{"id":3348,"date":"2021-06-03T11:41:24","date_gmt":"2021-06-03T11:41:24","guid":{"rendered":"https:\/\/www.cliniqueveterinairegrosbois.fr\/?post_type=fiche_info_sante&#038;p=3348"},"modified":"2021-06-15T17:46:22","modified_gmt":"2021-06-15T15:46:22","slug":"quest-ce-que-locd-et-comment-la-prendre-en-charge","status":"publish","type":"fiche_info_sante","link":"http:\/\/www.cliniqueveterinairegrosbois.fr\/fr\/fiches-info-sante\/quest-ce-que-locd-et-comment-la-prendre-en-charge\/","title":{"rendered":"Qu&rsquo;est ce que l&rsquo;OCD et comment la prendre en charge?"},"content":{"rendered":"\n<section class=\"page-banner-section no-banner-page-section\" itemprop=\"hasPart\" itemscope itemtype=\"https:\/\/schema.org\/WebPageElement\">\n  \n    <section class=\"block-grid-wrapper block-grid-for-core-heading banner-heading banner-heading-\">\n      \n      <div class=\"default-editor-content grid-for-core-heading grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n                        <h1>Qu&rsquo;est ce que l&rsquo;OCD et comment la prendre en charge?<\/h1>\n                      <\/div>\n        <\/div>\n      <\/div>\n    <\/section>\n\n  <\/section>\n\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>L\u2019ost\u00e9ochondrose est une&nbsp;affection ost\u00e9o-articulaire affectant les jeunes chevaux&nbsp;(moins de deux ans). Elle se caract\u00e9rise par un&nbsp;d\u00e9faut de maturation des cellules cartilagineuses au niveau d\u2019un ou plusieurs cartilages de croissance \u00e9piphysaires&nbsp;(zone de croissance de l\u2019os situ\u00e9e \u00e0 l\u2019extr\u00e9mit\u00e9 des os longs).<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>Cette&nbsp;\u00ab&nbsp;malformation cartilagineuse&nbsp;\u00bb&nbsp;se traduit soit par le d\u00e9tachement d\u2019un morceau de cartilage dans l\u2019articulation (forme dite \u00ab&nbsp;diss\u00e9quante&nbsp;\u00bb)&nbsp;soit par la formation d\u2019un kyste au sein de l\u2019os (forme dite \u00ab&nbsp;kystique&nbsp;\u00bb).<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>A noter que&nbsp;certains fragments \u00ab&nbsp;d\u2019OCD&nbsp;\u00bb sont en r\u00e9alit\u00e9 le r\u00e9sultat de traumas articulaires survenus durant le jeune \u00e2ge&nbsp;(petites fractures d\u2019avulsion).<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>L\u2019ost\u00e9ochondrose fait partie de la \u00ab&nbsp;famille&nbsp;\u00bb des AOAJ&nbsp;(Anomalie Ost\u00e9o-Articulaires Juv\u00e9niles). Ce terme englobe l\u2019ensemble des anomalies de d\u00e9veloppement ost\u00e9o-articulaires du jeune cheval et fait notamment r\u00e9f\u00e9rence outre l\u2019OCD&nbsp; aux \u00e9piphysites, aux contractures tendineuse ou aux d\u00e9viations angulaires.<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-heading\">\n      <div class=\"default-editor-content grid-for-core-heading grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<h2 class=\"wp-block-heading\">Quelles sont les manifestations cliniques&nbsp;de l\u2019OCD?<\/h2>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>Les manifestations cliniques de l\u2019OCD sont&nbsp;tr\u00e8s variables, elles d\u00e9pendant essentiellement de l\u2019articulation touch\u00e9e, du type de l\u00e9sion et de l\u2019activit\u00e9 du cheval.&nbsp;Chez un jeune cheval n\u2019ayant jamais \u00e9t\u00e9 entrain\u00e9 l\u2019OCD est le plus asymptomatique, d\u2019o\u00f9 l\u2019utilit\u00e9 des bilans de d\u00e9pistage d\u00e9crits par la suite.