{"id":28827,"date":"2026-10-21T13:15:41","date_gmt":"2026-10-21T13:15:41","guid":{"rendered":"https:\/\/coulinmedical.com\/?page_id=28827"},"modified":"2026-10-21T13:37:12","modified_gmt":"2026-10-21T13:37:12","slug":"fracture-de-la-diaphyse-humerale","status":"publish","type":"page","link":"https:\/\/coulinmedical.com\/en\/fracture-de-la-diaphyse-humerale\/","title":{"rendered":"FRACTURE DE LA DIAPHYSE HUM\u00c9RALE"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"28827\" class=\"elementor elementor-28827\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-14c72c0 e-grid e-con-boxed e-con e-parent\" data-id=\"14c72c0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dc6fc58 elementor-widget-mobile__width-initial elementor-widget elementor-widget-heading\" data-id=\"dc6fc58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Fracture de la diaphyse hum\u00e9rale<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-404f408 elementor-nav-menu__align-center elementor-nav-menu--dropdown-none elementor-widget-mobile__width-inherit home-page-3-buttons elementor-fixed elementor-widget elementor-widget-nav-menu\" data-id=\"404f408\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;_position&quot;:&quot;fixed&quot;,&quot;layout&quot;:&quot;horizontal&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;svg aria-hidden=\\&quot;true\\&quot; class=\\&quot;e-font-icon-svg e-fas-caret-down\\&quot; viewBox=\\&quot;0 0 320 512\\&quot; 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href=\"https:\/\/coulinmedical.com\/en\/traitement-regenerer-genou-hanche\/\" class=\"elementor-item\" tabindex=\"-1\">R\u00c9G\u00c9N\u00c9RER<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-24241\"><a href=\"https:\/\/coulinmedical.com\/en\/prothese-remplacer\/\" class=\"elementor-item\" tabindex=\"-1\">REMPLACER<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4d4dbcb elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"4d4dbcb\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-25a1815\" data-id=\"25a1815\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c3cc095 elementor-widget-mobile__width-initial elementor-widget elementor-widget-heading\" data-id=\"c3cc095\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">La chirurgie vise \u00e0 stabiliser l\u2019os lorsqu\u2019une fracture ne peut pas \u00eatre correctement trait\u00e9e par immobilisation seule.<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c33e344 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"c33e344\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8ffaa11 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"8ffaa11\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>La fracture de la diaphyse hum\u00e9rale touche la partie centrale de l\u2019os du bras, entre l\u2019\u00e9paule et le coude.<\/strong> Selon son d\u00e9placement, sa stabilit\u00e9 et l\u2019\u00e9tat des tissus autour de l\u2019os, elle peut \u00eatre trait\u00e9e par une orth\u00e8se ou par une intervention qui stabilise les fragments.<\/p><p>L\u2019indication d\u00e9pend de l\u2019examen clinique, des radiographies, de l\u2019\u00e9tat des nerfs et des vaisseaux, ainsi que de la g\u00eane et des besoins de la personne. <strong>Une fracture de la diaphyse hum\u00e9rale ne conduit donc pas automatiquement \u00e0 une op\u00e9ration.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-f44e654 e-grid e-con-full e-con e-parent\" data-id=\"f44e654\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7d4697f elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"7d4697f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cda79dd e-con-full e-flex e-con e-child\" data-id=\"cda79dd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6bad02e elementor-widget__width-initial elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-heading\" data-id=\"6bad02e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Fracture de l\u2019extr\u00e9mit\u00e9 proximale de l\u2019hum\u00e9rus<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4d52101 e-grid e-con-full e-con e-parent\" data-id=\"4d52101\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-16465eb e-con-full e-flex e-con e-child\" data-id=\"16465eb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-87edf16 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"87edf16\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e5ceea2 elementor-widget elementor-widget-image\" data-id=\"e5ceea2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1448\" height=\"1086\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-introduction.webp\" class=\"attachment-full size-full wp-image-28873\" alt=\"\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-introduction.webp 1448w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-introduction-400x300.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-introduction-1067x800.webp 1067w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-introduction-768x576.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-introduction-16x12.webp 16w\" sizes=\"(max-width: 1448px) 100vw, 1448px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-abd889e e-con-full e-flex e-con e-child\" data-id=\"abd889e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6c34a81 elementor-widget elementor-widget-heading\" data-id=\"6c34a81\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">QUAND OP\u00c9RER UNE FRACTURE DE LA DIAPHYSE HUM\u00c9RALE ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a7229b9 elementor-widget elementor-widget-text-editor\" data-id=\"a7229b9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La chirurgie peut \u00eatre envisag\u00e9e lorsque la fracture de la diaphyse hum\u00e9rale est instable, tr\u00e8s d\u00e9plac\u00e9e ou lorsque l\u2019alignement ne peut pas \u00eatre maintenu de fa\u00e7on satisfaisante par une orth\u00e8se.