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LÉSIONS LIGAMENTAIRES DU GENOU - DIAGNOSTIC POSITIF : Bilan clinique
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie

Le bilan ligamentaire comporte :

Pour le pivot central :

  • La recherche d’un test de Lachman : sur un genou fléchi à 20°, on exerce un mouvement de tiroir antérieur sur le tibia.
    • En l’absence de lésion, il n’y a pas de mouvement de tiroir.
    • Une rupture du croisé antérieur se traduit par un tiroir antérieur sans sensation d’arrêt vrai (arrêt mou).
    • L’importance de ce tiroir se cote en + (+ pour un mouvement de à -5 mm ; ++ de 5 à 10 mm ; +++pour un mouvement de plus de 10 mm).
      • Une sensation de tiroir antérieur avec un arrêt dur, peut traduire la réduction d’un tiroir postérieur dans le cadre d’une lésion du croisé postérieur
  • La recherche d’un ressaut rotatoire : sur un genou placé en rotation externe, on exerce un mouvement de flexion extension du genou.
    • Ce test est positif s’il existe un ressaut du tibia par rapport au fémur (selon l’importance on parle d’une ébauche, d’un ressaut franc ou explosif).
      • Le patient ressent de façon désagréable ce ressaut qui lui rappelle ses sensations d’instabilité
  • La recherche d’un avalement de la tubérosité tibiale antérieure : sur un genou en fl exion à 70°, le tibia du côté lésé (LCP) se place spontanément en tiroir postérieur, la tubérosité tibiale n’est pas saillante comme du côté sain
  • Tiroir postérieur entre 70 et 90° de fl exion : le tiroir peut être direct ou majoré en rotation interne ou externe, selon le caractère isolé ou combinée de la lésion du LCP
  • Recherche d’une hyperextension asymétrique : la jambe est soulevée de façon bilatérale par le gros orteil et on recherche une hyperextension asymétrique, elle signe une lésion des coques condylienne, quand elle s’associe également à une hyperrotation externe, elle signe une lésion du LCP et du plan postéro-latéral (signe de Hugston)

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LÉSIONS LIGAMENTAIRES DU GENOU - Rappels anatomiques
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Pivot central : les ligaments croisés

LCA

croisé antérieur

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[unknown IMAGE 5224341048588]
LÉSIONS LIGAMENTAIRES DU GENOU - Rappels anatomiques
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Pivot central : les ligaments croisés

LCP

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[unknown IMAGE 5224343145740]
LÉSIONS LIGAMENTAIRES DU GENOU - Rappels anatomiques
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Pivot central : les ligaments croisés

LCP

Croisé postérieur

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LÉSIONS LIGAMENTAIRES DU GENOU - Rappels anatomiques
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Pivot central : ligaments croisés

Plan capsulo-ligamentaire médial

PAPI

LCM

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[unknown IMAGE 5224347340044]
LÉSIONS LIGAMENTAIRES DU GENOU - Rappels anatomiques
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Pivot central : les ligaments croisés

Plan capsulo-ligamentaire latéral

PAPE

LCL

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LÉSIONS LIGAMENTAIRES DU GENOU - Mécanismes lésionnels
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Entorse

LLI

LLE

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LÉSIONS LIGAMENTAIRES DU GENOU - Mécanismes lésionnels
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Lésions isolées du LCA

les plus fréquentes : 70 %

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LÉSIONS LIGAMENTAIRES DU GENOU - Mécanismes lésionnels
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Lésions LCA complexes

Triade
Pentade

Trillat

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LÉSIONS LIGAMENTAIRES DU GENOU - Mécanismes lésionnels
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
LCP lésions

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LÉSIONS LIGAMENTAIRES DU GENOU - Mécanismes lésionnels
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

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LÉSIONS LIGAMENTAIRES DU GENOU - Mécanismes lésionnels
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
luxations

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LÉSIONS LIGAMENTAIRES DU GENOU - Évolution
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Entorses bénigne grave

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LÉSIONS LIGAMENTAIRES DU GENOU - Diagnostic positif
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Signes fonctionnels

Signes de gravité

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LÉSIONS LIGAMENTAIRES DU GENOU - Diagnostic positif
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Examen clinique

Lésions associées

Signes de gravité

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LÉSIONS LIGAMENTAIRES DU GENOU - Diagnostic positif
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Laxité

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LÉSIONS LIGAMENTAIRES DU GENOU - Diagnostic positif
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Examen des laxités

