{"id":12133,"date":"2025-03-22T17:02:08","date_gmt":"2025-03-22T17:02:08","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/mallet-finger-fr\/"},"modified":"2025-07-05T15:04:51","modified_gmt":"2025-07-05T15:04:51","slug":"mallet-finger-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/mallet-finger-fr\/","title":{"rendered":"Doigt en maillet"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"><b>R\u00e9dactrice originale <\/b>&#8211; <a title=\"User:Lucinda hampton\" href=\"\/User:Lucinda_hampton\">Lucinda Hampton<\/a> <b>Principales collaboratrices<\/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:Shaimaa Eldib\" href=\"\/User:Shaimaa_Eldib\"><bdi>Shaimaa Eldib <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Lucinda hampton\" href=\"\/User:Lucinda_hampton\"><bdi>Lucinda Hampton <\/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:Nikhil Benhur Abburi\" href=\"\/User:Nikhil_Benhur_Abburi\"><bdi>Nikhil Benhur Abburi<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Yelena Gesthuizen\" href=\"\/User:Yelena_Gesthuizen\"><bdi>Yelena Gesthuizen<\/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>, <a class=\"mw-userlink\" title=\"User:Mandeepa Kumawat\" href=\"\/User:Mandeepa_Kumawat\"><bdi>Mandeepa Kumawat<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"User:Stacy Schiurring\" href=\"\/User:Stacy_Schiurring\"><bdi>Stacy Schiurring<\/bdi><\/a><\/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=\"#Description\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Description<\/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=\"#Epidemiology\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">\u00c9pid\u00e9miologie<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Clinical_Presentation\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Pr\u00e9sentation clinique<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Differential_Diagnosis\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Diagnostic diff\u00e9rentiel<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Diagnostic_Procedures\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Proc\u00e9dures diagnostiques<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#Management\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">Prise en charge<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#Physical_Therapy_Treatment\"><span class=\"tocnumber\">8.1<\/span> <span class=\"toctext\"><b>Prise en charge en physioth\u00e9rapie<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Non-_Surgical\"><span class=\"tocnumber\">8.2<\/span> <span class=\"toctext\"><b>Prise en charge non chirurgicale <\/b><\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Splinting\"><span class=\"tocnumber\">8.3<\/span> <span class=\"toctext\"><b>Attelles<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Surgical\"><span class=\"tocnumber\">8.4<\/span> <span class=\"toctext\"><b>Prise en charge chirurgicale<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-13\"><a href=\"#Complications\"><span class=\"tocnumber\">8.5<\/span> <span class=\"toctext\">Complications<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#References\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Description\" class=\"mw-headline\">Description<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Description\" href=\"\/index.php?title=Mallet_Finger&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Description\" href=\"\/index.php?title=Mallet_Finger&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumbnail tright\"><a class=\"image\" href=\"\/File:Mallet_Finger_Injury.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/b4\/Mallet_Finger_Injury.jpg\/200px-Mallet_Finger_Injury.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/b4\/Mallet_Finger_Injury.jpg\/300px-Mallet_Finger_Injury.