{"id":3407,"date":"2022-10-20T18:12:55","date_gmt":"2022-10-20T18:12:55","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/current-management-of-carpal-tunnel-syndrome-fr\/"},"modified":"2022-10-20T20:03:00","modified_gmt":"2022-10-20T20:03:00","slug":"current-management-of-carpal-tunnel-syndrome-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/current-management-of-carpal-tunnel-syndrome-fr\/","title":{"rendered":"Traitement actuel pour le syndrome du tunnel carpien"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>R\u00e9dacteur original &#8211; <\/b> <a title=\"User:Wanda van Niekerk\" href=\"\/User:Wanda_van_Niekerk\">Wanda van Niekerk<\/a> d&rsquo;apr\u00e8s le cours de <a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/instructor\/loren-szmiga\/\" rel=\"nofollow\">Loren Szmiga<\/a><\/p>\n<p><b>Principaux contributeurs<\/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> 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=\"#What_is_Carpal_Tunnel_Syndrome\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Qu&rsquo;est-ce que le syndrome du tunnel carpien ?<\/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=\"#Pathophysiology\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Physiopathologie<\/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=\"#Diagnosis_of_Carpal_Tunnel_Syndrome\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Diagnostic du syndrome du unnel carpien<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#Physical_Examination\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">Examen physique<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Management_of_Carpal_Tunnel_Syndrome\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">Traitement du syndrome du tunnel carpien<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Conservative_Management\"><span class=\"tocnumber\">9.1<\/span> <span class=\"toctext\">Traitement conservateur<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Surgical_Management\"><span class=\"tocnumber\">9.2<\/span> <span class=\"toctext\">Traitement chirurgical<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-12\"><a href=\"#Post-Surgical_Rehabilitation\"><span class=\"tocnumber\">9.2.1<\/span> <span class=\"toctext\">R\u00e9adaptation post-chirurgicale<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#Final_Thoughts\"><span class=\"tocnumber\">10<\/span> <span class=\"toctext\">R\u00e9flexions finales<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#References\"><span class=\"tocnumber\">11<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"What_is_Carpal_Tunnel_Syndrome\" class=\"mw-headline\">Qu&rsquo;est-ce que le syndrome du tunnel carpien ? <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: What is Carpal Tunnel Syndrome\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=1\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: What is Carpal Tunnel Syndrome\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=1\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le <a title=\"Carpal Tunnel Syndrome\" href=\"\/Carpal_Tunnel_Syndrome\">syndrome du tunnel carpien<\/a> est un blocage ou une compression du <a title=\"Median Nerve\" href=\"\/Median_Nerve\">nerf m\u00e9dian<\/a> au niveau du poignet \u00e0 son passage dans le tunnel carpien.<sup id=\"cite_ref-:3_1-0\" class=\"reference\"><a href=\"#cite_note-:3-1\">(1)<\/a><\/sup> Il s&rsquo;agit de la neuropathie par compression la plus courante et elle est plus fr\u00e9quente chez les femmes.<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup> Les sympt\u00f4mes se manifestent au niveau du pouce, de l&rsquo;index, du majeur et de la demie radiale de l&rsquo;annulaire. Les premiers sympt\u00f4mes sont les suivants :<\/p>\n<ul>\n<li>Douleur<\/li>\n<li>Engourdissement et picotements<\/li>\n<li>Paresth\u00e9sie<\/li>\n<li>Peut \u00e9galement entra\u00eener des sympt\u00f4mes de br\u00fblure<\/li>\n<\/ul>\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=Current_Management_of_Carpal_Tunnel_Syndrome&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=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=2\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 402px;\"><a class=\"image\" href=\"\/File:Carpal_Tunnel_Syndrome_shutterstock_1956398119_resized.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e7\/Carpal_Tunnel_Syndrome_shutterstock_1956398119_resized.jpg\/400px-Carpal_Tunnel_Syndrome_shutterstock_1956398119_resized.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e7\/Carpal_Tunnel_Syndrome_shutterstock_1956398119_resized.jpg\/600px-Carpal_Tunnel_Syndrome_shutterstock_1956398119_resized.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e7\/Carpal_Tunnel_Syndrome_shutterstock_1956398119_resized.jpg\/800px-Carpal_Tunnel_Syndrome_shutterstock_1956398119_resized.jpg 2x\" alt=\"\" width=\"400\" height=\"241\" \/><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Anatomie du tunnel carpien<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Parmi les structures anatomiques pertinentes sur le plan clinique, voyez ce qui suit <sup id=\"cite_ref-:0_3-0\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup>:<\/p>\n<ul>\n<li>Le tunnel carpien est un canal ost\u00e9ofibreux en forme de U.<\/li>\n<li>Le plancher du tunnel est form\u00e9 par les os du carpe et son plafond par le r\u00e9tinaculum des tendons fl\u00e9chisseurs.<\/li>\n<li>Le tunnel est situ\u00e9 en profondeur sous le <a title=\"Flexor retinaculum\" href=\"\/Flexor_retinaculum\">r\u00e9tinaculum des fl\u00e9chisseurs<\/a> \/ ligament transverse du carpe, entre les tubercules du <a title=\"Scaphoid\" href=\"\/Scaphoid\">scapho\u00efde<\/a> et du <a title=\"Trapezoid\" href=\"\/Trapezoid\">trap\u00e9zo\u00efde<\/a> du c\u00f4t\u00e9 externe et le <a title=\"Pisiform\" href=\"\/Pisiform\">pisiforme<\/a> et le crochet de l&rsquo;<a title=\"Hamate\" href=\"\/Hamate\">os crochu<\/a> du c\u00f4t\u00e9 interne.<\/li>\n<li>Les quatre structures principales qui traversent le tunnel sont les suivantes :\n<ul>\n<li>Les quatre tendons du <a title=\"Flexor Digitorum Superficialis\" href=\"\/Flexor_Digitorum_Superficialis\">muscle fl\u00e9chisseur commun superficiel des doigts<\/a>.<\/li>\n<li>Les quatre tendons du <a title=\"Flexor Digitorum Profundus\" href=\"\/Flexor_Digitorum_Profundus\">muscle fl\u00e9chisseur commun profond des doigts<\/a>.