{"id":4536,"date":"2023-01-16T21:18:57","date_gmt":"2023-01-16T21:18:57","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/ankle-fractures-fr\/"},"modified":"2023-01-30T09:56:37","modified_gmt":"2023-01-30T09:56:37","slug":"ankle-fractures-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/ankle-fractures-fr\/","title":{"rendered":"Fractures de la cheville"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>\u00c9diteur original <\/b>&#8211; <a href=\"\/User:Ewa_Jaraczewska\" title=\"User:Ewa Jaraczewska\">Ewa Jaraczewska<\/a> d&rsquo;apr\u00e8s le cours de <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/instructor\/helene-simpson\/\">Helene Simpson<\/a><br \/>\n<b>Contributeurs principaux<\/b> &#8211; <a href=\"\/User:Ewa_Jaraczewska\" class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a>, <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a> et <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"User:Kim Jackson\"><bdi>Kim Jackson<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/p>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Clinically_Relevant_Anatomy\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Anatomie cliniquement pertinente<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Ankle_Joint\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">Articulation de la cheville<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-4\"><a href=\"#Bones\"><span class=\"tocnumber\">2.1.1<\/span> <span class=\"toctext\">Os<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-5\"><a href=\"#Ligaments\"><span class=\"tocnumber\">2.1.2<\/span> <span class=\"toctext\">Ligaments<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-6\"><a href=\"#Muscles\"><span class=\"tocnumber\">2.1.3<\/span> <span class=\"toctext\">Muscles<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-7\"><a href=\"#Neural_and_Vascular\"><span class=\"tocnumber\">2.1.4<\/span> <span class=\"toctext\">Nerfs et vaisseaux sanguins <\/span><\/a>\n<ul>\n<li class=\"toclevel-4 tocsection-8\"><a href=\"#Neural\"><span class=\"tocnumber\">2.1.4.1<\/span> <span class=\"toctext\">Nerfs<\/span><\/a><\/li>\n<li class=\"toclevel-4 tocsection-9\"><a href=\"#Vascular\"><span class=\"tocnumber\">2.1.4.2<\/span> <span class=\"toctext\">Vaisseaux sanguins<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-10\"><a href=\"#Classifications_of_Fractures\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Classifications des fractures<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-11\"><a href=\"#Clinical_Presentation\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Pr\u00e9sentation clinique<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-12\"><a href=\"#Diagnostic_Procedures\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Proc\u00e9dures de diagnostic<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#Outcome_Measures\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Mesures des r\u00e9sultats<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#Management_.2F_Interventions\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Traitement et Interventions<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-15\"><a href=\"#General_Considerations\"><span class=\"tocnumber\">7.1<\/span> <span class=\"toctext\">Consid\u00e9rations g\u00e9n\u00e9rales<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-16\"><a href=\"#Early_Mobilisation_Protocol\"><span class=\"tocnumber\">7.2<\/span> <span class=\"toctext\">Protocole de mobilisation pr\u00e9coce<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-17\"><a href=\"#Early_phase_.283_.E2.80.93_6_weeks_post-surgery.29.5B22.5D\"><span class=\"tocnumber\">7.2.1<\/span> <span class=\"toctext\">Phase initiale (3 \u00e0 6 semaines apr\u00e8s l&rsquo;intervention) <sup>(22)<\/sup><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-18\"><a href=\"#Full_weight_bearing:_PWB_-_FWB_.284_-_6_weeks_post-surgery.29.5B22.5D\"><span class=\"tocnumber\">7.2.2<\/span> <span class=\"toctext\">Mise en charge compl\u00e8te du poids : de partielle \u00e0 compl\u00e8te (4 &#8211; 6 semaines apr\u00e8s l&rsquo;intervention) <sup>(22<\/sup>)<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-19\"><a href=\"#Full_weight_bearing_.28week_6-8_post-surgery.29.5B22.5D\"><span class=\"tocnumber\">7.2.3<\/span> <span class=\"toctext\">Mise en charge compl\u00e8te (semaine 6 \u00e0 8 postchirurgie) <sup>(22)<\/sup><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-20\"><a href=\"#Full_weight_bearing_.28week_8-10_post-surgery.29.5B22.5D\"><span class=\"tocnumber\">7.2.4<\/span> <span class=\"toctext\">Mise en charge compl\u00e8te (semaine 8 \u00e0 10 postchirurgie) <sup>(22)<\/sup><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-21\"><a href=\"#Week_10_to_final_phase.5B22.5D\"><span class=\"tocnumber\">7.2.5<\/span> <span class=\"toctext\">De la semaine 10 \u00e0 la phase finale <sup>(22)<\/sup><\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-22\"><a href=\"#Resources\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">Ressources<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-23\"><a href=\"#References\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Introduction\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=1\" title=\"Edit section: Introduction\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h2><span class=\"mw-headline\" id=\"Clinically_Relevant_Anatomy\">Anatomie cliniquement pertinente <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinically Relevant Anatomy\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=2\" title=\"Edit section: Clinically Relevant Anatomy\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le complexe articulaire de la cheville peut \u00eatre divis\u00e9 en trois parties : la partie talo-crurale, la partie talo-calcan\u00e9o-naviculaire et la partie sous-talienne. L&rsquo;articulation talo-crurale (TC) est form\u00e9e par trois os et un appareil ligamentaire complexe. Le tibia, le p\u00e9ron\u00e9 et le talus (astragale) sont reli\u00e9s par les ligaments collat\u00e9raux et le complexe ligamentaire syndesmotique.