Journal de Traumatologie du Sport最新文献

{"title":"Sommaire","authors":"","doi":"10.1016/S0762-915X(26)00079-3","DOIUrl":"10.1016/S0762-915X(26)00079-3","url":null,"abstract":"","PeriodicalId":38932,"journal":{"name":"Journal de Traumatologie du Sport","volume":"43 3","pages":"Pages iii-iv"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Drainage échoguidé d’un volumineux hématome du vaste intermédiaire : à propos d’un cas","authors":"W. Montassar,&nbsp;L. Wael,&nbsp;M. Ben Chaalia,&nbsp;Z. Oussama,&nbsp;M. Arssi,&nbsp;H. Makhlouf,&nbsp;G. Imen,&nbsp;M.R. Cherif,&nbsp;M.A. Bennour","doi":"10.1016/j.jts.2024.08.001","DOIUrl":"10.1016/j.jts.2024.08.001","url":null,"abstract":"<div><h3>Introduction</h3><div>La lésion musculaire traumatique du quadriceps est une lésion courante chez les footballeurs. La plupart de ces blessures à la partie antérieure de la cuisse sont des contusions bénignes, mais certaines de ces blessures peuvent mettre fin à une carrière.</div></div><div><h3>Présentation du cas</h3><div>Nous présentons dans cet article le cas d’un footballeur âgé de 15 ans qui a été victime d’un traumatisme direct de la cuisse par « béquille » (genou sur la cuisse) occasionnant une tuméfaction progressive de la cuisse. L’IRM pratiquée le 15^e jour post-traumatique a montré un décollement hématique du vaste intermédiaire centré par une collection de 142<!--> <!-->mm<!--> <!-->×<!--> <!-->50<!--> <!-->mm. Une ponction échoguidée a été faite à j15 ramenant 120 cc de liquide hématique. Le footballeur a repris la compétition à 4 semaines post-traumatique sans séquelles.</div></div><div><h3>Conclusion</h3><div>Une des leçons que l’on peut tirer de ce cas clinique serait de considérer à tort « la béquille » au niveau de la face antérieure de la cuisse comme une simple lésion. Dans le contexte spécifique de ce cas clinique, la ponction évacuatrice a été une alternative thérapeutique mini-invasive, et elle a été possible au 15^e jour post-traumatique.</div></div><div><h3>Introduction</h3><div>Traumatic muscle injury to the quadriceps is a common injury in Soccer. Most of these injuries to the anterior thigh are benign bruises, but some can be career-ending.</div></div><div><h3>Case presentation</h3><div>We present the case of a 15-year-old footballer who suffered a direct trauma to the thigh from a “crutch blow” (knee on thigh) causing progressive swelling of the thigh. An MRI performed on the 15th post-traumatic day showed a hematic detachment of the vastus intermedius centred by a 142<!--> <!-->mm<!--> <!-->×<!--> <!-->50<!--> <!-->mm collection. An ultrasound-guided evacuation was performed on day 15, yielding 120 cc of hematic fluid. The footballer returned to competition 4 weeks post-trauma without sequelae.</div></div><div><h3>Conclusion</h3><div>One of the lessons that can be learned from this clinical case would be to wrongly consider the “crutch” at the level of the anterior aspect of the thigh as a simple lesion. In the specific context of this clinical case, the evacuation puncture was a minimally invasive therapeutic alternative, and it was possible on the 15th post-traumatic day.</div></div>","PeriodicalId":38932,"journal":{"name":"Journal de Traumatologie du Sport","volume":"43 3","pages":"Pages 270-274"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infographie : prévention et prise en charge des blessures dans le sport au Sénégal","authors":"Camille Tooth,&nbsp;Lolita Fischer,&nbsp;Anne-Claire Macquet,&nbsp;Suzanne Leclerc,&nbsp;Maurice Douryang,&nbsp;Ghislain Aminake,&nbsp;François Delvaux,&nbsp;Jean-François Kaux,&nbsp;Romain Seil,&nbsp;Didier Hannouche,&nbsp;Sébastien Le Garrec,&nbsp;Charles Bassene,&nbsp;Ndiak Thiaw,&nbsp;Pascal Edouard,&nbsp;Philippe Tscholl","doi":"10.1016/j.jts.2026.05.001","DOIUrl":"10.1016/j.jts.2026.05.001","url":null,"abstract":"","PeriodicalId":38932,"journal":{"name":"Journal de Traumatologie du Sport","volume":"43 3","pages":"Pages 314-316"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges rencontrés pour la prise en charge des lésions du ligament croisé antérieur en Afrique Sub-Saharienne","authors":"Camille Tooth,&nbsp;Maurice Douryang","doi":"10.1016/j.jts.2026.04.001","DOIUrl":"10.1016/j.jts.2026.04.001","url":null,"abstract":"&lt;div&gt;&lt;div&gt;La rupture du ligament croisé antérieur (LCA) constitue une blessure majeure chez les sportifs. Si, dans les pays occidentaux elle s’inscrit dans un parcours de soins structuré permettant un retour au sport encadré, la situation est très différente en Afrique subsaharienne. Cet article, basé sur les témoignages de quatre professionnels de santé exerçant en Guinée, au Burkina Faso, au Mali et en Gambie, met en lumière les réalités de terrain. Le diagnostic repose principalement sur