Plan frontal

LCL

LCM

PAPE

PAPI

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LÉSIONS LIGAMENTAIRES DU GENOU - Diagnostic positif
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

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LÉSIONS LIGAMENTAIRES DU GENOU - Diagnostic positif
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Examen des laxités

Lachman

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LÉSIONS LIGAMENTAIRES DU GENOU - Diagnostic positif
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Examen des laxités dans le plan sagittal

tirroir antérieur

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[unknown IMAGE 5224406322444]
LÉSIONS LIGAMENTAIRES DU GENOU - Diagnostic positif
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Examen des laxités dans le plan sagittal

Macintosh

Jerk test identique au MACINTOSH mais effectué de la flexion à l'extension

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[unknown IMAGE 5224411565324]
LÉSIONS LIGAMENTAIRES DU GENOU - Diagnostic positif
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Examen des laxités dans le plan sagittal

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LÉSIONS LIGAMENTAIRES DU GENOU - Diagnostic positif
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Examen des laxités dans le plan sagittal

Hugston

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[unknown IMAGE 5224418905356]
LÉSIONS LIGAMENTAIRES DU GENOU - Diagnostic positif
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

paraclinique

Examens radiographiques

Rx standard

Pelligrini Stieda

Fracture de SECOND (SEGOND)

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[unknown IMAGE 5224424148236]
LÉSIONS LIGAMENTAIRES DU GENOU - Évolution
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

LCA rupture

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[unknown IMAGE 5224428604684]
LÉSIONS LIGAMENTAIRES DU GENOU - Évolution
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
LCP rupture évolution

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LÉSIONS LIGAMENTAIRES DU GENOU - Évolution
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Traitement orthopédique évolution

mois

Semaines

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LÉSIONS LIGAMENTAIRES DU GENOU - Évolution
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Traitement chirurgical

Appui

Mois

Semaines

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LÉSIONS LIGAMENTAIRES DU GENOU - Évolution
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Complications précoces

Pellegrini Stieda

Raideur

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LÉSIONS LIGAMENTAIRES DU GENOU - Diagnostic
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Angioscanner

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LÉSIONS LIGAMENTAIRES DU GENOU - Traitement
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Traitement fonctionnel (1/2)

Immobilisation attelle

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LÉSIONS LIGAMENTAIRES DU GENOU - Traitement
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Traitement fonctionnel (2/2)

Indications

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LÉSIONS LIGAMENTAIRES DU GENOU - Traitement
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Traitement orthopédique

6 semaines

Indications

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LÉSIONS LIGAMENTAIRES DU GENOU - Traitement
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Traitement chirurgical (1/2)

LCA

Pas urgence

J21 21 jours

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LÉSIONS LIGAMENTAIRES DU GENOU - Traitement
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Traitement chirurgical (2/2)

DIDT

Kenneth-Jones

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LÉSIONS LIGAMENTAIRES DU GENOU - Traitement
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images

Indications traitement chirurgical

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LÉSIONS LIGAMENTAIRES DU GENOU - Traitement
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Mesures associées

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Flashcard 5224473431308

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Tags
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Question

MESURES ASSOCIÉES À UNE LÉSION LIGAMENTAIRE DE GENOU

Answer

La ponction évacuatrice est thérapeutique


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Flashcard 5224479984908

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Tags
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Question

CHIRURGIE DES LÉSIONS LIGAMENTAIRES DE GENOU


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Tags
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Question

PRISE EN CHARGE CHIRURGICAL DE LÉSIONS LIGAMENTAIRES DE GENOU

DÉLAIS D'IMMOBILISATION POST-CHIR ?


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Tags
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Question

IMMOBILISATION ORTHOPÉDIQUE DANS LES LÉSIONS LIGAMENTAIRES DE GENOU


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Tags
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Answer

DÉLAIS AVANT CHIRURGIE DANS LES LÉSIONS LIGAMENTAIRES DE GENOU


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Flashcard 5224505412876

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Tags
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Question

MODALITÉS D'IMMOBILISATIONS DANS LES LÉSIONS LIGAMENTAIRES DE GENOU


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Tags
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Question
COMPLICATIONS PRÉCOCES DES LÉSIONS LIGAMENTAIRES DE GENOU


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Tags
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Question

ÉVOLUTION DES LÉSIONS LIGAMENTAIRES DE GENOU POST-TRAITEMENT ORTHOPÉDIQUE


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Flashcard 5224523500812

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#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Question