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"Ankle_Joint\">Articulation de la cheville <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Ankle Joint\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=3\" title=\"Edit section: Ankle Joint\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Ankle_image.jpeg\" class=\"image\"><img loading=\"lazy\" alt=\"Ankle image.jpeg\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/47\/Ankle_image.jpeg\/300px-Ankle_image.jpeg\" decoding=\"async\" width=\"300\" height=\"450\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/47\/Ankle_image.jpeg\/450px-Ankle_image.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/4\/47\/Ankle_image.jpeg\/600px-Ankle_image.jpeg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Ankle_image.jpeg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h4><span class=\"mw-headline\" id=\"Bones\">Les os<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Bones\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=4\" title=\"Edit section: Bones\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>La cheville est form\u00e9e par trois os : le talus (anciennement astragale), le tibia et la fibula (anciennement p\u00e9ron\u00e9). La structure anatomique du pied se compose de l&rsquo;arri\u00e8re-pied, du m\u00e9dio-pied et de l&rsquo;avant-pied. Chaque partie du pied est compos\u00e9e de plusieurs os. La partie inf\u00e9rieure de la jambe et le pied constituent la cheville. Les \u00e9l\u00e9ments osseux suivants de l&rsquo;articulation de la cheville font partie de cette structure : <sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li><a href=\"\/Tibia\" title=\"Tibia\">Le tibia<\/a> distal<\/li>\n<li><a href=\"\/Fibula\" title=\"Fibula\">La fibula<\/a> distale<\/li>\n<li><a href=\"\/Talus\" title=\"Le talus\">Le talus<\/a><\/li>\n<\/ul>\n<p>On est appelle l&rsquo;articulation talo-crurale (TC ou parfois appel\u00e9e articulation tibio-astragalienne) <i>articulation de la cheville<\/i>. Les surfaces d&rsquo;articulation sont les mall\u00e9oles lat\u00e9rales et m\u00e9diales, l&rsquo;extr\u00e9mit\u00e9 distale du tibia et le talus (astragale). <sup id=\"cite_ref-:0_3-0\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup> Les principaux mouvements de l&rsquo;articulation TC sont la dorsiflexion et la plantarflexion dans le plan sagittal.<\/p>\n<p>\u00c0 l&rsquo;<i>arri\u00e8re-pied<\/i>, le talus (astragale) et le calcan\u00e9um s&rsquo;articulent et forment l&rsquo;<a href=\"\/Subtalar_Joint_Arthritis\" title=\"Subtalar Joint Arthritis\">articulation subtalaire<\/a> (ST, \u00e9galement appel\u00e9e articulation talo-calcan\u00e9enne). L&rsquo;articulation ST a trois articulations, et le talus et le calcan\u00e9um ont tous deux trois facettes articul\u00e9es. Les principaux mouvements de cette articulation sont l&rsquo;inversion et l&rsquo;\u00e9version de la cheville et de l&rsquo;arri\u00e8re-pied.<sup id=\"cite_ref-:0_3-1\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/p>\n<p>L&rsquo;articulation de Chopart (ou MT, m\u00e9dio-tarsienne, ou transverse du tarse) est la \u00ab\u00a0jonction\u00a0\u00bb entre l&rsquo;<i>arri\u00e8re-pied et le m\u00e9dio-pied<\/i>. <sup id=\"cite_ref-:0_3-2\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup> Cette articulation comprend les articulations talo-calcan\u00e9o-naviculaire et calcan\u00e9o-cubo\u00efdienne, et permet la rotation de l&rsquo;avant-pied. En distal, l&rsquo;os naviculaire s&rsquo;articule avec les trois os cun\u00e9iformes. En plus des os naviculaire et cun\u00e9iforme, l&rsquo;os cubo\u00efde a une articulation distale avec la base des quatri\u00e8me et cinqui\u00e8me os m\u00e9tatarsiens.<sup id=\"cite_ref-:0_3-3\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/p>\n<p>Vous trouverez ci-dessous un r\u00e9sum\u00e9 des articulations de la cheville :<\/p>\n<p><a href=\"\/File:Ankle_joint.png\" class=\"image\"><img loading=\"lazy\" alt=\"Ankle joint.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/b2\/Ankle_joint.png\/700px-Ankle_joint.png\" decoding=\"async\" width=\"700\" height=\"250\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/b2\/Ankle_joint.png\/1050px-Ankle_joint.png 1.5x, https:\/\/www.physio-pedia.com\/images\/b\/b2\/Ankle_joint.png 2x\"><\/a><\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:402px;\"><a href=\"\/File:Figure_3-Ankle_ligaments.PNG\" class=\"image\"><img loading=\"lazy\" alt=\"Figure 3-Ankle ligaments.PNG\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/65\/Figure_3-Ankle_ligaments.PNG\/400px-Figure_3-Ankle_ligaments.PNG\" decoding=\"async\" width=\"400\" height=\"174\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/6\/65\/Figure_3-Ankle_ligaments.PNG 1.5x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Figure_3-Ankle_ligaments.PNG\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h4><span class=\"mw-headline\" id=\"Ligaments\">Les