{"id":19841,"date":"2026-01-21T10:58:46","date_gmt":"2026-01-21T10:58:46","guid":{"rendered":"https:\/\/template.orthopediste-lausanne.ch\/?page_id=19841"},"modified":"2026-03-18T08:00:32","modified_gmt":"2026-03-18T08:00:32","slug":"shoulder-instability-2","status":"publish","type":"page","link":"https:\/\/template.orthopediste-lausanne.ch\/en\/shoulder-instability-2\/","title":{"rendered":"Shoulder instability"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"19841\" class=\"elementor elementor-19841\" data-elementor-post-type=\"page\">\n\t\t\t\t        <section class=\"elementor-section elementor-top-section elementor-element elementor-element-4411719 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default pxl-row-scroll-none pxl-zoom-point-false pxl-section-overflow-visible pxl-section-fix-none pxl-bg-color-none pxl-section-overlay-none\" data-id=\"4411719\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\n                \n                <div class=\"elementor-container elementor-column-gap-extended \">\n                <div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-30d6aa7 pxl-column-none\" data-id=\"30d6aa7\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                                <div class=\"elementor-background-overlay\"><\/div>\r\n         \r\n                <section class=\"elementor-section elementor-inner-section elementor-element elementor-element-bde780b elementor-section-content-bottom elementor-section-boxed elementor-section-height-default elementor-section-height-default pxl-row-scroll-none pxl-zoom-point-false pxl-section-overflow-visible pxl-section-fix-none pxl-bg-color-none pxl-section-overlay-none\" data-id=\"bde780b\" data-element_type=\"section\" data-e-type=\"section\">\n\n                \n                <div class=\"elementor-container elementor-column-gap-extended \">\n                <div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-d2cdc7c pxl-column-none pxl-column-overflow-hidden-no\" data-id=\"d2cdc7c\" data-element_type=\"column\" data-e-type=\"column\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                     \r\n        \t\t<div class=\"elementor-element elementor-element-353dc1b elementor-widget__width-auto elementor-widget elementor-widget-pxl_breadcrumb\" data-id=\"353dc1b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_breadcrumb.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pxl-breadcrumb-wrap\">\n\t<ul class=\"pxl-breadcrumb\"><li><span class=\"breadcrumb-entry\">Accueil<\/span><\/li><\/ul><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t            <\/div>\r\n        <\/div>\r\n                <div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-429e1e2 elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile pxl-column-none pxl-column-overflow-hidden-no\" data-id=\"429e1e2\" data-element_type=\"column\" data-e-type=\"column\">\r\n        <div class=\"elementor-widget-wrap\">\r\n                     \r\n                    <\/div>\r\n        <\/div>\r\n        \t\t\t<\/div>\n\t\t<\/section>\n\t\t            <\/div>\r\n        <\/div>\r\n        \t\t\t<\/div>\n\t\t<\/section>\n\t\t        <section class=\"elementor-section elementor-top-section elementor-element elementor-element-10890b8f elementor-section-stretched section_1 elementor-section-boxed elementor-section-height-default elementor-section-height-default pxl-row-scroll-none pxl-zoom-point-false pxl-section-overflow-visible pxl-section-fix-none pxl-bg-color-none pxl-section-overlay-none\" data-id=\"10890b8f\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\n                \n                <div class=\"elementor-container elementor-column-gap-extended \">\n                <div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6f317010 pxl-column-none\" data-id=\"6f317010\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                                <div class=\"elementor-background-overlay\"><\/div>\r\n         \r\n                <section class=\"elementor-section elementor-inner-section elementor-element elementor-element-51af9890 elementor-section-content-bottom section_2 elementor-section-boxed elementor-section-height-default elementor-section-height-default pxl-row-scroll-none pxl-zoom-point-false pxl-section-overflow-visible pxl-section-fix-none pxl-bg-color-none pxl-section-overlay-none\" data-id=\"51af9890\" data-element_type=\"section\" data-e-type=\"section\">\n\n                \n                <div class=\"elementor-container elementor-column-gap-extended \">\n                <div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-66f6b874 pxl-column-none pxl-column-overflow-hidden-no\" data-id=\"66f6b874\" data-element_type=\"column\" data-e-type=\"column\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                     \r\n        \t\t<div class=\"elementor-element elementor-element-2f55a384 elementor-widget__width-auto elementor-widget elementor-widget-pxl_heading\" data-id=\"2f55a384\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n<div id=\"pxl-pxl_heading-2f55a384-7374\" class=\"pxl-heading px-sub-title-default-style \">\n\t<div class=\"pxl-heading--inner\">\n\t\t\n\t\t<h1 class=\"pxl-item--title style-default  highlight-default \" data-wow-delay=\"ms\">\n\t\t\t\t\tInstabilit\u00e9 de l&#8217;\u00e9paule\t\n\t\t\t\n\t\t<\/h1>\n\t\t\n\t<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t            <\/div>\r\n        <\/div>\r\n                <div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-78385cd1 pxl-column-none pxl-column-overflow-hidden-no\" data-id=\"78385cd1\" data-element_type=\"column\" data-e-type=\"column\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                     \r\n        \t\t<div class=\"elementor-element elementor-element-441b1051 Zone_anatomique elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-pxl_text_editor\" data-id=\"441b1051\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_text_editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pxl-text-editor default\">\n\t<div class=\"pxl-item--inner  ft-gt\" data-wow-delay=\"ms\">\n\t\t<p>\u00c9paule<\/p>\t\t\n\t<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t            <\/div>\r\n        <\/div>\r\n        \t\t\t<\/div>\n\t\t<\/section>\n\t\t            <\/div>\r\n        <\/div>\r\n        \t\t\t<\/div>\n\t\t<\/section>\n\t\t        <section class=\"elementor-section elementor-top-section elementor-element elementor-element-2c1672b9 elementor-section-stretched pxl-row-scroll-fixed