DÉLAIS APPUI POST-CHIRURGIE LÉSION LIGAMENTAIRE GENOU


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#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Question

ÉVALUATION DE LA GRAVITÉ DES ENTORSES DE GENOU


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#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Question

RADIOGRAPHIE DANS LES LÉSIONS LIGAMENTAIRES DE GENOU


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Question

DIAGNOSTIC DES LÉSIONS LIGAMENTAIRES DE GENOU


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Flashcard 5224547618060

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Tags
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Question

DIAGNOSTIC LÉSIONS LIGAMENTAIRES GENOU --> LCA


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#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Question

DIAGNOSTIC LÉSION LIGAMENTAIRE GENOU --> LCA


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Question

TESTING LÉSIONS LIGAMENTAIRES GENOU


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Tags
#357 #Cours #Facultaires #Genou #Lesions #Ligamentaires #Médecine #Orthopedie #Traumatologie #has-images
Question

EXAMEN DES LAXITÉS LÉSIONS LIGAMENTAIRES GENOU


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Question

EXAMEN CLINIQUE LÉSIONS LIGAMENTAIRES GENOU SIGNES DE GRAVITÉ


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Question

LÉSIONS ASSOCIÉES DANS LES ATTEINTES LIGAMENTAIRES DU GENOU


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Question

STRUCTURES ATTEINTES DANS LES LÉSIONS LIGAMENTAIRES DE GENOU


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Question

SIGNES CLINIQUES FONCTIONNELS DE GRAVITÉ LORS D'UNE ATTEINTE LIGAMENTAIRE DE GENOU


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Question

MÉCANISMES LÉIONNELS DU LCA


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Flashcard 5224597425420

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Question
MÉCANISMES LÉIONNELS DU LCA


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repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

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Flashcard 5224608959756

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Question

MÉCANISMES LÉSIONNELS DU LCA


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repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

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Flashcard 5224614989068

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Question

PLAN CAPSULO-LIGAMENTAIRE MÉDIAL


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Question
RÔLE BIOMÉCANIQUE DU LIGAMENT CROISÉ POSTÉRIEUR


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Flashcard 5224628882700

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Question

PLAN CAPSULO-LIGAMENTAIRE LATÉRAL DU GENOU


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Flashcard 5224634912012

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Question

ANATOMIE DU LCA AU GENOU


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Question

ANATOMIE DU LCP AU GENOU


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Flashcard 5224694942988

Question
Opća formula karboksilnih kiselina
Answer
[default - edit me]


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Question

CLASSIFICATION FRACTURES EXTRMITÉS SUPÉRIEURE DE L'HUMÉRUS


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Flashcard 5224822082828

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Question

AMPLITUDES ARTICULAIRES ÉPAULE


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Flashcard 5224828112140

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Question

RAPPELS ANATOMIQUES DE L'ÉPAULE


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Question

DÉFINITION D'UNE FRACTURE DE L'EXTRÉMITÉ SUPÉRIEURE DE L'HUMÉRUS


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Flashcard 5224843316492

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Question
TERRAIN des FRACTURES DE L'EXTRÉMITÉ SUPÉRIEURE DE L'HUMÉRUS


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Question

CLASSIFICATION DES FESH selon DUPARC


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Question

SIGNES CLINIQUES DE LA FESupHUMERUS

Answer

L'ecchymose thoraco-brachiale de HENNQUIN survient environ 4 HEURES APRÈS le traumatisme


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Question

COMPLICATIONS NEUROLOGIQUES DE LA FESH


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Question

CLASSIFICATION DE NEER


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Flashcard 5224874511628

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Question

THÉRAPEUTIQUE DE LA FESH


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#artificial-intelligence #minsky #society-of-mind
common sense works so well not because it is an approximation of logic; logic i5 only a small part of our great accumulation of different, useful ways to chain things together

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#artificial-intelligence #minsky #society-of-mind
we rarely need to know that anvthing is absolutely wrong or right; instead, we only want to choose the best of some alternatives

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#artificial-intelligence #minsky #society-of-mind
you don't have to be ln those circles in order to understand them; you simply have to make good theories about them

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#artificial-intelligence #minsky #society-of-mind
As scientists, we like to make our theories as delicate and fragile as possible. We like to drrdnge things so that if the slightest thing goes wrong, everything will collapse at once!

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