ligaments<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Ligaments\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=5\" title=\"Edit section: Ligaments\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les ligaments de la cheville sont les suivants : <sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup><\/p>\n<ul>\n<li>Les ligaments en m\u00e9dial de la cheville (le ligament delto\u00efde)\n<ul>\n<li>Le ligament collat\u00e9ral m\u00e9dial (LCM) est divis\u00e9 en deux couches : superficielle et profonde <sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Les ligaments en lat\u00e9ral de la cheville\n<ul>\n<li>Le complexe du ligament collat\u00e9ral lat\u00e9ral (LCL) est compos\u00e9 de trois ligaments : le talo-fibulaire ant\u00e9rieur, le calcan\u00e9o-fibulaire et le talo-fibulaire post\u00e9rieur <sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>La syndesmose tibio-fibulaire, c&rsquo;est-\u00e0-dire les ligaments qui relient les \u00e9piphyses distales du tibia et de la fibula (p\u00e9ron\u00e9)\n<ul>\n<li>L&rsquo;articulation syndesmose tibio-fibulaire comprend le ligament tibio-fibulaire ant\u00e9ro-inf\u00e9rieur, le ligament tibio-fibulaire post\u00e9ro-inf\u00e9rieur et le ligament tibio-fibulaire interosseux<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Vous pouvez en savoir plus sur les ligaments de la cheville <a href=\"\/Basic_Foot_and_Ankle_Anatomy_-_Bones_and_Ligaments#Structure\" title=\"Anatomie de base du pied et de la cheville - Os et ligaments\">ici<\/a>.<\/p>\n<h4><span class=\"mw-headline\" id=\"Muscles\">Les muscles<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Muscles\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=6\" title=\"Edit section: Muscles\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les muscles de la jambe sont divis\u00e9s en quatre compartiments : le compartiment post\u00e9rieur superficiel, le compartiment post\u00e9rieur profond, le compartiment lat\u00e9ral et le compartiment ant\u00e9rieur Les principaux fl\u00e9chisseurs plantaires de la cheville sont situ\u00e9s dans le compartiment post\u00e9rieur Les muscles du compartiment lat\u00e9ral effectuent la flexion plantaire de la cheville et l&rsquo;inversion du pied Tous les muscles du compartiment ant\u00e9rieur effectuent la dorsiflexion de la cheville<\/p>\n<p>Vous trouverez plus d&rsquo;informations sur les muscles et le fascia de la cheville <a href=\"\/Basic_Foot_and_Ankle_Anatomy_-_Muscles_and_Fascia#Lower_Leg_Muscle_Compartments\" title=\"Anatomie de base du pied et de la cheville - Muscles et fascia\">ici<\/a><\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Dermatomes_for_Thoracic_Spine_Course.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9a\/Dermatomes_for_Thoracic_Spine_Course.jpg\/300px-Dermatomes_for_Thoracic_Spine_Course.jpg\" decoding=\"async\" width=\"300\" height=\"250\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9a\/Dermatomes_for_Thoracic_Spine_Course.jpg\/450px-Dermatomes_for_Thoracic_Spine_Course.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9a\/Dermatomes_for_Thoracic_Spine_Course.jpg\/600px-Dermatomes_for_Thoracic_Spine_Course.jpg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Dermatomes_for_Thoracic_Spine_Course.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Dermatomes<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Anatomy_ankle_and_foot_5.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"Anatomy ankle and foot 5.jpg\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/15\/Anatomy_ankle_and_foot_5.jpg\/300px-Anatomy_ankle_and_foot_5.jpg\" decoding=\"async\" width=\"300\" height=\"302\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/1\/15\/Anatomy_ankle_and_foot_5.jpg 1.5x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Anatomy_ankle_and_foot_5.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h4><span class=\"mw-headline\" id=\"Neural_and_Vascular\">Nerfs et vaisseaux sanguins <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Neural and Vascular\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=7\" title=\"Edit section: Neural and Vascular\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<h5><span class=\"mw-headline\" id=\"Neural\">Nerfs<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Neural\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=8\" title=\"Edit section: Neural\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>Le <a href=\"\/Tibial_Nerve\" title=\"Tibial Nerve\">nerf tibial<\/a> et le <a href=\"\/Common_Peroneal_Nerve\" title=\"Common Peroneal Nerve\">nerf p\u00e9ronier commun<\/a> (\u00e9galement appel\u00e9 nerf fibulaire commun) prennent naissance \u00e0 L5, S1 et S2. Le nerf tibial fournit des <i>fibres motrices au<\/i> gastrocn\u00e9mien, au sol\u00e9aire, au tibialis posterior, au long fl\u00e9chisseur des orteils et au long fl\u00e9chisseur de l&rsquo;hallux. Ses fibres sensitives <i>innervent occasionnellement la zone typiquement innerv\u00e9e par le nerf p\u00e9ronier profond. <sup id=\"cite_ref-:1_8-0\" class=\"reference\"><a href=\"#cite_note-:1-8\">(8)<\/a><\/sup><\/i><\/p>\n<p>La branche superficielle du nerf p\u00e9ronier commun envoie des <i>fibres motrices<\/i> aux long et court p\u00e9roniers. La branche profonde envoie des fibres motrices au<i> tibial ant\u00e9rieur, au long extenseur des orteils, au long extenseur de l&rsquo;hallux, et au court extenseur des orteils<\/i> (rarement innerv\u00e9 par le nerf tibial)<i>.