{"id":12130,"date":"2025-03-20T21:26:25","date_gmt":"2025-03-20T21:26:25","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/central-slip-extensor-tendon-injuries-fr\/"},"modified":"2025-07-05T15:27:51","modified_gmt":"2025-07-05T15:27:51","slug":"central-slip-extensor-tendon-injuries-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/central-slip-extensor-tendon-injuries-fr\/","title":{"rendered":"L\u00e9sions de la bandelette m\u00e9diane du tendon extenseur du doigt"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>R\u00e9dactrice originale<\/b> &#8211; <a title=\"User:Wanda van Niekerk\" href=\"\/User:Wanda_van_Niekerk\">Wanda van Niekerk<\/a><\/p>\n<p><b>Principaux collaborateurs <\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Wanda van Niekerk\" href=\"\/User:Wanda_van_Niekerk\"><bdi>Wanda van Niekerk <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Olajumoke Ogunleye\" href=\"\/User:Olajumoke_Ogunleye\"><bdi>Olajumoke Ogunleye<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Stacy Schiurring\" href=\"\/User:Stacy_Schiurring\"><bdi>Stacy Schiurring <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Tarina van der Stockt\" href=\"\/User:Tarina_van_der_Stockt\"><bdi>Tarina van der Stockt<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a><\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Clinically_relevant_anatomy\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Anatomie cliniquement pertinente<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Aetiology\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">\u00c9tiologie<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Mechanism\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">M\u00e9canisme<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Signs_and_Symptoms\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Signes et sympt\u00f4mes<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Special_Tests\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Tests sp\u00e9ciaux<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Management_and_Rehabilitation_of_Central_Slip_Injuries\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Prise en charge et r\u00e9\u00e9ducation des l\u00e9sions de la bandelette m\u00e9diane<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Acute_Closed_Central_Slip_Injury_-_Conservative_management\"><span class=\"tocnumber\">7.1<\/span> <span class=\"toctext\">L\u00e9sion aigu\u00eb ferm\u00e9e de la bandelette m\u00e9diane &#8211; Prise en charge conservatrice<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#Post-Surgical_Rehabilitation_of_Central_Slip_Repairs\"><span class=\"tocnumber\">7.2<\/span> <span class=\"toctext\">R\u00e9\u00e9ducation post-chirurgicale des r\u00e9parations de la bandelette m\u00e9diane<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-10\"><a href=\"#Early_Short_Arc_Motion_Regime\"><span class=\"tocnumber\">7.2.1<\/span> <span class=\"toctext\">Protocole pr\u00e9coce de mouvements \u00e0 \u00ab arc court \u00bb <\/span><\/a>\n<ul>\n<li class=\"toclevel-4 tocsection-11\"><a href=\"#Splinting\"><span class=\"tocnumber\">7.2.1.1<\/span> <span class=\"toctext\">Attelles<\/span><\/a><\/li>\n<li class=\"toclevel-4 tocsection-12\"><a href=\"#Rehabilitation_Exercises\"><span class=\"tocnumber\">7.2.1.2<\/span> <span class=\"toctext\">Exercices de r\u00e9\u00e9ducation<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-13\"><a href=\"#Red_Flags\"><span class=\"tocnumber\">7.3<\/span> <span class=\"toctext\">Signaux d&rsquo;alerte (\u00ab red flags \u00bb)<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#References\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les l\u00e9sions des tendons extenseurs de la main sont fr\u00e9quentes chez les jeunes hommes en bonne sant\u00e9<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup> et repr\u00e9sentent environ 2 % des traumatismes de la main n\u00e9cessitant un traitement