<\/li>\n<li>Le tendon du <a title=\"Flexor Pollicis Longus\" href=\"\/Flexor_Pollicis_Longus\">long fl\u00e9chisseur propre du pouce<\/a><\/li>\n<li>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Brachial_Plexus_shutterstock_445800688_RESIZED.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9e\/Brachial_Plexus_shutterstock_445800688_RESIZED.jpg\/300px-Brachial_Plexus_shutterstock_445800688_RESIZED.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/9\/9e\/Brachial_Plexus_shutterstock_445800688_RESIZED.jpg 1.5x\" alt=\"\" width=\"300\" height=\"838\" \/><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Trajet du nerf m\u00e9dian<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p><a title=\"Median Nerve\" href=\"\/Median_Nerve\">Nerf m\u00e9dian<\/a><\/p>\n<ul>\n<li>Trajet du nerf m\u00e9dian :\n<ul>\n<li>Commence au niveau de la r\u00e9gion axillaire avec les racines du nerf m\u00e9dian situ\u00e9es au niveau des ramifications ant\u00e9rieures de C5 \u00e0 T1<\/li>\n<li>Le nerf m\u00e9dian est form\u00e9 par les fascicules des cordons internes et externes du <a title=\"Brachial plexus\" href=\"\/Brachial_plexus\">plexus brachial<\/a>.<\/li>\n<li>Il s&rsquo;\u00e9tend distalement dans le bras \u00e0 c\u00f4t\u00e9 de l&rsquo;art\u00e8re brachiale jusqu&rsquo;au milieu du bras et descend dans la fosse cubitale (coude ant\u00e9rieur).<\/li>\n<li>Il est le principal nerf alimentant le compartiment ant\u00e9rieur de l&rsquo;avant-bras<\/li>\n<li>La branche musculaire de l&rsquo;avant-bras alimente toutes les couches superficielles et interm\u00e9diaires des fl\u00e9chisseurs de l&rsquo;avant-bras, \u00e0 l&rsquo;exception du <a title=\"Flexor Carpi Ulnaris Muscle\" href=\"\/Flexor_Carpi_Ulnaris_Muscle\">cubital ant\u00e9rieur<\/a>. Ces muscles sont :\n<ul>\n<li><a title=\"Pronator Teres\" href=\"\/Pronator_Teres\">Le rond pronateur<\/a><\/li>\n<li><a title=\"Palmaris Longus\" href=\"\/Palmaris_Longus\">Le grand palmaire<\/a><\/li>\n<li><a title=\"Flexor Digitorum Superficialis\" href=\"\/Flexor_Digitorum_Superficialis\">Le fl\u00e9chisseur commun superficiel des doigts<\/a><\/li>\n<li><a title=\"Flexor Carpi Radialis\" href=\"\/Flexor_Carpi_Radialis\">Le petit palmaire<\/a><\/li>\n<\/ul>\n<\/li>\n<li>La branche terminale du nerf m\u00e9dian p\u00e9n\u00e8tre dans la main par le canal carpien, avec les tendons du fl\u00e9chisseur commun profond des doigts, du fl\u00e9chisseur commun superficiel des doigts et du long fl\u00e9chisseur propre du pouce.<\/li>\n<li>En distal du canal carpien, le nerf alimente cinq muscles intrins\u00e8ques de l&rsquo;\u00e9minence th\u00e9nar.<\/li>\n<li>Le nerf m\u00e9dian fournit les sensations de la peau sur :\n<ul>\n<li>Toute la surface palmaire<\/li>\n<li>Les c\u00f4t\u00e9s des trois premiers doigts<\/li>\n<li>La moiti\u00e9 externe du quatri\u00e8me doigt et<\/li>\n<li>L&rsquo;aspect dorsale des moiti\u00e9s distales de ces doigts<\/li>\n<\/ul>\n<\/li>\n<li>L&rsquo;innervation de l&rsquo;<a title=\"Thenar and Hypothenar Muscles Of The Hand\" href=\"\/Thenar_and_Hypothenar_Muscles_Of_The_Hand\">\u00e9minence th\u00e9nar<\/a> comprend le court fl\u00e9chisseur du pouce, l&rsquo;opposant du pouce et le court abducteur du pouce.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\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=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=3\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Aetiology\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=3\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Une pression accrue dans le canal carpien et la compression du nerf m\u00e9dian sont les principales causes du syndrome du tunnel carpien. L&rsquo;\u00e9tiologie du syndrome du tunnel carpien peut \u00eatre li\u00e9e aux \u00e9l\u00e9ments suivants <sup id=\"cite_ref-:1_4-0\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup>:<\/p>\n<ul>\n<li>Travail<\/li>\n<li>Mode de vie<\/li>\n<li>Blessure<\/li>\n<li>Pr\u00e9disposition g\u00e9n\u00e9tique<\/li>\n<li>Ant\u00e9c\u00e9dents de mouvements r\u00e9p\u00e9titifs du poignet ou d&rsquo;exposition \u00e0 des vibrations ou \u00e0 des mouvements angulaires puissants, tels que \u00e9crire ou gamer \u00e0 l&rsquo;ordinateur, travailler sur machine quelconque<\/li>\n<li>Conditions sp\u00e9cifiques qui peuvent \u00e9galement \u00eatre associ\u00e9es \u00e0 un risque accru de d\u00e9veloppement du syndrome du tunnel carpien. Il peut s&rsquo;agir de :\n<ul>\n<li><a title=\"Diabetes\" href=\"\/Diabetes\">Diab\u00e8te<\/a><\/li>\n<li>Grossesse<\/li>\n<li>Ob\u00e9sit\u00e9<\/li>\n<li><a title=\"Rheumatoid Arthritis\" href=\"\/Rheumatoid_Arthritis\">Polyarthrite rhumato\u00efde<\/a><\/li>\n<li>Chute sur une main tendue &#8211; peut d\u00e9placer l&rsquo;os <a title=\"Lunate\" href=\"\/Lunate\">lunaire<\/a>, pouvant entra\u00eener une pression dans le tunnel carpien.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Le syndrome du tunnel carpien est plus souvent observ\u00e9 chez les femmes, et il survient g\u00e9n\u00e9ralement entre 36 et 60 ans.<\/li>\n<\/ul>\n<h2><span id=\"Pathophysiology\" class=\"mw-headline\">Physiopathologie<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Pathophysiology\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=4\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Pathophysiology\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=4\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Augmentation de la pression interstitielle dans le tunnel carpien due \u00e0 diverses causes telles que :<\/p>\n<ul>\n<li>La surutilisation m\u00e9canique<\/li>\n<li>L&rsquo;arthrose<\/li>\n<li>Le trauma<\/li>\n<li><a title=\"Acromegaly\" href=\"\/Acromegaly\">L&rsquo;acrom\u00e9galie<\/a><\/li>\n<\/ul>\n<p>Ces derniers exercent une pression sur le nerf m\u00e9dian.<\/p>\n<p>L&rsquo;hypoth\u00e8se est que la compression du nerf m\u00e9dian entra\u00eene le d\u00e9veloppement d&rsquo;une isch\u00e9mie locale, ce qui peut provoquer une d\u00e9my\u00e9linisation du nerf \u00e0 l&rsquo;origine des sympt\u00f4mes cliniques. La pression normale dans le canal carpien varie entre 2 et 10 mmHg. Des mouvements r\u00e9p\u00e9titifs du poignet entra\u00eenent des fluctuations de la pression dans le tunnel carpien. L&rsquo;extension du poignet peut entra\u00eener une multiplication par 10 de la pression et la flexion du poignet peut entra\u00eener une multiplication par 8 de la pression.