<\/p><p>\u00a0<\/p><ul><li><strong>D\u00e9placement ou instabilit\u00e9 importante<\/strong> : Les fragments sont trop \u00e9loign\u00e9s ou mal align\u00e9s pour esp\u00e9rer une consolidation fonctionnelle avec une immobilisation seule.<\/li><li><strong>Fracture ouverte<\/strong> : L\u2019os ou le foyer de fracture communique avec une plaie cutan\u00e9e, ce qui n\u00e9cessite une \u00e9valuation et des soins chirurgicaux adapt\u00e9s.<\/li><li><strong>Atteinte associ\u00e9e<\/strong> : Une l\u00e9sion des vaisseaux, une fracture suppl\u00e9mentaire ou certaines atteintes des tissus voisins peuvent modifier la strat\u00e9gie.<\/li><li><strong>\u00c9chec du traitement non chirurgical<\/strong> : La fracture ne consolide pas, se d\u00e9place secondairement ou l\u2019orth\u00e8se est mal tol\u00e9r\u00e9e malgr\u00e9 un suivi adapt\u00e9.<\/li><\/ul><p>\u00a0<\/p><p>Une atteinte du nerf radial, qui commande notamment le relevage du poignet et des doigts, doit \u00eatre \u00e9valu\u00e9e avec attention. Elle ne signifie pas \u00e0 elle seule qu\u2019une op\u00e9ration est toujours n\u00e9cessaire : la d\u00e9cision d\u00e9pend de son origine, de son \u00e9volution et du contexte de la fracture. <strong>Les fractures stables et correctement align\u00e9es peuvent souvent \u00eatre trait\u00e9es sans op\u00e9ration.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9dc57dd e-con-full e-flex e-con e-parent\" data-id=\"9dc57dd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-09fb0b9 e-con-full e-flex e-con e-child\" data-id=\"09fb0b9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e32d70f elementor-widget elementor-widget-heading\" data-id=\"e32d70f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">TRAITEMENT NON CHIRURGICAL<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cd07fd9 elementor-widget elementor-widget-text-editor\" data-id=\"cd07fd9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Lorsque la fracture de la diaphyse hum\u00e9rale est peu d\u00e9plac\u00e9e et suffisamment stable, elle peut souvent consolider sans op\u00e9ration. Le traitement prot\u00e8ge le bras, accompagne la consolidation et permet de reprendre progressivement les mouvements selon les consignes m\u00e9dicales.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ac7a92f e-con-full e-grid e-con e-child\" data-id=\"ac7a92f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-84ebc77 e-con-full e-flex e-con e-child\" data-id=\"84ebc77\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2c3ca10 elementor-widget elementor-widget-heading\" data-id=\"2c3ca10\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">IMMOBILISATION DE CONFORT<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ef4334 elementor-widget elementor-widget-text-editor\" data-id=\"7ef4334\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Une \u00e9charpe peut soutenir le bras et soulager la douleur au d\u00e9but. Elle est port\u00e9e selon le confort et les recommandations de l\u2019\u00e9quipe soignante.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ed0fa5b e-con-full e-flex e-con e-child\" data-id=\"ed0fa5b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-691533d elementor-widget elementor-widget-heading\" data-id=\"691533d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">CONTR\u00d4LES DE LA FRACTURE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-453acde elementor-widget elementor-widget-text-editor\" data-id=\"453acde\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Des consultations et des radiographies de contr\u00f4le permettent de v\u00e9rifier que les fragments restent correctement align\u00e9s et que l\u2019os consolide.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-adf8056 e-con-full e-flex e-con e-child\" data-id=\"adf8056\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-62e25ca elementor-widget elementor-widget-heading\" data-id=\"62e25ca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">MOBILISATION PROGRESSIVE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-871b4cc elementor-widget elementor-widget-text-editor\" data-id=\"871b4cc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Les mouvements de la main, du poignet et du coude sont encourag\u00e9s selon les consignes re\u00e7ues. La mobilisation de l\u2019\u00e9paule reprend progressivement au moment jug\u00e9 adapt\u00e9.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4c2db9a e-con-full e-flex e-con e-child\" data-id=\"4c2db9a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-56ad699 elementor-widget elementor-widget-heading\" data-id=\"56ad699\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PHYSIOTH\u00c9RAPIE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ec455d6 elementor-widget elementor-widget-text-editor\" data-id=\"ec455d6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La r\u00e9\u00e9ducation aide \u00e0 retrouver progressivement la mobilit\u00e9 et la fonction du bras, en tenant compte de la douleur et de l\u2019\u00e9volution de la fracture.