chirurgical<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup>. Les m\u00e9canismes de l\u00e9sions sont vari\u00e9s : hyperflexion, traumatisme contondant direct et traumatisme p\u00e9n\u00e9trant. En raison de leur position anatomique superficielle, ils sont tr\u00e8s vuln\u00e9rables aux blessures p\u00e9n\u00e9trantes et\/ou ouvertes<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup>. En l\u2019absence de traitement, la rupture du tendon extenseur dans la zone III et le d\u00e9tachement de la bandelette m\u00e9diane entra\u00eenent une d\u00e9formation en boutonni\u00e8re. Cette d\u00e9formation se caract\u00e9rise par une flexion de l&rsquo;articulation IPP et une hyperextension de l&rsquo;articulation IPD dues \u00e0 la subluxation palmaire des bandes lat\u00e9rales<sup id=\"cite_ref-:12_4-0\" class=\"reference\"><a href=\"#cite_note-:12-4\">(4)<\/a><\/sup>. Il s&rsquo;agit d&rsquo;une l\u00e9sion du tendon extenseur dans la zone III. Elle est appel\u00e9e \u00ab boutonniere deformity \u00bb ou \u00ab buttonhole deformity \u00bb en anglais<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup>.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 408px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 400px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/5M4wL-n_c3E?\" width=\"400\" height=\"225\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/p>\n<h2><span id=\"Clinically_relevant_anatomy\" class=\"mw-headline\">Anatomie cliniquement pertinente <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinically relevant anatomy\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;veaction=edit&amp;section=2\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Clinically relevant anatomy\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;action=edit&amp;section=2\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 152px;\"><a class=\"image\" href=\"\/File:Extensor_digitorum_muscle.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e9\/Extensor_digitorum_muscle.png\/150px-Extensor_digitorum_muscle.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e9\/Extensor_digitorum_muscle.png\/224px-Extensor_digitorum_muscle.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e9\/Extensor_digitorum_muscle.png\/299px-Extensor_digitorum_muscle.png 2x\" alt=\"Extensor digitorum muscle.png\" width=\"150\" height=\"458\" data-file-width=\"406\" data-file-height=\"1241\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>Le <a title=\"Tendon Anatomy\" href=\"\/Tendon_Anatomy\">tendon<\/a> du <a title=\"Extensor Digitorum Communis\" href=\"\/Extensor_Digitorum_Communis\">muscle extenseur des doigts<\/a> (ED) de chaque doigt se divise en trois bandelettes. Ces bandelettes sont : la bandelette centrale, qui s&rsquo;ins\u00e8re sur la base de la phalange moyenne; et deux bandelettes lat\u00e9rales, qui se rejoignent pour former la bandelette terminale qui s&rsquo;ins\u00e8re sur la base de la phalange distale. Pour r\u00e9aliser une extension interphalangienne active, le <a title=\"Muscle\" href=\"\/Muscle\">muscle <\/a> ED a besoin de l&rsquo;aide de deux groupes de muscles intrins\u00e8ques, les interosseux et les lombricaux. Ces muscles s&rsquo;attachent \u00e9galement \u00e0 l&rsquo;<a title=\"Extensor Hood Mechanism Hand\" href=\"\/Extensor_Hood_Mechanism_Hand\">apon\u00e9vrose dorsale<\/a> et aux bandelettes lat\u00e9rales Le tendon du muscle ED et toutes ses interconnexions actives et passives complexes \u00e0 l&rsquo;articulation m\u00e9tacarpophalangienne et distalement \u00e0 celle-ci sont connus sous le nom de \u00ab\u00a0m\u00e9canisme extenseur\u00a0\u00bb. La base du m\u00e9canisme extenseur est form\u00e9e par les tendons du muscle ED (avec ceux des muscles <a title=\"Extensor Indicis Proprius\" href=\"\/Extensor_Indicis_Proprius\">extenseur de l&rsquo;index<\/a> et <a title=\"Extensor Digiti Minimi\" href=\"\/Extensor_Digiti_Minimi\">extenseur du petit doigt<\/a>) et de l&rsquo;apon\u00e9vrose dorsale, la bandelette m\u00e9diane, les bandelettes lat\u00e9rales qui se rejoignent pour former la bandelette terminale. Le ligament triangulaire aide \u00e0 stabiliser les bandelettes en dorsal du doigt. Il aide \u00e9galement \u00e0 stabiliser les bandelettes lat\u00e9rales, pr\u00e9venant leur subluxation palmaire lors de la flexion de l\u2019IPP<sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup>.