l’examen clinique, en raison d’un accès limité et coûteux à l’IRM. La prise en charge est marquée par un manque d’infrastructures, de spécialistes et de protocoles standardisés. L’accès à la chirurgie, souvent non disponible localement, ainsi que les contraintes financières, retardent ou empêchent les soins appropriés. La rééducation postopératoire reste hétérogène et peu structurée, tandis que les décisions de retour au sport reposent majoritairement sur le jugement clinique, avec peu d’outils objectifs. Ces contraintes entraînent des retards de prise en charge, des reprises précoces et un risque accru de complications pouvant compromettre la carrière sportive. Toutefois, les acteurs soulignent des perspectives d’amélioration, notamment à travers la formation de professionnels, le développement d’infrastructures, la standardisation des protocoles et la promotion de la prévention. Cette problématique met en évidence la nécessité de stratégies adaptées aux contextes locaux pour améliorer durablement la prise en charge des blessures sportives dans la région.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;div&gt;Anterior cruciate ligament (ACL) rupture is a major injury in athletes. While in Western countries it is embedded within a structured care pathway enabling a supervised return to sport, the situation is markedly different in sub-Saharan Africa. This article, based on testimonies from four healthcare professionals practicing in Guinea, Burkina Faso, Mali, and The Gambia, highlights on-the-ground realities. Diagnosis relies primarily on clinical examination due to limited and costly access to MRI. Management is characterised by a lack of infrastructure, specialists, and standardised protocols. Access to surgery—often unavailable locally—combined with financial constraints, delays or prevents appropriate care. Post-operative rehabilitation remains heterogeneous and poorly structured, while return-to-sport decisions are largely based on clinical judgement, with limited use of objective measures. These constraints lead to delays in care, premature return to sport, and an increased risk of complications, potentially compromising athletic careers. However, stakeholders also identify avenues for improvement, including professional training, infrastructure development, standardisation of protocols, and the promotion of prevention strategies. Overall, these findings underscore the need for context-specific approaches to sustainably improve the management of sports injuries in the region.&lt;/div&gt;&lt;/di","PeriodicalId":38932,"journal":{"name":"Journal de Traumatologie du Sport","volume":"43 3","pages":"Pages 299-304"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La médecine du sport en Afrique : entre performance et santé publique","authors":"K-Geoffrey Wandji (Directeur médical équipe de France de basketball masculine, Médecin de la NBA (National Basketball Association))","doi":"10.1016/j.jts.2026.05.002","DOIUrl":"10.1016/j.jts.2026.05.002","url":null,"abstract":"","PeriodicalId":38932,"journal":{"name":"Journal de Traumatologie du Sport","volume":"43 3","pages":"Pages 225-226"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Construire une culture de la prévention dans le sport – l’exemple du projet Healthy Active","authors":"C. Tooth ,&nbsp;A. Aguilaniu ,&nbsp;C. Majerus ,&nbsp;N. Goedert ,&nbsp;J. Pauls ,&nbsp;C. Nührenbörger ,&nbsp;R. Seil","doi":"10.1016/j.jts.2026.02.002","DOIUrl":"10.1016/j.jts.2026.02.002","url":null,"abstract":"<div><div>Les blessures sportives restent un enjeu majeur, tant pour la santé des athlètes que pour la performance, alors même qu’une large part d’entre elles pourrait être évitée. Si l’efficacité des programmes de prévention fondés sur des données scientifiques est aujourd’hui bien établie, leur mise en œuvre au quotidien demeure limitée, en raison notamment des contraintes du terrain et de la priorité accordée à la performance. Cet article propose une réflexion sur ce décalage entre connaissances scientifiques et pratiques sportives, en s’appuyant sur le projet <em>Healthy Active</em>. À partir d’une approche qualitative et contextuelle, le projet vise à mieux comprendre la perception de la prévention par les acteurs du sport et à traduire ces constats en actions concrètes. Il illustre comment des outils de communication ciblés, l’implication d’athlètes comme modèles et une approche <em>bottom-up</em> peuvent favoriser l’intégration progressive de comportements préventifs dans les routines sportives. En mettant l’accent sur l’adaptation au contexte local et sur le lien entre prévention et performance durable, cet article souligne l’importance de stratégies intégrées et réalistes pour renforcer l’impact des actions de prévention sur le terrain.