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/b\/b4\/Mallet_Finger_Injury.jpg\/400px-Mallet_Finger_Injury.jpg 2x\" alt=\"Mallet Finger Injury.jpg\" width=\"200\" height=\"200\" data-file-width=\"2663\" data-file-height=\"2663\"><\/a><\/div>\n<p>Le terme \u00ab doigt en maillet \u00bb se r\u00e9f\u00e8re \u00e0 <a title=\"Extensor Tendon Injuries of the Hand\" href=\"\/Extensor_Tendon_Injuries_of_the_Hand\">l&rsquo;avulsion du tendon extenseur distal<\/a>. \u00ab\u00a0Fracture en maillet\u00a0\u00bb se r\u00e9f\u00e8re \u00e0 une avulsion osseuse de la phalange distale, l\u00e0 o\u00f9 s&rsquo;ins\u00e8re le tendon extenseur distal. Cela entra\u00eene une incapacit\u00e9 \u00e0 effectuer une extension de l&rsquo;articulation interphalangienne distale (IPD).<\/p>\n<p>Les doigts en maillet sont nomm\u00e9s ainsi en raison de la d\u00e9formation en flexion de l&rsquo;extr\u00e9mit\u00e9 du doigt, qui ressemble \u00e0 un maillet ou \u00e0 un marteau<sup id=\"cite_ref-:0_1-0\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup>. Une <b>fracture en maillet<\/b> se produit lorsque le tendon extenseur provoque \u00e9galement une <b>avulsion <\/b> de la phalange distale<sup id=\"cite_ref-:0_1-1\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup>. Le majeur et l&rsquo;annulaire sont les plus souvent touch\u00e9s, tandis que le pouce et l&rsquo;index le sont le moins souvent<sup id=\"cite_ref-:4_2-0\" class=\"reference\"><a href=\"#cite_note-:4-2\">(2)<\/a><\/sup>.<\/p>\n<p>Les doigts en maillet sont mieux pris en charge par une <a title=\"Physical Activity and the Multidisciplinary Team\" href=\"\/Physical_Activity_and_the_Multidisciplinary_Team\"> \u00e9quipe multidisciplinaire<\/a>, car le traitement optimal demeure inconnu. Le traitement conservateur avec des <a class=\"mw-redirect\" title=\"Splint\" href=\"\/Splint\">attelles <\/a> est largement utilis\u00e9 pour les blessures l\u00e9g\u00e8res. Toutefois, les r\u00e9sultats sont impr\u00e9visibles. La chirurgie est souvent pratiqu\u00e9e, mais les r\u00e9sultats ne sont pas optimaux.<sup id=\"cite_ref-:0_1-2\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/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=Mallet_Finger&amp;veaction=edit&amp;section=2\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Clinically Relevant Anatomy\" href=\"\/index.php?title=Mallet_Finger&amp;action=edit&amp;section=2\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumbnail tright\"><a class=\"image\" href=\"\/File:Extensor_retinaculum_of_hand_Primal.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/23\/Extensor_retinaculum_of_hand_Primal.png\/200px-Extensor_retinaculum_of_hand_Primal.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/23\/Extensor_retinaculum_of_hand_Primal.png\/300px-Extensor_retinaculum_of_hand_Primal.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/2\/23\/Extensor_retinaculum_of_hand_Primal.png\/400px-Extensor_retinaculum_of_hand_Primal.png 2x\" alt=\"Extensor retinaculum of hand Primal.png\" width=\"200\" height=\"200\" data-file-width=\"660\" data-file-height=\"660\"><\/a><\/div>\n<p>Les tendons extenseurs permettent une extension des doigts et du pouce gr\u00e2ce \u00e0 un m\u00e9canisme tr\u00e8s complexe. Le <a title=\"Wrist and Hand\" href=\"\/Wrist_and_Hand\">m\u00e9canisme extenseur<\/a> est un ensemble de tendons avec un feuillet apon\u00e9vrotique. Les tendons extenseurs sont situ\u00e9s sur la face dorsale de la main et des doigts. La fonction de ces tendons est d\u2019effectuter une extension du <a title=\"Wrist and Hand\" href=\"\/Wrist_and_Hand\">poignet <\/a> et des doigts<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/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\/alYZ0Ckww0M?