section_4 elementor-section-boxed elementor-section-height-default elementor-section-height-default pxl-zoom-point-false pxl-section-overflow-visible pxl-section-fix-none pxl-bg-color-none pxl-section-overlay-none\" data-id=\"2c1672b9\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\n                \n                <div class=\"elementor-container elementor-column-gap-extended \">\n                <div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-753c833d pxl-column-none pxl-column-overflow-hidden-no\" data-id=\"753c833d\" data-element_type=\"column\" data-e-type=\"column\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                     \r\n                <section class=\"elementor-section elementor-inner-section elementor-element elementor-element-6802805 elementor-section-boxed elementor-section-height-default elementor-section-height-default pxl-row-scroll-none pxl-zoom-point-false pxl-section-overflow-visible pxl-section-fix-none pxl-bg-color-none pxl-section-overlay-none\" data-id=\"6802805\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\n                \n                <div class=\"elementor-container elementor-column-gap-extended \">\n                <div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-6d65811 pxl-column-none pxl-column-overflow-hidden-no\" data-id=\"6d65811\" data-element_type=\"column\" data-e-type=\"column\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                     \r\n        \t\t<div class=\"elementor-element elementor-element-2d7671c ft-gt elementor-widget elementor-widget-pxl_heading\" data-id=\"2d7671c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n<div id=\"pxl-pxl_heading-2d7671c-6246\" class=\"pxl-heading px-sub-title-default-style \">\n\t<div class=\"pxl-heading--inner\">\n\t\t\n\t\t<h3 class=\"pxl-item--title style-default  highlight-default pxl-split-text split-in-fade\" data-wow-delay=\"ms\">\n\t\t\t\t\tIntroduction\t\n\t\t\t\n\t\t<\/h3>\n\t\t\n\t<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d611b2 elementor-widget elementor-widget-pxl_text_editor\" data-id=\"4d611b2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_text_editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pxl-text-editor default\">\n\t<div class=\"pxl-item--inner  ft-gt\" data-wow-delay=\"ms\">\n\t\tL\u2019articulation gl\u00e9no-hum\u00e9rale est une articulation suspendue qui met en contact une sph\u00e8re (la t\u00eate de l\u2019hum\u00e9rus) dans une assiette (la gl\u00e8ne de l\u2019omoplate). Le cartilage qui recouvre la gl\u00e8ne est entour\u00e9 par un anneau de fibro-cartilage appel\u00e9 \u00abbourrelet ou labrum\u00bb qui contribue efficacement au centrage de la t\u00eate de l\u2019hum\u00e9rus au milieu de la gl\u00e8ne. Une capsule articulaire fibreuse comparable \u00e0 un hamac par sa forme, compl\u00e8te la stabilisation ligamentaire de cette articulation gl\u00e9no\u00efdienne appel\u00e9e en anglais \u00abball in the socket joint\u00bb.\t\t\n\t<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t            <\/div>\r\n        <\/div>\r\n        \t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-1a124f23 Section_2_Contenu elementor-widget elementor-widget-text-editor\" data-id=\"1a124f23\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019\u00e9paule est remarquable par son amplitude de mouvements dans toutes les directions gr\u00e2ce aux articulations qui la composent:<\/p><ul><li>Articulation sterno-claviculaire<\/li><li>Articulation acromio-claviculaire<\/li><li>Articulation gl\u00e9no-hum\u00e9rale<\/li><li>Articulation scapulo-thoracique (glissement de l\u2019omoplate sur le thorax).<\/li><\/ul><p>Pour animer l\u2019\u00e9paule et en m\u00eame temps la stabiliser en mettant en appui les surfaces articulaires l\u2019une contre l\u2019autre, il existe un ensemble de petits muscles tr\u00e8s efficaces regroup\u00e9s sous le terme de \u00abcoiffe des rotateurs\u00bb en raison de leur disposition anatomique au dessus de la t\u00eate de l\u2019hum\u00e9rus.<\/p><p>Ces muscles rotateurs de l\u2019\u00e9paule sont:<\/p><ul><li>le sus-\u00e9pineux (Supraspinatus)<\/li><li>le sous-\u00e9pineux (Infraspinatus)<\/li><li>le sous-scapulaire (Subscapularis)<\/li><li>le petit rond (Teres Minor).<\/li><\/ul><p>Le sus-\u00e9pineux a \u00e9galement un r\u00f4le cl\u00e9 dans l\u2019\u00e9l\u00e9vation du bras et permet le glissement de la t\u00eate de l\u2019hum\u00e9rus sous le toit osseux de l\u2019\u00e9paule appel\u00e9 \u00abacromion\u00bb qui fait partie de l\u2019omoplate.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-53e9bf5a elementor-widget elementor-widget-image\" data-id=\"53e9bf5a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.medicol.ch\/med\/images\/maladies\/instabilite_de_l_epaule\/instabilite_de_l_epaule_2.jpg\" data-elementor-open-lightbox=\"yes\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DW10%3D\" target=\"_blank\" rel=\"noopener\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.medicol.ch\/med\/images\/maladies\/instabilite_de_l_epaule\/instabilite_de_l_epaule_2.jpg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-52b108d3 Section_3_Titre elementor-widget elementor-widget-heading\" data-id=\"52b108d3\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Signes &amp; sympt\u00f4mes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2f19ce7 Section_2_Contenu elementor-widget elementor-widget-text-editor\" data-id=\"2f19ce7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Les sympt\u00f4mes varient en fonction du type d\u2019instabilit\u00e9 et de la direction de luxation ou de subluxation de la t\u00eate de l\u2019hum\u00e9rus. Certains facteurs sont pr\u00e9disposants et l\u2019instabilit\u00e9 peut parfois \u00eatre multidirectionnelle.<\/p><p>Au stade aigu, une luxation traumatique s\u2019accompagne d\u2019une douleur importante associ\u00e9e \u00e0 une impossibilit\u00e9 d\u2019utiliser le membre sup\u00e9rieur. Cette situation n\u00e9cessite un bilan m\u00e9dical et une r\u00e9duction de la luxation aussi rapidement que possible. Une fois l\u2019\u00e9paule r\u00e9duite, l\u2019immobilisation est de r\u00e8gle, suivie d\u2019une physioth\u00e9rapie ad\u00e9quate. Malgr\u00e9 tout et en particulier chez les jeunes patients, le risque de l\u2019instabilit\u00e9 et d\u2019une nouvelle luxation est \u00e9lev\u00e9. Un des sympt\u00f4mes alors fr\u00e9quemment rencontr\u00e9 est l\u2019appr\u00e9hension de luxation: il s\u2019agit d\u2019une instabilit\u00e9 qui appara\u00eet en position d\u2019\u00e9l\u00e9vation du bras s\u2019il s\u2019agit d\u2019une instabilit\u00e9 ant\u00e9rieure, la plus fr\u00e9quemment observ\u00e9e.