<sup id=\"cite_ref-:1_4-1\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/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=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=5\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Clinical Presentation\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=5\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Les sympt\u00f4mes peuvent se d\u00e9velopper progressivement sur des mois, des ann\u00e9es ou des d\u00e9cennies. <sup id=\"cite_ref-:2_5-0\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup><\/li>\n<li>Les sympt\u00f4mes peuvent appara\u00eetre spontan\u00e9ment, mais c&rsquo;est plut\u00f4t rare. <sup id=\"cite_ref-:2_5-1\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup><\/li>\n<li>Engourdissement<\/li>\n<li>Sensation de fourmillement ou de picotement dans la distribution du nerf m\u00e9dian de la main (pouce, index, majeur et moiti\u00e9 radiale de l&rsquo;annulaire).<\/li>\n<li>Les sympt\u00f4mes sont plus intenses la nuit ou t\u00f4t le matin (plaintes de douleurs nocturnes de type br\u00fblure) et sont soulag\u00e9s en secouant la main. <sup id=\"cite_ref-:2_5-2\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup><\/li>\n<li>Au fur et \u00e0 mesure que les sympt\u00f4mes s&rsquo;aggravent, des douleurs et des engourdissements intermittents peuvent \u00eatre ressentis lors d&rsquo;activit\u00e9s diurnes telles que conduire, soulever des charges, travailler \u00e0 l&rsquo;ordinateur.<\/li>\n<li>Augmentation des sympt\u00f4mes lors de la saisie d&rsquo;objets statique tels qu&rsquo;un t\u00e9l\u00e9phone ou un volant.<\/li>\n<li>\u00c0 mesure que les sympt\u00f4mes progressent, on peut signaler une augmentation des picotements et des engourdissements ainsi qu&rsquo;une douleur de type br\u00fblure dans la main <sup id=\"cite_ref-:0_3-1\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/li>\n<li>Si les sympt\u00f4mes ne sont pas trait\u00e9s, les patients peuvent en venir \u00e0 se plaindre d&rsquo;une douleur constante, d&rsquo;un gonflement de la main, de difficult\u00e9s de contr\u00f4le moteur, d&rsquo;une faiblesse et d&rsquo;une atrophie visible de l&rsquo;\u00e9minence th\u00e9nar <sup id=\"cite_ref-:0_3-2\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/li>\n<li>Une privation sensorielle peut \u00e9galement \u00eatre pr\u00e9sente, entra\u00eenant la maladresse, la faiblesse, une perte de force de la pr\u00e9hension et de la pince <sup id=\"cite_ref-:2_5-3\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup><\/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=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=6\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Differential Diagnosis\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=6\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le processus de diagnostic diff\u00e9rentiel doit prendre en compte toutes les conditions qui pourraient potentiellement causer un dysfonctionnement du nerf m\u00e9dian, du plexus brachial, des syst\u00e8mes de racines nerveuses C5 \u00e0 C8 et du syst\u00e8me nerveux central. <sup id=\"cite_ref-:4_6-0\" class=\"reference\"><a href=\"#cite_note-:4-6\">(6)<\/a><\/sup> Les conditions \u00e0 consid\u00e9rer peuvent inclure <sup id=\"cite_ref-:4_6-1\" class=\"reference\"><a href=\"#cite_note-:4-6\">(6)<\/a><\/sup>:<\/p>\n<ul>\n<li>Le syndrome du rond pronateur<\/li>\n<li><a title=\"Anterior Interosseous Nerve Syndrome\" href=\"\/Anterior_Interosseous_Nerve_Syndrome\">Le syndrome du nerf interosseux ant\u00e9rieur<\/a><\/li>\n<li>Une n\u00e9vralgie cervico-brachiale<\/li>\n<li>Une l\u00e9sion d&rsquo;un nerf digital au niveau de la paume de la main.<\/li>\n<li>Une arthrite carpom\u00e9tacarpienne du pouce<\/li>\n<li>Une radiculopathie cervicale<\/li>\n<li><a title=\"De Quervain's Tenosynovitis\" href=\"\/De_Quervain%27s_Tenosynovitis\">Une tenosynovite de De Quervain<\/a><\/li>\n<li>Une neuropathie p\u00e9riph\u00e9rique<\/li>\n<li><a title=\"Raynaud's Phenomenon\" href=\"\/Raynaud%27s_Phenomenon\">Le syndrome de Raynaud<\/a><\/li>\n<li>Une neuropathie par compression du nerf cubital <sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"Diagnosis_of_Carpal_Tunnel_Syndrome\" class=\"mw-headline\">Diagnostic du syndrome du tunnel carpien <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Diagnosis of Carpal Tunnel Syndrome\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=7\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Diagnosis of Carpal Tunnel Syndrome\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=7\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&rsquo;\u00e9valuation \u00e9lectrophysique (c&rsquo;est-\u00e0-dire les \u00e9tudes de conduction nerveuse) peut mesurer et examiner le dysfonctionnement du nerf m\u00e9dian. Ceci est utile lors du diagnostic du syndrome du tunnel carpien pour \u00e9valuer la fonction nerveuse et quantifier les dommages caus\u00e9s au nerf.<sup id=\"cite_ref-:3_1-1\" class=\"reference\"><a href=\"#cite_note-:3-1\">(1)<\/a><\/sup><\/p>\n<p>Il y a un d\u00e9bat dans la litt\u00e9rature r\u00e9cente, les traditionalistes soutenant que les \u00e9tudes de conduction nerveuse sont la r\u00e9f\u00e9rence absolue pour confirmer un diagnostic de syndrome du canal carpien, et les penseurs contemporains soutenant qu&rsquo;un diagnostic est possible sur la base de sympt\u00f4mes cliniques. De plus, m\u00eame parmi les traditionalistes en faveur des tests de conduction nerveuse, il ne semble pas y avoir de consensus sur la meilleure technique \u00e0 utiliser.<sup id=\"cite_ref-:0_3-3\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/p>\n<p>L&rsquo;\u00e9chographie neuromusculaire est un outil pr\u00e9cieux pour \u00e9tudier le syndrome du tunnel carpien car elle fournit des informations sur la morphologie du nerf m\u00e9dian et des structures environnantes. <sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup> Des recherches r\u00e9centes soulignent que (d&rsquo;apr\u00e8s le consensus des experts) la combinaison de l&rsquo;\u00e9lectrodiagnostic et de l&rsquo;\u00e9chographie est plus efficace que l&rsquo;utilisation de l&rsquo;une ou l&rsquo;autre modalit\u00e9 seule. Dans les cas o\u00f9 les \u00e9tudes \u00e9lectrodiagnostiques sont normales ou incapables de localiser le syndrome du tunnel carpien suspect\u00e9, l&rsquo;\u00e9chographie peut apporter une valeur ajout\u00e9e.