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\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=Mallet_Finger&amp;veaction=edit&amp;section=3\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Aetiology\" href=\"\/index.php?title=Mallet_Finger&amp;action=edit&amp;section=3\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Dans les doigts en maillet, le tendon distal de l&rsquo;extenseur est rompu. La rupture se produit lorsque la phalange distale d&rsquo;un doigt est forc\u00e9e en flexion alors qu&rsquo;elle est en extension active, par exemple dans les sports de balle, lorsqu&rsquo;une balle frappe l&rsquo;extr\u00e9mit\u00e9 d&rsquo;un doigt en extension. Les tendons extenseurs extrins\u00e8ques trouvent leur origine \u00e0 l&rsquo;avant-bras et passe sur les articulations m\u00e9tacarpophalangiennes. Ils ont une attache indirecte \u00e0 la phalange proximale et enfin, ils s&rsquo;attachent \u00e0 la phalange distale. Ces tendons sont responsables de l\u2019extension des doigts. Cette flexion forc\u00e9e sollicite fortement le tendon extenseur \u00e0 son point le plus faible, \u00e0 savoir l&rsquo;insertion au niveau de la phalange distale. Une fracture en maillet se produit lorsque la rupture du tendon est suffisamment violente pour provoquer une fracture par avulsion de l&rsquo;os au niveau du point d&rsquo;insertion<sup id=\"cite_ref-:0_1-3\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup>. Les donn\u00e9es actuelles plaident en faveur d&rsquo;interventions non chirurgicales, mais les blessures doivent \u00eatre trait\u00e9es rapidement afin d&rsquo;\u00e9viter de mauvais r\u00e9sultats<sup id=\"cite_ref-:2_4-0\" class=\"reference\"><a href=\"#cite_note-:2-4\">(4)<\/a><\/sup>.<\/p>\n<h2><span id=\"Epidemiology\" class=\"mw-headline\">\u00c9pid\u00e9miologie<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Epidemiology\" href=\"\/index.php?title=Mallet_Finger&amp;veaction=edit&amp;section=4\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Epidemiology\" href=\"\/index.php?title=Mallet_Finger&amp;action=edit&amp;section=4\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les l\u00e9sions du tendon extenseur distal, telles que le doigt en maillet, sont fr\u00e9quentes. Les l\u00e9sions du tendon extenseur terminal repr\u00e9sentent 5,6 % des l\u00e9sions de la main et du poignet<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup>. Les l\u00e9sions du doigt en maillet surviennent g\u00e9n\u00e9ralement sur le lieu de travail ou lors d&rsquo;activit\u00e9s sportives<sup id=\"cite_ref-:0_1-4\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> et sont fr\u00e9quemment observ\u00e9es chez les hommes jeunes ou d&rsquo;\u00e2ge moyen et occasionnellement chez les femmes plus \u00e2g\u00e9es. L\u2019\u00e2ge moyen chez les hommes souffrant d\u2019un doigt en maillet est de 34 ans. Il est de 41 ans chez les femmes.<sup id=\"cite_ref-:2_4-1\" class=\"reference\"><a href=\"#cite_note-:2-4\">(4)<\/a><\/sup><\/p>\n<p>Ces l\u00e9sions sont plus fr\u00e9quentes dans les sports de balle, lorsqu&rsquo;une balle frappe l&rsquo;extr\u00e9mit\u00e9 d&rsquo;un doigt tendu. L\u2019articulation IPD est alors soumise \u00e0 une flexion forc\u00e9e, ce qui provoque une rupture du tendon extenseur. Les l\u00e9sions du tendon extenseur distal peuvent \u00e9galement survenir en cas d\u2019impact plus faible, par exemple lorsqu\u2019une personne \u00e2g\u00e9e se coince le doigt en effectuant des activit\u00e9s de la vie quotidienne, comme remonter ses chaussettes ou rentrer ses draps sous son matelas<sup id=\"cite_ref-:2_4-2\" class=\"reference\"><a href=\"#cite_note-:2-4\">(4)<\/a><\/sup>. Les doigts les plus souvent touch\u00e9s sont le majeur et l\u2019annulaire de la main dominante<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup>.<\/p>\n<h2><span id=\"Clinical_Presentation\" class=\"mw-headline\">Pr\u00e9sentation clinique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Presentation\" href=\"\/index.php?title=Mallet_Finger&amp;veaction=edit&amp;section=5\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Clinical Presentation\" href=\"\/index.php?title=Mallet_Finger&amp;action=edit&amp;section=5\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Un \u00e9v\u00e9nement d\u00e9clencheur sera rapport\u00e9 en cas de cause traumatique.