<\/p><p>L\u2019instabilit\u00e9 de l\u2019\u00e9paule est un sympt\u00f4me qui s\u2019apparente \u00e0 une impression de dislocation possible de l\u2019articulation lors de certains mouvements. L\u2019\u00e9paule \u00e9tant une articulation suspendue et peu congruente (mauvaise imbrication des \u00e9l\u00e9ments), l\u2019instabilit\u00e9 se d\u00e9veloppe plus facilement que dans une autre articulation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-70f886db Section_3_Titre elementor-widget elementor-widget-heading\" data-id=\"70f886db\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Qu'est-ce que c'est?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-118f8a2c Section_2_Contenu elementor-widget elementor-widget-text-editor\" data-id=\"118f8a2c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>On distingue une instabilit\u00e9 dite traumatique et post-luxation, et une instabilit\u00e9 dite atraumatique que l\u2019on rencontre chez des sujets hyperlaxes.<br \/>L\u2019instabilit\u00e9 traumatique est la cons\u00e9quence d\u2019un accident, g\u00e9n\u00e9ralement une luxation de l\u2019\u00e9paule. Elle est pr\u00e9sente en principe d\u2019un seul c\u00f4t\u00e9.<br \/><br \/>Le risque de r\u00e9cidive est inversement proportionnel \u00e0 l\u2019\u00e2ge:<\/p><ul><li>de 90 \u00e0 95% de risque de r\u00e9cidive pour un \u00e2ge inf\u00e9rieur \u00e0 20 ans.<\/li><li>60% de r\u00e9cidive pour des patients \u00e2g\u00e9s de 20 \u00e0 40 ans.<\/li><li>10% de r\u00e9cidive seulement apr\u00e8s 40 ans.<\/li><\/ul><p>La fr\u00e9quence des l\u00e9sions observ\u00e9es sur les tendons de la coiffe des rotateurs est proportionnelle \u00e0 l\u2019\u00e2ge et on doit donc se m\u00e9fier de telles l\u00e9sions chez le patient de plus de 40 ans.<br \/><br \/>Le traitement chirurgical est particuli\u00e8rement recommand\u00e9 chez les patients jeunes o\u00f9 le risque de r\u00e9cidive de luxation est \u00e9lev\u00e9 et o\u00f9 la g\u00eane fonctionnelle est importante compte tenu des activit\u00e9s exerc\u00e9es.<br \/><br \/>L\u2019instabilit\u00e9 d\u2019origine non traumatique n\u2019est pas li\u00e9e \u00e0 une cause accidentelle et se manifeste fr\u00e9quemment dans les activit\u00e9s de la vie courante telles que le brossage des cheveux ou en dormant la nuit.<br \/><br \/>Les deux \u00e9paules sont g\u00e9n\u00e9ralement touch\u00e9es et on observe \u00e9galement sur d\u2019autres articulations une souplesse importante dite hyperlaxit\u00e9 qui traduit une texture l\u00e2che de la capsule articulaire.<br \/><br \/>Le traitement est essentiellement conservateur associant physioth\u00e9rapie et exercices de protection articulaire. Une retension capsulaire chirurgicale peut \u00eatre envisag\u00e9e dans certains cas particuliers.<br \/><br \/>Chaque cas doit \u00eatre analys\u00e9 de mani\u00e8re personnalis\u00e9e et b\u00e9n\u00e9ficier du traitement le plus adapt\u00e9 en tenant compte des facteurs post-traumatiques ou pr\u00e9disposants.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4443dfc7 Section_3_Titre elementor-widget elementor-widget-heading\" data-id=\"4443dfc7\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Facteurs de risques<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-608f3b51 Section_2_Contenu elementor-widget elementor-widget-text-editor\" data-id=\"608f3b51\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Les principaux facteurs de risques en cas de luxation d\u2019origine traumatique sont:<\/p><ul><li>Les activit\u00e9s sportives avec risque de chutes.<\/li><li>Les patients jeunes et actifs.<\/li><li>Les sports de balles utilisant la position d\u2019 \u00abarm\u00e9e\u00bb du bras (volleyball par exemple) qui peuvent \u00eatre \u00e0 l\u2019origine de traumatismes r\u00e9p\u00e9t\u00e9s aboutissant finalement \u00e0 une instabilit\u00e9.<\/li><\/ul><p>L\u2019instabilit\u00e9 d\u2019origine non traumatique s\u2019apparente \u00e0 une hyperlaxit\u00e9 aggrav\u00e9e par:<\/p><ul><li>L\u2019alt\u00e9ration du contr\u00f4le de l\u2019articulation.<\/li><li>Les micro-l\u00e9sions r\u00e9p\u00e9t\u00e9es, le bras dominant en cas d\u2019instabilit\u00e9 ant\u00e9rieure, les facteurs neurologiques ou psychologiques.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2f011de2 Section_3_Titre elementor-widget elementor-widget-heading\" data-id=\"2f011de2\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Depistage &amp; Diagnostic<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e634aa5 Section_2_Contenu elementor-widget elementor-widget-text-editor\" data-id=\"4e634aa5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>En cas d\u2019instabilit\u00e9 ou de luxation de l\u2019\u00e9paule, on sera particuli\u00e8rement attentif \u00e0:<\/p><ul><li>la mani\u00e8re dont s\u2019est produite la luxation<\/li><li>la position qui pr\u00e9dispose \u00e0 un sentiment d\u2019instabilit\u00e9<\/li><li>la fr\u00e9quence des troubles et leur survenue<\/li><\/ul><p>Un bilan radiologique comprenant au minimum deux incidences doit \u00eatre pratiqu\u00e9 dans le but de pr\u00e9ciser la direction de la luxation et la pr\u00e9sence d\u2019une \u00e9ventuelle fracture articulaire ou d\u2019un arrachement tendineux.<br \/><br \/>Un examen par r\u00e9sonance magn\u00e9tique est requis de cas en cas en fonction de l\u2019indication \u00e0 un traitement chirurgical ou du risque de l\u00e9sions associ\u00e9es int\u00e9ressant en particulier la coiffe des rotateurs.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1697eb52 elementor-widget elementor-widget-image\" data-id=\"1697eb52\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.medicol.ch\/med\/images\/maladies\/traitement_epaule.jpg\" data-elementor-open-lightbox=\"yes\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DW10%3D\" target=\"_blank\" rel=\"noopener\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.medicol.ch\/med\/images\/maladies\/traitement_epaule.jpg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3324f1ec Section_3_Titre elementor-widget elementor-widget-heading\" data-id=\"3324f1ec\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Traitements<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-722c76fe Section_3_Titre elementor-widget elementor-widget-heading\" data-id=\"722c76fe\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Auto traitement<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-607df1aa Section_2_Contenu elementor-widget elementor-widget-text-editor\" data-id=\"607df1aa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>En cas d\u2019instabilit\u00e9 ou de luxation de l\u2019\u00e9paule, on sera particuli\u00e8rement attentif \u00e0:<\/p><ul><li>la mani\u00e8re dont s\u2019est produite la luxation<\/li><li>la position qui pr\u00e9dispose \u00e0 un sentiment d\u2019instabilit\u00e9<\/li><li>la fr\u00e9quence des troubles et leur survenue<\/li><\/ul><p>Un bilan radiologique comprenant au minimum deux incidences doit \u00eatre pratiqu\u00e9 dans le but de pr\u00e9ciser la direction de la luxation et la pr\u00e9sence d\u2019une \u00e9ventuelle fracture articulaire ou d\u2019un arrachement tendineux.