{"id":72362,"date":"2019-01-30T12:58:26","date_gmt":"2019-01-30T12:58:26","guid":{"rendered":"http:\/\/humanitasnet-new.local\/malattie\/epaule-gelee\/"},"modified":"2025-01-13T03:11:18","modified_gmt":"2025-01-13T03:11:18","slug":"epaule-gelee","status":"publish","type":"disease","link":"https:\/\/humanitas-net.humweb.webiz.team\/fr\/diseases\/epaule-gelee\/","title":{"rendered":"\u00c9paule gel\u00e9e"},"content":{"rendered":"<p>L&#8217;\u00e9paule gel\u00e9e, aussi appel\u00e9e capsulite adh\u00e9sive, est un \u00e9tat caract\u00e9ris\u00e9 par une raideur et une douleur dans l&#8217;articulation de l&#8217;\u00e9paule. Les sympt\u00f4mes commencent habituellement graduellement, s&#8217;aggravent avec le temps et disparaissent apr\u00e8s un \u00e0 trois ans.<\/p>\n<p>Le risque de d\u00e9velopper une \u00e9paule gel\u00e9e augmente si l&#8217;on se remet d&#8217;une condition m\u00e9dicale ou d&#8217;une intervention qui emp\u00eache de bouger le bras, comme un accident vasculaire c\u00e9r\u00e9bral, une mastectomie ou une fracture.<\/p>\n<p>Le traitement de l&#8217;\u00e9paule gel\u00e9e comprend des exercices de mouvement ou des m\u00e9dicaments, tels que des corticost\u00e9ro\u00efdes et des m\u00e9dicaments anesth\u00e9siants qui sont inject\u00e9s dans la capsule articulaire. Dans de rares cas, la chirurgie arthroscopique peut \u00eatre indiqu\u00e9e pour desserrer la capsule articulaire afin qu&#8217;elle puisse bouger librement.<\/p>\n<p>L&#8217;\u00e9paule gel\u00e9e peut r\u00e9appara\u00eetre, mais habituellement dans l&#8217;\u00e9paule oppos\u00e9e. Il est inhabituel que l&#8217;\u00e9paule gel\u00e9e r\u00e9apparaisse dans la m\u00eame \u00e9paule.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"symptomes\">Sympt\u00f4mes<\/h2>\n<p>L&#8217;\u00e9paule gel\u00e9e se d\u00e9veloppe g\u00e9n\u00e9ralement graduellement et en 3 \u00e9tapes. Chaque \u00e9tape peut durer plusieurs mois\u00a0:<\/p>\n<ul>\n<li>Stade de cong\u00e9lation : tout mouvement de l&#8217;\u00e9paule provoque des douleurs et l&#8217;amplitude des mouvements de l&#8217;\u00e9paule devient limit\u00e9e.<\/li>\n<li>Stade congel\u00e9 : la douleur peut l\u00e9g\u00e8rement diminuer \u00e0 ce stade. Cependant, l&#8217;\u00e9paule devient plus rigide et son utilisation devient plus difficile.<\/li>\n<li>Stade de d\u00e9cong\u00e9lation : l&#8217;amplitude des mouvements de l&#8217;\u00e9paule commence \u00e0 s&#8217;am\u00e9liorer. Dans certains cas, la douleur peut s&#8217;aggraver la nuit et perturber le sommeil.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2 id=\"causes\">Causes<\/h2>\n<p>Les os, les ligaments et les tendons qui composent l&#8217;articulation de l&#8217;\u00e9paule sont enferm\u00e9s dans une capsule de tissu conjonctif. L&#8217;\u00e9paule gel\u00e9e se produit lorsque cette capsule s&#8217;\u00e9paissit et se resserre autour de l&#8217;articulation de l&#8217;\u00e9paule, tout en limitant son mouvement.<\/p>\n<p>La cause exacte du gel de l&#8217;\u00e9paule n&#8217;est pas claire ; toutefois, les experts croient qu&#8217;il est associ\u00e9 \u00e0 des conditions comme le diab\u00e8te ou l&#8217;immobilisation de l&#8217;\u00e9paule pendant une p\u00e9riode plus longue, comme apr\u00e8s une chirurgie ou une blessure au bras (fracture).<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"facteurs-de-risque\">Facteurs de risque<\/h2>\n<p>Les facteurs suivants augmentent le risque de d\u00e9velopper une \u00e9paule gel\u00e9e :<\/p>\n<ul>\n<li>\u00c2ge : les personnes de 40 ans et plus courent un risque accru de gel des \u00e9paules.<\/li>\n<li>\u00catre une femme<\/li>\n<li>Immobilit\u00e9 prolong\u00e9e ou mobilit\u00e9 r\u00e9duite : blessure \u00e0 la coiffe des rotateurs, bras cass\u00e9, accident vasculaire c\u00e9r\u00e9bral, convalescence \u00e0 la suite d&#8217;une chirurgie, etc.<\/li>\n<li>Maladies syst\u00e9miques : diab\u00e8te, thyro\u00efde hyperactive (hyperthyro\u00efdie), thyro\u00efde sous-active (hypothyro\u00efdie), maladie cardiovasculaire, tuberculose, maladie de Parkinson<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2 id=\"prevention\">Pr\u00e9vention<\/h2>\n<p>Une blessure qui n\u00e9cessite une immobilit\u00e9 prolong\u00e9e devrait \u00eatre combin\u00e9e \u00e0 des exercices particuliers qui aident \u00e0 maintenir l&#8217;amplitude des mouvements de l&#8217;\u00e9paule et, \u00e9ventuellement, \u00e0 pr\u00e9venir le d\u00e9veloppement d&#8217;une \u00e9paule gel\u00e9e.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-72362","disease","type-disease","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u00c9paule gel\u00e9e - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00c9paule gel\u00e9e - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"L&#8217;\u00e9paule gel\u00e9e, aussi appel\u00e9e capsulite adh\u00e9sive, est un \u00e9tat caract\u00e9ris\u00e9 par une raideur et une douleur dans l&#8217;articulation de l&#8217;\u00e9paule. 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