate<\/strong><\/h2>\n<p>Bien que le processus de consolidation de la fracture soit favorable, le r\u00e9tablissement de la fonction compl\u00e8te de l\u2019\u00e9paule d\u00e9pend fortement d\u2019un programme de r\u00e9\u00e9ducation structur\u00e9 et \u00e9chelonn\u00e9. <\/p>\n<p><strong>\u0426\u0435\u043b\u0438 \u0440\u0435\u0430\u0431\u0438\u043b\u0438\u0442\u0430\u0446\u0438\u0438:<\/strong>\u00a0<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0432\u043e\u0441\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u0438\u0435 \u043e\u0431\u044a\u0435\u043c\u0430 \u0434\u0432\u0438\u0436\u0435\u043d\u0438\u0439 \u0432 \u043f\u043b\u0435\u0447\u0435\u0432\u043e\u043c \u0441\u0443\u0441\u0442\u0430\u0432\u0435;<\/li>\n<li>\u0432\u043e\u0441\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u0438\u0435 \u043c\u044b\u0448\u0435\u0447\u043d\u043e\u0433\u043e \u0442\u043e\u043d\u0443\u0441\u0430;<\/li>\n<li>\u0432\u043e\u0437\u0432\u0440\u0430\u0442 \u043a \u0442\u0440\u0443\u0434\u043e\u0432\u043e\u0439 \u0438 \u0441\u043f\u043e\u0440\u0442\u0438\u0432\u043d\u043e\u0439 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0438.<\/li>\n<\/ul>\n<p><strong>\u041f\u0440\u0438\u043d\u0446\u0438\u043f\u044b \u0441\u0442\u0440\u0443\u043a\u0442\u0443\u0440\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u043e\u0439 \u0438 \u043f\u043e\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u0442\u0435\u043b\u044c\u043d\u043e\u0439 \u0440\u0435\u0430\u0431\u0438\u043b\u0438\u0442\u0430\u0446\u0438\u0438<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u043f\u0435\u0440\u0432\u043e\u043d\u0430\u0447\u0430\u043b\u044c\u043d\u0430\u044f \u0438\u043c\u043c\u043e\u0431\u0438\u043b\u0438\u0437\u0430\u0446\u0438\u044f \u0434\u043b\u044f \u0441\u0442\u0430\u0431\u0438\u043b\u0438\u0437\u0430\u0446\u0438\u0438 \u0438 \u0437\u0430\u0436\u0438\u0432\u043b\u0435\u043d\u0438\u044f \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u0430;<\/li>\n<li>\u0440\u0430\u043d\u043d\u044f\u044f \u043c\u043e\u0431\u0438\u043b\u0438\u0437\u0430\u0446\u0438\u044f;<\/li>\n<li>\u0443\u0441\u0442\u0440\u0430\u043d\u0435\u043d\u0438\u0435 \u043f\u043e\u0441\u043b\u0435\u0434\u0441\u0442\u0432\u0438\u0439 \u0442\u0440\u0430\u0432\u043c \u043c\u044f\u0433\u043a\u0438\u0445 \u0442\u043a\u0430\u043d\u0435\u0439;<\/li>\n<li>\u043f\u0440\u043e\u0433\u0440\u0435\u0441\u0441\u0438\u0432\u043d\u0430\u044f \u043d\u0430\u0433\u0440\u0443\u0437\u043a\u0430.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"etapes-de-la-readaptation\"><strong>\u00c9tapes de la r\u00e9adaptation<\/strong><\/h3>\n<p>\u041f\u0440\u043e\u0433\u0440\u0430\u043c\u043c\u0443 \u0432\u043e\u0441\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u0438\u044f \u043c\u043e\u0436\u043d\u043e \u0440\u0430\u0437\u0434\u0435\u043b\u0438\u0442\u044c \u043d\u0430 \u0447\u0435\u0442\u044b\u0440\u0435 \u043f\u043e\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u0442\u0435\u043b\u044c\u043d\u044b\u0445 \u044d\u0442\u0430\u043f\u0430:<\/p>\n<ol class=\"wp-block-list\">\n<li><strong>\u043f<\/strong><strong>\u0435\u0440\u0432\u044b\u0439 \u044d\u0442\u0430\u043f (\u0434\u043e 2\u20133 \u043d\u0435\u0434\u0435\u043b\u044c) <\/strong>\u2014 \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u0430 \u0438\u043c\u043c\u043e\u0431\u0438\u043b\u0438\u0437\u0430\u0446\u0438\u044f \u043f\u043e\u0432\u0440\u0435\u0436\u0434\u0435\u043d\u043d\u043e\u0439 \u043a\u043e\u043d\u0435\u0447\u043d\u043e\u0441\u0442\u0438. \u041f\u0440\u0438 \u044d\u0442\u043e\u043c \u0440\u0430\u0437\u0440\u0435\u0448\u0435\u043d\u044b \u0430\u043a\u0442\u0438\u0432\u043d\u044b\u0435 \u0434\u0432\u0438\u0436\u0435\u043d\u0438\u044f \u0432 \u043d\u0435 \u0432\u043e\u0432\u043b\u0435\u0447\u0435\u043d\u043d\u044b\u0445 \u0441\u0443\u0441\u0442\u0430\u0432\u0430\u0445 (\u043a\u0438\u0441\u0442\u044c, \u043b\u043e\u043a\u043e\u0442\u044c);<\/li>\n<li><strong>\u044d<\/strong><strong>\u0442\u0430\u043f \u0440\u0430\u043d\u043d\u0435\u0439 \u043c\u043e\u0431\u0438\u043b\u0438\u0437\u0430\u0446\u0438\u0438 (3\u20136 \u043d\u0435\u0434\u0435\u043b\u044c) <\/strong>\u2014 \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u044b \u0440\u0430\u043d\u043d\u0438\u0435 \u043f\u0430\u0441\u0441\u0438\u0432\u043d\u044b\u0435 \u0434\u0432\u0438\u0436\u0435\u043d\u0438\u044f \u0432 \u043f\u043b\u0435\u0447\u0435\u0432\u043e\u043c \u0441\u0443\u0441\u0442\u0430\u0432\u0435 \u0438 \u0438\u0437\u043e\u043c\u0435\u0442\u0440\u0438\u0447\u0435\u0441\u043a\u0438\u0435 (\u0441\u0442\u0430\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0435) \u0443\u043f\u0440\u0430\u0436\u043d\u0435\u043d\u0438\u044f \u0434\u043b\u044f \u043c\u044b\u0448\u0446 \u043f\u043b\u0435\u0447\u0435\u0432\u043e\u0433\u043e \u043f\u043e\u044f\u0441\u0430;<\/li>\n<li><strong>\u043f<\/strong><strong>\u0435\u0440\u0438\u043e\u0434 \u0444\u0443\u043d\u043a\u0446\u0438\u043e\u043d\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u0432\u043e\u0441\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u0438\u044f (6\u201312 \u043d\u0435\u0434\u0435\u043b\u044c) <\/strong>\u2014 \u043d\u0430\u0447\u0438\u043d\u0430\u0435\u0442\u0441\u044f \u0440\u0430\u0431\u043e\u0442\u0430 \u043d\u0430\u0434 \u0432\u043e\u0441\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u0438\u0435\u043c \u043f\u043e\u043b\u043d\u043e\u0439 \u0430\u043c\u043f\u043b\u0438\u0442\u0443\u0434\u044b \u0430\u043a\u0442\u0438\u0432\u043d\u044b\u0445 \u0434\u0432\u0438\u0436\u0435\u043d\u0438\u0439. \u0412\u0432\u043e\u0434\u0438\u0442\u0441\u044f \u043f\u0440\u043e\u0433\u0440\u0435\u0441\u0441\u0438\u0432\u043d\u0430\u044f \u043d\u0430\u0433\u0440\u0443\u0437\u043a\u0430 \u0434\u043b\u044f \u043c\u044b\u0448\u0446 \u0441 \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u043d\u0438\u0435\u043c \u043e\u0442\u044f\u0433\u043e\u0449\u0435\u043d\u0438\u0439 \u0438 \u044d\u0441\u043f\u0430\u043d\u0434\u0435\u0440\u043e\u0432, \u0438\u0437\u0431\u0435\u0433\u0430\u044f \u0444\u043e\u0440\u0441\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0445 \u0434\u0432\u0438\u0436\u0435\u043d\u0438\u0439;<\/li>\n<li><strong>\u0432<\/strong><strong>\u043e\u0437\u0432\u0440\u0430\u0449\u0435\u043d\u0438\u0435 \u043a \u043f\u043e\u043b\u043d\u043e\u0439 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0438 (12+ \u043d\u0435\u0434\u0435\u043b\u044c) <\/strong>\u2014 \u0437\u0430\u043a\u043b\u044e\u0447\u0430\u0435\u0442\u0441\u044f \u0432 \u043f\u043e\u043b\u043d\u043e\u043c \u0432\u043e\u0441\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u0438\u0438 \u0443\u0442\u0440\u0430\u0447\u0435\u043d\u043d\u043e\u0439 \u0432\u044b\u043d\u043e\u0441\u043b\u0438\u0432\u043e\u0441\u0442\u0438 \u0438 \u0441\u0438\u043b\u044b \u043f\u043e\u0441\u0440\u0435\u0434\u0441\u0442\u0432\u043e\u043c \u0441\u0438\u043b\u043e\u0432\u044b\u0445 \u0442\u0440\u0435\u043d\u0438\u0440\u043e\u0432\u043e\u043a, \u043f\u043b\u0438\u043e\u043c\u0435\u0442\u0440\u0438\u0447\u0435\u0441\u043a\u0438\u0445 \u0443\u043f\u0440\u0430\u0436\u043d\u0435\u043d\u0438\u0439 \u0438 \u043e\u0442\u0440\u0430\u0431\u043e\u0442\u043a\u0438 \u0441\u043f\u0435\u0446\u0438\u0444\u0438\u0447\u0435\u0441\u043a\u0438\u0445 \u0434\u0432\u0438\u0436\u0435\u043d\u0438\u0439 \u0434\u043b\u044f \u043a\u043e\u043d\u043a\u0440\u0435\u0442\u043d\u043e\u0433\u043e \u0432\u0438\u0434\u0430 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0438.