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a5ec2b5 e-grid e-con-full e-con e-parent\" data-id=\"a5ec2b5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-92e6614 e-con-full e-flex e-con e-child\" data-id=\"92e6614\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-77b77e8 elementor-widget elementor-widget-image\" data-id=\"77b77e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1448\" height=\"1086\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-humerus-expose-sur-bureau.webp\" class=\"attachment-full size-full wp-image-28909\" alt=\"\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-humerus-expose-sur-bureau.webp 1448w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-humerus-expose-sur-bureau-400x300.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-humerus-expose-sur-bureau-1067x800.webp 1067w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-humerus-expose-sur-bureau-768x576.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-humerus-expose-sur-bureau-16x12.webp 16w\" sizes=\"(max-width: 1448px) 100vw, 1448px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ae5bad5 e-con-full e-flex e-con e-child\" data-id=\"ae5bad5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-673ffd0 elementor-widget elementor-widget-heading\" data-id=\"673ffd0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">COMMENT SE D\u00c9ROULE L\u2019INTERVENTION ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73de5f4 elementor-widget elementor-widget-text-editor\" data-id=\"73de5f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La m\u00e9thode d\u00e9pend de la fracture et de l\u2019\u00e9tat du bras. Les \u00e9tapes ci-dessous d\u00e9crivent les principes habituels d\u2019une fixation chirurgicale, qui peut \u00eatre r\u00e9alis\u00e9e par plaque et vis ou, dans certaines situations, par clou intram\u00e9dullaire.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ebf35e7 elementor-widget elementor-widget-n-accordion\" data-id=\"ebf35e7\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2470\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2470\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Installation et anesth\u00e9sie <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2470\" class=\"elementor-element elementor-element-5c9fc84 e-con-full e-flex e-con e-child\" data-id=\"5c9fc84\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2470\" class=\"elementor-element elementor-element-309a604 e-flex e-con-boxed e-con e-child\" data-id=\"309a604\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cd78b35 elementor-widget elementor-widget-text-editor\" data-id=\"cd78b35\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019intervention se d\u00e9roule au bloc op\u00e9ratoire sous anesth\u00e9sie g\u00e9n\u00e9rale, parfois associ\u00e9e \u00e0 une anesth\u00e9sie locor\u00e9gionale pour contribuer au contr\u00f4le de la douleur. Le patient est install\u00e9 de fa\u00e7on \u00e0 permettre l\u2019acc\u00e8s \u00e0 l\u2019hum\u00e9rus. L\u2019\u00e9quipe pr\u00e9pare la peau et v\u00e9rifie le c\u00f4t\u00e9 \u00e0 op\u00e9rer ainsi que les images n\u00e9cessaires.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2471\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2471\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Acc\u00e8s \u00e0 la fracture <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2471\" class=\"elementor-element elementor-element-7e83bf2 e-con-full e-flex e-con e-child\" data-id=\"7e83bf2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e2a3a67 elementor-widget elementor-widget-text-editor\" data-id=\"e2a3a67\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Selon la position du trait et la fixation choisie, le chirurgien utilise une incision adapt\u00e9e ou une technique moins invasive. La voie d\u2019abord est planifi\u00e9e en tenant compte des structures anatomiques voisines, notamment du nerf radial.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2472\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2472\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Stabilisation de l\u2019os <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2472\" class=\"elementor-element elementor-element-9103324 e-con-full e-flex e-con e-child\" data-id=\"9103324\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f2693aa elementor-widget elementor-widget-text-editor\" data-id=\"f2693aa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le chirurgien r\u00e9tablit un alignement satisfaisant des fragments. Une plaque est ensuite appliqu\u00e9e sur l\u2019hum\u00e9rus et fix\u00e9e par des vis au-dessus et au-dessous de la fracture. Pour certaines fractures, un clou peut \u00eatre introduit dans le canal central de l\u2019os et verrouill\u00e9 par des vis. Le choix d\u00e9pend de la forme du trait, de sa localisation, de la qualit\u00e9 osseuse et des tissus autour de la fracture.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2473\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2473\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Contr\u00f4le de la fixation <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2473\" class=\"elementor-element elementor-element-35cf7e9 e-flex e-con-boxed e-con e-child\" data-id=\"35cf7e9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-80943fa elementor-widget elementor-widget-text-editor\" data-id=\"80943fa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019\u00e9quipe v\u00e9rifie l\u2019axe de l\u2019hum\u00e9rus, la position du mat\u00e9riel et la stabilit\u00e9 obtenue. Des images perop\u00e9ratoires peuvent aider \u00e0 confirmer la r\u00e9duction et le positionnement des vis ou du clou.