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"name": "Comment diagnostiquer le passage à l'acte ?",
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"name": "Le passage à l'acte est-il un symptôme d'autres troubles ?",
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"name": "Le passage à l'acte peut-il entraîner des blessures ?",
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"name": "Y a-t-il des signes précurseurs ?",
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"name": "Le passage à l'acte est-il toujours violent ?",
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"name": "Comment prévenir le passage à l'acte ?",
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"text": "La prévention passe par l'éducation émotionnelle et le développement de compétences sociales."
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"name": "Les programmes scolaires peuvent-ils aider ?",
"position": 12,
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"text": "Oui, des programmes sur la gestion des émotions et la résolution de conflits peuvent être bénéfiques."
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"name": "Le soutien familial joue-t-il un rôle ?",
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"text": "Oui, un environnement familial stable et compréhensif peut réduire le risque de passage à l'acte."
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"text": "Oui, elles favorisent l'expression émotionnelle et réduisent le stress, diminuant ainsi les comportements impulsifs."
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"name": "La sensibilisation à la santé mentale est-elle importante ?",
"position": 15,
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"text": "Oui, elle aide à identifier les signes de détresse et à encourager les personnes à chercher de l'aide."
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"name": "Quels traitements sont efficaces pour le passage à l'acte ?",
"position": 16,
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"text": "La thérapie comportementale et les médicaments peuvent aider à gérer les comportements impulsifs."
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"@type": "Question",
"name": "La thérapie de groupe est-elle utile ?",
"position": 17,
"acceptedAnswer": {
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"text": "Oui, elle peut offrir un soutien social et des stratégies de gestion des émotions."
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{
"@type": "Question",
"name": "Les médicaments peuvent-ils réduire les symptômes ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antidépresseurs ou des stabilisateurs de l'humeur peuvent être prescrits pour réduire l'impulsivité."
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"@type": "Question",
"name": "Quelle est l'importance de la thérapie individuelle ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle permet d'explorer les causes sous-jacentes et d'apprendre des techniques de gestion des émotions."
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},
{
"@type": "Question",
"name": "Les interventions d'urgence sont-elles nécessaires ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, en cas de comportements suicidaires ou violents, une intervention immédiate est cruciale."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des blessures physiques, des problèmes juridiques et des troubles mentaux chroniques."
}
},
{
"@type": "Question",
"name": "Le passage à l'acte peut-il affecter les relations ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, il peut entraîner des ruptures de relations et des conflits interpersonnels importants."
}
},
{
"@type": "Question",
"name": "Y a-t-il un risque accru de comportements suicidaires ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes ayant des antécédents de passage à l'acte présentent un risque accru de comportements suicidaires."
}
},
{
"@type": "Question",
"name": "Les problèmes de santé mentale peuvent-ils s'aggraver ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le passage à l'acte peut exacerber des troubles mentaux préexistants, comme la dépression."
}
},
{
"@type": "Question",
"name": "Le passage à l'acte peut-il entraîner des problèmes juridiques ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des comportements impulsifs peuvent mener à des arrestations ou à des poursuites judiciaires."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque du passage à l'acte ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent des antécédents familiaux de troubles mentaux, le stress et l'isolement social."
}
},
{
"@type": "Question",
"name": "L'abus de substances est-il un facteur de risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'abus d'alcool ou de drogues peut augmenter l'impulsivité et le risque de passage à l'acte."
}
},
{
"@type": "Question",
"name": "Les traumatismes passés influencent-ils le comportement ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les traumatismes peuvent affecter la régulation émotionnelle et augmenter le risque de passage à l'acte."
}
},
{
"@type": "Question",
"name": "Le manque de soutien social est-il un risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'absence de soutien peut aggraver les sentiments de détresse et favoriser des comportements impulsifs."
}
},
{
"@type": "Question",
"name": "Les troubles de la personnalité sont-ils des facteurs de risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains troubles de la personnalité, comme le trouble borderline, augmentent le risque de passage à l'acte."
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Lisfranc injury is rare and often very subtle. Subsequently, 20-50% of injuries are initially missed. Late or missed diagnosis increases the risk of post-traumatic osteoarthritis....
A 51-year old men visited our surgical outpatient clinic with plantar hematoma and inability to bear weight on the right foot after he tripped three weeks earlier. Initial visitation to the emergency ...
Timely diagnosis of Lisfranc injury is important to ensure adequate treatment may take place immediately. This achieves the most optimal prognosis. Always think of Lisfranc joint injury in case of pla...
Salvage of Lisfranc, or tarsometatarsal injuries, may be necessary because of a variety of clinical scenarios. Although rare, these injuries represent a broad spectrum of injury to the midfoot ranging...