<\/li>\n<\/ol>\n<p>\u041f\u0440\u0435\u0434\u043f\u043e\u043b\u0430\u0433\u0430\u0435\u043c\u043e\u0435 \u0432\u043e\u0441\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u0438\u0435 \u043f\u043e\u043b\u043d\u043e\u0433\u043e \u043e\u0431\u044a\u0435\u043c\u0430 \u0434\u0432\u0438\u0436\u0435\u043d\u0438\u0439 \u043e\u0436\u0438\u0434\u0430\u0435\u0442\u0441\u044f \u043a 3\u20134 \u043c\u0435\u0441\u044f\u0446\u0430\u043c \u0441 \u043c\u043e\u043c\u0435\u043d\u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u044b. \u0421\u0438\u043c\u043c\u0435\u0442\u0440\u0438\u0447\u043d\u0430\u044f \u0441\u0438\u043b\u0430 \u043f\u043e \u0441\u0440\u0430\u0432\u043d\u0435\u043d\u0438\u044e \u0441 \u043d\u0435\u043f\u043e\u0432\u0440\u0435\u0436\u0434\u0435\u043d\u043d\u043e\u0439 \u043a\u043e\u043d\u0435\u0447\u043d\u043e\u0441\u0442\u044c\u044e, \u043a\u0430\u043a \u043f\u0440\u0430\u0432\u0438\u043b\u043e, \u0432\u043e\u0441\u0441\u0442\u0430\u043d\u0430\u0432\u043b\u0438\u0432\u0430\u0435\u0442\u0441\u044f \u043a 4\u20136 \u043c\u0435\u0441\u044f\u0446\u0430\u043c \u0441 \u043c\u043e\u043c\u0435\u043d\u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u044b \u043f\u0440\u0438 \u0432\u044b\u043f\u043e\u043b\u043d\u0435\u043d\u0438\u0438 \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u043d\u044b\u0445 \u0440\u0435\u0430\u0431\u0438\u043b\u0438\u0442\u0430\u0446\u0438\u043e\u043d\u043d\u044b\u0445 \u043c\u0435\u0440\u043e\u043f\u0440\u0438\u044f\u0442\u0438\u0439. \u0412\u043e\u0437\u0432\u0440\u0430\u0449\u0435\u043d\u0438\u0435 \u043a \u0431\u0435\u0441\u043a\u043e\u043d\u0442\u0430\u043a\u0442\u043d\u044b\u043c \u0432\u0438\u0434\u0430\u043c \u0441\u043f\u043e\u0440\u0442\u0430 \u0440\u0430\u0437\u0440\u0435\u0448\u0435\u043d\u043e \u0447\u0435\u0440\u0435\u0437 3\u20134 \u043c\u0435\u0441\u044f\u0446\u0430 \u0441 \u043c\u043e\u043c\u0435\u043d\u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u044b. \u0417\u0430\u043d\u044f\u0442\u0438\u0435 \u043a\u043e\u043d\u0442\u0430\u043a\u0442\u043d\u044b\u043c\u0438 \u0432\u0438\u0434\u0430\u043c\u0438 \u0441\u043f\u043e\u0440\u0442\u0430 \u0434\u043e\u043f\u0443\u0441\u0442\u0438\u043c\u043e \u043d\u0435 \u0440\u0430\u043d\u0435\u0435 \u0447\u0435\u043c \u0447\u0435\u0440\u0435\u0437 6 \u043c\u0435\u0441\u044f\u0446\u0435\u0432.<\/p>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. Quels sont les dangers d\u2019une fracture de l\u2019omoplate ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Le principal danger d\u2019une fracture de l\u2019omoplate est la forte probabilit\u00e9 de l\u00e9sions des organes thoraciques, des vaisseaux principaux et des nerfs par des fragments osseux, ainsi que l\u2019alt\u00e9ration persistante de la fonction du membre sup\u00e9rieur du c\u00f4t\u00e9 de la l\u00e9sion.