<\/i> Les <i>fibres sensitives<\/i> de la branche superficielle innervent la partie ant\u00e9ro-lat\u00e9rale de la jambe et une grande partie de la face dorsale du pied et des orteils. La branche profonde innerve la peau entre le premier et le deuxi\u00e8me orteil. <sup id=\"cite_ref-:1_8-1\" class=\"reference\"><a href=\"#cite_note-:1-8\">(8) <\/a><\/sup><sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><\/p>\n<p>Le <a href=\"\/Sural_Nerve\" title=\"Sural Nerve\">nerf sural<\/a> est issu du nerf tibial et des branches cutan\u00e9es du nerf p\u00e9ronier commun. Il est divis\u00e9 en deux parties : le nerf sural communiquant et le nerf sural cutan\u00e9 lat\u00e9ral. Ses fibres sensitives<i>innervent la face post\u00e9rieure de la jambe et la face lat\u00e9rale du pied. <sup id=\"cite_ref-:1_8-2\" class=\"reference\"><a href=\"#cite_note-:1-8\">(8)<\/a><\/sup><\/i><\/p>\n<h5><span class=\"mw-headline\" id=\"Vascular\">Vaisseaux sanguins<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Vascular\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=9\" title=\"Edit section: Vascular\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>Les art\u00e8res suivantes vascularisent la face distale de la jambe :<\/p>\n<ul>\n<li>Art\u00e8re poplit\u00e9e : compartiment post\u00e9rieur superficiel comprenant les muscles gastrocn\u00e9mien, sol\u00e9aire et plantaire<\/li>\n<li>Art\u00e8re tibiale\n<ul>\n<li><i>Art\u00e8re tibiale ant\u00e9rieure <\/i>: articulation tibio-fibulaire proximale, articulation du genou, articulation de la cheville, muscles et peau du compartiment ant\u00e9rieur de la jambe<\/li>\n<li><i>Art\u00e8re tibiale post\u00e9rieure <b>:<\/b><\/i> sol\u00e9aire, poplit\u00e9, long fl\u00e9chisseur de l&rsquo;hallux, long fl\u00e9chisseur des orteils et tibial post\u00e9rieur<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Art\u00e8re fibulaire : muscles poplit\u00e9, sol\u00e9aire, tibial post\u00e9rieur et long fl\u00e9chisseur de l&rsquo;hallux<\/li>\n<li>Art\u00e8re surale : muscle gastrocn\u00e9mien, muscle sol\u00e9aire et muscle plantaire.<\/li>\n<\/ul>\n<p>Vous pouvez en savoir plus sur les syst\u00e8mes nerveux et vasculaire de la cheville <a href=\"\/Basic_Foot_and_Ankle_Anatomy_-_Neural_and_Vascular\" title=\"Anatomie de base du pied et de la cheville - Nerfs et vaisseaux sanguins\">ici<\/a>.<\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Ankle_fracture.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"Ankle fracture.jpg\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d1\/Ankle_fracture.jpg\/300px-Ankle_fracture.jpg\" decoding=\"async\" width=\"300\" height=\"529\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/d\/d1\/Ankle_fracture.jpg 1.5x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Ankle_fracture.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Classifications_of_Fractures\">Classifications des fractures <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Classifications of Fractures\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=10\" title=\"Edit section: Classifications of Fractures\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les <i>classifications cliniquement pertinentes<\/i> pour les fractures de la cheville incluent les suivantes : <sup id=\"cite_ref-:2_10-0\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><\/p>\n<ul>\n<li>Mall\u00e9olaire (et ses sous-cat\u00e9gories selon la <a href=\"\/Danis-Weber_Classification_of_Ankle_Fractures\" title=\"Danis-Weber Classification of Ankle Fractures\">classification ABC de Danis-Weber<\/a>) <sup id=\"cite_ref-:2_10-1\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><\/li>\n<li>tibia distal<\/li>\n<li>Fibulaire<\/li>\n<\/ul>\n<p>Une classification bas\u00e9e sur des <i>crit\u00e8res de stabilit\u00e9<\/i> a \u00e9t\u00e9 propos\u00e9e par Michelson et ses coll\u00e8gues. <sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup> Selon Michelson et ses coll\u00e8gues, les fractures suivantes sont class\u00e9es comme des fractures instables de la cheville : <sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><\/p>\n<ul>\n<li>Toute fracture-dislocation de la cheville<\/li>\n<li>Toute fracture bimall\u00e9olaire ou trimall\u00e9olaire de la cheville<\/li>\n<li>Toute fracture de la mall\u00e9ole lat\u00e9rale avec un d\u00e9placement significatif du talon sur n&rsquo;importe quelle radiographie ordinaire, \u00e0 n&rsquo;importe quel moment<\/li>\n<\/ul>\n<p>Une fracture de la cheville est consid\u00e9r\u00e9e comme stable si aucun des crit\u00e8res ci-dessus n&rsquo;est pas rempli.<sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/p>\n<p>Le syst\u00e8me AO\/OTA classe les fractures pour l&rsquo;ensemble du corps. \u00c0 la cheville, les fractures sont divis\u00e9es en fractures mall\u00e9olaire, tibiale distale et fibulaire. Ce syst\u00e8me de classification est le plus souvent utilis\u00e9 pour classer les fractures mall\u00e9olaires, et est bas\u00e9 sur la <i>gravit\u00e9 et la complexit\u00e9<\/i> de la blessure : <sup id=\"cite_ref-:3_14-0\" class=\"reference\"><a href=\"#cite_note-:3-14\">(14)<\/a><\/sup><\/p>\n<ul>\n<li>Type A <b>:<\/b> l\u00e9sion fibulaire infra-syndesmotique (avec trois sous-groupes) <sup id=\"cite_ref-:3_14-1\" class=\"reference\"><a href=\"#cite_note-:3-14\">(14)<\/a><\/sup><\/li>\n<li>Type B : fracture trans-syndesmotique de la fibula (avec trois sous-groupes) <sup id=\"cite_ref-:3_14-2\" class=\"reference\"><a href=\"#cite_note-:3-14\">(14)<\/a><\/sup><\/li>\n<li>Type C : l\u00e9sion supra-syndesmotique (avec trois sous-groupes) <sup id=\"cite_ref-:3_14-3\" class=\"reference\"><a href=\"#cite_note-:3-14\">(14)<\/a><\/sup><\/li>\n<\/ul>\n<p>Une version r\u00e9vis\u00e9e des classifications AO\/OTA s\u00e9pare les fractures en fractures \u00e9piphysaire, m\u00e9taphysaire et diaphysaire. En cas de fractures et de syst\u00e8mes de fractures multiples, plusieurs \u00e9tiquettes peuvent \u00eatre appliqu\u00e9es. <sup id=\"cite_ref-:2_10-2\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><\/p>\n<p>Pour en savoir plus sur la classification AO\/OTA cliquez <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.aofoundation.org\/trauma\/clinical-library-and-tools\/journals-and-publications\/classification\">ici.