<br \/><br \/>Un examen par r\u00e9sonance magn\u00e9tique est requis de cas en cas en fonction de l\u2019indication \u00e0 un traitement chirurgical ou du risque de l\u00e9sions associ\u00e9es int\u00e9ressant en particulier la coiffe des rotateurs.<br \/><br \/><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2607e13c Section_3_Titre elementor-widget elementor-widget-heading\" data-id=\"2607e13c\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Traitements m\u00e9dicaux\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d0841e0 Section_2_Contenu elementor-widget elementor-widget-text-editor\" data-id=\"d0841e0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Une fois le diagnostic de luxation fait et d\u00e9montr\u00e9 radiologiquement, le m\u00e9decin r\u00e9duit l\u2019articulation en bonne position en utilisant l\u2019analg\u00e9sie ad\u00e9quate voire une anesth\u00e9sie si n\u00e9cessaire.<br><br>S\u2019il s\u2019agit d\u2019un premier \u00e9pisode de luxation, le traitement post-traumatique consiste \u00e0 immobiliser l\u2019\u00e9paule dans un bandage au corps pour 3 semaines en d\u00e9butant imm\u00e9diatement la physioth\u00e9rapie sous forme d\u2019exercices de renforcement musculaire et de stabilisation articulaire. Ces exercices seront ensuite graduellement intensifi\u00e9s en \u00e9vitant les mouvements qui pourraient mettre en tension la capsule \u00e0 l\u2019endroit o\u00f9 elle doit cicatriser. Graduellement, le patient r\u00e9cup\u00e9rera ainsi sa mobilit\u00e9 et l\u2019indication \u00e0 une \u00e9ventuelle stabilisation chirurgicale sera discut\u00e9e en fonction de l\u2019instabilit\u00e9 r\u00e9siduelle et de la g\u00eane fonctionnelle.<br><br><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-495f32ee Section_3_Titre elementor-widget elementor-widget-heading\" data-id=\"495f32ee\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Nos m\u00e9thodes pr\u00e9f\u00e9r\u00e9es\n\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e1239aa Section_2_Contenu elementor-widget elementor-widget-text-editor\" data-id=\"7e1239aa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Chaque cas n\u00e9cessite une \u00e9valuation personnalis\u00e9e afin de faire un bilan pr\u00e9cis des l\u00e9sions et de d\u00e9cider du choix du traitement le plus adapt\u00e9 en fonction des d\u00e9g\u00e2ts anatomiques, des activit\u00e9s et de la demande personnelle.<br><br>L\u2019instabilit\u00e9 ant\u00e9rieure de l\u2019\u00e9paule est de loin la plus fr\u00e9quente. Le traitement orthop\u00e9dique comporte principalement la stabilisation de l\u2019omoplate, le renforcement des rotateurs internes et la protection articulaire lors d\u2019activit\u00e9s \u00e0 risques.<br><br>Le traitement chirurgical, pratiqu\u00e9 le plus couramment consiste \u00e0 r\u00e9tablir l\u2019anatomie par retension et refixation de la capsule au bord ant\u00e9rieur de la gl\u00e8ne de l\u2019omoplate, site le plus fr\u00e9quent de la d\u00e9sinsertion des \u00e9l\u00e9ments stabilisateurs de l\u2019\u00e9paule. L\u2019intervention g\u00e9n\u00e9ralement appel\u00e9e op\u00e9ration de Bankart est r\u00e9alis\u00e9e \u00e0 ciel ouvert ou par arthroscopie. Le traitement arthroscopique plus souvent utilis\u00e9 est pr\u00e9conis\u00e9 car il facilite la r\u00e9habilitation postop\u00e9ratoire. Le traitement \u00e0 ciel ouvert est pr\u00e9f\u00e9r\u00e9 en cas de l\u00e9sions chroniques ou de l\u00e9sions articulaires osseuses associ\u00e9es.<br><br><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f3cd272 Section_3_Titre elementor-widget elementor-widget-heading\" data-id=\"5f3cd272\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Chirurgie<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4aa288bc Section_3_Titre elementor-widget elementor-widget-heading\" data-id=\"4aa288bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Pr\u00e9paration \u00e0 la chirurgie\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-168caf7 Section_2_Contenu elementor-widget elementor-widget-text-editor\" data-id=\"168caf7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Votre m\u00e9decin g\u00e9n\u00e9raliste<\/strong><br \/><br \/>Nous nous tenons \u00e0 disposition de votre m\u00e9decin traitant pour l\u2019informer sur la nature du traitement propos\u00e9 afin de pouvoir vous prendre en charge le mieux possible et pr\u00e9venir les facteurs de risques, et vous assurer le meilleur suivi postop\u00e9ratoire. Le traitement chirurgical une fois planifi\u00e9, le m\u00e9decin traitant peut \u00eatre sollicit\u00e9 pour remplir les rubriques d\u2019un formulaire qui sera transmis au m\u00e9decin anesth\u00e9siste. Cette demande est faite syst\u00e9matiquement pour des interventions majeures.<br \/><br \/>Un rendez-vous avec le m\u00e9decin anesth\u00e9siste peut \u00eatre jug\u00e9 utile ou indispensable en fonction du type d\u2019intervention et des facteurs de risques existants. La visite a lieu avant ou au moment de votre entr\u00e9e en clinique voire le jour m\u00eame de l\u2019op\u00e9ration par exemple. Cette consultation a pour but de vous donner les informations utiles relatives au mode d\u2019anesth\u00e9sie qui sera d\u00e9cid\u00e9 d\u2019un commun accord avec vous. La discussion aura non seulement trait \u00e0 l\u2019anesth\u00e9sie elle-m\u00eame mais \u00e9galement aux moyens de contr\u00f4ler la douleur durant la p\u00e9riode postop\u00e9ratoire.<br \/><br \/>En fonction du programme op\u00e9ratoire, vous entrerez la veille de votre intervention ou le jour m\u00eame 3 heures avant l\u2019op\u00e9ration \u00e0 jeun.