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. \u00c0 quelle blessure concomitante la fracture de l\u2019omoplate est-elle le plus souvent associ\u00e9e ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u0422\u0430\u043a \u043a\u0430\u043a \u043f\u0435\u0440\u0435\u043b\u043e\u043c \u043b\u043e\u043f\u0430\u0442\u043a\u0438 \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u0441\u043b\u0435\u0434\u0441\u0442\u0432\u0438\u0435\u043c \u0432\u044b\u0441\u043e\u043a\u043e\u044d\u043d\u0435\u0440\u0433\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0442\u0440\u0430\u0432\u043c\u044b, \u043e\u043d \u0447\u0430\u0441\u0442\u043e \u0441\u043e\u043f\u0440\u043e\u0432\u043e\u0436\u0434\u0430\u0435\u0442\u0441\u044f \u0434\u0440\u0443\u0433\u0438\u043c\u0438 \u043f\u043e\u0432\u0440\u0435\u0436\u0434\u0435\u043d\u0438\u044f\u043c\u0438. \u041d\u0430\u0438\u0431\u043e\u043b\u0435\u0435 \u0440\u0430\u0441\u043f\u0440\u043e\u0441\u0442\u0440\u0430\u043d\u0435\u043d\u044b \u0442\u0440\u0430\u0432\u043c\u044b \u0433\u0440\u0443\u0434\u043d\u043e\u0439 \u043a\u043b\u0435\u0442\u043a\u0438 \u0432 \u0432\u0438\u0434\u0435 \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u043e\u0432 \u0440\u0435\u0431\u0435\u0440 \u0441 \u0441\u043e\u043f\u0443\u0442\u0441\u0442\u0432\u0443\u044e\u0449\u0438\u043c\u0438 \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f\u043c\u0438 (\u043f\u043d\u0435\u0432\u043c\u043e\/\u0433\u0435\u043c\u043e\u0442\u043e\u0440\u0430\u043a\u0441, \u0443\u0448\u0438\u0431 \u043b\u0435\u0433\u043a\u043e\u0433\u043e), \u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u0432\u0441\u0442\u0440\u0435\u0447\u0430\u044e\u0442\u0441\u044f \u0432 80 % \u0441\u043b\u0443\u0447\u0430\u0435\u0432, \u0430 \u0442\u0430\u043a\u0436\u0435 \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u044b \u043a\u043b\u044e\u0447\u0438\u0446\u044b \u0438 \u043f\u043e\u0432\u0440\u0435\u0436\u0434\u0435\u043d\u0438\u044f \u043f\u043b\u0435\u0447\u0435\u0432\u043e\u0433\u043e \u0441\u043f\u043b\u0435\u0442\u0435\u043d\u0438\u044f, \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u0440\u0443\u0435\u043c\u044b\u0435 \u043f\u0440\u0438\u043c\u0435\u0440\u043d\u043e \u0432 25 % \u0441\u043b\u0443\u0447\u0430\u0435\u0432.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Quand la radiographie standard est-elle insuffisante et qu\u2019une tomodensitom\u00e9trie est-elle n\u00e9cessaire ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La tomodensitom\u00e9trie est n\u00e9cessaire en cas de suspicion de fracture intra-articulaire ou de fracture complexe d\u2019un fragment. La tomodensitom\u00e9trie fournit des informations d\u00e9taill\u00e9es sur le degr\u00e9 de d\u00e9placement du fragment et constitue un examen cl\u00e9 pour une planification pr\u00e9op\u00e9ratoire pr\u00e9cise. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Combien de temps faut-il pour qu\u2019une fracture du scapho\u00efde gu\u00e9risse ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Le processus de gu\u00e9rison (consolidation) d\u2019une fracture du scapho\u00efde dure g\u00e9n\u00e9ralement de 6 \u00e0 12 semaines. Ce d\u00e9lai d\u00e9pend de la gravit\u00e9 de la blessure et de la pr\u00e9sence de blessures associ\u00e9es. La r\u00e9cup\u00e9ration fonctionnelle compl\u00e8te, y compris la force musculaire, peut prendre de 4 \u00e0 6 mois.  <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Quels sont les principaux crit\u00e8res de d\u00e9cision en mati\u00e8re de traitement chirurgical ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u0425\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u043b\u0435\u0447\u0435\u043d\u0438\u0435 \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u043e \u043f\u0440\u0438 \u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0439 \u043d\u0435\u0441\u0442\u0430\u0431\u0438\u043b\u044c\u043d\u043e\u0441\u0442\u0438 \u043a\u043e\u043d\u0435\u0447\u043d\u043e\u0441\u0442\u0438 \u0438\u043b\u0438 \u0441\u043c\u0435\u0449\u0435\u043d\u0438\u0438 \u043e\u0442\u043b\u043e\u043c\u043a\u043e\u0432. \u041a\u043b\u044e\u0447\u0435\u0432\u044b\u043c\u0438 \u043a\u0440\u0438\u0442\u0435\u0440\u0438\u044f\u043c\u0438 \u044f\u0432\u043b\u044f\u044e\u0442\u0441\u044f \u0441\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u0441\u0443\u0441\u0442\u0430\u0432\u043d\u044b\u0445 \u0444\u0440\u0430\u0433\u043c\u0435\u043d\u0442\u043e\u0432 \u0433\u043b\u0435\u043d\u043e\u0438\u0434\u0430 \u0431\u043e\u043b\u0435\u0435 \u0447\u0435\u043c \u043d\u0430 2\u20134 \u043c\u043c, \u0441\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u0442\u0435\u043b\u0430 \u043b\u043e\u043f\u0430\u0442\u043a\u0438 \u0431\u043e\u043b\u0435\u0435 \u0447\u0435\u043c \u043d\u0430 20 \u043c\u043c, \u0443\u0433\u043b\u043e\u0432\u0430\u044f \u0434\u0435\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044f \u0441\u0432\u044b\u0448\u0435 40\u00b0, \u0430 \u0442\u0430\u043a\u0436\u0435 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u0435 \u00ab\u0444\u043b\u043e\u0442\u0438\u0440\u0443\u044e\u0449\u0435\u0435 \u043f\u043b\u0435\u0447\u043e\u00bb \u043f\u0440\u0438 \u0441\u043e\u043f\u0443\u0442\u0441\u0442\u0432\u0443\u044e\u0449\u0435\u043c \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u0435 \u043a\u043b\u044e\u0447\u0438\u0446\u044b.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. Quel type de fracture du scapho\u00efde a le pronostic le plus \u00e9quivoque ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les fractures intra-articulaires de la gl\u00e8ne (cavit\u00e9 articulaire) ont le pronostic le plus ambigu. L\u2019issue de ces blessures peut \u00eatre le d\u00e9veloppement d\u2019une arthrose post-traumatique de l\u2019articulation de l\u2019\u00e9paule, d\u2019une instabilit\u00e9 chronique ou d\u2019une limitation persistante de l\u2019amplitude des mouvements. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">7. Quelles sont les dur\u00e9es recommand\u00e9es pour l\u2019immobilisation et l\u2019initiation au mouvement ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">L\u2019immobilisation du membre est indiqu\u00e9e pendant 2 \u00e0 4 semaines. Pour \u00e9viter l\u2019apparition d\u2019une raideur de l\u2019\u00e9paule, il est recommand\u00e9 de commencer les mouvements passifs d\u00e8s la deuxi\u00e8me semaine, et les mouvements actifs sont autoris\u00e9s au plus t\u00f4t 4 semaines apr\u00e8s la blessure. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">8. Dans combien de temps le patient pourra-t-il reprendre le sport ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u0412\u043e\u0437\u0432\u0440\u0430\u0449\u0435\u043d\u0438\u0435 \u043a \u0431\u0435\u0441\u043a\u043e\u043d\u0442\u0430\u043a\u0442\u043d\u044b\u043c \u0432\u0438\u0434\u0430\u043c \u0441\u043f\u043e\u0440\u0442\u0430 \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u043e \u0447\u0435\u0440\u0435\u0437 3\u20134 \u043c\u0435\u0441\u044f\u0446\u0430 \u0441 \u043c\u043e\u043c\u0435\u043d\u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u044b. \u0417\u0430\u043d\u044f\u0442\u0438\u044f \u043a\u043e\u043d\u0442\u0430\u043a\u0442\u043d\u044b\u043c\u0438 \u0432\u0438\u0434\u0430\u043c\u0438 \u0441\u043f\u043e\u0440\u0442\u0430, \u0442\u0440\u0435\u0431\u0443\u044e\u0449\u0438\u043c\u0438 \u043f\u043e\u043b\u043d\u043e\u0439 \u0441\u0438\u043b\u043e\u0432\u043e\u0439 \u043d\u0430\u0433\u0440\u0443\u0437\u043a\u0438, \u0434\u043e\u043f\u0443\u0441\u0442\u0438\u043c\u044b \u043d\u0435 \u0440\u0430\u043d\u0435\u0435 \u0447\u0435\u043c \u0447\u0435\u0440\u0435\u0437 6 \u043c\u0435\u0441\u044f\u0446\u0435\u0432 \u043f\u0440\u0438 \u0443\u0441\u043b\u043e\u0432\u0438\u0438 \u0443\u0441\u043f\u0435\u0448\u043d\u043e\u0439 \u0440\u0435\u0430\u0431\u0438\u043b\u0438\u0442\u0430\u0446\u0438\u0438.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"liste-des-sources\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Liste des sources<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomy & Pathology \u2013 Complete Anatomy and Pathology 3D Atlas [Internet]. VOKA 3D Anatomy & Pathology. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Available from: https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Lin IH, Lin TL, Chang HW, Lin CY, Tsai CH, Lo CS, Chen HY, Chen YW, Hsu CJ. Arthroscopy-Assisted Reduction and Internal Fixation versus Open Reduction and Internal Fixation for Glenoid Fracture with Scapular Involvement: A Retrospective Cohort Study. J Clin Med. 2022 Feb 21;11(4):1131.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Sharifpour S, Mirghaderi P, Ghaseminejad Raeini A, Mirghaderi R, Moharrami A, Kalantar SH. Management of a floating shoulder accompanied by a scapular surgical neck fracture: a case report and review of the literature. Ann Med Surg (Lond). 2023 Mar 27;85(4):960-964.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Matsuo T, Yoshikawa K, Oki S, Takeuchi D. Reconstruction surgery of intra-articular scapular fracture nonunion: a case report and literature review. JSES Rev Rep Tech. 2021 Oct 14;2(1):68-74.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Berritto D, Pinto A, Russo A, Urraro F, Laporta A, Belfiore MP, Grassi R. Scapular fractures: a common diagnostic pitfall. Acta Biomed. 2018 Jan 19;89(1-S):102-110.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Chen X, Deng YD, Qiu XS, Chen YX, Zhang ZT. Analysis of the curative effect and prognostic factors in patients with scapular fracture with surgical indications after conservative treatment: a case series and clinical outcomes. Quant Imaging Med Surg. 2023 Aug 1;13(8):5130-5140.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Ogawa K, Inokuchi W, Honma T. Overlooked Fracture of the Inferior Scapular Angle Treated Conservatively. Case Rep Orthop. 2019 Jan 10;2019:9640301.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Hefny AF, Mansour NA, Hefny MA, Masuadi E, Al Bahri S, Elkamhawy AA, Saber KS. Significance of Scapular Fracture Existence in Blunt Chest Trauma: A Retrospective Cohort Study. Surg Res Pract. 2024 May 20;2024:3550087.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">9.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Chen L, Liu CL, Wu P. Fracture of the scapular neck combined with rotator cuff tear: A case report. World J Clin Cases. 2020 Dec 26;8(24):6450-6455.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">10.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Neral M, Knapik DM, Wetzel RJ, Salata MJ, Voos JE. Scapular Body Fracture in the Athlete: A Systematic Review. HSS J. 2018 Oct;14(3):328-332.