<\/a><\/p>\n<h2><span class=\"mw-headline\" id=\"Clinical_Presentation\">Pr\u00e9sentation clinique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Presentation\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=11\" title=\"Edit section: Clinical Presentation\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Les patients se pr\u00e9sentent aux urgences avec des fractures de la cheville dues \u00e0 des chutes, des blessures en inversion, des blessures li\u00e9es au sport ou des traumatismes mineurs dus au diab\u00e8te, \u00e0 une neuropathie p\u00e9riph\u00e9rique et \u00e0 d&rsquo;autres conditions m\u00e9dicales. <sup id=\"cite_ref-:4_15-0\" class=\"reference\"><a href=\"#cite_note-:4-15\">(15)<\/a><\/sup> Les sympt\u00f4mes les plus courants lorsqu&rsquo;on soup\u00e7onne une fracture de la cheville sont les suivants :<\/p>\n<ul>\n<li>Douleur<\/li>\n<li>Des ecchymoses<\/li>\n<li>Gonflement de la cheville<\/li>\n<li>Incapacit\u00e9 de faire de la mise en charge <sup id=\"cite_ref-:4_15-1\" class=\"reference\"><a href=\"#cite_note-:4-15\">(15)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Diagnostic_Procedures\">Proc\u00e9dures de diagnostic <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Diagnostic Procedures\">modifier<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=12\" title=\"Edit section: Diagnostic Procedures\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Vous pouvez consulter les investigations et tests pour la cheville <a href=\"\/Foot_and_Ankle_Assessment-Investigations_and_Tests\" title=\"L'\u00e9valuation du pied et de la cheville - Investigations et tests\">ici<\/a>.<\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:PROMs_for_ankle_instability.jpeg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/2c\/PROMs_for_ankle_instability.jpeg\/300px-PROMs_for_ankle_instability.jpeg\" decoding=\"async\" width=\"300\" height=\"445\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/2c\/PROMs_for_ankle_instability.jpeg\/450px-PROMs_for_ankle_instability.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/2\/2c\/PROMs_for_ankle_instability.jpeg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:PROMs_for_ankle_instability.jpeg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p><small><i>Mesures des r\u00e9sultats rapport\u00e9s par les patients dans l&rsquo;instabilit\u00e9 de la cheville. Rouge : inad\u00e9quat ou non \u00e9valu\u00e9. Jaune : incoh\u00e9rence ou probl\u00e8mes mineurs. Vert : ad\u00e9quat<\/i>. Adapt\u00e9 de Hansen CF, Obionu KC, Comins JD, Krogsgaard MR. The patient-reported outcome measures for an an ankle instability. An analysis of 17 existing questionnaires. Foot Ankle Surg. 2022 Apr;28(3):288-293<\/small><\/p>\n<\/div>\n<\/div>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Outcome_Measures\">Mesures des r\u00e9sultats <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Outcome Measures\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=13\" title=\"Edit section: Outcome Measures\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Il existe une grande vari\u00e9t\u00e9 de mesures de r\u00e9sultats disponible chez les adultes souffrant de fractures de la cheville : <sup id=\"cite_ref-:5_16-0\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16)<\/a><\/sup><\/p>\n<ul>\n<li>Olerud Molander Ankle Score (OMAS) &#8211; la mesure de r\u00e9sultat primaire la plus fr\u00e9quemment recueillie <sup id=\"cite_ref-:5_16-1\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16) <\/a><\/sup><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/li>\n<li>Les mesures d&rsquo;amplitudes de mouvement \u00e0 la cheville &#8211; la deuxi\u00e8me mesure de r\u00e9sultat primaire la plus fr\u00e9quemment recueillie <sup id=\"cite_ref-:5_16-2\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16) <\/a><\/sup><sup id=\"cite_ref-:6_18-0\" class=\"reference\"><a href=\"#cite_note-:6-18\">(18)<\/a><\/sup><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/orthotoolkit.com\/aofas-ankle-hindfoot\/\">American Orthopaedic Foot and Ankle Society Ankle Hind-Foot Scale<\/a> (\u00c9chelle d&rsquo;\u00e9valuation de l&rsquo;arri\u00e8re-pied et de la cheville &#8211; de l&rsquo;American Orthopaedic Foot and Ankle Society)&amp;nbsp;<sup id=\"cite_ref-:6_18-1\" class=\"reference\"><a href=\"#cite_note-:6-18\">(18)<\/a><\/sup><\/li>\n<li><a href=\"\/Lower_Extremity_Functional_Scale_(LEFS)\" title=\"Lower Extremity Functional Scale (LEFS)\">Lower Extremity Functional Scale (LEFS)<\/a> ou \u00c9chelle fonctionnelle des membres inf\u00e9rieurs (EFMI) (version canadienne en fran\u00e7ais) <sup id=\"cite_ref-:6_18-2\" class=\"reference\"><a href=\"#cite_note-:6-18\">(18)<\/a><\/sup><\/li>\n<li>Questionnaire Rand de 36 questions &#8211; <a href=\"\/36-Item_Short_Form_Survey_(SF-36)\" title=\"36-Item Short Form Survey (SF-36)\">36-item Short-Form Survey<\/a> (SF-36) <sup