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/G0v_wX8Ms4Y?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/p>\n<h2><span id=\"Aetiology\" class=\"mw-headline\">\u00c9tiologie<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Aetiology\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;veaction=edit&amp;section=3\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Aetiology\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;action=edit&amp;section=3\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les l\u00e9sions de la bandelette m\u00e9diane dans la zone III sont souvent caus\u00e9es par<sup id=\"cite_ref-:12_4-1\" class=\"reference\"><a href=\"#cite_note-:12-4\">(4)<\/a><\/sup>:<\/p>\n<ul>\n<li>une hyperflexion;<\/li>\n<li>traumatisme contondant direct;<\/li>\n<li>traumatisme p\u00e9n\u00e9trant.<\/li>\n<\/ul>\n<p>Les l\u00e9sions de la bandelette m\u00e9diane ferm\u00e9e sont souvent caus\u00e9es par une hyperflexion et un traumatisme contondant direct, comme c&rsquo;est souvent le cas chez les athl\u00e8tes.<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><\/p>\n<p>Une d\u00e9formation en boutonni\u00e8re (DeB) peut se d\u00e9velopper en raison d&rsquo;un traumatisme du m\u00e9canisme extenseur dans la zone III ou IV (y compris une lac\u00e9ration directe du m\u00e9canisme extenseur), de la <a title=\"Rheumatoid Arthritis\" href=\"\/Rheumatoid_Arthritis\">polyarthrite rhumato\u00efde<\/a> (PAR), et d&rsquo;une br\u00fblure. Des cas de d\u00e9formations en boutonni\u00e8re cong\u00e9nitales ont \u00e9galement \u00e9t\u00e9 rapport\u00e9s<sup id=\"cite_ref-:4_13-0\" class=\"reference\"><a href=\"#cite_note-:4-13\">(13)<\/a><\/sup>. La pathog\u00e9nie d\u2019une DeB varie en fonction de son \u00e9tiologie<sup id=\"cite_ref-:5_14-0\" class=\"reference\"><a href=\"#cite_note-:5-14\">(14)<\/a><\/sup>.<\/p>\n<h2><span id=\"Mechanism\" class=\"mw-headline\">M\u00e9canisme<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Mechanism\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;veaction=edit&amp;section=4\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Mechanism\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;action=edit&amp;section=4\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 227px;\"><a class=\"image\" href=\"\/File:Extensor_Hood.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/2\/2d\/Extensor_Hood.jpg\" alt=\"\" width=\"225\" height=\"225\" data-file-width=\"225\" data-file-height=\"225\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Apon\u00e9vrose dorsale<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>En cas de rupture de la bandelette m\u00e9diane, la d\u00e9formation sera peu marqu\u00e9e tant que les \ufb01bres transversales de l&rsquo;apon\u00e9vrose dorsale (aussi appel\u00e9e \u00ab\u00a0expansion de l&rsquo;extenseur\u00a0\u00bb) demeurent intactes. Si celles-ci sont \u00e9galement ruptur\u00e9es, une d\u00e9formation de l&rsquo;articulation IPP se produit. Cela signifie que toute la force d&rsquo;extension est transmise \u00e0 la phalange distale par les bandelettes lat\u00e9rales intactes, ce qui produit une hyperextension de l&rsquo;articulation IPD. L&rsquo;articulation IPP fl\u00e9chit et fait saillie \u00e0 travers la l\u00e9sion de l&rsquo;apon\u00e9vrose dorsale. Les deux bandelettes lat\u00e9rales passent alors sur la face palmaire de l\u2019articulation IPP et accentuent la \ufb02exion<sup id=\"cite_ref-:0_15-0\" class=\"reference\"><a href=\"#cite_note-:0-15\">(15)<\/a><\/sup><sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup>.