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2474\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2474\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Fermeture et fin de l\u2019intervention <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2474\" class=\"elementor-element elementor-element-c08f8ee e-flex e-con-boxed e-con e-child\" data-id=\"c08f8ee\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a8180df elementor-widget elementor-widget-text-editor\" data-id=\"a8180df\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Apr\u00e8s les contr\u00f4les, les tissus sont referm\u00e9s et un pansement est pos\u00e9. Le bras peut \u00eatre soutenu par une \u00e9charpe pour le confort. Le patient est ensuite conduit en salle de r\u00e9veil pour surveillance.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-25b5e71 elementor-widget elementor-widget-text-editor\" data-id=\"25b5e71\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Le but est d\u2019obtenir une fixation stable tout en prot\u00e9geant les structures voisines et en permettant une mobilisation adapt\u00e9e.<\/strong><\/p><p>La dur\u00e9e de l\u2019intervention et le type d\u2019hospitalisation varient selon la fracture, la technique retenue et l\u2019\u00e9tat g\u00e9n\u00e9ral du patient. L\u2019\u00e9quipe m\u00e9dicale pr\u00e9cise ces \u00e9l\u00e9ments avant l\u2019op\u00e9ration.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4c33e9a e-grid e-con-full e-con e-parent\" data-id=\"4c33e9a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4d22fe8 e-con-full e-flex e-con e-child\" data-id=\"4d22fe8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-212e688 elementor-widget elementor-widget-heading\" data-id=\"212e688\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">QUELLE TECHNIQUE POUR UNE FRACTURE DE LA DIAPHYSE HUM\u00c9RALE ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d163419 elementor-widget elementor-widget-text-editor\" data-id=\"d163419\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le choix d\u00e9pend de la localisation, du d\u00e9placement et de la forme de la fracture, ainsi que de l\u2019\u00e9tat des tissus et des nerfs. Il n\u2019existe pas une fixation unique adapt\u00e9e \u00e0 toutes les fractures de la diaphyse hum\u00e9rale.<\/p><p>La chirurgie a pour objectif de stabiliser l\u2019os en respectant autant que possible sa vascularisation et les structures voisines. Chaque option comporte des avantages et des limites qui sont \u00e9valu\u00e9s au cas par cas.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1935cd9 elementor-widget elementor-widget-n-accordion\" data-id=\"1935cd9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2640\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2640\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Plaque et vis <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2640\" class=\"elementor-element elementor-element-52c8065 e-con-full e-flex e-con e-child\" data-id=\"52c8065\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2640\" class=\"elementor-element elementor-element-738d254 e-flex e-con-boxed e-con e-child\" data-id=\"738d254\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f92d1c9 elementor-widget elementor-widget-text-editor\" data-id=\"f92d1c9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La plaque est fix\u00e9e \u00e0 la surface de l\u2019hum\u00e9rus par des vis. Elle permet un contr\u00f4le direct de l\u2019alignement et convient \u00e0 diff\u00e9rentes formes de fracture. La voie d\u2019abord et la position de la plaque sont choisies selon le niveau de la fracture et les structures \u00e0 pr\u00e9server.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2641\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2641\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Clou intram\u00e9dullaire <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2641\" class=\"elementor-element elementor-element-f0cc119 e-con-full e-flex e-con e-child\" data-id=\"f0cc119\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cad70bb elementor-widget elementor-widget-text-editor\" data-id=\"cad70bb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le clou est introduit dans le canal central de l\u2019hum\u00e9rus et maintenu par des vis de verrouillage. Cette option peut \u00eatre envisag\u00e9e pour certaines fractures de la diaphyse. Le point d\u2019entr\u00e9e et la proximit\u00e9 de l\u2019\u00e9paule sont pris en compte dans le choix.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2642\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2642\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Abord direct ou fixation moins invasive <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2642\" class=\"elementor-element elementor-element-8840717 e-con-full e-flex e-con e-child\" data-id=\"8840717\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e1c5a9b elementor-widget elementor-widget-text-editor\" data-id=\"e1c5a9b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Un abord direct permet de visualiser la fracture et de la r\u00e9duire directement. Une fixation moins invasive peut, dans certains cas, limiter l\u2019ouverture du foyer de fracture. Le choix d\u00e9pend de la configuration de la fracture, de l\u2019alignement recherch\u00e9 et de la possibilit\u00e9 de prot\u00e9ger les structures voisines.