</div></div><div><div>Sports injuries remain a major concern for both athlete health and performance, even though a substantial proportion of them could be prevented. While the effectiveness of evidence-based prevention programmes is now well established, their routine implementation remains limited, partly due to real-world constraints and the priority often given to performance. This article reflects on the gap between scientific knowledge and everyday sports practice, drawing on the Healthy Active project. Using a qualitative and context-sensitive approach, the project seeks to better understand how prevention is perceived by key stakeholders in sport and to translate these insights into concrete actions. It highlights how targeted communication tools, the involvement of athletes as role models, and a bottom-up approach can support the gradual integration of preventive behaviours into training routines. By emphasising adaptation to the local context and the relationship between prevention and sustainable performance, this article underlines the importance of integrated and pragmatic strategies to strengthen the impact of prevention initiatives in real-world settings.</div></div>","PeriodicalId":38932,"journal":{"name":"Journal de Traumatologie du Sport","volume":"43 2","pages":"Pages 211-215"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148170951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maladie de Van Neck-Odelberg : rapport d’un cas de boiterie chez un enfant sportif","authors":"M. Krug ,&nbsp;F. Shumelinsky","doi":"10.1016/j.jts.2024.12.003","DOIUrl":"10.1016/j.jts.2024.12.003","url":null,"abstract":"<div><div>La synchondrose ischio-pubienne, située à la convergence des branches pubienne et ischiatique du bassin, est une pseudo-articulation cartilagineuse qui fusionne avant la fin de la croissance. Un épaississement radiologique de cette synchondrose est fréquemment observé dans une population pédiatrique asymptomatique, entre 4 et 16 ans. Toutefois, sa sollicitation microtraumatique intensive peut y corréler un tableau douloureux connu sous le nom de maladie de van Neck-Odelberg. L’enjeu est alors avant tout d’évoquer le diagnostic et d’exclure certaines hypothèses plus sévères (fracture de stress, enthésopathie rhumatismale, ostéomyélite, sarcome d’Ewing, etc.). Le traitement est conservateur et permet d’acquérir l’indolence et la reprise des activités sportives dans un délai de quelques semaines à quelques mois.</div></div><div><div>The ischiopubic synchondrosis, located between the pubic and ischiatic branches of the pelvis, is a cartilaginous pseudo-joint that fuses during childhood. Radiological thickening of this synchondrosis can be observed in an asymptomatic pediatric population, between 4 and 16 years of age. However, its intensive micro-traumatic solicitation can be correlated to a painful syndrome known as van Neck-Odelberg disease. During his clinical approach, the physician's main concerns must be to discuss this diagnosis and rule out some more severe hypothesis (stress fractures, rheumatic enthesopathies, osteomyelitis, and tumors such as Ewing sarcoma). The treatment is conservative and will allow to obtain painlessness and resume sporting activities within a few weeks to a few months.</div></div>","PeriodicalId":38932,"journal":{"name":"Journal de Traumatologie du Sport","volume":"43 2","pages":"Pages 201-203"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148171130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Techniques chirurgicales et autogreffes en reconstruction du ligament croisé antérieur pédiatrique","authors":"Si Yu Wang ,&nbsp;Alex Delisle ,&nbsp;David Mazy ,&nbsp;Marie-Lyne Nault","doi":"10.1016/j.jts.2025.03.007","DOIUrl":"10.1016/j.jts.2025.03.007","url":null,"abstract":"<div><div>La prévalence des ruptures du ligament croisé antérieur (LCA) en pédiatrie est en augmentation constante, tout comme le recours à leur prise en charge chirurgicale. Cette population pose des défis spécifiques, notamment le risque d’impact du traitement chirurgical sur les plaques de croissance, tandis que l’approche conservatrice expose à un risque accru de lésions cartilagineuses et méniscales liées à l’instabilité articulaire persistante. Plusieurs techniques chirurgicales sont disponibles : transphysaires, épiphysaires et mixtes, le choix étant guidé par le potentiel de croissance restant et le choix du chirurgien. Divers types d’autogreffes peuvent également être utilisés : les ischiojambiers, le tendon rotulien, le tendon quadricipital et la bandelette ilio-tibiale, chacune présentant des avantages et des inconvénients spécifiques. Les chirurgiens orthopédiques pédiatriques doivent maîtriser ces différentes techniques afin d’offrir un traitement personnalisé, optimisant à la fois la stabilité articulaire et le potentiel de croissance. L’objectif de cette revue narrative était de synthétiser les connaissances actuelles sur les techniques chirurgicales et les options de greffe disponibles lors d’une reconstruction du LCA en pédiatrie.