<\/li>\n<li>Au d\u00e9but, le doigt est douloureux et gonfl\u00e9 autour de l&rsquo;articulation IPD.<\/li>\n<li>Lorsque le tendon est ruptur\u00e9, l&rsquo;affection peut \u00eatre relativement indolore. En cas d\u2019avulsion osseuse, il y a g\u00e9n\u00e9ralement plus de douleur et d\u2019oed\u00e8me<sup id=\"cite_ref-:1_7-0\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup>.<\/li>\n<li>L&rsquo;articulation IPD est fl\u00e9chie et le patient ne peut effectuer une extension active de celle-ci. Une extension de l&rsquo;articulation IPD peut facilement \u00eatre r\u00e9alis\u00e9e de mani\u00e8re passive.<\/li>\n<\/ul>\n<h2><span id=\"Differential_Diagnosis\" class=\"mw-headline\">Diagnostic diff\u00e9rentiel <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Differential Diagnosis\" href=\"\/index.php?title=Mallet_Finger&amp;veaction=edit&amp;section=6\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Differential Diagnosis\" href=\"\/index.php?title=Mallet_Finger&amp;action=edit&amp;section=6\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumbnail tright\"><a class=\"image\" href=\"\/File:Swan-neck_deformity.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c8\/Swan-neck_deformity.jpg\/200px-Swan-neck_deformity.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c8\/Swan-neck_deformity.jpg\/300px-Swan-neck_deformity.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/c\/c8\/Swan-neck_deformity.jpg 2x\" alt=\"Swan-neck deformity.jpg\" width=\"200\" height=\"133\" data-file-width=\"400\" data-file-height=\"265\"><\/a><\/div>\n<ul>\n<li><a title=\"Swan-Neck Deformity\" href=\"\/Swan-Neck_Deformity\">D\u00e9formation en col de cygne<\/a><\/li>\n<li><a title=\"Boutonniere Deformity\" href=\"\/Boutonniere_Deformity\">Boutonniere Deformity<\/a><\/li>\n<\/ul>\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\/ei2Q4kYi1mA?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<h2><span id=\"Diagnostic_Procedures\" class=\"mw-headline\">Proc\u00e9dures diagnostiques <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Diagnostic Procedures\" href=\"\/index.php?title=Mallet_Finger&amp;veaction=edit&amp;section=7\">modifier<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Diagnostic Procedures\" href=\"\/index.php?title=Mallet_Finger&amp;action=edit&amp;section=7\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>En g\u00e9n\u00e9ral, l&rsquo;examen physique permet d&rsquo;\u00e9tablir clairement le diagnostic de doigt en maillet.<\/li>\n<li>Une <a title=\"X-Rays\" href=\"\/X-Rays\">radiographie <\/a> peut \u00eatre effectu\u00e9e : elle permettra de d\u00e9terminer si la blessure est une fracture par avulsion ou une rupture tendineuse, ou s\u2019il y a une <a title=\"Fracture\" href=\"https:\/\/langs.physio-pedia.com\/fr\/fracture-fr\/\">fracture <\/a> osseuse<sup id=\"cite_ref-:1_7-1\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup>.<\/li>\n<\/ul>\n<h2><span id=\"Management\" class=\"mw-headline\">Prise en charge<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Management\" href=\"\/index.php?title=Mallet_Finger&amp;veaction=edit&amp;section=8\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Management\" href=\"\/index.php?title=Mallet_Finger&amp;action=edit&amp;section=8\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>En 2018, des donn\u00e9es probantes de haute qualit\u00e9 issue d&rsquo;une revue syst\u00e9matique ont \u00e9t\u00e9 obtenues afin d&rsquo;\u00e9valuer les interventions th\u00e9rapeutiques pour le doigt en maillet. Elles indiquent que la prise en charge chirurgicale et non chirurgicale donne d\u2019excellents r\u00e9sultats et que le choix de l\u2019intervention th\u00e9rapeutique doit \u00eatre personnalis\u00e9 pour chaque patient<sup id=\"cite_ref-:3_8-0\" class=\"reference\"><a href=\"#cite_note-:3-8\">(8)<\/a><\/sup><sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup>.