<br \/><br \/><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f47eaaf Section_3_Titre elementor-widget elementor-widget-heading\" data-id=\"7f47eaaf\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">R\u00e9cup\u00e9ration\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4121209a Section_2_Contenu elementor-widget elementor-widget-text-editor\" data-id=\"4121209a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Le premier jour postop\u00e9ratoire:<\/strong><br \/><br \/>Le traitement est ax\u00e9 principalement sur l\u2019antalgie et le fonctionnement libre de la colonne cervico-dorsale. On proc\u00e8de \u00e9galement au massage et \u00e0 la mobilisation de l\u2019omoplate et en fonction des douleurs, le patient est encourag\u00e9 \u00e0 rouler des \u00e9paules en avant et en arri\u00e8re.<br \/><br \/><strong>Le deuxi\u00e8me jour postop\u00e9ratoire:<\/strong><br \/><br \/>Traitement antalgique par massages et mobilisation cervico-dorsale. Mobilisation du coude et de l\u2019\u00e9paule en pendulaire. Mouvement de roulement des \u00e9paules et d\u00e9but des exercices de stabilisation de l\u2019omoplate.<br \/><br \/>Habituellement, <strong>au troisi\u00e8me jour postop\u00e9ratoire<\/strong>, le patient peut rentrer \u00e0 la maison avec un programme d\u2019exercices ax\u00e9 sur le renforcement isom\u00e9trique de l\u2019\u00e9paule (exercices pouvant se faire sans mobiliser l\u2019articulation), mobilisation en pendulaire de l\u2019\u00e9paule. Mouvement de roulement des \u00e9paules et exercices de stabilisation de l\u2019omoplate et d\u00e9but du programme en piscine.<br \/><br \/><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5fda4cf0 Section_3_Titre elementor-widget elementor-widget-heading\" data-id=\"5fda4cf0\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Risques possibles\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4061be09 Section_2_Contenu elementor-widget elementor-widget-text-editor\" data-id=\"4061be09\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>L\u2019infection<\/strong><br \/><br \/>L\u2019infection est toujours une complication redoutable en chirurgie orthop\u00e9dique mais heureusement tr\u00e8s rare (inf\u00e9rieure \u00e0 0.5%). Des mesures particuli\u00e8res sont prises pour limiter au maximum ces risques qui sont : l\u2019antibioth\u00e9rapie syst\u00e9matique pr\u00e9- et post-op\u00e9ratoire imm\u00e9diate, des salles d\u2019op\u00e9rations munies d\u2019un flux laminaire \u00e0 haut d\u00e9bit, une \u00e9quipe chirurgicale entra\u00een\u00e9e et routini\u00e8re de l\u2019orthop\u00e9die, une pr\u00e9paration optimale de la peau et une \u00e9valuation soigneuse de votre \u00e9tat de sant\u00e9.<br \/><br \/>En cas de fi\u00e8vre ou de rougeurs locales apparaissant au d\u00e9cours de votre intervention une fois que vous serez rentr\u00e9 \u00e0 domicile, vous devez appeler votre chirurgien sans d\u00e9lai.<br \/><br \/><strong>Limitation de la mobilit\u00e9 de l\u2019\u00e9paule<\/strong><br \/><br \/>En relation avec l\u2019inflammation et la formation de tissus cicatriciels apr\u00e8s traitement chirurgical, la mobilit\u00e9 de l\u2019\u00e9paule peut \u00eatre diminu\u00e9e de mani\u00e8re transitoire. Il est essentiel de suivre un programme de physioth\u00e9rapie pour r\u00e9cup\u00e9rer la pleine mobilit\u00e9 de l\u2019\u00e9paule et \u00e9galement la force et la stabilit\u00e9. S\u2019agissant d\u2019une reconstruction anatomique de la capsule articulaire, le risque de r\u00e9cidive de luxation ou d\u2019instabilit\u00e9 existe en cas de traumatisme ult\u00e9rieur ou d\u2019activit\u00e9s \u00e0 risques.<br \/><br \/><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-43b94991 Section_3_Titre elementor-widget elementor-widget-heading\" data-id=\"43b94991\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Questions fr\u00e9quentes\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5127ed31 faq_pathologie elementor-widget-mobile__width-inherit elementor-widget elementor-widget-pxl_accordion\" data-id=\"5127ed31\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t    <div class=\"pxl-accordion pxl-accordion1 style1 \" data-wow-delay=\"ms\">\r\n                    <div class=\"pxl--item  active \">\r\n                                \r\n                <h5 class=\"pxl-accordion--title\" data-target=\"#pxl_accordion-5127ed31-2792-98960d6\">\r\n                                <span class=\"pxl-title--text pxl-pr-20\">Quel type d\u2019anesth\u00e9sie est propos\u00e9 pour ce type de chirurgie?<\/span>\r\n\r\n                <i class=\"pxl-icon--plus pxl-r-9\"><\/i> \r\n\r\n                \r\n                <\/h5>\r\n                <div id=\"pxl_accordion-5127ed31-2792-98960d6\" class=\"pxl-accordion--content\" style=\"display: block;\">\r\n                    Habituellement, il s\u2019agit d\u2019une anesth\u00e9sie g\u00e9n\u00e9rale combin\u00e9e avec une anesth\u00e9sie loco-r\u00e9gionale. L\u2019anesth\u00e9sie plexuelle r\u00e9gionale est maintenue apr\u00e8s l\u2019intervention pour g\u00e9rer les douleurs postop\u00e9ratoires.<br \/>\n                <\/div>\r\n                                            <\/div>\r\n                    <div class=\"pxl--item   \">\r\n                                \r\n                <h5 class=\"pxl-accordion--title\" data-target=\"#pxl_accordion-5127ed31-2792-f5ba80f\">\r\n                                <span class=\"pxl-title--text pxl-pr-20\">Combien de temps devrais-je porter une \u00e9charpe ou un gilet?<\/span>\r\n\r\n                <i class=\"pxl-icon--plus pxl-r-9\"><\/i> \r\n\r\n                \r\n                <\/h5>\r\n                <div id=\"pxl_accordion-5127ed31-2792-f5ba80f\" class=\"pxl-accordion--content\" >\r\n                    Habituellement, il convient de prot\u00e9ger l\u2019articulation pendant une dur\u00e9e environ de 6 semaines, temps biologique de la cicatrisation de la capsule. Il s\u2019agit toutefois d\u2019une immobilisation relative car l\u2019\u00e9paule peut \u00eatre mobilis\u00e9e prudemment en particulier pour la pratique des exercices de renforcement musculaire. La mobilisation du coude est encourag\u00e9e.<br \/>\n                <\/div>\r\n                                            <\/div>\r\n                    <div class=\"pxl--item   \">\r\n                                \r\n                <h5 class=\"pxl-accordion--title\" data-target=\"#pxl_accordion-5127ed31-2792-e1b7c4f\">\r\n                                <span class=\"pxl-title--text pxl-pr-20\">Quand pourrais-je recommencer \u00e0 conduire?