id=\"cite_ref-:5_16-3\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16)<\/a><\/sup><\/li>\n<li><a href=\"\/Visual_Analogue_Scale\" title=\"Visual Analogue Scale\">\u00c9chelle visuelle analogique de la douleur<\/a> (VAS-Pain)<sup id=\"cite_ref-:5_16-4\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16)<\/a><\/sup><\/li>\n<li><a href=\"\/Manchester%E2%80%93Oxford_Foot_Questionnaire\" title=\"Manchester\u2013Oxford Foot Questionnaire\">Manchester Oxford Foot Questionnaire<\/a> (MOXFQ) <sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup><\/li>\n<li>American Academy of Orthopaedic Surgeons Foot and Ankle Outcomes Score (\u00c9chelle de mesure des r\u00e9sultats pour le pied et la cheville de l&rsquo;American Academy of Orthopaedic Surgeons) <sup id=\"cite_ref-:6_18-3\" class=\"reference\"><a href=\"#cite_note-:6-18\">(18)<\/a><\/sup><\/li>\n<li>Ankle Fracture Outcome of Rehabilitation Measure (A-FORM) <sup id=\"cite_ref-:5_16-5\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16) <\/a><\/sup><sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.aaos.org\/globalassets\/quality-and-practice-resources\/patient-reported-outcome-measures\/lower-extremities\/foot-and-ankle-ability-measure.pdf\">Foot and Ankle Ability Measure (FAAM) (\u00c9valuation des capacit\u00e9s fonctionnelles du pied et de la cheville)<\/a><\/li>\n<li>Les mesures ad\u00e9quates des r\u00e9sultats rapport\u00e9s par les patients dans l&rsquo;instabilit\u00e9 de la cheville selon Hansen et al. <sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21) <\/a><\/sup>incluent les suivants :\n<ul>\n<li>Modification of Functional Ankle Instability (IdFAI)<\/li>\n<li>Ankle Instability Instrument (AII)<\/li>\n<li>European Foot and Ankle Society Score (EFAS score)<\/li>\n<\/ul>\n<\/li>\n<li class=\"mw-empty-elt\"><\/li>\n<\/ul>\n<h2><span id=\"Management_\/_Interventions\"><\/span><span class=\"mw-headline\" id=\"Management_.2F_Interventions\">Traitement \/ Interventions <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=14\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Management \/ Interventions\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=14\" title=\"Edit section: Management \/ Interventions\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span class=\"mw-headline\" id=\"General_Considerations\">Consid\u00e9rations g\u00e9n\u00e9rales <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=15\" class=\"mw-editsection-visualeditor\" title=\"Edit section: General Considerations\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=15\" title=\"Edit section: General Considerations\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Afin de choisir l&rsquo;intervention la plus appropri\u00e9e apr\u00e8s une fracture de la cheville, le physioth\u00e9rapeute doit tenir compte des \u00e9l\u00e9ments suivants :<\/p>\n<ul>\n<li>La pr\u00e9sence d&rsquo;une \u00ab\u00a0vari\u00e9t\u00e9\u00a0\u00bb de protocoles avec un manque de recommandations concluantes <sup id=\"cite_ref-:7_22-0\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22) <\/a><\/sup><sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23) <\/a><\/sup><sup id=\"cite_ref-24\" class=\"reference\"><a href=\"#cite_note-24\">(24) <\/a><\/sup><sup id=\"cite_ref-25\" class=\"reference\"><a href=\"#cite_note-25\">(25)<\/a><\/sup><\/li>\n<li>Deux tendances dans la litt\u00e9rature :\n<ul>\n<li><b>Le protocole traditionnel <\/b><sup id=\"cite_ref-26\" class=\"reference\"><a href=\"#cite_note-26\">(26)<\/a><\/sup> qui comprend une mise en charge progressive apr\u00e8s 6 semaines, avec une mise en charge compl\u00e8te \u00e0 12 semaines, en fonction du m\u00e9canisme de la blessure et de l&rsquo;implication d&rsquo;autres tissus mous.<\/li>\n<li>Le <b>protocole de mobilisation pr\u00e9coce<\/b> qui comprend une mise en charge pr\u00e9coce (avant 6 semaines), des exercices pr\u00e9coces, un conditionnement g\u00e9n\u00e9ral, des orth\u00e8ses et de la th\u00e9rapie manuelle. <sup id=\"cite_ref-27\" class=\"reference\"><a href=\"#cite_note-27\">(27)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Les R\u00c9SULTATS du <b>protocole traditionnel<\/b> sont les suivants : <sup id=\"cite_ref-:7_22-1\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22)<\/a><\/sup>\n<ul>\n<li>Raideur des articulations talo-crurale et sub-talaire <sup id=\"cite_ref-:8_28-0\" class=\"reference\"><a href=\"#cite_note-:8-28\">(28)<\/a><\/sup><\/li>\n<li>Diminution de la force <sup id=\"cite_ref-:8_28-1\" class=\"reference\"><a href=\"#cite_note-:8-28\">(28)<\/a><\/sup><\/li>\n<li>Atrophie des muscles de la mi-cuisse \u00e0 28 jours <sup id=\"cite_ref-:8_28-2\" class=\"reference\"><a href=\"#cite_note-:8-28\">(28)<\/a><\/sup><\/li>\n<li>Pathologie de la d\u00e9marche <sup id=\"cite_ref-29\" class=\"reference\"><a href=\"#cite_note-29\">(29)<\/a><\/sup><\/li>\n<li>Diminution de l&rsquo;activit\u00e9 fonctionnelle et de la qualit\u00e9 de vie \u00e0 6 mois <sup id=\"cite_ref-30\" class=\"reference\"><a href=\"#cite_note-30\">(30)<\/a><\/sup><\/li>\n<li>Les mesures de r\u00e9sultats rapport\u00e9es par les patients ne sont pas en corr\u00e9lation avec les r\u00e9sultats cliniques. <sup id=\"cite_ref-31\" class=\"reference\"><a href=\"#cite_note-31\">(31)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Les R\u00c9SULTATS d&rsquo;un <b>protocole de mobilisation pr\u00e9coce<\/b> sont les suivants : <sup id=\"cite_ref-32\" class=\"reference\"><a href=\"#cite_note-32\">(32) <\/a><\/sup><sup id=\"cite_ref-33\" class=\"reference\"><a href=\"#cite_note-33\">(33)<\/a><\/sup>\n<ul>\n<li>Pas