<\/p>\n<h3><span id=\"Physical_Therapy_Treatment\" class=\"mw-headline\"><b>Prise en charge en physioth\u00e9rapie <\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physical Therapy Treatment\" href=\"\/index.php?title=Mallet_Finger&amp;veaction=edit&amp;section=9\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Physical Therapy Treatment\" href=\"\/index.php?title=Mallet_Finger&amp;action=edit&amp;section=9\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"thumbnail tright\"><a class=\"image\" href=\"\/File:Splint.jpeg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a5\/Splint.jpeg\/300px-Splint.jpeg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a5\/Splint.jpeg\/450px-Splint.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a5\/Splint.jpeg\/600px-Splint.jpeg 2x\" alt=\"Splint.jpeg\" width=\"300\" height=\"383\" data-file-width=\"2731\" data-file-height=\"3487\"><\/a><\/div>\n<p>La cr\u00e9ation d&rsquo;une orth\u00e8se sur mesure par un th\u00e9rapeute qualifi\u00e9 est la r\u00e9f\u00e9rence standard (\u00ab gold standard \u00bb) actuelle pour le doigt en maillet<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup>. En g\u00e9n\u00e9ral, l&rsquo;attelle sera port\u00e9e en permanence pendant 6 \u00e0 8 semaines. On peut ensuite commencer \u00e0 faire des exercices pour augmenter progressivement le mouvement de l&rsquo;articulation IPD. \u00c0 ce moment-l\u00e0, le patient peut r\u00e9duire progressivement la dur\u00e9e du port de l&rsquo;attelle. Il faut g\u00e9n\u00e9ralement 3 \u00e0 4 semaines pour retrouver le maximum de mouvement et de force au doigt apr\u00e8s l&rsquo;immobilisation.<\/p>\n<h3><span id=\"Non-_Surgical\" class=\"mw-headline\"><b>Prise en charge non chirurgicale <\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Non- Surgical\" href=\"\/index.php?title=Mallet_Finger&amp;veaction=edit&amp;section=10\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Non- Surgical\" href=\"\/index.php?title=Mallet_Finger&amp;action=edit&amp;section=10\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le traitement non chirurgical<sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup> peut n\u00e9cessiter le port d&rsquo;une attelle en continu pendant environ six semaines, suivi de six semaines suppl\u00e9mentaires de port de l&rsquo;attelle la nuit. En g\u00e9n\u00e9ral, cette approche permet une gu\u00e9rison satisfaisante et l&rsquo;extension du doigt<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup>. L&rsquo;\u00e9ducation du patient est essentielle pour s&rsquo;assurer qu&rsquo;il comprend la n\u00e9cessit\u00e9 de maintenir l&rsquo;extension de l&rsquo;articulation IPD<sup id=\"cite_ref-:2_4-3\" class=\"reference\"><a href=\"#cite_note-:2-4\">(4)<\/a><\/sup>.<\/p>\n<p>La r\u00e9ussite du traitement non chirurgical repose sur le port continu d&rsquo;une attelle pendant les six premi\u00e8res semaines. Si l&rsquo;attelle est retir\u00e9e et que le doigt peut fl\u00e9chir, le traitement est rompu et doit \u00eatre recommenc\u00e9. L&rsquo;attelle doit rester en place en permanence, m\u00eame sous la douche.<\/p>\n<p>L&rsquo;attelle doit maintenir l&rsquo;articulation IPD en extension compl\u00e8te pour permettre aux deux extr\u00e9mit\u00e9s du tendon de se rapprocher le plus possible. Au fur et \u00e0 mesure de la gu\u00e9rison, la formation de cicatrices r\u00e9pare le tendon. Une fois que le tendon est suffisamment fort pour maintenir l&rsquo;articulation IPD en extension, un programme s\u00e9curitaire de sevrage progressif de l&rsquo;attelle est mis en place. Si le client reprend le sport tout en portant l&rsquo;attelle, il faut lui apprendre \u00e0 la fixer fermement avec du bandage sportif pour \u00e9viter qu&rsquo;elle ne glisse pendant l&rsquo;activit\u00e9.<sup id=\"cite_ref-:1_7-2\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/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\/3nddscjcwtc?