<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><\/p>\n<p>L&rsquo;imagerie par r\u00e9sonance magn\u00e9tique (IRM) devient de plus en plus populaire comme outil de diagnostic du syndrome du tunnel carpien. Elle peut d\u00e9finir les limites lat\u00e9rales et profondes du tunnel carpien de mani\u00e8re plus d\u00e9taill\u00e9e que l&rsquo;\u00e9chographie. Il a \u00e9galement \u00e9t\u00e9 d\u00e9montr\u00e9 qu&rsquo;elle fournit des informations objectives et pr\u00e9cises sur l&rsquo;anatomie et les pathologies du tunnel carpien.<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup><\/p>\n<p>Une radiographie est recommand\u00e9e pour exclure d&rsquo;autres causes de douleur au poignet ou une pathologie osseuse. <sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/p>\n<h2><span id=\"Physical_Examination\" class=\"mw-headline\">Examen physique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physical Examination\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=8\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Physical Examination\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=8\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La localisation des sympt\u00f4mes est essentielle pour \u00e9tablir le diagnostic.<sup id=\"cite_ref-:5_12-0\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/p>\n<ul>\n<li>Test de compression du carpe\n<ul>\n<li>Appliquez une pression ferme directement sur le canal carpien pendant 30 secondes.<\/li>\n<li>Le test est positif lorsque les paresth\u00e9sies, les douleurs ou d&rsquo;autres sympt\u00f4mes sont reproduits.<\/li>\n<li>Plus d&rsquo;informations ici : <a title=\"Carpal Compression Test\" href=\"\/Carpal_Compression_Test\">Carpal Compression Test<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"cr-embed-video thumb embedvideo autoResize\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\"><iframe loading=\"lazy\" class=\"embed-responsive-item\" src=\"\/\/player.vimeo.com\/video\/84104006\" width=\"640\" height=\"493\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"pp-cr-caption\">\n<p>Vid\u00e9o sur le test de compression du carpe fournie par <a href=\"http:\/\/clinicallyrelevant.com\/\" target=\"_blank\" rel=\"noopener\">Clinically Relevant<\/a><\/p>\n<\/div>\n<ul>\n<li>Le test de Phalen\n<ul>\n<li>Demandez au patient de fl\u00e9chir compl\u00e8tement ses poignets en pla\u00e7ant les surfaces dorsales des deux mains ensemble pendant 30 \u00e0 60 secondes.<\/li>\n<li>Le test est positif lorsque les sympt\u00f4mes (engourdissement, picotement, douleur) sont reproduits.<\/li>\n<li>Plus d&rsquo;informations ici : <a title=\"Phalen\u2019s Test\" href=\"\/Phalen%E2%80%99s_Test\">Phalen&rsquo;s Test<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Le test de Phalen invers\u00e9\n<ul>\n<li>Demandez au patient d&rsquo;\u00e9tendre compl\u00e8tement ses poignets en pla\u00e7ant les paumes des deux mains ensemble pendant 30 \u00e0 60 secondes.<\/li>\n<li>Le test est positif lorsque les sympt\u00f4mes sont reproduits<\/li>\n<\/ul>\n<\/li>\n<\/ul>\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\/EdC5QQV6A8w?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/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\/5Fc8oDOPOmY?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Le signe de Tinel\n<ul>\n<li>Le test est effectu\u00e9 en tapotant l\u00e9g\u00e8rement sur le nerf m\u00e9dian pendant 30 secondes afin de reproduire les sympt\u00f4mes.<\/li>\n<li>Plus d&rsquo;informations ici : <a title=\"Tinel\u2019s Test\" href=\"\/Tinel%E2%80%99s_Test\">Tinel&rsquo;s Sign<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/UgV71aUIgLo?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><\/p>\n<ul>\n<li>Pour en savoir plus sur les autres tests d&rsquo;examen physique, cliquez ici : <a class=\"external text\" href=\"https:\/\/www.physio-pedia.com\/Carpal_Tunnel_Syndrome?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal#Physical_Examination\" rel=\"nofollow\">Physical Examination of Carpal Tunnel Syndrome<\/a><\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/3JPJcnFaPhU?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/p>\n<h2><span id=\"Management_of_Carpal_Tunnel_Syndrome\" class=\"mw-headline\">Traitement du syndrome du tunnel carpien <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Management of Carpal Tunnel Syndrome\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=9\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Management of Carpal Tunnel Syndrome\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=9\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Conservative_Management\" class=\"mw-headline\">Traitement conservateur <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Conservative Management\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=10\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Conservative Management\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=10\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Orth\u00e8se de contr\u00f4le du poignet &#8211; bloque les mouvements d&rsquo;extension et de flexion du poignet, ce qui diminue la compression sur le canal carpien <sup id=\"cite_ref-:6_17-0\" class=\"reference\"><a href=\"#cite_note-:6-17\">(17)<\/a><\/sup>\n<ul>\n<li>Les patients portent cette orth\u00e8se surtout la nuit <sup id=\"cite_ref-:6_17-1\" class=\"reference\"><a href=\"#cite_note-:6-17\">(17)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Modification des activit\u00e9s &#8211; apprendre aux patients \u00e0 modifier leurs activit\u00e9s quotidiennes et \u00e0 \u00e9viter les positions qui entra\u00eenent une compression accrue du nerf <sup id=\"cite_ref-:5_12-1\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<li>Enseignement de l&rsquo;ergonomie <sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/li>\n<li>Hauteur du bureau et du clavier\n<ul>\n<li>Alignement du coude, du poignet et des doigts<\/li>\n<\/ul>\n<\/li>\n<li>M\u00e9dication\n<ul>\n<li>M\u00e9dicaments anti-inflammatoires non st\u00e9ro\u00efdiens<\/li>\n<li>St\u00e9ro\u00efdes oraux<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Injections de corticost\u00e9ro\u00efdes <sup