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/ncGPMKpKTv8?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/p>\n<h2><span id=\"Signs_and_Symptoms\" class=\"mw-headline\">Signes et sympt\u00f4mes <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Signs and Symptoms\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;veaction=edit&amp;section=5\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Signs and Symptoms\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;action=edit&amp;section=5\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les signes classiques de la d\u00e9formation en boutonni\u00e8re ou de la rupture de la bandelette m\u00e9diane peuvent appara\u00eetre imm\u00e9diatement apr\u00e8s une blessure au doigt. Ils peuvent \u00e9galement survenir 10 \u00e0 14 jours apr\u00e8s la blessure initiale<sup id=\"cite_ref-:3_18-0\" class=\"reference\"><a href=\"#cite_note-:3-18\">(18)<\/a><\/sup> car il faut parfois un certain temps pour que l\u2019apon\u00e9vrose dorsale et le ligament triangulaire se rupturent compl\u00e8tement<sup id=\"cite_ref-:2_19-0\" class=\"reference\"><a href=\"#cite_note-:2-19\">(19)<\/a><\/sup>. Les signes typiques sont :<\/p>\n<ul>\n<li>une perte d\u2019extension \u00e0 l\u2019articulation IPP et une hyperextension marqu\u00e9e \u00e0 l\u2019articulation IPD<sup id=\"cite_ref-:3_18-1\" class=\"reference\"><a href=\"#cite_note-:3-18\">(18)<\/a><\/sup>;<\/li>\n<li>une incapacit\u00e9 \u00e0 faire une extension de l&rsquo;articulation IPP et \u00e0 faire une flexion de l&rsquo;articulation IPD;<\/li>\n<li>une pr\u00e9hension faible et une incapacit\u00e9 \u00e0 saisir et \u00e0 manipuler de petits objets avec le bout du doigt;<\/li>\n<li>l\u2019apparition et la persistance d\u2019un \u0153d\u00e8me et d\u2019une douleur sur le dessus de l\u2019articulation IPP<sup id=\"cite_ref-:1_20-0\" class=\"reference\"><a href=\"#cite_note-:1-20\">(20)<\/a><\/sup>.<\/li>\n<\/ul>\n<h2><span id=\"Special_Tests\" class=\"mw-headline\">Tests sp\u00e9ciaux <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Special Tests\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;veaction=edit&amp;section=6\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Special Tests\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;action=edit&amp;section=6\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les tests sp\u00e9ciaux qui permettent d&rsquo;identifier les l\u00e9sions du m\u00e9canisme extenseur comprennent :<\/p>\n<ol>\n<li><a title=\"Elson Test\" href=\"\/Elson_Test\">test d&rsquo;Elson<\/a> : stabiliser l&rsquo;articulation IPP \u00e0 90\u00b0 et demander au patient de faire une extension de l&rsquo;articulation IPD. Une articulation IPD rel\u00e2ch\u00e9e, malgr\u00e9 les efforts du patient d&rsquo;effectuer une extension, est un r\u00e9sultat n\u00e9gatif ou normal (si la bandelette m\u00e9diane est intacte, les bandelettes lat\u00e9rales l\u00e2ches lors de la flexion de l&rsquo;articulation IPP emp\u00eachent l&rsquo;extension de l&rsquo;articulation IPD). Un test positif, en revanche, serait une raideur de l&rsquo;articulation IPD en raison de l&rsquo;augmentation de la tension exerc\u00e9e par les bandelettes lat\u00e9rales sans \u00eatre emp\u00each\u00e9e par la bandelette m\u00e9diane;<sup id=\"cite_ref-:3_18-2\" class=\"reference\"><a href=\"#cite_note-:3-18\">(18)<\/a><\/sup><\/li>\n<li>test d&rsquo;Elson modifi\u00e9 : le doigt bless\u00e9 et le doigt controlat\u00e9ral sont plac\u00e9s en flexion interphalangienne proximale compl\u00e8te, la face dorsale des deux phalanges moyennes \u00e9tant fermement appuy\u00e9es l&rsquo;un contre l&rsquo;autre; Si l&rsquo;extension de l&rsquo;articulation IPD du doigt bless\u00e9 est visiblement plus grande que celle du doigt non bless\u00e9, il est probable qu&rsquo;il s&rsquo;agisse d&rsquo;une l\u00e9sion de la bandelette m\u00e9diane.