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/p>\n<h3><span id=\"Splinting\" class=\"mw-headline\"><b>Attelles<\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Splinting\" href=\"\/index.php?title=Mallet_Finger&amp;veaction=edit&amp;section=11\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Splinting\" href=\"\/index.php?title=Mallet_Finger&amp;action=edit&amp;section=11\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Il existe de nombreuses <a class=\"mw-redirect\" title=\"Splint\" href=\"\/Splint\">attelles<\/a> diff\u00e9rentes, con\u00e7ues pour \u00eatre faciles \u00e0 porter. Dans certains cas extr\u00eames, o\u00f9 le patient doit utiliser ses mains pour pouvoir continuer \u00e0 travailler (par exemple un chirurgien), une fixation chirurgicale des deux phalanges \u00e0 travers l&rsquo;articulation IPD peut \u00eatre utilis\u00e9e comme \u00ab attelle interne \u00bb. Cela permet aux patients de continuer \u00e0 utiliser leur main. La fixation est retir\u00e9e apr\u00e8s six semaines.<\/p>\n<p>Une attelle peut \u00eatre utile et efficace m\u00eame dans les cas chroniques. Dans ces cas, il convient de garder l\u2019attelle pendant huit \u00e0 douze semaines pour voir si la d\u00e9formation s\u2019att\u00e9nue jusqu\u2019\u00e0 devenir acceptable, avant d\u2019envisager une intervention chirurgicale<sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup>. Les probl\u00e8mes cutan\u00e9s li\u00e9s \u00e0 l\u2019utilisation prolong\u00e9e d\u2019une attelle comprennent les l\u00e9sions cutan\u00e9es. Ainsi, il est important de surveiller la peau et de recommander une nouvelle attelle ou une attelle diff\u00e9rente, au besoin.<\/p>\n<p>Les articulations \u00e0 proximit\u00e9 peuvent devenir raides lorsque le doigt bless\u00e9 est maintenu dans une attelle aussi longtemps. Il faut concevoir un programme d\u2019exercices pour maintenir la mobilit\u00e9 des doigts et r\u00e9duire la raideur articulaire, qui peut se survenir en raison du port prolong\u00e9 de l&rsquo;attelle.<\/p>\n<p>La vid\u00e9o suivante, en anglais original, d\u00e9montre comment faire un bandage th\u00e9rapeutique (\u00ab taping \u00bb) pour le doigt en maillet, lors du retrait de l\u2019attelle.<\/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\/-PI53P9qD6I?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/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\/H-ALaE0L0FQ?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<h3><span id=\"Surgical\" class=\"mw-headline\"><b>Prise en charge chirurgicale<\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Surgical\" href=\"\/index.php?title=Mallet_Finger&amp;veaction=edit&amp;section=12\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Surgical\" href=\"\/index.php?title=Mallet_Finger&amp;action=edit&amp;section=12\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Une intervention chirurgicale est n\u00e9cessaire lorsque le fragment osseux est important, lorsque l\u2019articulation IPD est sublux\u00e9e ou lorsque la cause est une lac\u00e9ration<sup id=\"cite_ref-:1_7-3\" class=\"reference\"><a href=\"#cite_note-:1-7\">(7)<\/a><\/sup>. La r\u00e9\u00e9ducation apr\u00e8s une intervention chirurgicale pour un doigt en maillet consiste principalement \u00e0 maintenir la mobilit\u00e9 des autres articulations et \u00e0 pr\u00e9venir la raideur due \u00e0 l\u2019inutilisation.<\/p>\n<p>Lin et al. (2018)<sup id=\"cite_ref-:3_8-1\" class=\"reference\"><a href=\"#cite_note-:3-8\">(8)<\/a><\/sup> ont rapport\u00e9 que le d\u00e9ficit d\u2019extension moyen \u00e0 l\u2019articulation IPD apr\u00e8s un traitement chirurgical est de 5,7\u00b0 et de 7,6\u00b0 apr\u00e8s une prise en charge conservatrice. Il est important de le mentionner au patient, car cela permet de s&rsquo;assurer qu&rsquo;il a des attentes r\u00e9alistes en ce qui concerne les r\u00e9sultats du traitement.