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2643\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2643\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Protection du nerf radial <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2643\" class=\"elementor-element elementor-element-97b7f30 e-flex e-con-boxed e-con e-child\" data-id=\"97b7f30\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-97a9db2 elementor-widget elementor-widget-text-editor\" data-id=\"97a9db2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le nerf radial passe \u00e0 proximit\u00e9 de l\u2019hum\u00e9rus et peut \u00eatre concern\u00e9 par le traumatisme ou par l\u2019intervention. Son examen avant et apr\u00e8s l\u2019op\u00e9ration et sa protection pendant la fixation font partie des points essentiels de la prise en charge.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9a98687 elementor-widget elementor-widget-text-editor\" data-id=\"9a98687\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La technique est choisie en fonction de la fracture et de la situation du patient, apr\u00e8s discussion des options possibles.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-61f3849 e-con-full e-flex e-con e-child\" data-id=\"61f3849\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fee1bfd elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"fee1bfd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe86703 elementor-widget elementor-widget-image\" data-id=\"fe86703\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1448\" height=\"1086\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-reeducation-physiotherapie.webp\" class=\"attachment-full size-full wp-image-28907\" alt=\"reeducation d&apos;une fracture de la diaphyse hum\u00e9rale\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-reeducation-physiotherapie.webp 1448w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-reeducation-physiotherapie-400x300.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-reeducation-physiotherapie-1067x800.webp 1067w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-reeducation-physiotherapie-768x576.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-reeducation-physiotherapie-16x12.webp 16w\" sizes=\"(max-width: 1448px) 100vw, 1448px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ef058c7 e-con-full e-flex e-con e-parent\" data-id=\"ef058c7\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-e19cff2 e-con-full e-flex e-con e-child\" data-id=\"e19cff2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-51df04c elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"51df04c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">R\u00e9sultats attendus, limites et risques<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-43729a9 elementor-widget elementor-widget-text-editor\" data-id=\"43729a9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le choix de l\u2019intervention met en balance la stabilit\u00e9 recherch\u00e9e, les contraintes de la chirurgie et les risques propres \u00e0 chaque fracture.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a6038b2 e-con-full e-grid e-con e-child\" data-id=\"a6038b2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-a1d46e6 e-con-full e-flex e-con e-child\" data-id=\"a1d46e6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-88b9f45 elementor-widget elementor-widget-heading\" data-id=\"88b9f45\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">OBJECTIFS ET R\u00c9SULTATS ATTENDUS<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56697c3 elementor-widget elementor-widget-text-editor\" data-id=\"56697c3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La fixation vise \u00e0 maintenir un alignement satisfaisant et \u00e0 permettre la consolidation de l\u2019hum\u00e9rus. Elle peut faciliter une mobilisation encadr\u00e9e du bras, mais ne garantit pas \u00e0 elle seule une r\u00e9cup\u00e9ration compl\u00e8te ou imm\u00e9diate.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6a9f58d e-con-full e-flex e-con e-child\" data-id=\"6a9f58d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-90afccf elementor-widget elementor-widget-heading\" data-id=\"90afccf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">LIMITES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-219134e elementor-widget elementor-widget-text-editor\" data-id=\"219134e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La consolidation et la r\u00e9cup\u00e9ration fonctionnelle varient d\u2019une personne \u00e0 l\u2019autre. Une raideur, une g\u00eane ou une faiblesse peuvent persister pendant la r\u00e9cup\u00e9ration. Une consolidation lente ou incompl\u00e8te peut n\u00e9cessiter une prise en charge suppl\u00e9mentaire.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-aec14a9 e-con-full e-flex e-con e-child\" data-id=\"aec14a9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-40306f2 elementor-widget elementor-widget-heading\" data-id=\"40306f2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">RISQUES ET COMPLICATIONS<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c0b3f55 elementor-widget elementor-widget-text-editor\" data-id=\"c0b3f55\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Comme toute intervention, la chirurgie comporte des risques, notamment une infection, un h\u00e9matome, un probl\u00e8me de cicatrisation, une raideur ou une douleur persistante. Le nerf radial peut \u00eatre atteint par le traumatisme ou, plus rarement, lors de la chirurgie. Une absence de consolidation, un d\u00e9placement secondaire ou un probl\u00e8me de fixation peuvent aussi conduire \u00e0 discuter d\u2019un nouveau traitement.