<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>Lorsque l\u2019OCD n\u2019est pas asymptomatique il est possible d\u2019observer un ou plusieurs des sympt\u00f4mes qui suivent:<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-list\">\n      <div class=\"default-editor-content grid-for-core-list grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<ul><li>Un gonflement articulaire.<\/li><li>Une douleur \u00e0 la mobilisation passive de l\u2019articulation concern\u00e9e.<\/li><li>Un test de flexion positif.<\/li><li>Une boiterie de degr\u00e9 variable.<\/li><\/ul>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-heading\">\n      <div class=\"default-editor-content grid-for-core-heading grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<h2 class=\"wp-block-heading\">Quels sont les facteurs de risque de l\u2019OCD&nbsp;?<\/h2>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-list\">\n      <div class=\"default-editor-content grid-for-core-list grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<ul><li>La g\u00e9n\u00e9tique&nbsp;: certaines races comme les Trotteurs fran\u00e7ais, le Pur-sang &nbsp;ou le Selle-Fran\u00e7ais sont pr\u00e9dispos\u00e9es \u00e0 d\u00e9velopper certaines l\u00e9sions d\u2019OCD. Le statut OCD des parents est \u00e9galement un \u00e9l\u00e9ment \u00e0 consid\u00e9rer. <\/li><li>L\u2019alimentation : la gestion des apports alimentaires de la m\u00e8re pendant la gestation puis celle du poulain pendant sa croissance sont un \u00e9l\u00e9ment cl\u00e9 \u00e0 consid\u00e9rer dans la pr\u00e9vention de l\u2019OCD. <\/li><li>L\u2019activit\u00e9 physique du poulain durant sa premi\u00e8re ann\u00e9e de vie : une activit\u00e9 physique r\u00e9guli\u00e8re et mod\u00e9r\u00e9e des jeunes individus permettrait de diminuer la pr\u00e9valence de certaines l\u00e9sions d\u2019OCD. En effet de nombreux auteurs jugent que l\u2019OCD est corr\u00e9l\u00e9e \u00e0 l\u2019application de contraintes excessives sur un squelette immature.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/li><\/ul>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-heading\">\n      <div class=\"default-editor-content grid-for-core-heading grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<h2 class=\"wp-block-heading\">Comment et quand rechercher les l\u00e9sions d\u2019OCD&nbsp;?<\/h2>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>La plupart des l\u00e9sions d\u2019OCD sont identifi\u00e9es \u00e0 l\u2019aide de radiographies. A noter que l\u2019\u00e9chographie peut \u00eatre jug\u00e9e utile en compl\u00e9mentarit\u00e9 des radiographies pour l\u2019\u00e9valuation compl\u00e8te de certaines l\u00e9sions, notamment les l\u00e9sions kystiques.<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>Il est donc recommand\u00e9 de r\u00e9aliser un \u00ab&nbsp;bilan OCD&nbsp;\u00bb entre 18 et 24 mois d\u2019\u00e2ge. Il n\u2019est g\u00e9n\u00e9ralement pas recommand\u00e9 de faire de bilan de d\u00e9pistage OCD avant cette p\u00e9riode car durant les deux premi\u00e8res ann\u00e9es de vie le squelette du poulain \u00e9volue \u00e9norm\u00e9ment et des l\u00e9sions d\u2019OCD pr\u00e9sentes \u00e0 3 mois peuvent se consolider et n\u2019\u00eatre plus visibles \u00e0 un an. En revanche il est conseill\u00e9 de r\u00e9aliser un bilan OCD&nbsp;avant le d\u00e9bourrage ou la mise \u00e0 l\u2019entra\u00eenement&nbsp;car les l\u00e9sions d\u2019OCD poss\u00e8dent un&nbsp;meilleur pronostic si elles sont diagnostiqu\u00e9es et trait\u00e9es avant la mise en contrainte des articulations touch\u00e9es.