<sup id=\"cite_ref-:2_19-1\" class=\"reference\"><a href=\"#cite_note-:2-19\">(19)<\/a><\/sup><\/li>\n<li>test de Boyes : l\u2019articulation IPP est maintenue en extension et le patient doit fl\u00e9chir activement l\u2019articulation IPD. Un test positif correspond \u00e0 l\u2019incapacit\u00e9 de fl\u00e9chir activement l\u2019articulation IPD<sup id=\"cite_ref-:11_21-0\" class=\"reference\"><a href=\"#cite_note-:11-21\">(21)<\/a><\/sup>.<\/li>\n<\/ol>\n<p>Le test de Boyes peut ne devenir positif qu&rsquo;\u00e0 un stade avanc\u00e9.<\/p>\n<div class=\"row\">\n<div class=\"col-md-6\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/eQbU0mPWtsE?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-6\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/m71MIeqLzys?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<h2><span id=\"Management_and_Rehabilitation_of_Central_Slip_Injuries\" class=\"mw-headline\">Prise en charge et r\u00e9\u00e9ducation des l\u00e9sions de la bandelette m\u00e9diane <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Management and Rehabilitation of Central Slip Injuries\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;veaction=edit&amp;section=7\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Management and Rehabilitation of Central Slip Injuries\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;action=edit&amp;section=7\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Acute_Closed_Central_Slip_Injury_-_Conservative_management\" class=\"mw-headline\">L\u00e9sion aigu\u00eb ferm\u00e9e de la bandelette m\u00e9diane &#8211; Prise en charge conservatrice <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Acute Closed Central Slip Injury - Conservative management\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;veaction=edit&amp;section=8\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Acute Closed Central Slip Injury - Conservative management\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;action=edit&amp;section=8\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La prise en charge conservatrice d\u2019une l\u00e9sion de la bandelette m\u00e9diane ferm\u00e9e aigu\u00eb est appropri\u00e9e lorsque la blessure est survenue il y a moins de 4 semaines<sup id=\"cite_ref-:9_24-0\" class=\"reference\"><a href=\"#cite_note-:9-24\">(24)<\/a><\/sup>. Cette l\u00e9sion est prise en charge par le port d\u2019une attelle sur le doigt bless\u00e9 (l\u2019articulation IPP en extension et les articulations IPD, MCP et le poignet libres) pendant 3 \u00e0 6 semaines. Ceci est suivi d\u2019un port d\u2019attelle nocturne pendant 6 semaines<sup id=\"cite_ref-:3_18-3\" class=\"reference\"><a href=\"#cite_note-:3-18\">(18)<\/a><\/sup>. Si les bandelettes lat\u00e9rales ne sont pas affect\u00e9es, des exercices de flexion de l\u2019articulation IPD peuvent \u00eatre prescrits. Les exercices de flexion de l&rsquo;articulation IPD alors que l&rsquo;articulation IPP est en extension favorisent le retour des bandelettes lat\u00e9rales vers la face dorsale du doigt, depuis leur position en lux\u00e9e sur la face palmaire du doigt. Cela permet de resserrer le ligament triangulaire et, par cons\u00e9quent, d&#8217;emp\u00eacher les bandelettes lat\u00e9rales de luxer en palmaire Cela pr\u00e9vient \u00e9galement l&rsquo;apparition d&rsquo;une d\u00e9formation en boutonni\u00e8re.<sup id=\"cite_ref-:3_18-4\" class=\"reference\"><a href=\"#cite_note-:3-18\">(18)<\/a><\/sup><\/p>\n<p>L&rsquo;articulation IPP doit \u00eatre surveill\u00e9e de pr\u00e8s pour d\u00e9tecter tout d\u00e9ficit d&rsquo;extension (\u00ab\u00a0lag\u00a0\u00bb). Cela se produit parfois apr\u00e8s 6 semaines, lorsque l\u2019attelle est retir\u00e9e<sup id=\"cite_ref-:9_24-1\" class=\"reference\"><a href=\"#cite_note-:9-24\">(24)<\/a><\/sup>. Les instructions suivantes peuvent \u00eatre donn\u00e9es s\u2019il n\u2019y a pas de d\u00e9ficit d\u2019extension<sup id=\"cite_ref-:9_24-2\" class=\"reference\"><a href=\"#cite_note-:9-24\">(24)<\/a><\/sup>:<\/p>\n<ul>\n<li>le patient peut commencer \u00e0 sevrer de l&rsquo;attelle;<\/li>\n<li>on d\u00e9bute par des exercices d&rsquo;amplitude articulaire active de l&rsquo;articulation IPP;<\/li>\n<li>utilisation fonctionnelle l\u00e9g\u00e8re pendant 6 \u00e0 8 semaines;<\/li>\n<li>des exercices de renforcement avec de la Theraputty \u00e0 partir de 8 semaines si le patient \u00e9volue bien dans les exercices d&rsquo;amplitude articulaire et la douleur.