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-06c9f14 e-grid e-con-full e-con e-parent\" data-id=\"06c9f14\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-01eb791 e-con-full e-flex e-con e-child\" data-id=\"01eb791\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0dfc96f elementor-widget elementor-widget-heading\" data-id=\"0dfc96f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">R\u00c9\u00c9DUCATION APR\u00c8S UNE FRACTURE DE LA DIAPHYSE HUM\u00c9RALE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-571f7c0 elementor-widget elementor-widget-text-editor\" data-id=\"571f7c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Au d\u00e9but, l\u2019objectif est de contr\u00f4ler la douleur, de surveiller la cicatrice et de mobiliser les articulations voisines selon les consignes re\u00e7ues. Les mouvements autoris\u00e9s d\u00e9pendent de la stabilit\u00e9 de la fixation et de l\u2019\u00e9volution de la fracture.<\/p><p>\u00a0<\/p><p>La r\u00e9\u00e9ducation progresse ensuite avec la r\u00e9cup\u00e9ration de la mobilit\u00e9 de l\u2019\u00e9paule et du coude, puis du contr\u00f4le et de la force du bras. Le programme est adapt\u00e9 aux examens de suivi et aux capacit\u00e9s du patient.<\/p><p>\u00a0<\/p><p>La reprise des activit\u00e9s quotidiennes, du travail et de la conduite d\u00e9pend de l\u2019usage du bras, de la douleur, de la consolidation et des exigences de chaque activit\u00e9. Les activit\u00e9s qui sollicitent le bras ou exposent \u00e0 une chute sont reprises uniquement apr\u00e8s validation m\u00e9dicale.<\/p><p>\u00a0<\/p><p>Le retour au sport se fait de mani\u00e8re progressive lorsque la consolidation, la mobilit\u00e9 et la force le permettent. Les activit\u00e9s de contact ou avec risque de chute n\u00e9cessitent une \u00e9valuation sp\u00e9cifique.<\/p><p>\u00a0<\/p><p><strong>La progression se fait selon l\u2019\u00e9volution de la consolidation et les consignes de l\u2019\u00e9quipe soignante.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c029554 e-con-full e-flex e-con e-child\" data-id=\"c029554\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-16cfa8d elementor-widget elementor-widget-image\" data-id=\"16cfa8d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1448\" height=\"1086\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-reeducation.webp\" class=\"attachment-full size-full wp-image-28872\" alt=\"fracture-de-la-diaphyse-humerale-reeducation.webp Exercice de mobilit\u00e9 du bras en physioth\u00e9rapie apr\u00e8s une fracture de la diaphyse hum\u00e9rale\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-reeducation.webp 1448w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-reeducation-400x300.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-reeducation-1067x800.webp 1067w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-reeducation-768x576.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-reeducation-16x12.webp 16w\" sizes=\"(max-width: 1448px) 100vw, 1448px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2fb3283 e-grid e-con-full e-con e-parent\" data-id=\"2fb3283\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-678d954 e-con-full e-flex e-con e-child\" data-id=\"678d954\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6353df8 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"6353df8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-455454e elementor-widget elementor-widget-image\" data-id=\"455454e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1448\" height=\"1086\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-options-traitement.webp\" class=\"attachment-full size-full wp-image-28906\" alt=\"\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-options-traitement.webp 1448w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-options-traitement-400x300.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-options-traitement-1067x800.webp 1067w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-options-traitement-768x576.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-de-la-diaphyse-humerale-options-traitement-16x12.webp 16w\" sizes=\"(max-width: 1448px) 100vw, 1448px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-41bca07 e-con-full e-flex e-con e-child\" data-id=\"41bca07\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-717554e elementor-widget elementor-widget-heading\" data-id=\"717554e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">UNE PRISE EN CHARGE ADAPT\u00c9E \u00c0 CHAQUE PATIENT<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-71175e9 elementor-widget elementor-widget-text-editor\" data-id=\"71175e9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Deux personnes pr\u00e9sentant une fracture de la diaphyse hum\u00e9rale peuvent recevoir des traitements diff\u00e9rents. L\u2019alignement, la stabilit\u00e9 de la fracture, l\u2019\u00e9tat de la peau et des tissus, ainsi que l\u2019examen des nerfs et des vaisseaux orientent la d\u00e9cision.<\/p><p>\u00a0<\/p><p>Le Dr Beno\u00eet Coulin prend aussi en compte l\u2019\u00e2ge, la qualit\u00e9 osseuse, l\u2019\u00e9tat de sant\u00e9 g\u00e9n\u00e9ral, le niveau d\u2019activit\u00e9, le m\u00e9tier, les l\u00e9sions associ\u00e9es et les attentes du patient.<\/p><p>\u00a0<\/p><p>La technique, le moment de l\u2019intervention et la progression de la r\u00e9\u00e9ducation sont d\u00e9termin\u00e9s en fonction de ces \u00e9l\u00e9ments et r\u00e9\u00e9valu\u00e9s au fil du suivi.