id=\"cite_ref-:6_17-2\" class=\"reference\"><a href=\"#cite_note-:6-17\">(17)<\/a><\/sup>\n<ul>\n<li>\u00c0 la discr\u00e9tion du m\u00e9decin traitant<\/li>\n<\/ul>\n<\/li>\n<li>Techniques neurodynamiques\n<ul>\n<li>Peut am\u00e9liorer \u00e0 court terme la douleur et l&rsquo;\u00e9tat fonctionnel des personnes atteintes du syndrome du canal carpien <sup id=\"cite_ref-:7_19-0\" class=\"reference\"><a href=\"#cite_note-:7-19\">(19)<\/a><\/sup><\/li>\n<li>Les techniques neurodynamiques sont plus efficaces que les interventions d&rsquo;\u00e9lectroth\u00e9rapie dans l&rsquo;am\u00e9lioration de la fonction et plus efficaces que la chirurgie pour am\u00e9liorer la douleur <sup id=\"cite_ref-:7_19-1\" class=\"reference\"><a href=\"#cite_note-:7-19\">(19)<\/a><\/sup><\/li>\n<li>Lisez la revue syst\u00e9matique de litt\u00e9rature suivante (en anglais) : <a class=\"external text\" href=\"https:\/\/www.researchgate.net\/publication\/356275601_Short-term_Effects_of_Neurodynamic_Techniques_for_Treating_Carpal_Tunnel_Syndrome_A_Systematic_Review_With_Meta-analysis\/link\/61af1e7fc11c103836979c9b\/download\" rel=\"nofollow\">Short-Term Effects of Neurodynamic Techniques for Treating Carpal Tunnel Syndrome : A Systematic Review With Meta-Analysis.<\/a><sup id=\"cite_ref-:7_19-2\" class=\"reference\"><a href=\"#cite_note-:7-19\">(19)<\/a><\/sup><\/li>\n<li>Pour en savoir plus (en anglais) sur les techniques neurodynamiques du nerf m\u00e9dian, cliquez ici : <a title=\"Neurodynamic Treatment\" href=\"\/Neurodynamic_Treatment\">Traitement neurodynamique<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Th\u00e9rapie par l&rsquo;exercice et techniques de mobilisation\n<ul>\n<li>Les chercheurs soutiennent que les exercices de glissement peuvent am\u00e9liorer les sympt\u00f4mes. <sup id=\"cite_ref-:8_20-0\" class=\"reference\"><a href=\"#cite_note-:8-20\">(20)<\/a><\/sup> La th\u00e9orie sous-jacente est que les exercices de glissement peuvent pr\u00e9venir ou \u00e9tirer les adh\u00e9rences autour des tendons et du nerf m\u00e9dian et ainsi r\u00e9duire l&rsquo;\u0153d\u00e8me et augmenter le retour veineux. Ceci peut entra\u00eener une r\u00e9duction de la pression dans le canal carpien.<sup id=\"cite_ref-:8_20-1\" class=\"reference\"><a href=\"#cite_note-:8-20\">(20)<\/a><\/sup><\/li>\n<li>Des exemples d&rsquo;exercices de glissement des tendons sont pr\u00e9sent\u00e9s ci-dessous dans la section sur le R\u00e9adaptation post-chirurgicale.<\/li>\n<li>Les preuves de l&rsquo;efficacit\u00e9 des exercices de glissement des tendons en tant que traitement conservateur sont contradictoires. Cette situation peut \u00eatre due \u00e0 la qualit\u00e9 m\u00e9thodologique des \u00e9tudes et au fait que l&rsquo;intervention de th\u00e9rapie par l&rsquo;exercice est souvent appliqu\u00e9e et \u00e9valu\u00e9e en association avec d&rsquo;autres approches de traitement. <sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup> Une revue de Cochrane (2012) <sup id=\"cite_ref-:9_22-0\" class=\"reference\"><a href=\"#cite_note-:9-22\">(22)<\/a><\/sup>a rapport\u00e9 des donn\u00e9es probantes limit\u00e9es pour justifier l&rsquo;utilisation des techniques d&rsquo;exercice et de mobilisation comme intervention conservatrice pour le syndrome du canal carpien, mais les auteurs ont sugg\u00e9r\u00e9 que la prise de d\u00e9cision et la consid\u00e9ration de l&rsquo;utilisation des techniques d&rsquo;exercice et de mobilisation comme intervention devraient \u00eatre bas\u00e9es sur l&rsquo;exp\u00e9rience du clinicien ainsi que sur la pr\u00e9f\u00e9rence du patient.<sup id=\"cite_ref-:9_22-1\" class=\"reference\"><a href=\"#cite_note-:9-22\">(22)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Pour une lecture plus approfondie sur le sujet : <a class=\"external text\" href=\"https:\/\/www.scielo.br\/j\/anp\/a\/LtyNnDmxCGYQGzk5fzQ6byB\/?lang=en\" rel=\"nofollow\">Conservative therapeutic management of carpal tunnel syndrome <\/a><sup id=\"cite_ref-:8_20-2\" class=\"reference\"><a href=\"#cite_note-:8-20\">(20)<\/a><\/sup><\/li>\n<\/ul>\n<h3><span id=\"Surgical_Management\" class=\"mw-headline\">Traitement chirurgical <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Surgical Management\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=11\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Surgical Management\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=11\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Chirurgie ouverte ou chirurgie endoscopique o\u00f9 le ligament transverse est coup\u00e9. Elle cr\u00e9e un espace dans le canal carpien et r\u00e9duit la pression sur le nerf m\u00e9dian.<sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><\/p>\n<h4><span id=\"Post-Surgical_Rehabilitation\" class=\"mw-headline\">R\u00e9adaptation post-chirurgicale <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Post-Surgical Rehabilitation\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=12\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Post-Surgical Rehabilitation\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=12\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Les exercices visent \u00e0 r\u00e9duire la raideur<\/li>\n<li>La th\u00e9rapie est de courte dur\u00e9e car le r\u00e9tablissement est rapide apr\u00e8s l&rsquo;intervention chirurgicale <sup id=\"cite_ref-:5_12-2\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<li>L&rsquo;abduction et adduction des doigts\n<ul>\n<li>Fait travailler les muscles intrins\u00e8ques<\/li>\n<\/ul>\n<\/li>\n<li>Le glissement des tendons <sup id=\"cite_ref-24\" class=\"reference\"><a href=\"#cite_note-24\">(24)<\/a><\/sup>\n<ul>\n<li>Favorise l&rsquo;excursion des fl\u00e9chisseurs communs profond et superficiel des doigts <sup id=\"cite_ref-:5_12-3\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<li>Main ouverte doigts coll\u00e9s<\/li>\n<li>Main en crochet<\/li>\n<li>Poing complet<\/li>\n<li>Poing avec les doigts touchant la paume de la main.<\/li>\n<li>Main en position de table<\/li>\n<li>Retour \u00e0 une main ouverte doigts coll\u00e9s<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 452px;\"><a class=\"image\" href=\"\/File:Finger_Tendon_glides.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a9\/Finger_Tendon_glides.png\/450px-Finger_Tendon_glides.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a9\/Finger_Tendon_glides.png\/675px-Finger_Tendon_glides.