<\/li>\n<\/ul>\n<p>En pr\u00e9sence d&rsquo;un d\u00e9ficit d&rsquo;extension de l&rsquo;articulation IPP, le patient doit continuer \u00e0 porter l&rsquo;attelle d&rsquo;extension pendant deux semaines suppl\u00e9mentaires, ainsi que deux semaines suppl\u00e9mentaires d&rsquo;attelle d&rsquo;extension pour la nuit, si cela s&rsquo;av\u00e8re n\u00e9cessaire.<sup id=\"cite_ref-:9_24-3\" class=\"reference\"><a href=\"#cite_note-:9-24\">(24)<\/a><\/sup><\/p>\n<div class=\"row\">\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/5qRb3ht3zsA?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-25\" class=\"reference\"><a href=\"#cite_note-25\">(25)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/4NZ2drULuzc?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-26\" class=\"reference\"><a href=\"#cite_note-26\">(26)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/wtSn4B8lKm4?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-27\" class=\"reference\"><a href=\"#cite_note-27\">(27)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<h3><span id=\"Post-Surgical_Rehabilitation_of_Central_Slip_Repairs\" class=\"mw-headline\">R\u00e9\u00e9ducation post-chirurgicale des r\u00e9parations de la bandelette m\u00e9diane <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Post-Surgical Rehabilitation of Central Slip Repairs\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;veaction=edit&amp;section=9\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Post-Surgical Rehabilitation of Central Slip Repairs\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;action=edit&amp;section=9\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Geoghegan et al. (2018)<sup id=\"cite_ref-:12_4-2\" class=\"reference\"><a href=\"#cite_note-:12-4\">(4)<\/a><\/sup> ont r\u00e9cemment r\u00e9alis\u00e9 une revue syst\u00e9matique sur les traitements des l\u00e9sions du tendon extenseur de la bandelette m\u00e9diane. La litt\u00e9rature mentionne diff\u00e9rents programmes de r\u00e9\u00e9ducation, que l\u2019on peut classer en trois grandes cat\u00e9gories<sup id=\"cite_ref-:12_4-3\" class=\"reference\"><a href=\"#cite_note-:12-4\">(4)<\/a><\/sup>:<\/p>\n<ul>\n<li>immobilisation de l&rsquo;articulation IPP, suivie d&rsquo;un exercice de flexion-extension isol\u00e9 de l&rsquo;articulation IPP;<\/li>\n<li>mouvements pr\u00e9coces contr\u00f4l\u00e9s \u00e0 \u00ab arc court \u00bb;<\/li>\n<li>immobilisation de l&rsquo;articulation IPP suivie d&rsquo;une mobilisation \u00e0 l&rsquo;aide d&rsquo;une attelle digitale dynamique \u00e0 ressort.<\/li>\n<\/ul>\n<p>Evans et al (1994)<sup id=\"cite_ref-:6_28-0\" class=\"reference\"><a href=\"#cite_note-:6-28\">(28)<\/a><\/sup> ont rapport\u00e9 des r\u00e9sultats fonctionnels significativement meilleurs dans un groupe de patients ayant b\u00e9n\u00e9fici\u00e9 du programme de mouvements pr\u00e9coces \u00e0 \u00ab arc court \u00bb que dans un groupe de patients ayant \u00e9t\u00e9 trait\u00e9s par immobilisation prolong\u00e9e.