<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-list\">\n      <div class=\"default-editor-content grid-for-core-list grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<ul><li>Il existe des&nbsp;bilans de d\u00e9pistage standardis\u00e9s comprenant entre 10 et 40 clich\u00e9s&nbsp;selon le \u00ab&nbsp;niveau de s\u00e9curit\u00e9&nbsp;\u00bb souhait\u00e9. L\u2019objectif est d\u2019identifier la plupart des l\u00e9sions d\u2019OCD avant que celles-ci perturbent l\u2019exploitation du cheval ou sa commercialisation.<\/li><li>Les articulations les plus fr\u00e9quemment atteintes d\u2019ost\u00e9ochondrose sont les jarrets, les grassets et les boulets.<\/li><li>Lorsqu\u2019une l\u00e9sion d\u2019OCD est identifi\u00e9e en dehors du contexte d\u2019un bilan de d\u00e9pistage il est recommand\u00e9 de r\u00e9aliser \u00e0 minima une radiographie de l\u2019articulation controlat\u00e9rale car&nbsp;les l\u00e9sions d\u2019OCD sont fr\u00e9quemment bilat\u00e9rales.<\/li><\/ul>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-heading\">\n      <div class=\"default-editor-content grid-for-core-heading grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<h2 class=\"wp-block-heading\">En cas d\u2019OCD&nbsp;: Quel&nbsp;traitement choisir? Quel est le pronostic sportif?<\/h2>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>Il existe deux grandes approches : le traitement conservateur ou le traitement chirurgical :<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>La gestion conservative&nbsp;(repos, anti-inflammatoires, infiltration de l\u2019articulation..) est indiqu\u00e9e dans un certain nombre de cas&nbsp;:<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-list\">\n      <div class=\"default-editor-content grid-for-core-list grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<ul><li>Si le fragment est tr\u00e8s petit.<\/li><li>Lorsque le fragment est extra-articulaire ou qu\u2019il est petit ou synovialis\u00e9 (inclu \u00e0 la membrane synoviale).<\/li><li>Lorsque l\u2019on peut encore esp\u00e9rer une \u00e9volution spontan\u00e9e favorable (cheval de moins de 18 mois).<\/li><li>Lorsque le traitement chirurgical n\u2019est pas possible ou trop risqu\u00e9.<\/li><li>Lorsque le cheval n\u2019est pas destin\u00e9 \u00e0 une activit\u00e9 sportive.<\/li><\/ul>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>De mani\u00e8re g\u00e9n\u00e9rale le retrait chirurgical par arthroscopie sous anesth\u00e9sie g\u00e9n\u00e9rale constitue le traitement de choix.L\u2019arthroscopie pr\u00e9sente plusieurs int\u00e9r\u00eats&nbsp;:<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-list\">\n      <div class=\"default-editor-content grid-for-core-list grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<ul><li>Un abord peu invasif (2 ou 3 points d\u2019entr\u00e9e d\u20191 cm de longueur environ). <\/li><li>Le retrait du ou des fragments cartilagineux et\/ou le curetage du kyste. <\/li><li>L\u2019\u00e9valuation compl\u00e8te de l\u2019articulation (ensemble du cartilage, membrane synoviale, liquide articulaire)&nbsp;qui permet d\u2019affiner le pronostic sportif. <\/li><li>Le lavage de l\u2019articulation&nbsp;: retrait des d\u00e9bris inflammatoires articulaires g\u00e9n\u00e9r\u00e9s par la pr\u00e9sence du\/des fragment(s).<\/li><\/ul>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>Les chirurgies de retrait de fragment d\u2019ost\u00e9ochondrose par arthroscopie sont dans la tr\u00e8s grande majorit\u00e9 des chirurgies de courte dur\u00e9e avec un tr\u00e8s faible taux de complications. Le co\u00fbt d\u2019une arthroscopie est compris entre 1500 et 2500 euros, en fonction du nombre d\u2019articulations \u00e0 op\u00e9rer. N&rsquo;h\u00e9sitez pas \u00e0 nous contacter pour un devis.