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a9\/Finger_Tendon_glides.png\/900px-Finger_Tendon_glides.png 2x\" alt=\"\" width=\"450\" height=\"163\" \/><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Exercices de glissement des tendons des doigts. ((A) droits (B) en crochet (C) poing (D) poing droits (E) dessus de table) <sup id=\"cite_ref-25\" class=\"reference\"><a href=\"#cite_note-25\">(25)<\/a><\/sup><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/_myr1Pl0l4o?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-26\" class=\"reference\"><a href=\"#cite_note-26\">(26)<\/a><\/sup><\/p>\n<ul>\n<li>Dosage des exercices de glissement des tendons <sup id=\"cite_ref-:5_12-4\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup>\n<ul>\n<li>Le patient r\u00e9p\u00e8te les glissements de tendon trois \u00e0 cinq fois<\/li>\n<li>La raideur d\u00e9terminera le nombre de fois par jour o\u00f9 les patients doivent effectuer des glissements de tendon\n<ul>\n<li>Tr\u00e8s raide apr\u00e8s l&rsquo;op\u00e9ration &#8211; effectuer des glissements de tendon six \u00e0 huit fois par jour<\/li>\n<li>Raideur minimale &#8211; effectuez des glissements de tendon une \u00e0 trois fois par jour<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Blocage des doigts\n<ul>\n<li>Si un patient souffre de raideur apr\u00e8s une intervention chirurgicale, le blocage des doigts peut aider \u00e0 augmenter le mouvement <sup id=\"cite_ref-:5_12-5\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<li>Par exemple, si le patient pr\u00e9sente une raideur dans les articulations interphalangiennes proximales (IPP) ou distales (IPD)\n<ul>\n<li>Le patient bloque l&rsquo;articulation inf\u00e9rieure avec l&rsquo;autre main et effectue le mouvement<\/li>\n<li>Cela oblige le mouvement \u00e0 passer par l&rsquo;articulation raide<\/li>\n<li>Le patient r\u00e9p\u00e8te cette op\u00e9ration 5 fois, en la maintenant pendant 5 secondes<\/li>\n<li>Cet exercice peut \u00eatre effectu\u00e9 avec des doigts individuels ou tous \u00e0 la fois, selon les articulations qui manquent de mouvement<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\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\/hvrD9FSzlik?\" 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 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\/5qRb3ht3zsA?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-28\" class=\"reference\"><a href=\"#cite_note-28\">(28)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Opposition du pouce\n<ul>\n<li>Permet le mouvement du long fl\u00e9chisseur du pouce.<\/li>\n<li>Le patient touche son pouce au cinqui\u00e8me doigt &#8211; opposition du pouce<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/BSyip8aUsqI?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-29\" class=\"reference\"><a href=\"#cite_note-29\">(29)<\/a><\/sup><\/p>\n<h2><span id=\"Final_Thoughts\" class=\"mw-headline\">R\u00e9flexions finales <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Section \u00e9dition : Pens\u00e9es finales\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=13\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Section \u00e9dition : Pens\u00e9es finales\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&amp;action=edit&amp;section=13\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Une dur\u00e9e prolong\u00e9e des sympt\u00f4mes sans traitement entra\u00eene des changements irr\u00e9versibles et une atrophie de l&rsquo;\u00e9minence th\u00e9nar<\/li>\n<\/ul>\n<ul>\n<li>Un traitement rapide et correct est donc crucial<\/li>\n<li>Jetez un coup d&rsquo;\u0153il \u00e0 cet article en anglais : <a class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/epdf\/10.2519\/jospt.2019.0501\" rel=\"nofollow\">Carpal Tunnel Syndrome: A Summary of Clinical Practice Guideline Recommendations-Using the Evidence to Guide Physical Therapist Practice <\/a><sup id=\"cite_ref-30\" class=\"reference\"><a href=\"#cite_note-30\">(30)<\/a><\/sup><\/li>\n<\/ul>\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=Current_Management_of_Carpal_Tunnel_Syndrome&amp;veaction=edit&amp;section=14\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Current_Management_of_Carpal_Tunnel_Syndrome&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-:3-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_1-0\">1.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_1-1\">1.1<\/a><\/sup><\/span> <span class=\"reference-text\">Padua L, Coraci D, Erra C, Pazzaglia C, Paolasso I, Loreti C, Caliandro P, Hobson-Webb LD. Carpal tunnel syndrome: clinical features, diagnosis, and management. The Lancet Neurology. 2016 Nov 1;15(12):1273-84.<\/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\">Ostergaard PJ, Meyer MA, Earp BE. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7174467\/pdf\/12178_2020_Article_9616.pdf\" rel=\"nofollow\">Non-operative treatment of carpal tunnel syndrome.<\/a> Current reviews in musculoskeletal medicine. 2020 Apr;13(2):141-7.<\/span><\/li>\n<li id=\"cite_note-:0-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-1\">3.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-2\">3.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-3\">3.3<\/a><\/sup><\/span> <span class=\"reference-text\">Urits I, Gress K, Charipova K, Orhurhu V, Kaye AD, Viswanath O. Recent advances in the understanding and management of carpal tunnel syndrome: a comprehensive review. Current pain and headache reports. 2019 Oct;23(10):1-8.<\/span><\/li>\n<li id=\"cite_note-:1-4\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_4-0\">4.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-1\">4.1<\/a><\/sup><\/span> <span class=\"reference-text\">Osiak K, Elnazir P, Walocha JA, Pasternak A. <a class=\"external text\" href=\"https:\/\/journals.viamedica.pl\/folia_morphologica\/article\/view\/FM.a2021.0121\/64749\" rel=\"nofollow\">Carpal tunnel syndrome: state-of-the-art review.<\/a> Folia Morphologica. 2021 Nov 9.<\/span><\/li>\n<li id=\"cite_note-:2-5\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_5-0\">5.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_5-1\">5.1<\/a><\/sup> <sup><a href=\"#cite_ref-:2_5-2\">5.2<\/a><\/sup> <sup><a href=\"#cite_ref-:2_5-3\">5.3<\/a><\/sup><\/span> <span class=\"reference-text\">Wang L. Guiding treatment for carpal tunnel syndrome. Physical Medicine and Rehabilitation Clinics. 