Lisfranc injuries are among the most debilitating injuries to the foot. Characterization of first tarsometatarsal (TMT) joint involvement in Lisfranc injuries is limited. Multiple studies have indicat...
A retrospective review was performed of operative Lisfranc fractures from 2010 to 2020 with patients identified by...
Of 71 patients with a Lisfranc injury of which 37 (52%) were high energy, 61 (86%) showed radiographic evidence of first TMT joint injury. A fragment was present in the TMT articular surface in 33 (47...
The overwhelming majority of Lisfranc midfoot injuries seen at our tertiary referral center had imaging evidence of damage to the first TMT joint (86%), and the incidence may be higher. The most commo...
Historically, most Lisfranc injuries have been considered to be unstable and treated with surgical intervention. However, with better access to cross-sectional imaging, stable injury patterns are star...
A literature review was performed of studies reporting nonoperative management of Lisfranc injuries (PROSPERO registered and following PRISMA guidelines). Following exclusions, 8 papers were identifie...
High heterogeneity was observed with variable outcomes. Four papers reported good outcomes, with adjusted functional scores ranging from 82.6 to 100 (out of 100). However, one study reported late disp...
Reported outcomes following nonoperative treatment of Lisfranc injuries vary widely, including high rates of conversion to surgery. In contrast, some studies have reported excellent functional outcome...
Ankle injuries are one of the most common presentations in the ED. Although fractures can be ruled out using the Ottawa Ankle Rules, the specificity is low, which means many patients may still receive...
Medline, Embase and the Cochrane Library were searched up to 15 February 2022 to include studies of patients of 16 years or older presenting to the ED with acute ankle or foot injury, who underwent ul...
Thirteen studies evaluating 1455 patients with bony injuries were included. In 10 studies, the reported sensitivity for fracture was >90%, but varied among studies between 76% (95% CI 63% to 86%) and ...
Ultrasound has the potential to be a reliable method for diagnosing foot and ankle injuries, however, higher grade evidence is needed....
CRD42020215258....
Ligamentous Lisfranc instability is commonly missed on unilateral radiographs. However, measurement protocols for bilateral weightbearing radiographs have not been standardized. The primary aim of thi...
Patients who underwent surgical repair of ligamentous Lisfranc instability, as well as a separate cohort with bilateral hallux valgus deformity, were included in this multicenter retrospective cohort ...
Forty-seven patients were included in the Lisfranc group with a mean age of 33 (± 15) years and 25 patients were included in the HV group with a mean age of 51 (± 15) years. For the Lisfranc group, me...
Bilateral foot weightbearing radiographs can effectively diagnose ligamentous Lisfranc instability using a standardized measurement protocol. Malalignment of the medial aspect of the second metatarsal...
Level III, retrospective comparative study....
Midfoot fractures and dislocations are infrequent and functional outcomes following Lisfranc injuries have not been well described. The purpose of this project was to explore functional outcomes follo...
A retrospective cohort of 46 adults with tarsometatarsal fractures and dislocations treated at a single Level 1 trauma center were reviewed. Demographic, medical, social, and injury features of these ...
Forty-six patients with mean age 39.7 years completed functional outcome surveys. Mean SMFA scores were 29.3 (dysfunction) and 32.6 (bothersome). Mean FFI scores were 43.1 (pain), 43.0 (disability), a...
Patients reported worse pain by FFI after Lisfranc injury compared to other injuries about the foot and ankle. Tobacco smoking, female sex, and preexisting chronic renal disease are predictive of wors...
Level IV, retrospective, prognostic....
No guidelines exist for recommending return to driving. This study will examine time to brake (TTB) after lower extremity injuries versus in uninjured people. The potential effect of various types of ...
Patients with injuries to the pelvis, hip, femur, knee, tibia, ankle, and foot underwent testing using a driving simulator to assess TTB. Comparison was with a control group of uninjured people....
Two-hundred thirty-two patients with lower extremity injuries participated. The majority were in the tibia and ankle regions (47%). Mean TTB for control subjects was 0.74 seconds, compared with 0.83 f...
Any lower extremity injury caused a prolonged TTB compared with control patients. Left, right, and bilateral injuries all had longer TTB. Ankle and foot injuries experienced the longest TTB. Additiona...
BACKGROUND The Lisfranc ligament is crucial for maintaining the transverse and longitudinal arch of the foot. Owing to the disruption between the medial cuneiform bone and the base of the second metat...
Hyperextension of the first metatarsophalangeal joint can lead to a turf toe injury of the plantar plate complex, resulting in significant morbidity for athletes. This article reviews the anatomy, pat...