<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>Suite \u00e0 l\u2019ex\u00e9r\u00e8se par arthroscopie d\u2019un fragment d\u2019OCD \u00ab&nbsp;classique&nbsp;\u00bb sur un cheval jeune sans boiterie associ\u00e9e le pronostic sportif est g\u00e9n\u00e9ralement consid\u00e9r\u00e9 comme excellent (plus de 90%).&nbsp;N\u00e9anmoins chaque cas est \u00e0 consid\u00e9rer de mani\u00e8re individuelle et nous nous faisons un devoir de vous fournir un pronostic aussi pr\u00e9cis que possible avant\/apr\u00e8s toute intervention chirurgicale r\u00e9alis\u00e9e au sein de la Clinique de Grosbois.<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>La prophylaxie de l\u2019ost\u00e9ochondrose s\u2019appuie sur le contr\u00f4le des causes tout particuli\u00e8rement pendant la premi\u00e8re ann\u00e9e de vie qui est une p\u00e9riode d\u2019importance capitale. Pour le comprendre&nbsp;retenir qu\u2019\u00e0 12 mois le squelette du poulain est mature \u00e0 95% et qu\u2019\u00e0 cet \u00e2ge le poulain fait d\u00e9j\u00e0 90 % de son poids adulte&nbsp;!&nbsp;Quatre param\u00e8tres majeurs sont \u00e0 maitriser&nbsp;:<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-heading\">\n      <div class=\"default-editor-content grid-for-core-heading grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<h2 class=\"wp-block-heading\">Comment pr\u00e9venir l\u2019apparition\/ les cons\u00e9quences de l\u2019OCD&nbsp;?<\/h2>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-heading\">\n      <div class=\"default-editor-content grid-for-core-heading grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<h3 class=\"wp-block-heading\">\u2013&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; L\u2019alimentation du poulain<\/h3>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>Apports caloriques adapt\u00e9 et prot\u00e9ines de qualit\u00e9. Entre 6 et 12 mois il faut apporter en moyenne 6 UF (unit\u00e9s fourrag\u00e8res) par jour, avec un rapport protido-fourrager d\u2019environ 100-120 g de MAD (mati\u00e8res azot\u00e9es digestibles)\/ UF soit environ 600g de MAD par jour. La qualit\u00e9 des prot\u00e9ines est \u00e9galement \u00e0 consid\u00e9rer, notamment leur teneur en lysine qui constitue le premier facteur limitant d\u2019une bonne croissance.<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>Apports raisonn\u00e9s en \u00ab&nbsp;sucres rapides&nbsp;\u00bb. Des \u00e9tudes sugg\u00e8rent fortement que l\u2019hyperglyc\u00e9mie\/hyperinsulin\u00e9mie favoriserait la formation d\u2019anomalies cartilagineuses \u00e0 l\u2019origine d\u2019OCD. Privil\u00e9gier donc les apports en fibres et en acides gras aux concentr\u00e9s riches en glucides \u00e0 fort index glyc\u00e9mique chez le poulain en croissance.<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>S\u2019assurer une courbe de croissance r\u00e9guli\u00e8re. Les changements alimentaires brutaux (ex&nbsp;: passage d\u2019une alimentation insuffisante \u00e0 une alimentation \u00e0 abondante) peuvent g\u00e9n\u00e9rer un pic de croissance se traduisant par des anomalies de d\u00e9veloppement comme de l\u2019OCD. Dans l\u2019id\u00e9al il est donc recommand\u00e9 de r\u00e9aliser des courbes de poids, et d\u2019\u00e9tat corporel afin de surveiller \u00e9troitement la vitesse de croissance du jeune cheval. L\u2019absence de transition alimentaire brutale passe en grande partie par un caract\u00e8re progressif du sevrage qui constitue une p\u00e9riode critique de la premi\u00e8re ann\u00e9e de vie.