<\/span>\r\n\r\n                <i class=\"pxl-icon--plus pxl-r-9\"><\/i> \r\n\r\n                \r\n                <\/h5>\r\n                <div id=\"pxl_accordion-5127ed31-2792-e1b7c4f\" class=\"pxl-accordion--content\" >\r\n                    Il faut compter raisonnablement 6 semaines apr\u00e8s l\u2019intervention s\u2019il s\u2019agit de l\u2019\u00e9paule droite, un minimum d\u2019un mois s\u2019il s\u2019agit de l\u2019\u00e9paule gauche.<br \/>\n                <\/div>\r\n                                            <\/div>\r\n            <\/div>\r\n    \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t            <\/div>\r\n        <\/div>\r\n                <div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7789ef88 pxl-column-sticky pxl-column-overflow-hidden-no\" data-id=\"7789ef88\" data-element_type=\"column\" data-e-type=\"column\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                     \r\n                <section class=\"elementor-section elementor-inner-section elementor-element elementor-element-741dbbf7 section_4_colonne_d_bloc_1 elementor-section-boxed elementor-section-height-default elementor-section-height-default pxl-row-scroll-none pxl-zoom-point-false pxl-section-overflow-visible pxl-section-fix-none pxl-bg-color-none pxl-section-overlay-none\" data-id=\"741dbbf7\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\n                \n                <div class=\"elementor-container elementor-column-gap-default \">\n                <div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-cbcdb5e section_4_colonne_d_bloc_1 pxl-column-none pxl-column-overflow-hidden-no\" data-id=\"cbcdb5e\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                     \r\n        \t\t<div class=\"elementor-element elementor-element-60f5c5ec elementor-toc--content-ellipsis elementor-widget__width-inherit section_4_colonne_d_bloc_1_TOC elementor-toc--minimized-on-tablet elementor-widget elementor-widget-table-of-contents\" data-id=\"60f5c5ec\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;headings_by_tags&quot;:[&quot;h2&quot;],&quot;exclude_headings_by_selector&quot;:[],&quot;marker_view&quot;:&quot;bullets&quot;,&quot;no_headings_message&quot;:&quot;No headings were found on this page.&quot;,&quot;collapse_subitems&quot;:&quot;yes&quot;,&quot;icon&quot;:{&quot;value&quot;:&quot;&quot;,&quot;library&quot;:&quot;&quot;},&quot;minimize_box&quot;:&quot;yes&quot;,&quot;minimized_on&quot;:&quot;tablet&quot;,&quot;hierarchical_view&quot;:&quot;yes&quot;,&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"table-of-contents.default\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-toc__header\">\n\t\t\t\t\t\t<h4 class=\"elementor-toc__header-title\">\n\t\t\t\tSommaire\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--expand\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__60f5c5ec\" aria-expanded=\"true\" aria-label=\"Ouvrir la table des mati\u00e8res\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/div>\n\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--collapse\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__60f5c5ec\" aria-expanded=\"true\" aria-label=\"Fermer la table des mati\u00e8res\"><i aria-hidden=\"true\" class=\"fas fa-chevron-up\"><\/i><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<div id=\"elementor-toc__60f5c5ec\" class=\"elementor-toc__body elementor-toc__list-items--collapsible\">\n\t\t\t<div class=\"elementor-toc__spinner-container\">\n\t\t\t\t<i class=\"elementor-toc__spinner eicon-animation-spin eicon-loading\" aria-hidden=\"true\"><\/i>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t            <\/div>\r\n        <\/div>\r\n        \t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-1e8e921 elementor-widget elementor-widget-shortcode\" data-id=\"1e8e921\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\t\t<div data-elementor-type=\"section\" data-elementor-id=\"18317\" class=\"elementor elementor-18317\" data-elementor-post-type=\"elementor_library\">\n\t\t\t        <section class=\"elementor-section elementor-inner-section elementor-element elementor-element-129a4856 section_4_colonne_d_bloc_2 elementor-section-boxed elementor-section-height-default elementor-section-height-default pxl-row-scroll-none pxl-zoom-point-false pxl-section-overflow-visible pxl-section-fix-none pxl-bg-color-none pxl-section-overlay-none\" data-id=\"129a4856\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\n                \n                <div class=\"elementor-container elementor-column-gap-default \">\n                <div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-211c6366 section_4_colonne_d_bloc_2 pxl-column-none pxl-column-overflow-hidden-no\" data-id=\"211c6366\" data-element_type=\"column\" data-e-type=\"column\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                     \r\n        \t\t<div class=\"elementor-element elementor-element-2fd71dc1 elementor-widget elementor-widget-image\" data-id=\"2fd71dc1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"591\" height=\"72\" src=\"https:\/\/template.orthopediste-lausanne.ch\/wp-content\/uploads\/2025\/12\/logo_coo_w-1.png\" class=\"attachment-large size-large wp-image-15143\" alt=\"\" srcset=\"https:\/\/template.orthopediste-lausanne.ch\/wp-content\/uploads\/2025\/12\/logo_coo_w-1.png 591w, https:\/\/template.orthopediste-lausanne.ch\/wp-content\/uploads\/2025\/12\/logo_coo_w-1-300x37.png 300w\" sizes=\"(max-width: 591px) 100vw, 591px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56bff6d8 elementor-widget elementor-widget-pxl_icon_box\" data-id=\"56bff6d8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_icon_box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pxl-icon-box pxl-icon-box1 style-1 ani3 \" data-wow-delay=\"ms\">\r\n    <div class=\"pxl-item--inner\">\r\n        \r\n                            <div class=\"pxl-item--icon\">\r\n                                    <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"32\" height=\"32\" fill=\"#000000\" viewBox=\"0 0 256 256\"><path d=\"M128,64a40,40,0,1,0,40,40A40,40,0,0,0,128,64Zm0,64a24,24,0,1,1,24-24A24,24,0,0,1,128,128Zm0-112a88.1,88.1,0,0,0-88,88c0,31.4,14.51,64.68,42,96.25a254.19,254.19,0,0,0,41.45,38.3,8,8,0,0,0,9.18,0A254.19,254.19,0,0,0,174,200.25c27.45-31.57,42-64.85,42-96.25A88.1,88.1,0,0,0,128,16Zm0,206c-16.53-13-72-60.75-72-118a72,72,0,0,1,144,0C200,161.23,144.53,209,128,222Z\"><\/path><\/svg>                                <\/div>\r\n                        <div class=\"pxl-item--meta\">\r\n            <p class=\"pxl-item--title el-empty\">\r\n                             <a >\r\n                        Adresse                             <\/a>\r\n                        <\/p>\r\n            <div class=\"pxl-item--description el-empty\">Avenue d\u2019Ouchy 41<br>\n1006 Lausanne<\/div>\r\n        <\/div>\r\n    <\/div>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c915315 elementor-widget elementor-widget-pxl_icon_box\" data-id=\"c915315\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_icon_box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pxl-icon-box pxl-icon-box1 style-1 ani3 \" data-wow-delay=\"ms\">\r\n    <div class=\"pxl-item--inner\">\r\n        \r\n                            <div class=\"pxl-item--icon\">\r\n                                    <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"32\" height=\"32\" fill=\"#000000\" viewBox=\"0 0 256 256\"><path d=\"M168,112a8,8,0,0,1-8,8H96a8,8,0,0,1,0-16h64A8,8,0,0,1,168,112Zm-8,24H96a8,8,0,0,0,0,16h64a8,8,0,0,0,0-16Zm72-12A100.11,100.11,0,0,1,132,224H47.67A15.69,15.69,0,0,1,32,208.33V124a100,100,0,0,1,200,0Zm-16,0a84,84,0,0,0-168,0v84h84A84.09,84.09,0,0,0,216,124Z\"><\/path><\/svg>                                <\/div>\r\n                        <div class=\"pxl-item--meta\">\r\n            <p class=\"pxl-item--title el-empty\">\r\n                             <a >\r\n                        Contacter le centre                             <\/a>\r\n                        <\/p>\r\n            <div class=\"pxl-item--description el-empty\">centre@medicol.ch<br>\n+41215103348<\/div>\r\n        <\/div>\r\n    <\/div>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8ba6f6e ft-gt elementor-widget elementor-widget-pxl_button\" data-id=\"8ba6f6e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"pxl-pxl_button-8ba6f6e-9539\" class=\"pxl-button pxl-atc-link \" data-wow-delay=\"ms\">\r\n    <a href=\"https:\/\/www.centre-ortho.ch\/consultation\/\" class=\"btn  btn-glossy btn-default  full pxl-icon--right\" data-wow-delay=\"ms\" data-target=\".pxl-page-popup-template-0\" target=\"_blank\" rel=\"noopener\">\r\n                    <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" width=\"512\" style=\"transform:scalex(-1);height:auto;\" data-name=\"Layer 2\"><path d=\"m22 11h-17.586l5.293-5.293a1 1 0 1 0 -1.414-1.414l-7 7a1 1 0 0 0 0 1.414l7 7a1 1 0 0 0 1.414-1.414l-5.293-5.293h17.586a1 1 0 0 0 0-2z\"><\/path><\/svg>                        <span class=\"pxl--btn-text\" data-text=\"Prendre rendez-vous\">\r\n                        Prendre rendez-vous        <\/span>\r\n    <\/a>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t            <\/div>\r\n        <\/div>\r\n        \t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t            <\/div>\r\n        <\/div>\r\n        \t\t\t<\/div>\n\t\t<\/section>\n\t\t        <section class=\"elementor-section elementor-top-section elementor-element elementor-element-dfb51e elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default pxl-row-scroll-none pxl-zoom-point-false pxl-section-overflow-visible pxl-section-fix-none pxl-bg-color-none pxl-section-overlay-none\" data-id=\"dfb51e\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\n                \n                <div class=\"elementor-container elementor-column-gap-default \">\n                <div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-612f999e pxl-column-none pxl-column-overflow-hidden-no\" data-id=\"612f999e\" data-element_type=\"column\" data-e-type=\"column\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                     \r\n        \t\t<div class=\"elementor-element elementor-element-48eb2daf Section_3_Titre elementor-widget elementor-widget-heading\" data-id=\"48eb2daf\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">En savoir plus en vid\u00e9os <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-31b3d610 Video_Associee_PAT e-tabs-view-vertical elementor-layout-end elementor-widget elementor-widget-video-playlist\" data-id=\"31b3d610\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;playlist_title&quot;:&quot;Vid\\u00e9os Medicol&quot;,&quot;tabs&quot;:[],&quot;inner_tab_title_1&quot;:&quot;R\\u00e9sum\\u00e9&quot;,&quot;inner_tab_title_2&quot;:&quot;M\\u00e9decins &quot;,&quot;inner_tab_is_content_collapsible&quot;:&quot;collapsible&quot;,&quot;inner_tab_collapsible_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;inner_tab_collapsible_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;inner_tab_collapsible_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"video-playlist.default\">\n\t\t\t\t\t\n\t\t<div class=\"e-tabs\" role=\"region\" aria-labelledby=\"e-playlist-31b3d610\">\n\t\t\t<div class=\"e-tabs-main-area\">\n\t\t\t\t<div class=\"e-tabs-wrapper\">\n\t\t\t\t\t<div class=\"e-tabs-header\">\n\t\t\t\t\t\t<h4 class=\"e-tabs-title\" id=\"e-playlist-31b3d610\">Vid\u00e9os Medicol<\/h4>\n\t\t\t\t\t\t<div class=\"e-tabs-header-right-side\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"e-tabs-videos-count\">0 Vid\u00e9os<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"e-tabs-toggle-videos-display-button rotate-down eicon-caret-down\"><\/i>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"e-tabs-items-wrapper\">\n\t\t\t\t\t\t<div class=\"e-tabs-items\" role=\"tablist\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"shadow shadow-top\" aria-hidden=\"true\"><\/div>\n\t\t\t\t\t\t<div class=\"shadow shadow-bottom\" aria-hidden=\"true\"><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"e-tabs-content-wrapper\" role=\"tablist\" aria-orientation=\"vertical\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\t<div class=\"e-tabs-inner-tabs\" >\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t            <\/div>\r\n        <\/div>\r\n        \t\t\t<\/div>\n\t\t<\/section>\n\t\t        <section class=\"elementor-section elementor-top-section elementor-element elementor-element-47651a2 elementor-section-boxed elementor-section-height-default elementor-section-height-default pxl-row-scroll-none pxl-zoom-point-false pxl-section-overflow-visible pxl-section-fix-none pxl-bg-color-none pxl-section-overlay-none\" data-id=\"47651a2\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\n                \n                <div class=\"elementor-container elementor-column-gap-default \">\n                <div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a7b4590 pxl-column-none pxl-column-overflow-hidden-no\" data-id=\"a7b4590\" data-element_type=\"column\" data-e-type=\"column\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                     \r\n        \t\t<div class=\"elementor-element elementor-element-fb3192f Section_3_Titre elementor-widget elementor-widget-heading\" data-id=\"fb3192f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Contacter un de nos sp\u00e9cialistes sur le sujet<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d9e2af4 elementor-widget elementor-widget-shortcode\" data-id=\"d9e2af4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\t\t<div data-elementor-type=\"section\" data-elementor-id=\"27830\" class=\"elementor elementor-27830\" data-elementor-post-type=\"elementor_library\">\n\t\t\t        <section class=\"elementor-section elementor-inner-section elementor-element elementor-element-40d3f010 elementor-section-boxed elementor-section-height-default elementor-section-height-default pxl-row-scroll-none pxl-zoom-point-false pxl-section-overflow-visible pxl-section-fix-none pxl-bg-color-none pxl-section-overlay-none\" data-id=\"40d3f010\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\" style=\"padding-left: calc( (100% - 1310px)\/2);\">\n\n                \n                <div class=\"elementor-container elementor-column-gap-default \">\n                <div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-bc1b4d4 pxl-column-none pxl-column-overflow-hidden-no\" data-id=\"bc1b4d4\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\r\n        <div class=\"elementor-widget-wrap elementor-element-populated\">\r\n                     \r\n        \t\t<div class=\"elementor-element elementor-element-7dbd93ba elementor-widget elementor-widget-pxl_heading\" data-id=\"7dbd93ba\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n<div id=\"pxl-pxl_heading-7dbd93ba-8232\" class=\"pxl-heading px-sub-title-default-style \">\n\t<div class=\"pxl-heading--inner\">\n\t\t\n\t\t<h3 class=\"pxl-item--title style-default  highlight-default \" data-wow-delay=\"ms\">\n\t\t\t\t\tCentre Orthop\u00e9dique d&#8217;Ouchy\t\n\t\t\t\n\t\t<\/h3>\n\t\t\n\t<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5cc4b9e1 elementor-widget elementor-widget-pxl_text_editor\" data-id=\"5cc4b9e1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_text_editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pxl-text-editor default\">\n\t<div class=\"pxl-item--inner  \" data-wow-delay=\"ms\">\n\t\t<p>Consultations m\u00e9dicales sp\u00e9cialis\u00e9es en orthop\u00e9die et traumatologie au coeur de Lausanne<\/p>\t\t\n\t<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-68d8235b e-flex e-con-boxed e-con e-parent \" data-id=\"68d8235b\" data-element_type=\"container\" data-e-type=\"container\">\t\t\t<div class=\"e-con-inner\">\r\n\t\t\t\t<div class=\"elementor-element elementor-element-659288b4 elementor-align-left ft-gt  elementor-widget__width-auto elementor-widget elementor-widget-pxl_button\" data-id=\"659288b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"pxl-pxl_button-659288b4-2038\" class=\"pxl-button pxl-atc-link \" data-wow-delay=\"ms\">\r\n    <a href=\"tel:+41215103348\" class=\"btn  btn-glossy btn-default  inline pxl-icon--left\" data-wow-delay=\"ms\" data-target=\".pxl-page-popup-template-0\">\r\n                    <i aria-hidden=\"true\" class=\"fas fa-phone-alt\"><\/i>                        <span class=\"pxl--btn-text\" data-text=\"+41 21 510 33 48\">\r\n                        +41 21 510 33 48        <\/span>\r\n    <\/a>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-29264382 elementor-align-left ft-gt  elementor-widget__width-auto elementor-widget elementor-widget-pxl_button\" data-id=\"29264382\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pxl_button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"pxl-pxl_button-29264382-7502\" class=\"pxl-button pxl-atc-link \" data-wow-delay=\"ms\">\r\n    <a href=\"\/service\/centre-de-formation\/\" class=\"btn  btn-glossy btn-default  inline pxl-icon--right\" data-wow-delay=\"ms\" data-target=\".pxl-page-popup-template-0\">\r\n                    <i aria-hidden=\"true\" class=\"flaticon flaticon-next\"><\/i>                        <span class=\"pxl--btn-text\" data-text=\"En savoir plus\">\r\n                        En savoir plus        <\/span>\r\n    <\/a>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\t\t            <\/div>\r\n        <\/div>\r\n                <div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-ee3b29c pxl-column-none pxl-column-overflow-hidden-no\" data-id=\"ee3b29c\" data-element_type=\"column\" data-e-type=\"column\">\r\n        <div class=\"elementor-widget-wrap\">\r\n                     \r\n                    <\/div>\r\n        <\/div>\r\n        \t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t            <\/div>\r\n        <\/div>\r\n        \t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Accueil Instabilit\u00e9 de l&#8217;\u00e9paule \u00c9paule Introduction L\u2019articulation gl\u00e9no-hum\u00e9rale est une articulation suspendue qui met en contact une sph\u00e8re (la t\u00eate de l\u2019hum\u00e9rus) dans une assiette (la gl\u00e8ne de l\u2019omoplate). Le cartilage qui recouvre la gl\u00e8ne est entour\u00e9 par un anneau de fibro-cartilage appel\u00e9 \u00abbourrelet ou labrum\u00bb qui contribue efficacement au centrage de la t\u00eate de [&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,"inline_featured_image":false,"footnotes":""},"categories":[83],"tags":[],"class_list":["post-19841","page","type-page","status-publish","hentry","category-epaule"],"acf":[],"_links":{"self":[{"href":"https:\/\/template.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/pages\/19841","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/template.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/template.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/template.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/template.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/comments?post=19841"}],"version-history":[{"count":0,"href":"https:\/\/template.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/pages\/19841\/revisions"}],"wp:attachment":[{"href":"https:\/\/template.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/media?parent=19841"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/template.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/categories?post=19841"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/template.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/tags?post=19841"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}