plus de complications que le protocole traditionnel <sup id=\"cite_ref-:9_34-0\" class=\"reference\"><a href=\"#cite_note-:9-34\">(34)<\/a><\/sup><\/li>\n<li>Retour au travail plus rapide que le protocole traditionnel <sup id=\"cite_ref-:9_34-1\" class=\"reference\"><a href=\"#cite_note-:9-34\">(34)<\/a><\/sup><\/li>\n<li>Diminution du risque de thromboembolie et d&rsquo;ost\u00e9oporose <sup id=\"cite_ref-:7_22-2\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22)<\/a><\/sup><\/li>\n<li>Diminution du risque de <a href=\"\/Complex_Regional_Pain_Syndrome_(CRPS)\" title=\"Complex Regional Pain Syndrome (CRPS)\">syndrome de douleur r\u00e9gionale complexe <\/a><sup id=\"cite_ref-:7_22-3\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22)<\/a><\/sup><\/li>\n<li>Am\u00e9lioration du bien-\u00eatre g\u00e9n\u00e9ral et de la r\u00e9-interaction sociale du patient <sup id=\"cite_ref-:7_22-4\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22)<\/a><\/sup><\/li>\n<li>Diminution des co\u00fbts socio-\u00e9conomiques <sup id=\"cite_ref-:7_22-5\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Early_Mobilisation_Protocol\">Protocole de mobilisation pr\u00e9coce <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=16\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Early Mobilisation Protocol\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=16\" title=\"Edit section: Early Mobilisation Protocol\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Early_phase_(3_\u2013_6_weeks_post-surgery)(22)\"><\/span><span class=\"mw-headline\" id=\"Early_phase_.283_.E2.80.93_6_weeks_post-surgery.29.5B22.5D\">Phase initiale (3 \u00e0 6 semaines apr\u00e8s l&rsquo;op\u00e9ration) <sup id=\"cite_ref-:7_22-6\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22) <\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=17\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Early phase (3 \u2013 6 weeks post-surgery)(22)\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=17\" title=\"Edit section: Early phase (3 \u2013 6 weeks post-surgery)(22)\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>D\u00e9sensibilisation du syndrome de la douleur r\u00e9gionale complexe : brossage, th\u00e9rapie par miroir<\/li>\n<li>Conditionnement g\u00e9n\u00e9ral sans mise en charge et avec mise en charge partielle : ergom\u00e8tre \u00e0 bras, v\u00e9lo stationnaire, Pilates sur reformer, entra\u00eenement en circuit en salle.<\/li>\n<li>Pr\u00e9parer le patient pour la marche avec mise en charge compl\u00e8te \u00e0 6 semaines.<\/li>\n<\/ul>\n<ul class=\"gallery mw-gallery-traditional\">\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:26.5px auto;\"><a href=\"\/File:Phase_1_Sitting_on_the_ball.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 1 Sitting on the ball.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/74\/Phase_1_Sitting_on_the_ball.png\/250px-Phase_1_Sitting_on_the_ball.png\" decoding=\"async\" width=\"250\" height=\"327\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/74\/Phase_1_Sitting_on_the_ball.png\/375px-Phase_1_Sitting_on_the_ball.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/7\/74\/Phase_1_Sitting_on_the_ball.png\/500px-Phase_1_Sitting_on_the_ball.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:30.5px auto;\"><a href=\"\/File:Phase_1_Proprioception.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 1 Proprioception.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/31\/Phase_1_Proprioception.png\/250px-Phase_1_Proprioception.png\" decoding=\"async\" width=\"250\" height=\"319\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/31\/Phase_1_Proprioception.png\/375px-Phase_1_Proprioception.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/3\/31\/Phase_1_Proprioception.png\/500px-Phase_1_Proprioception.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:28px auto;\"><a href=\"\/File:Phase_1_leg_lift.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 1 leg lift.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/12\/Phase_1_leg_lift.png\/250px-Phase_1_leg_lift.png\" decoding=\"async\" width=\"250\" height=\"324\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/12\/Phase_1_leg_lift.png\/375px-Phase_1_leg_lift.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/1\/12\/Phase_1_leg_lift.png\/500px-Phase_1_leg_lift.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<\/ul>\n<h4><span id=\"Full_weight_bearing:_PWB_-_FWB_(4_-_6_weeks_post-surgery)(22)\"><\/span><span class=\"mw-headline\" id=\"Full_weight_bearing:_PWB_-_FWB_.284_-_6_weeks_post-surgery.29.5B22.5D\">Mise en charge compl\u00e8te : de partielle \u00e0 compl\u00e8te (4 \u00e0 6 semaines apr\u00e8s l&rsquo;op\u00e9ration) <sup id=\"cite_ref-:7_22-7\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22)<\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=18\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Full weight bearing: PWB - FWB (4 - 6 weeks post-surgery)(22)\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=18\" title=\"Edit section: Full weight bearing: PWB - FWB (4 - 6 weeks post-surgery)(22)\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>R\u00e9adaptation fonctionnelle :\n<ul>\n<li>Forme cardio-vasculaire (v\u00e9lo)\n<ul>\n<li>v\u00e9lo (spinning)<\/li>\n<li>natation (sans coups de pied)<\/li>\n<\/ul>\n<\/li>\n<li>Exercices de renforcement avec moins de 50% de la mise en charge<\/li>\n<li>Exercices proprioceptifs <a href=\"\/Balance_Error_Scoring_System\" title=\"Balance Error Scoring System\">(Balance Error Scoring System<\/a>(BESS) avec b\u00e9quilles)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul class=\"gallery mw-gallery-traditional\">\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:29.5px auto;\"><a href=\"\/File:Phase_2_leg_presses.