</div></div><div><div>The prevalence of pediatric anterior cruciate ligament (ACL) tears is constantly rising, leading to a similar increase in reconstruction surgeries. This population is associated with specific treatment challenges. When it comes to surgical management there is a risk of growth disturbances, while conservative management increases the risk of damage to the cartilage and meniscus associated with persistent joint instability. Several surgical techniques are possible: transphyseal, epiphyseal and mixed, the final choice depending on the remaining possible growth and surgeon discretion. The choice of autograft that can be used is also varied: hamstring, patellar tendon, quadriceps tendon, and iliotibial band, each with its specific advantages and drawbacks. Pediatric orthopedic surgeons must master these different techniques to offer customized treatment, optimizing both joint stability and growth potential. The aim of this narrative review was to provide a synthesis of current knowledge on the available surgical techniques and graft options for pediatric ACL reconstruction.</div></div>","PeriodicalId":38932,"journal":{"name":"Journal de Traumatologie du Sport","volume":"43 2","pages":"Pages 114-121"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148170954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Calendrier des congres","authors":"","doi":"10.1016/S0762-915X(26)00042-2","DOIUrl":"10.1016/S0762-915X(26)00042-2","url":null,"abstract":"","PeriodicalId":38932,"journal":{"name":"Journal de Traumatologie du Sport","volume":"43 2","pages":"Page 221"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148170953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Une patella bien remontée : cas clinique d’un sportif âgé de 43 ans","authors":"V. Hurpin ,&nbsp;A. Urvoas ,&nbsp;L. Baranger","doi":"10.1016/j.jts.2024.11.001","DOIUrl":"10.1016/j.jts.2024.11.001","url":null,"abstract":"<div><div>Ce cas clinique illustre l’importance de l’examen clinique ainsi que de l’anamnèse pour le diagnostic et la prise en charge des traumatismes aigus du genou. Un homme âgé de 43 ans se présente aux urgences du centre hospitalier du centre Bretagne suite à une douleur du genou droit au décours d’une chute en escalade en se jetant d’un agrès. L’anamnèse rapporte un mécanisme de traumatisme sans contact avec une contraction musculaire intense excentrique lors d’un mouvement de réception sur la jambe droite en flexion. À ce moment, il a ressenti une vive douleur en regard du genou. L’articulation a immédiatement « gonflé » selon ses termes et est associée d’une impotence fonctionnelle. À l’examen clinique, la patella est remontée le long du quadriceps, il existe un creux entre la patella et la tubérosité tibiale antérieure, l’extension active de la jambe est impossible. Cette triade clinique est un élément qui permet de poser le diagnostic de rupture du tendon patellaire. L’interrogatoire et l’examen clinique semblent suffir à établir le diagnostic de rupture complète du tendon patellaire et orienter le patient en chirurgie.</div></div><div><div>This clinical case illustrates the importance of the clinical examination and the anamnesis for the diagnosis and management of acute knee trauma. A 43-year-old man presented to the emergency room of the centre hospital of Bretagne centre following pain in the right knee following a fall while climbing and jumping from a piece of apparatus. The anamnesis reported a non-contact trauma mechanism with an intense eccentric muscle contraction during a landing movement on the right leg in flexion. At this time, he felt a sharp pain in the knee area. The joint immediately “swelled” according to his terms and was associated with functional impotence. On clinical examination, the patella had moved up along the quadriceps, there was a hollow between the patella and the anterior tibial tuberosity, active extension of the leg was impossible. This clinical triad is an element that allows the diagnosis of patellar tendon rupture to be made. The questioning and clinical examination seem sufficient to establish the diagnosis of complete rupture of the patellar tendon and refer the patient for surgery.</div></div>","PeriodicalId":38932,"journal":{"name":"Journal de Traumatologie du Sport","volume":"43 2","pages":"Pages 198-200"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148171138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}