2018 Nov 1;29(4):751-60.<\/span><\/li>\n<li id=\"cite_note-:4-6\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_6-0\">6.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_6-1\">6.1<\/a><\/sup><\/span> <span class=\"reference-text\">Physiopedia. <a title=\"Carpal Tunnel Syndrome\" href=\"\/Carpal_Tunnel_Syndrome\">Carpal Tunnel Syndrome<\/a>.<\/span><\/li>\n<li id=\"cite_note-7\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-7\">\u2191<\/a><\/span> <span class=\"reference-text\">Wipperman J, Goerl K. <a class=\"external text\" href=\"http:\/\/thepafp.org\/website\/wp-content\/uploads\/2017\/05\/2016-Carpal-Tunnel-Syndrome.pdf\" rel=\"nofollow\">Carpal tunnel syndrome: diagnosis and management<\/a>. American family physician. 2016 Dec 15;94(12):993-9.<\/span><\/li>\n<li id=\"cite_note-8\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-8\">\u2191<\/a><\/span> <span class=\"reference-text\">Walker FO, Cartwright MS, Alter KE, Visser LH, Hobson-Webb LD, Padua L, Strakowski JA, Preston DC, Boon AJ, Axer H, van Alfen N. Indications for neuromuscular ultrasound: Expert opinion and review of the literature. Clinical Neurophysiology. 2018 Dec 1;129(12):2658-79.<\/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\">Pelosi L, Ar\u00e1nyi Z, Beekman R, Bland J, Coraci D, Hobson-Webb LD, Padua L, Podnar S, Simon N, van Alfen N, Verhamme C. Expert consensus on the combined investigation of carpal tunnel syndrome with electrodiagnostic tests and neuromuscular ultrasound. Clinical Neurophysiology. 2022 Jan 6.<\/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\">Vo NQ, Nguyen DD, Hoang NT, Ngo DH, Nguyen TH, Trong BL, Le NT, Thanh TN. <a class=\"external text\" href=\"https:\/\/www.researchgate.net\/profile\/Thao-Nguyen-Thanh\/publication\/360041860_Magnetic_resonance_imaging_as_a_first-choice_imaging_modality_in_carpal_tunnel_syndrome_new_evidence\/links\/625fbbff9be52845a911d504\/Magnetic-resonance-imaging-as-a-first-choice-imaging-modality-in-carpal-tunnel-syndrome-new-evidence.pdf\" rel=\"nofollow\">Magnetic resonance imaging as a first-choice imaging modality in carpal tunnel syndrome: new evidence<\/a>. Acta Radiologica. 2022 Apr 18:02841851221094227.<\/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\">Chammas M, Boretto J, Burmann LM, Ramos RM, Neto FCS, Silva JB. Carpal tunnel syndrome \u2013 part 1 (anatomy, physiology, etiology and diagnosis). Revista brasileira de Ortopedia (English edition) 2014 September-October; 49 (5):429-436.<\/span><\/li>\n<li id=\"cite_note-:5-12\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:5_12-0\">12.0<\/a><\/sup> <sup><a href=\"#cite_ref-:5_12-1\">12.1<\/a><\/sup> <sup><a href=\"#cite_ref-:5_12-2\">12.2<\/a><\/sup> <sup><a href=\"#cite_ref-:5_12-3\">12.3<\/a><\/sup> <sup><a href=\"#cite_ref-:5_12-4\">12.4<\/a><\/sup> <sup><a href=\"#cite_ref-:5_12-5\">12.5<\/a><\/sup><\/span> <span class=\"reference-text\">Szmiga, L. Carpal Tunnel Syndrome. Course. Plus. 2022<\/span><\/li>\n<li id=\"cite_note-13\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-13\">\u2191<\/a><\/span> <span class=\"reference-text\">Clinical Physio. Phalens Test for Carpal Tunnel Syndrome | Clinical Physio. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=EdC5QQV6A8w\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=EdC5QQV6A8w<\/a> (last accessed 20\/06\/2022)<\/span><\/li>\n<li id=\"cite_note-14\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-14\">\u2191<\/a><\/span> <span class=\"reference-text\">Clinical Physio. Reverse Phalens Test for Carpal Tunnel Syndrome | Clinical Physio. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=5Fc8oDOPOmY\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=5Fc8oDOPOmY<\/a> (last accessed 20\/6\/2022)<\/span><\/li>\n<li id=\"cite_note-15\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-15\">\u2191<\/a><\/span> <span class=\"reference-text\">Tim Fraticelli. PT Progress. Tinel&rsquo;s Sign for Carpal Tunnel Syndrome. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=UgV71aUIgLo\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=UgV71aUIgLo<\/a> (last accessed 20\/06\/2022)<\/span><\/li>\n<li id=\"cite_note-16\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-16\">\u2191<\/a><\/span> <span class=\"reference-text\">BMJ Learning. Tests for carpal tunnel syndrome. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=3JPJcnFaPhU\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=3JPJcnFaPhU<\/a>(last accessed 20\/06\/2022)<\/span><\/li>\n<li id=\"cite_note-:6-17\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:6_17-0\">17.0<\/a><\/sup> <sup><a href=\"#cite_ref-:6_17-1\">17.1<\/a><\/sup> <sup><a href=\"#cite_ref-:6_17-2\">17.2<\/a><\/sup><\/span> <span class=\"reference-text\">Karjalanen T, Raatikainen S, Jaatinen K, Lusa V. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8877380\/pdf\/jcm-11-00950.pdf\" rel=\"nofollow\">Update on Efficacy of Conservative Treatments for Carpal Tunnel Syndrome.<\/a> Journal of clinical medicine. 2022 Feb 11;11(4):950.<\/span><\/li>\n<li id=\"cite_note-18\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-18\">\u2191<\/a><\/span> <span class=\"reference-text\">Trillos-Chac\u00f3n MC, Castillo-M JA, Tolosa-Guzman I, Medina AF, Ballesteros SM. Strategies for the prevention of carpal tunnel syndrome in the workplace: A systematic review. Applied Ergonomics. 2021 May 1;93:103353.<\/span><\/li>\n<li id=\"cite_note-:7-19\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:7_19-0\">19.0<\/a><\/sup> <sup><a href=\"#cite_ref-:7_19-1\">19.1<\/a><\/sup> <sup><a href=\"#cite_ref-:7_19-2\">19.2<\/a><\/sup><\/span> <span class=\"reference-text\">N\u00fa\u00f1ez de Arenas-Arroyo S, Cavero-Redondo I, Torres-Costoso A, Reina-Guti\u00e9rrez S, \u00c1lvarez-Bueno C, Mart\u00ednez-Vizca\u00edno V. <a class=\"external text\" href=\"https:\/\/www.researchgate.net\/publication\/356275601_Short-term_Effects_of_Neurodynamic_Techniques_for_Treating_Carpal_Tunnel_Syndrome_A_Systematic_Review_With_Meta-analysis\/link\/61af1e7fc11c103836979c9b\/download\" rel=\"nofollow\">Short-Term Effects of Neurodynamic Techniques for Treating Carpal Tunnel Syndrome: A Systematic Review With Meta-Analysis<\/a>. journal of orthopaedic &amp; sports physical therapy. 2021 Dec;51(12):566-80.