<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>Juste rapport phospho-calcique&nbsp;Ca\/P. Le calcium et le phosphore sont des min\u00e9raux tr\u00e8s importants car ils sont \u00e0 la fois des mati\u00e8res premi\u00e8res et des r\u00e9gulateurs de la construction osseuse. Le rapport phosphocalcique est id\u00e9alement situ\u00e9 autour de 1.5-1.8 (ne jamais d\u00e9passer 3) avec un apport moyen journalier recommand\u00e9 de 50g de Ca par jour (compter environ 150-180mg de Ca par kg de poids vif par jour) durant la premi\u00e8re ann\u00e9e de vie du poulain<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>Importance des apports en Cuivre et en Zinc. Des apports insuffisants en cuivre sont souvent incrimin\u00e9s lors de retards \u00e0 la cicatrisation osseuse. Le cuivre \u00ab&nbsp;exploitable&nbsp;\u00bb par le poulain sous la m\u00e8re est celui qu\u2019il a stock\u00e9 durant la p\u00e9riode f\u0153tale, il faut donc principalement surveiller les apports de la m\u00e8re durant la gestation. Lorsque le poulain passe \u00e0 un aliment solide l\u2019id\u00e9al est d\u2019avoir un rapport Zn\/Cu de 2.5-3.<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>En pratique&nbsp;: Il est recommand\u00e9 de fournir du foin dont on connait la composition ou le cas \u00e9ch\u00e9ant de le faire analyser pour identifier les carences que l\u2019aliment concentr\u00e9 a pour but de combler. La compl\u00e9mentation concentr\u00e9e recommand\u00e9e pour les poulains est de 0,5 \u00e0 1 kg (1 \u00e0 2 litres) \/ 100 kg de poids vif de 0 \u00e0 6 mois soit 250 g-500 g \/ jour \u00e0 1 mois \u00e0 2,5 kg-3 kg \/ jour \u00e0 6 mois. Les aliments concentr\u00e9s de bonne qualit\u00e9 sont con\u00e7us pour pallier aux carences \u00ab&nbsp;habituelles&nbsp;\u00bb des prairies et un concentr\u00e9 \u00abid\u00e9al\u00bb contient en moyenne 16 \u00e0 18% de prot\u00e9ines brutes (soit 14 \u00e0 15% de MADC) avec 0,75% de lysine, 0,7% de Calcium, 0,5% de Phosphore, 0,1% de Magn\u00e9sium, 80 \u00e0 100 ppm de Zinc, 30 ppm de Cuivre, 10 000 UI Vitamine A, 1 500 UI de Vitamine D par kg d\u2019aliment.<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>De mani\u00e8re g\u00e9n\u00e9rale&nbsp;utiliser des prot\u00e9ines de qualit\u00e9, assurer une alimentation \u00e9quilibr\u00e9e et suffisante en min\u00e9raux, oligo-\u00e9l\u00e9ments et vitamines, fractionner les apports au cours de la journ\u00e9e, \u00e9viter les transitions alimentaires brutales et les apports \u00e9nerg\u00e9tiques et glucidiques excessifs. Pr\u00e9f\u00e9rer quand cela est possible un \u00e9levage en p\u00e2ture plut\u00f4t qu\u2019en stabulation.<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-heading\">\n      <div class=\"default-editor-content grid-for-core-heading grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<h3 class=\"wp-block-heading\">\u2013&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;La g\u00e9n\u00e9tique<\/h3>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>Se renseigner quand cela est possible sur le statut OCD des \u00ab&nbsp;parents&nbsp;\u00bb au sens large lorsque l\u2019on ach\u00e8te un cheval ou que l\u2019on souhaite faire reproduire un individu.<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>Eviter dans la mesure du possible de faire reproduire des individus ayant pr\u00e9sent\u00e9 des l\u00e9sions d\u2019OCD.