<\/p>\n<h4><span id=\"Early_Short_Arc_Motion_Regime\" class=\"mw-headline\">Protocole de mouvements pr\u00e9coces \u00e0 \u00ab arc court \u00bb <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Early Short Arc Motion Regime\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;veaction=edit&amp;section=10\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Early Short Arc Motion Regime\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;action=edit&amp;section=10\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Le protocole de mouvement pr\u00e9coce \u00e0 arc court est bas\u00e9 sur le fait qu&rsquo;une excursion suffisante du tendon est n\u00e9cessaire pour pr\u00e9venir les adh\u00e9rences. Un arc de flexion de 30\u00b0 de l&rsquo;articulation IPP permet d&rsquo;obtenir l&rsquo;excursion tendineuse souhait\u00e9e, soit 3 \u00e0 5 mm. Avec ce protocole, les patients doivent \u00eatre vus une fois par semaine pour suivre les progr\u00e8s et surveiller l&rsquo;apparition d&rsquo;un d\u00e9ficit d&rsquo;extension. Il est \u00e9galement n\u00e9cessaire de mouler \u00e0 nouveau l&rsquo;attelle d&rsquo;exercice.<sup id=\"cite_ref-:6_28-1\" class=\"reference\"><a href=\"#cite_note-:6-28\">(28)<\/a><\/sup><\/p>\n<h6><em><span id=\"Splinting\" class=\"mw-headline\">Attelles<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Splinting\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;veaction=edit&amp;section=11\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Splinting\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;action=edit&amp;section=11\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/em><\/h6>\n<p>Les patients ayant subi une r\u00e9paration chirurgicale d\u2019une l\u00e9sion de la bandelette m\u00e9diane auront besoin de diff\u00e9rentes attelles<sup id=\"cite_ref-:6_28-2\" class=\"reference\"><a href=\"#cite_note-:6-28\">(28)<\/a><\/sup><sup id=\"cite_ref-:12_4-4\" class=\"reference\"><a href=\"#cite_note-:12-4\">(4)<\/a><\/sup>:<\/p>\n<ul>\n<li>une attelle palmaire d&rsquo;extension pour le doigt entier &#8211; port\u00e9e en permanence, sauf pendant les exercices;<\/li>\n<li>des attelles d&rsquo;exercice :\n<ul>\n<li>goutti\u00e8re palmaire allant de l&rsquo;articulation m\u00e9tacarpophalangienne distale (MCP) \u00e0 l&rsquo;extr\u00e9mit\u00e9 du doigt &#8211; permettant une flexion de 30\u00b0 de l&rsquo;articulation IPP et de 20\u00b0 de l&rsquo;articulation IPD,<\/li>\n<li>attelle palmaire courte avec l&rsquo;articulation IPP en position neutre, mais permettant \u00e0 l&rsquo;articulation IPD de fl\u00e9chir au bout de l&rsquo;attelle\u00e9<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h6><em><span id=\"Rehabilitation_Exercises\" class=\"mw-headline\">Exercices de r\u00e9\u00e9ducation <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Rehabilitation Exercises\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;veaction=edit&amp;section=12\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Rehabilitation Exercises\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;action=edit&amp;section=12\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/em><\/h6>\n<p>Ces exercices sont effectu\u00e9s en portant les diff\u00e9rentes attelles d&rsquo;exercice g\u00e9n\u00e9ralement fabriqu\u00e9es en thermoplastique. Les attelles sont \u00e9galement remodel\u00e9es lorsque l&rsquo;amplitude de flexion augmente.<sup id=\"cite_ref-:9_24-4\" class=\"reference\"><a href=\"#cite_note-:9-24\">(24)<\/a><\/sup><\/p>\n<ul>\n<li>Semaine 1 : 30\u00b0 de flexion de l&rsquo;articulation IPP et 20\u00b0 de flexion de l&rsquo;articulation IPD<\/li>\n<li>Semaine 2 : 40\u00b0 de flexion des articulations IPP et IPD (en l&rsquo;absence de d\u00e9ficit d&rsquo;extension)<\/li>\n<li>Semaine 3 : 50\u00b0 de flexion des articulations IPP et IPD<\/li>\n<li>Semaine 4 : 70\u00b0 \u00e0 80\u00b0 de flexion des articulations IPP et IPD<\/li>\n<li>Semaine 5 : flexion compl\u00e8te des articulations IPP et IPD<\/li>\n<li>Semaine 6 \u00e0 8 : utilisation fonctionnelle l\u00e9g\u00e8re autoris\u00e9e<\/li>\n<li>Semaine 8 : renforcement avec Theraputty<\/li>\n<li>Il faut effectuer les exercices 3 fois par jour et 10 r\u00e9p\u00e9titions de chaque exercice.<\/li>\n<li>Le traitement des cicatrices est crucial pour les r\u00e9parations post-chirurgicales de la zone III du tendon afin d&rsquo;\u00e9viter les adh\u00e9rences.