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- W2955140160 abstract "Désormais, beaucoup de jeunes médecins sur-estiment la fiabilité de l’imagerie tout en sous-estimant celle de la clinique pour faire un diagnostic positif d’une souffrance de la coxo-fémorale. Il existe pourtant de nombreux faux négatifs de l’imagerie (en particulier pour les souffrances chondrales débutantes et les lésions du labrum). Par ailleurs et surtout, les performances de l’examen clinique ont été sous-estimées par le passé du fait de l’évaluation isolée de chaque test clinique (dont aucun n’a, à lui seul, une forte valeur prédictive positive ou négative). En fait, un interrogatoire méthodique et la combinaison d’un nombre important de tests cliniques, rendent l’examen clinique plus fiable, et rendent compte du rôle central du rhumatologue dans l’établissement du diagnostic positif voire étiologique des coxopathies. Cette mise au point (illustrée par 24 images et 20 vidéos) reprend les principaux signes à rechercher et manœuvres à réaliser, dont certaines n’ont été décrites que récemment, pour diagnostiquer une souffrance de la coxo-fémorale. Nowadays, most young physicians over-trust the accuracy of imaging while underrating the interest of clinical examination to diagnose a pain arising from the coxo-femoral joint. In fact, even MRI can lack sensitivity to diagnose chondral defects and/or labrum tears. Moreover, the performances of clinical tests have been much under-evaluated in the past, when any single test was assessed separately and compared to a gold standard. In fact, a thorough clinical history and the combination of a large number of clinical tests dramatically improve the reliability of rheumatologist's opinion about the exact origin of pain in patients suffering from hip conditions (stricto-sensu, i.e. coxo-femoral joint, labrum, minor teres, and overlying capsule). This state of the art article (including 24 pictures and 20 videos) list the most useful or salient signs to seek for, and the best tests to perform, including some only recently described, to diagnose a pain arising from the hip, “stricto-sensu”." @default.
- W2955140160 created "2019-07-12" @default.
- W2955140160 creator A5017220157 @default.
- W2955140160 date "2019-09-01" @default.
- W2955140160 modified "2023-10-18" @default.
- W2955140160 title "Séméiologie clinique de la hanche stricto-sensu (coxo-fémorale)" @default.
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- W2955140160 doi "https://doi.org/10.1016/j.monrhu.2019.06.005" @default.
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