<sup id=\"cite_ref-:3_8-2\" class=\"reference\"><a href=\"#cite_note-:3-8\">(8)<\/a><\/sup><\/p>\n<h3><span id=\"Complications\" class=\"mw-headline\">Complications<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Complications\" href=\"\/index.php?title=Mallet_Finger&amp;veaction=edit&amp;section=13\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Complications\" href=\"\/index.php?title=Mallet_Finger&amp;action=edit&amp;section=13\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Les complications qui peuvent survenir \u00e0 la suite d&rsquo;une prise en charge non chirurgicale ou chirurgicale des fractures en maillet comprennent un d\u00e9ficit d&rsquo;extension r\u00e9siduel qui peut \u00eatre constat\u00e9 lors de l&rsquo;examen physique comme une limitation permanente de la capacit\u00e9 du doigt \u00e0 s&rsquo;\u00e9tendre compl\u00e8tement. Une d\u00e9formation en col de cygne peut \u00e9galement survenir en raison d&rsquo;une rupture de la plaque palmaire caus\u00e9e par la rupture du tendon extenseur, ce qui entra\u00eene une flexion anormale de l&rsquo;articulation IPD et une hyperextension de l&rsquo;articulation IPP.<\/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=Mallet_Finger&amp;veaction=edit&amp;section=14\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Mallet_Finger&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-:0-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_1-0\">1.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-1\">1.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-2\">1.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-3\">1.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-4\">1.4<\/a><\/sup><\/span> <span class=\"reference-text\">Yee J, Waseem M. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459373\/\" rel=\"nofollow\">Mallet Finger Injuries<\/a>. InStatPearls (Internet) 2019 May 5. StatPearls Publishing. Available from: <a class=\"external free\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459373\/\" rel=\"nofollow\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459373\/<\/a> (last accessed 7.12.2019)<\/span><\/li>\n<li id=\"cite_note-:4-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-:4_2-0\">\u2191<\/a><\/span> <span class=\"reference-text\">McGhee S, Gonzalez J, Nadeau C, Ortega J. <a class=\"external text\" href=\"https:\/\/www.academia.edu\/download\/105446328\/en.2020.e199620230901-1-u8f5k5.pdf\" rel=\"nofollow\">Mallet finger injuries: the signs, symptoms, diagnosis and management<\/a>. Emergency nurse. 2024 Nov 5;32(6).<\/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\">Brotzman S.B., Manske R.C. Clinical Orthopaedic Rehabilitation: An Evidence-Based Approach, Elsevier Health Sciences, 2011<\/span><\/li>\n<li id=\"cite_note-:2-4\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_4-0\">4.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_4-1\">4.1<\/a><\/sup> <sup><a href=\"#cite_ref-:2_4-2\">4.2<\/a><\/sup> <sup><a href=\"#cite_ref-:2_4-3\">4.3<\/a><\/sup><\/span> <span class=\"reference-text\">Ramponi DR, Hellier SD. Mallet finger. Advanced emergency nursing journal. 2019 Jul 1;41(3):198-203.<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\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-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-6\">\u2191<\/a><\/span> <span class=\"reference-text\">Botero SS, Diaz JJ, Bena\u00efda A, Collon S, Facca S, Liverneaux PA. Review of acute traumatic closed mallet finger injuries in adults. Archives of plastic surgery. 2016 Mar;43(2):134.<\/span><\/li>\n<li id=\"cite_note-:1-7\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_7-0\">7.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-1\">7.1<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-2\">7.2<\/a><\/sup> <sup><a href=\"#cite_ref-:1_7-3\">7.3<\/a><\/sup><\/span> <span class=\"reference-text\">APA <a class=\"external text\" href=\"https:\/\/choose.physio\/your-body\/fingers\/mallet-finger\" rel=\"nofollow\">Mallett Finger<\/a> Available from: <a class=\"external free\" href=\"https:\/\/choose.physio\/your-body\/fingers\/mallet-finger\" rel=\"nofollow\">https:\/\/choose.physio\/your-body\/fingers\/mallet-finger<\/a> (last accessed 7.12.2019)<\/span><\/li>\n<li id=\"cite_note-:3-8\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_8-0\">8.