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">11.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Chouhan V, Ladhania M, Vatsa A. Bilateral Scapular Fracture due to an Epileptic Seizure: A Case Report. J Orthop Case Rep. 2023 May;13(5):64-67.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">12.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Ogawa K, Matsumura N, Yoshida A, Inokuchi W. Fractures of the coracoid process: a systematic review. JSES Rev Rep Tech. 2021 May 12;1(3):171-178.<\/cite><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u041b\u043e\u043f\u0430\u0442\u043a\u0430 (\u043e\u0442 \u043b\u0430\u0442. scapula) \u2014 \u043f\u043b\u043e\u0441\u043a\u0430\u044f \u0442\u0440\u0435\u0443\u0433\u043e\u043b\u044c\u043d\u0430\u044f \u043a\u043e\u0441\u0442\u044c \u0441 \u0447\u0435\u0442\u044b\u0440\u044c\u043c\u044f \u0431\u043e\u043b\u044c\u0448\u0438\u043c\u0438 \u043e\u0442\u0440\u043e\u0441\u0442\u043a\u0430\u043c\u0438 (\u043e\u0441\u0442\u044c \u043b\u043e\u043f\u0430\u0442\u043a\u0438, \u0441\u0443\u0441\u0442\u0430\u0432\u043d\u043e\u0439 \u043e\u0442\u0440\u043e\u0441\u0442\u043e\u043a \u2014 \u0433\u043b\u0435\u043d\u043e\u0438\u0434, \u0430\u043a\u0440\u043e\u043c\u0438\u0430\u043b\u044c\u043d\u044b\u0439 \u043e\u0442\u0440\u043e\u0441\u0442\u043e\u043a, \u043a\u043b\u044e\u0432\u043e\u0432\u0438\u0434\u043d\u044b\u0439 \u043e\u0442\u0440\u043e\u0441\u0442\u043e\u043a), \u0440\u0430\u0441\u043f\u043e\u043b\u043e\u0436\u0435\u043d\u043d\u0430\u044f \u0432 \u0432\u0435\u0440\u0445\u043d\u0435\u0439 \u0447\u0430\u0441\u0442\u0438 \u0441\u043f\u0438\u043d\u044b \u0438 \u043e\u0431\u0440\u0430\u0437\u0443\u044e\u0449\u0430\u044f \u0437\u0430\u0434\u043d\u044e\u044e \u0447\u0430\u0441\u0442\u044c \u043f\u043b\u0435\u0447\u0435\u0432\u043e\u0433\u043e \u043f\u043e\u044f\u0441\u0430. L&rsquo;omoplate joue un r\u00f4le cl\u00e9 dans : \u00c9pid\u00e9miologie \u041f\u0435\u0440\u0435\u043b\u043e\u043c\u044b \u043b\u043e\u043f\u0430\u0442\u043a\u0438 \u2014 \u0440\u0435\u0434\u043a\u0430\u044f \u0442\u0440\u0430\u0432\u043c\u0430, \u0441\u043e\u0441\u0442\u0430\u0432\u043b\u044f\u044e\u0449\u0430\u044f \u043c\u0435\u043d\u0435\u0435 1 % \u043e\u0442 \u0432\u0441\u0435\u0445 \u043f\u0435\u0440\u0435\u043b\u043e\u043c\u043e\u0432 \u0438 3\u20135 [&hellip;]<\/p>\n","protected":false},"author":19,"featured_media":0,"template":"","diseases_category":[314],"class_list":["post-1131","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-traumatologie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Fractures de l&#039;omoplate : classification, sympt\u00f4mes, signes, diagnostic et traitement<\/title>\n<meta name=\"description\" content=\"Analyse d\u00e9taill\u00e9e des fractures de l&#039;omoplate. L&#039;article aborde l&#039;\u00e9tiologie et le m\u00e9canisme de la l\u00e9sion, la classification, le tableau clinique et les approches modernes du diagnostic, du traitement et de la r\u00e9\u00e9ducation.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/wiki.dev.voka.io\/fr\/maladies\/traumatologie\/fractures-de-la-scapula\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fractures de l&#039;omoplate : classification, tableau clinique, diagnostic, traitement\" \/>\n<meta property=\"og:description\" content=\"Analyse d\u00e9taill\u00e9e des fractures de l&#039;omoplate. 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