<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-heading\">\n      <div class=\"default-editor-content grid-for-core-heading grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<h3 class=\"wp-block-heading\">\u2013&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;La conduite d\u2019\u00e9levage<\/h3>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>Exercice mod\u00e9r\u00e9 et r\u00e9gulier durant toute la croissance&nbsp;: Le squelette du poulain constitue une charpente ost\u00e9o-cartilagineuse immature et fragile&nbsp;! Eviter autant que possible l\u2019alternance stabulation\/ grandes \u00e9tendues de p\u00e2ture qui favorise une activit\u00e9 physique violente lors des sorties entrecoup\u00e9es de p\u00e9riodes d\u2019inactivit\u00e9 compl\u00e8te.<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-heading\">\n      <div class=\"default-editor-content grid-for-core-heading grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<h3 class=\"wp-block-heading\">\u2013&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Le d\u00e9pistage pr\u00e9coce<\/h3>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n<section class=\"block-grid-wrapper block-grid-for-core-paragraph\">\n      <div class=\"default-editor-content grid-for-core-paragraph grid-container\">\n        <div class=\"grid-x grid-padding-x align-center\">\n          <div class=\"cell\">\n            \n<p>R\u00e9aliser des bilans radiographiques de d\u00e9pistage autour de l\u2019\u00e2ge de deux ans ou plus t\u00f4t si une l\u00e9sion d\u2019OCD est suspect\u00e9e. Retenir que plus une l\u00e9sion d\u2019OCD \u00ab&nbsp;stable&nbsp;\u00bb est diagnostiqu\u00e9e t\u00f4t plus le traitement sera pr\u00e9coce et meilleur sera le pronostic sportif.<\/p>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <\/section>\n\n\n\t<section class=\"page-list-section\" itemprop=\"hasPart\" itemscope itemtype=\"https:\/\/schema.org\/WebPageElement\">\n\t\t<div class=\"grid-container grid-title\">\n      \n        <div class=\"grid-x grid-padding-x\">\n          <div class=\"cell\">\n            <h2 class=\"sante-title\">Sur le m\u00eame th\u00e8me<\/h2>                      <\/div>\n        <\/div>\n          <\/div>\n\n    <div class=\"grid-container grid-content\">\n\t\t\t<div class=\"grid-x grid-padding-x \">\n\n\t\t\t\t\t\t\t\t          <article class=\"cell medium-6 large-4 article-box fiche-box flex-container flex-dir-column post-3348 fiche_info_sante type-fiche_info_sante status-publish has-post-thumbnail hentry\" >\n                <meta itemprop=\"author\" content=\"Clinique v\u00e9t\u00e9rinaire de Grosbois\" \/>\n    <meta itemprop=\"image\" content=\"https:\/\/www.cliniqueveterinairegrosbois.fr\/wp-content\/uploads\/2021\/06\/OCD-jarret.png\" \/>\n    <meta itemprop=\"datePublished\" content=\"2021-06-03T11:41:24+02:00\" \/>\n    <meta itemprop=\"dateModified\" content=\"2021-06-15T17:46:22+02:00\" \/>\n    \n            <div class=\"news-content-wrapper\">\n                              <a href=\"http:\/\/www.cliniqueveterinairegrosbois.fr\/fr\/fiches-info-sante\/comment-prevenir-les-atteintes-du-systeme-locomoteur-chez-le-cheval-de-sport\/\" itemprop=\"url mainEntityOfPage\">\n                                    <figure>\n                    <img decoding=\"async\"  data-fade-in