<\/li>\n<\/ul>\n<h3><span id=\"Red_Flags\" class=\"mw-headline\">Signaux d&rsquo;alerte (\u00ab red flags \u00bb) <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Red Flags\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;veaction=edit&amp;section=13\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Red Flags\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;action=edit&amp;section=13\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Les signaux d&rsquo;alerte \u00e0 surveiller lors de la prise en charge des patients ayant subi une r\u00e9paration de la bandelette m\u00e9diane sont les signes d&rsquo;infection et un d\u00e9ficit d&rsquo;extension de l&rsquo;articulation IPP.<sup id=\"cite_ref-:9_24-5\" class=\"reference\"><a href=\"#cite_note-:9-24\">(24)<\/a><\/sup><\/p>\n<h2><span id=\"References\" class=\"mw-headline\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;veaction=edit&amp;section=14\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Central_Slip_Extensor_Tendon_Injuries&amp;action=edit&amp;section=14\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">de Jong JP, Nguyen JT, Sonnema AJ, Nguyen EC, Amadio PC, Moran SL. The incidence of acute traumatic tendon injuries in the hand and wrist: a 10-year population-based study. Clinics in orthopedic surgery. 2014 Jun 1;6(2):196-202.<\/span><\/li>\n<li id=\"cite_note-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-2\">\u2191<\/a><\/span> <span class=\"reference-text\">Landeros JJ, Flores JE, Riebeling MD, Antonio W, Garc\u00eda B, Isaac LP, Delgado OS, Cortez JG, G\u00f3mez BH, Cervantes JA, Antonio10 HO. <a class=\"external text\" href=\"https:\/\/www.researchgate.net\/profile\/Jose-Emiliano-Gonzalez-Flores\/publication\/384856342_Surgical_Management_for_Boutonniere_Disease\/links\/674224c527661f7ae6663786\/Surgical-Management-for-Boutonniere-Disease.pdf\" rel=\"nofollow\">Surgical Management for Boutonniere Disease.<\/a> International Journal of Medical Science and Clinical Research Studies.<\/span><\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">Marquez-Espriella C, Barbosa-Villarreal F, Garc\u00eda-Corral JR. Fundamentals of Extensor Tendon Injuries. 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The Journal of hand surgery. 1994 Nov 1;19(6):991-7.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- \nNewPP limit report\nCached time: 20250701070755\nCache expiry: 0\nReduced expiry: true\nComplications: (show\u2010toc)\nCPU time usage: 0.113 seconds\nReal time usage: 0.121 seconds\nPreprocessor visited node count: 479\/1000000\nPost\u2010expand include size: 278\/2097152 bytes\nTemplate argument size: 0\/2097152 bytes\nHighest expansion depth: 3\/100\nExpensive parser function count: 0\/100\nUnstrip recursion depth: 0\/20\nUnstrip post\u2010expand size: 18046\/5000000 bytes\n--><br \/>\n<!--\nTransclusion expansion time report (%,ms,calls,template)\n100.00%    8.539      1 Special:Contributors\/Central_Slip_Extensor_Tendon_Injuries\n100.00%    8.539      1 -total\n--><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dactrice originale &#8211; Wanda van Niekerk Principaux collaborateurs &#8211; Wanda van Niekerk , Kim Jackson , Olajumoke Ogunleye, Stacy Schiurring , Tarina van der Stockt et Jess Bell Contenu 1 Introduction 2 Anatomie cliniquement pertinente 3 \u00c9tiologie 4 M\u00e9canisme 5 Signes et sympt\u00f4mes 6 Tests sp\u00e9ciaux 7 Prise en charge et r\u00e9\u00e9ducation des l\u00e9sions 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,"footnotes":""},"class_list":["post-12130","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/12130","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/comments?post=12130"}],"version-history":[{"count":2,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/12130\/revisions"}],"predecessor-version":[{"id":12668,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/12130\/revisions\/12668"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=12130"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}