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_8-1\">8.1<\/a><\/sup> <sup><a href=\"#cite_ref-:3_8-2\">8.2<\/a><\/sup><\/span> <span class=\"reference-text\">Lin JS, Samora JB. Surgical and nonsurgical management of mallet finger: a systematic review. The Journal of hand surgery. 2018 Feb 1;43(2):146-63.<\/span><\/li>\n<li id=\"cite_note-9\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-9\">\u2191<\/a><\/span> <span class=\"reference-text\">Smit JM, Beets MR, Zeebregts CJ, Rood A, Welters CF. Treatment options for mallet finger: a review. Plastic and reconstructive surgery. 2010 Nov 1;126(5):1624-9.<\/span><\/li>\n<li id=\"cite_note-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-10\">\u2191<\/a><\/span> <span class=\"reference-text\">Cronin UM, Cummins NM, O\u2019Sullivan A, Ryan D, O&rsquo;Sullivan L. <a class=\"external text\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S2666964124000420\" rel=\"nofollow\">A national survey of conservative mallet finger injury care and the potential for 3D printing to impact current practice<\/a>. Annals of 3D Printed Medicine. 2025 Feb 1;17:100184.<\/span><\/li>\n<li id=\"cite_note-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-11\">\u2191<\/a><\/span> <span class=\"reference-text\">Total Physio <a class=\"external text\" href=\"http:\/\/www.total-physio.com\/Injuries-Conditions\/Hand\/Hand-Issues\/Mallet-Finger-Injuries\/a~287\/article.html\" rel=\"nofollow\">Mallett finger<\/a> Available from: <a class=\"external free\" href=\"http:\/\/www.total-physio.com\/Injuries-Conditions\/Hand\/Hand-Issues\/Mallet-Finger-Injuries\/a~287\/article.html\" rel=\"nofollow\">http:\/\/www.total-physio.com\/Injuries-Conditions\/Hand\/Hand-Issues\/Mallet-Finger-Injuries\/a~287\/article.html<\/a> (last accessed 8.12.2019)<\/span><\/li>\n<li id=\"cite_note-12\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-12\">\u2191<\/a><\/span> <span class=\"reference-text\">Johnson C, Swanson M, Manolopoulos K. 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Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=H-ALaE0L0FQ\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=H-ALaE0L0FQ<\/a> (last accessed 31\/5\/2021)<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- \nNewPP limit report\nCached time: 20250701071415\nCache expiry: 0\nReduced expiry: true\nComplications: (show\u2010toc)\nCPU time usage: 0.075 seconds\nReal time usage: 0.079 seconds\nPreprocessor visited node count: 323\/1000000\nPost\u2010expand include size: 173\/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: 12069\/5000000 bytes\n--><br \/>\n<!--\nTransclusion expansion time report (%,ms,calls,template)\n100.00%   12.819      1 Special:Contributors\/Mallet_Finger\n100.00%   12.819      1 -total\n--><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dactrice originale &#8211; Lucinda Hampton Principales collaboratrices &#8211; Wanda van Niekerk , Shaimaa Eldib , Lucinda Hampton , Kim Jackson , Nikhil Benhur Abburi, Yelena Gesthuizen, Tarina van der Stockt , Mandeepa Kumawat, Jess Bell et Stacy Schiurring Contenu 1 Description 2 Anatomie cliniquement pertinente 3 \u00c9tiologie 4 \u00c9pid\u00e9miologie 5 Pr\u00e9sentation clinique 6 Diagnostic diff\u00e9rentiel [&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-12133","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/12133","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=12133"}],"version-history":[{"count":3,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/12133\/revisions"}],"predecessor-version":[{"id":12667,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/12133\/revisions\/12667"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=12133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}