<\/span><\/li>\n<li id=\"cite_note-:8-20\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:8_20-0\">20.0<\/a><\/sup> <sup><a href=\"#cite_ref-:8_20-1\">20.1<\/a><\/sup> <sup><a href=\"#cite_ref-:8_20-2\">20.2<\/a><\/sup><\/span> <span class=\"reference-text\">Martins RS, Siqueira MG. <a class=\"external text\" href=\"https:\/\/www.scielo.br\/j\/anp\/a\/LtyNnDmxCGYQGzk5fzQ6byB\/?lang=en\" rel=\"nofollow\">Conservative therapeutic management of carpal tunnel syndrome<\/a>. Arquivos de neuro-psiquiatria. 2017;75:819-24.<\/span><\/li>\n<li id=\"cite_note-21\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-21\">\u2191<\/a><\/span> <span class=\"reference-text\">Huisstede BM, Frid\u00e9n J, Coert JH, Hoogvliet P, European HANDGUIDE Group. Carpal tunnel syndrome: hand surgeons, hand therapists, and physical medicine and rehabilitation physicians agree on a multidisciplinary treatment guideline\u2014results from the European HANDGUIDE Study. Archives of physical medicine and rehabilitation. 2014 Dec 1;95(12):2253-63.<\/span><\/li>\n<li id=\"cite_note-:9-22\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:9_22-0\">22.0<\/a><\/sup> <sup><a href=\"#cite_ref-:9_22-1\">22.1<\/a><\/sup><\/span> <span class=\"reference-text\">Page MJ, O&rsquo;Connor D, Pitt V, Massy\u2010Westropp N. Exercise and mobilisation interventions for carpal tunnel syndrome. Cochrane Database of Systematic Reviews. 2012(6).<\/span><\/li>\n<li id=\"cite_note-23\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-23\">\u2191<\/a><\/span> <span class=\"reference-text\">Nazarieh M, Hakakzadeh A, Ghannadi S, Maleklou F, Tavakol Z, Alizadeh Z. <a class=\"external text\" href=\"https:\/\/brieflands.com\/articles\/asjsm-102631.html\" rel=\"nofollow\">Non-surgical management and post-surgical rehabilitation of carpal tunnel syndrome: An algorithmic approach and practical guideline<\/a>. Asian Journal of Sports Medicine. 2020 Sep 30;11(3).<\/span><\/li>\n<li id=\"cite_note-24\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-24\">\u2191<\/a><\/span> <span class=\"reference-text\">Sheereen FJ, Sarkar B, Sahay P, Shaphe MA, Alghadir AH, Iqbal A, Ali T, Ahmad F. <a class=\"external text\" href=\"https:\/\/www.hindawi.com\/journals\/prm\/2022\/1975803\/\" rel=\"nofollow\">Comparison of Two Manual Therapy Programs, including Tendon Gliding Exercises as a Common Adjunct, While Managing the Participants with Chronic Carpal Tunnel Syndrome.<\/a> Pain Research and Management. 2022 Jun 8;2022.<\/span><\/li>\n<li id=\"cite_note-25\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-25\">\u2191<\/a><\/span> <span class=\"reference-text\">Sheereen FJ, Sarkar B, Sahay P, Shaphe MA, Alghadir AH, Iqbal A, Ali T, Ahmad F. Comparison of Two Manual Therapy Programs, including Tendon Gliding Exercises as a Common Adjunct, While Managing the Participants with Chronic Carpal Tunnel Syndrome. Pain Research and Management. 2022 Jun 8;2022.<\/span><\/li>\n<li id=\"cite_note-26\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-26\">\u2191<\/a><\/span> <span class=\"reference-text\">Rehab My Patient. Finger Tendon Glide Exercise. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=_myr1Pl0l4o\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=_myr1Pl0l4o<\/a> (last accessed 20\/06\/2022)<\/span><\/li>\n<li id=\"cite_note-27\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-27\">\u2191<\/a><\/span> <span class=\"reference-text\">Rehab My Patient. Stiff finger exercise. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=hvrD9FSzlik\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=hvrD9FSzlik<\/a> (last accessed 20\/06\/2022)<\/span><\/li>\n<li id=\"cite_note-28\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-28\">\u2191<\/a><\/span> <span class=\"reference-text\">Rehab My Patient. Finger pain exercise. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=5qRb3ht3zsA\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=5qRb3ht3zsA<\/a>(last accessed 20\/06\/2022)<\/span><\/li>\n<li id=\"cite_note-29\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-29\">\u2191<\/a><\/span> <span class=\"reference-text\">Rehab Mhttps:\/\/www.youtube.com\/watch?v=BSyip8aUsqIy Patient. Thumb opposition proprioception. Available from: <a class=\"external free\" href=\"http:\/\/www.youtube.com\/watch?v=dMH0bHeiRNg\" rel=\"nofollow\">http:\/\/www.youtube.com\/watch?v=dMH0bHeiRNg<\/a> (last accessed 20\/06\/2022)<\/span><\/li>\n<li id=\"cite_note-30\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-30\">\u2191<\/a><\/span> <span class=\"reference-text\">Carpal Tunnel Syndrome. <a class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/epdf\/10.2519\/jospt.2019.0501\" rel=\"nofollow\">A Summary of Clinical Practice Guideline Recommendations-Using the Evidence to Guide Physical Therapist Practice.(2019)<\/a>. The Journal of orthopaedic and sports physical therapy.;49(5):359-60.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20221018143529 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.151 seconds Real time usage: 0.166 seconds Preprocessor visited node count: 560\/1000000 Post\u2010expand include size: 286\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/40 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 21212\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 15.341 1 Special:Contributors\/Current_Management_of_Carpal_Tunnel_Syndrome 100.00% 15.341 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dacteur original &#8211; Wanda van Niekerk d&rsquo;apr\u00e8s le cours de Loren Szmiga Principaux contributeurs &#8211; Wanda van Niekerk, Kim Jackson et Jess Bell Contenu 1 Qu&rsquo;est-ce que le syndrome du tunnel carpien ? 2 Anatomie cliniquement pertinente 3 \u00c9tiologie 4 Physiopathologie 5 Pr\u00e9sentation clinique 6 Diagnostic diff\u00e9rentiel 7 Diagnostic du syndrome du unnel carpien 8 [&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-3407","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/3407","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=3407"}],"version-history":[{"count":8,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/3407\/revisions"}],"predecessor-version":[{"id":3415,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/3407\/revisions\/3415"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=3407"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}