<\/p><blockquote><p>\u00a0<\/p><p style=\"text-align: center;\">\u00ab Le traitement se d\u00e9cide \u00e0 partir de la fracture et de la situation de chaque patient, apr\u00e8s examen et analyse des images. \u00bb<\/p><\/blockquote>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0ec73bd e-flex e-con-boxed e-con e-parent\" data-id=\"0ec73bd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cb4d2e8 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"cb4d2e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d2593bd elementor-widget elementor-widget-heading\" data-id=\"d2593bd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">QUESTIONS FR\u00c9QUENTES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-426434e elementor-widget elementor-widget-html\" data-id=\"426434e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\n#faq-arthrose {\n  --coulin-green: #A8B5A8;\n  --coulin-green-light: rgba(168, 181, 168, 0.45);\n  --coulin-orange: #E58A2B;\n  --coulin-black: #111111;\n\n  position: relative;\n  max-width: 90%;\n  margin: 0 auto;\n  display: flex;\n  align-items: flex-start;\n}\n\n#faq-arthrose .faq-col {\n  flex: 1;\n  display: flex;\n  flex-direction: column;\n  border: 1px solid var(--coulin-green);\n  font-family: \"Arboria\", sans-serif;\n}\n\n#faq-arthrose .faq-col:first-child {\n  border-radius: 12px 0 0 12px;\n  border-right: none;\n  margin-right: 1px;\n}\n\n#faq-arthrose .faq-col:last-child {\n  border-radius: 0 12px 12px 0;\n  border-left: none;\n  margin-left: 1px;\n}\n\n#faq-arthrose::after {\n  content: \"\";\n  position: absolute;\n  left: calc(50% - 0.5px);\n  top: 0;\n  bottom: 0;\n  width: 1px;\n  background: var(--coulin-green);\n  pointer-events: none;\n}\n\n#faq-arthrose .faq-item {\n  border-bottom: 1px solid var(--coulin-green-light);\n  color: var(--coulin-black);\n}\n\n#faq-arthrose .faq-col .faq-item:last-child {\n  border-bottom: none;\n}\n\n#faq-arthrose .faq-header {\n  display: flex;\n  align-items: center;\n  justify-content: space-between;\n  width: 100%;\n  min-height: 90px;\n  padding: 26px 22px;\n  gap: 14px;\n  border: none;\n  background: transparent;\n  color: var(--coulin-black);\n  text-align: left;\n  cursor: pointer;\n  transition: color 0.2s ease;\n}\n\n#faq-arthrose .faq-header:hover,\n#faq-arthrose .faq-item.open .faq-header {\n  color: var(--coulin-orange);\n}\n\n#faq-arthrose .faq-header:hover .faq-btn,\n#faq-arthrose .faq-item.open .faq-btn {\n  border-color: var(--coulin-orange);\n  color: var(--coulin-orange);\n}\n\n#faq-arthrose .faq-q {\n  font-family: \"Arboria\", sans-serif;\n  font-size: 13px;\n  font-weight: 400;\n  line-height: 1.45;\n  letter-spacing: 0.04em;\n  text-transform: uppercase;\n}\n\n#faq-arthrose .faq-btn {\n  flex-shrink: 0;\n  width: 30px;\n  height: 30px;\n  border: 1px solid var(--coulin-green);\n  border-radius: 50%;\n  display: flex;\n  align-items: center;\n  justify-content: center;\n  color: var(--coulin-orange);\n  font-size: 20px;\n  font-weight: 300;\n  line-height: 1;\n  background: transparent;\n  transition:\n    border-color 0.2s ease,\n    color 0.2s ease,\n    transform 0.3s ease;\n}\n\n#faq-arthrose .faq-item.open .faq-btn {\n  transform: rotate(45deg);\n}\n\n#faq-arthrose .faq-body {\n  max-height: 0;\n  overflow: hidden;\n  padding: 0 22px;\n  color: var(--coulin-black);\n  font-family: \"Arboria\", sans-serif;\n  font-size: 14px;\n  font-weight: 300;\n  line-height: 1.7;\n  transition:\n    max-height 0.35s ease,\n    padding 0.3s ease;\n}\n\n#faq-arthrose .faq-item.open .faq-body {\n  max-height: 600px;\n  padding: 0 22px 22px;\n}\n\n@media (max-width: 640px) {\n  #faq-arthrose {\n    max-width: 100%;\n    flex-direction: column;\n  }\n\n  #faq-arthrose::after {\n    display: none;\n  }\n\n  #faq-arthrose .faq-col {\n    width: 100%;\n  }\n\n  #faq-arthrose .faq-col:first-child {\n    margin-right: 0;\n    border-right: 1px solid var(--coulin-green);\n    border-bottom: none;\n    border-radius: 12px 12px 0 0;\n  }\n\n  #faq-arthrose .faq-col:last-child {\n    margin-left: 0;\n    border-top: 1px solid var(--coulin-green);\n    border-left: 1px solid var(--coulin-green);\n    border-radius: 0 0 12px 12px;\n  }\n\n  #faq-arthrose .faq-header {\n    min-height: auto;\n    padding: 22px 18px;\n  }\n\n  #faq-arthrose .faq-q {\n    font-size: 12px;\n  }\n\n  #faq-arthrose .faq-body {\n    padding: 0 18px;\n    font-size: 15px;\n  }\n\n  #faq-arthrose .faq-item.open .faq-body {\n    padding: 0 18px 20px;\n  }\n}\n<\/style>\n\n<div class=\"faq-outer\" id=\"faq-arthrose\">\n\n  <div class=\"faq-col\">\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Faut-il toujours op\u00e9rer une fracture de la<br> diaphyse hum\u00e9rale ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        Non. Certaines fractures stables et suffisamment bien align\u00e9es peuvent \u00eatre trait\u00e9es par immobilisation fonctionnelle ou orth\u00e8se. La chirurgie est discut\u00e9e selon le d\u00e9placement, la stabilit\u00e9, les l\u00e9sions associ\u00e9es et l\u2019\u00e9volution.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Comment choisit-on entre une plaque et un clou ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        Le choix d\u00e9pend notamment de la forme et du niveau de la fracture, de la qualit\u00e9 osseuse et des structures voisines. Le chirurgien explique la technique adapt\u00e9e au cas particulier.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Le nerf radial peut-il \u00eatre touch\u00e9 ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        Oui. Ce nerf passe pr\u00e8s de l\u2019hum\u00e9rus et peut \u00eatre atteint lors du traumatisme. L\u2019examen v\u00e9rifie notamment la sensibilit\u00e9 et la capacit\u00e9 \u00e0 relever le poignet et les doigts. Toute faiblesse ou perte de sensibilit\u00e9 nouvelle doit \u00eatre signal\u00e9e \u00e0 l\u2019\u00e9quipe m\u00e9dicale.