loading=\"lazy\" src=\"data:image\/png;base64,R0lGODlhAQABAAD\/ACwAAAAAAQABAAACADs=\" data-lazy-interchange=\"[https:\/\/www.cliniqueveterinairegrosbois.fr\/wp-content\/uploads\/2021\/06\/iStock-846068270-scaled-335x226.jpg, small], [https:\/\/www.cliniqueveterinairegrosbois.fr\/wp-content\/uploads\/2021\/06\/iStock-846068270-scaled-385x226.jpg, medium], [https:\/\/www.cliniqueveterinairegrosbois.fr\/wp-content\/uploads\/2021\/06\/iStock-846068270-scaled-336x200.jpg, large], [https:\/\/www.cliniqueveterinairegrosbois.fr\/wp-content\/uploads\/2021\/06\/iStock-846068270-scaled-670x452.jpg, retina], [https:\/\/www.cliniqueveterinairegrosbois.fr\/wp-content\/uploads\/2021\/06\/iStock-846068270-scaled-770x452.jpg, medium_retina], [https:\/\/www.cliniqueveterinairegrosbois.fr\/wp-content\/uploads\/2021\/06\/iStock-846068270-scaled-672x400.jpg, large_retina]\" data-interchange-sizes=\"{&quot;small&quot;:{&quot;w&quot;:335,&quot;h&quot;:226},&quot;medium&quot;:{&quot;w&quot;:385,&quot;h&quot;:226},&quot;large&quot;:{&quot;w&quot;:336,&quot;h&quot;:200},&quot;retina&quot;:{&quot;w&quot;:670,&quot;h&quot;:452},&quot;medium_retina&quot;:{&quot;w&quot;:770,&quot;h&quot;:452},&quot;large_retina&quot;:{&quot;w&quot;:672,&quot;h&quot;:400}}\"  alt=\"Qu&rsquo;est ce que l&rsquo;OCD et comment la prendre en charge?\" itemprop=\"image\" data-fade-in \/>\n                  <\/figure>\n                <\/a>\n                              <div class=\"terms-wrap\">\n                  <span class=\"label text-center\">Soins<\/span>\n                <\/div>\n                          <\/div>\n\n            <div class=\"article-box-content flex-child-grow flex-container flex-dir-column\">\n              <header class=\"entry-header flex-child-grow flex-container flex-dir-column\">\n\n                <a class=\"post-link flex-child-grow flex-container 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alt=\"Qu&rsquo;est ce que l&rsquo;OCD et comment la prendre en charge?\" itemprop=\"image\" data-fade-in \/>\n                  <\/figure>\n                <\/a>\n                              <div class=\"terms-wrap\">\n                  <span class=\"label text-center\">Informations<\/span>\n                <\/div>\n                          <\/div>\n\n            <div class=\"article-box-content flex-child-grow flex-container flex-dir-column\">\n              <header class=\"entry-header flex-child-grow flex-container flex-dir-column\">\n\n                <a class=\"post-link flex-child-grow flex-container flex-dir-column\" href=\"http:\/\/www.cliniqueveterinairegrosbois.fr\/fr\/fiches-info-sante\/quest-ce-que-la-therapie-irap\/\">\n                  <h3 class=\"entry-name flex-child-grow seo-title\" itemprop=\"name headline\">Qu&rsquo;est ce que la th\u00e9rapie IRAP?<\/h3>\n\n                  <button class=\"button\">Lire la fiche<i class=\"btn-arrow\"><svg 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data-interchange-sizes=\"{&quot;small&quot;:{&quot;w&quot;:335,&quot;h&quot;:250},&quot;medium&quot;:{&quot;w&quot;:335,&quot;h&quot;:250},&quot;large&quot;:{&quot;w&quot;:720,&quot;h&quot;:250},&quot;xlarge&quot;:{&quot;w&quot;:720,&quot;h&quot;:250},&quot;retina&quot;:{&quot;w&quot;:670,&quot;h&quot;:500},&quot;medium_retina&quot;:{&quot;w&quot;:670,&quot;h&quot;:500},&quot;large_retina&quot;:{&quot;w&quot;:1440,&quot;h&quot;:500},&quot;xlarge_retina&quot;:{&quot;w&quot;:1440,&quot;h&quot;:500}}\"  alt=\"Qu&rsquo;est ce que l&rsquo;OCD et comment la prendre en charge?\" itemprop=\"image\" data-fade-in \/>\n                <\/figure>\n              \n              <h2 itemprop=\"name\">Arthroscopie<\/h2>\n            <\/a>\n          <\/div>\n        <\/div>\n      <\/div>\n    <\/div>\n  <\/section>\n","protected":false},"featured_media":3349,"template":"","categorie_de_fiche":[21],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.3 - 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