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Combien de temps dure l\u2019hospitalisation ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        Cela varie selon la fracture, l\u2019intervention, l\u2019\u00e9tat g\u00e9n\u00e9ral et l\u2019organisation des soins. Le chirurgien et l\u2019\u00e9quipe soignante indiquent le d\u00e9roulement pr\u00e9vu pour chaque patient.\n      <\/div>\n    <\/div>\n\n  <\/div>\n\n  <div class=\"faq-col\">\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">L\u2019intervention est-elle douloureuse ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        Une douleur est possible apr\u00e8s l\u2019op\u00e9ration, mais l\u2019\u00e9quipe met en place un traitement adapt\u00e9 et en surveille l\u2019efficacit\u00e9. La douleur et son \u00e9volution varient d\u2019une personne \u00e0 l\u2019autre.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Quand peut-on recommencer \u00e0 bouger le bras ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        La mobilisation est reprise selon la stabilit\u00e9 de la fixation et les consignes du chirurgien. Les mouvements autoris\u00e9s peuvent \u00e9voluer au fil des contr\u00f4les et de la consolidation.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Quand peut-on reprendre le travail et conduire ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        Cela d\u00e9pend du bras concern\u00e9, de la douleur, de la mobilit\u00e9 et des t\u00e2ches \u00e0 effectuer. La reprise de la conduite doit attendre que le patient puisse contr\u00f4ler son v\u00e9hicule en s\u00e9curit\u00e9 et qu\u2019elle soit valid\u00e9e par l\u2019\u00e9quipe m\u00e9dicale.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Quand peut-on reprendre le sport ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        La reprise d\u00e9pend de la consolidation de l\u2019os, de la mobilit\u00e9 et de la force du bras. Elle se fait progressivement, apr\u00e8s validation m\u00e9dicale, avec une attention particuli\u00e8re pour les sports de contact ou \u00e0 risque de chute.\n      <\/div>\n    <\/div>\n\n  <\/div>\n<\/div>\n\n<script>\n(function () {\n  const faq = document.getElementById(\"faq-arthrose\");\n\n  if (!faq) return;\n\n  const items = faq.querySelectorAll(\".faq-item\");\n\n  items.forEach(function (item) {\n    const header = item.querySelector(\".faq-header\");\n\n    header.addEventListener(\"click\", function () {\n      const isOpen = item.classList.contains(\"open\");\n\n      items.forEach(function (otherItem) {\n        otherItem.classList.remove(\"open\");\n\n        const otherHeader = otherItem.querySelector(\".faq-header\");\n\n        if (otherHeader) {\n          otherHeader.setAttribute(\"aria-expanded\", \"false\");\n        }\n      });\n\n      if (!isOpen) {\n        item.classList.add(\"open\");\n        header.setAttribute(\"aria-expanded\", \"true\");\n      }\n    });\n  });\n})();\n<\/script>\n\n<style>\n@media (max-width: 640px) {\n  #faq-arthrose .faq-header {\n    justify-content: flex-start;\n  }\n\n  #faq-arthrose .faq-q {\n    display: block;\n    flex: 1 1 auto;\n    min-width: 0;\n    white-space: normal !important;\n    overflow-wrap: anywhere;\n  }\n\n  #faq-arthrose .faq-btn {\n    position: static;\n    flex: 0 0 26px;\n  }\n\n  #faq-arthrose .faq-q br {\n    display: none;\n  }\n}\n\n#faq-arthrose .faq-btn {\n  box-sizing: border-box;\n  width: 30px;\n  min-width: 30px;\n  height: 30px;\n  min-height: 30px;\n  padding: 0;\n  aspect-ratio: 1 \/ 1;\n  flex: 0 0 30px;\n  border-radius: 50%;\n  line-height: 1;\n}\n<\/style>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-20cca87 e-flex e-con-boxed e-con e-parent\" data-id=\"20cca87\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-655f077 elementor-widget elementor-widget-heading\" data-id=\"655f077\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Votre fracture de la diaphyse hum\u00e9rale n\u00e9cessite-t-elle une op\u00e9ration ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f5c73e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"9f5c73e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Un examen clinique et l\u2019analyse des radiographies permettent d\u2019\u00e9valuer la fracture, de v\u00e9rifier les structures voisines et de discuter le traitement adapt\u00e9.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c5faaad elementor-align-justify elementor-mobile-align-justify elementor-widget__width-initial elementor-widget-mobile__width-initial elementor-widget elementor-widget-button\" data-id=\"c5faaad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/coulinmedical.com\/prendre-rendez-vous\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">PRENDRE RDV<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Fracture de la diaphyse hum\u00e9rale La chirurgie vise \u00e0 stabiliser l\u2019os lorsqu\u2019une fracture ne peut pas \u00eatre correctement trait\u00e9e par immobilisation seule. La fracture de la diaphyse hum\u00e9rale touche la partie centrale de l\u2019os du bras, entre l\u2019\u00e9paule et le coude. Selon son d\u00e9placement, sa stabilit\u00e9 et l\u2019\u00e9tat des tissus autour de l\u2019os, elle peut [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-28827","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/28827","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/comments?post=28827"}],"version-history":[{"count":8,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/28827\/revisions"}],"predecessor-version":[{"id":28916,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/28827\/revisions\/28916"}],"wp:attachment":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media?parent=28827"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}