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 2 leg presses.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/67\/Phase_2_leg_presses.png\/250px-Phase_2_leg_presses.png\" decoding=\"async\" width=\"250\" height=\"321\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/67\/Phase_2_leg_presses.png\/375px-Phase_2_leg_presses.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/6\/67\/Phase_2_leg_presses.png\/500px-Phase_2_leg_presses.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:31px auto;\"><a href=\"\/File:Phase_2_hamstrings_curls.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 2 hamstrings curls.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1f\/Phase_2_hamstrings_curls.png\/250px-Phase_2_hamstrings_curls.png\" decoding=\"async\" width=\"250\" height=\"318\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1f\/Phase_2_hamstrings_curls.png\/375px-Phase_2_hamstrings_curls.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1f\/Phase_2_hamstrings_curls.png\/500px-Phase_2_hamstrings_curls.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:29.5px auto;\"><a href=\"\/File:Phase_2_heel_raises.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 2 heel raises.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/11\/Phase_2_heel_raises.png\/250px-Phase_2_heel_raises.png\" decoding=\"async\" width=\"250\" height=\"321\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/11\/Phase_2_heel_raises.png\/375px-Phase_2_heel_raises.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/1\/11\/Phase_2_heel_raises.png\/500px-Phase_2_heel_raises.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:29px auto;\"><a href=\"\/File:Bosu_board.png\" class=\"image\"><img loading=\"lazy\" alt=\"Bosu board.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c1\/Bosu_board.png\/250px-Bosu_board.png\" decoding=\"async\" width=\"250\" height=\"322\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c1\/Bosu_board.png\/375px-Bosu_board.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c1\/Bosu_board.png\/500px-Bosu_board.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<\/ul>\n<h4><span id=\"Full_weight_bearing_(week_6-8_post-surgery)(22)\"><\/span><span class=\"mw-headline\" id=\"Full_weight_bearing_.28week_6-8_post-surgery.29.5B22.5D\">Mise en charge compl\u00e8te (semaine 6 \u00e08 post-chirurgie) <sup id=\"cite_ref-:7_22-8\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22) <\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=19\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Full weight bearing (week 6-8 post-surgery)(22)\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=19\" title=\"Edit section: Full weight bearing (week 6-8 post-surgery)(22)\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>D\u00e9marche (cycle d&rsquo;\u00e9chauffement, puis marche)<\/li>\n<li>Squats inclin\u00e9s<\/li>\n<li>Exercices proprioceptifs : Fente debout en position de pas avant avec torsions, exercices de perturbation (tirer sur la base stable)<\/li>\n<\/ul>\n<ul class=\"gallery mw-gallery-traditional\">\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:29.5px auto;\"><a href=\"\/File:Phase_2_deep_squads.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 2 deep squads.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a6\/Phase_2_deep_squads.png\/250px-Phase_2_deep_squads.png\" decoding=\"async\" width=\"250\" height=\"321\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a6\/Phase_2_deep_squads.png\/375px-Phase_2_deep_squads.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a6\/Phase_2_deep_squads.png\/500px-Phase_2_deep_squads.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:28.5px auto;\"><a href=\"\/File:Phase_3_trunk_rotation.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 3 trunk rotation.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d6\/Phase_3_trunk_rotation.png\/250px-Phase_3_trunk_rotation.png\" decoding=\"async\" width=\"250\" height=\"323\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d6\/Phase_3_trunk_rotation.png\/375px-Phase_3_trunk_rotation.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d6\/Phase_3_trunk_rotation.png\/500px-Phase_3_trunk_rotation.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:27.5px auto;\"><a href=\"\/File:Phase_3_walking.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 3 walking.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0b\/Phase_3_walking.png\/250px-Phase_3_walking.png\" decoding=\"async\" width=\"250\" height=\"325\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0b\/Phase_3_walking.png\/375px-Phase_3_walking.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0b\/Phase_3_walking.png\/500px-Phase_3_walking.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<\/ul>\n<h4><span id=\"Full_weight_bearing_(week_8-10_post-surgery)(22)\"><\/span><span class=\"mw-headline\" id=\"Full_weight_bearing_.28week_8-10_post-surgery.29.5B22.5D\">Mise en charge compl\u00e8te (semaine 8-10 apr\u00e8s la chirurgie) <sup id=\"cite_ref-:7_22-9\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22)<\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=20\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Full weight bearing (week 8-10 post-surgery)(22)\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=20\" title=\"Edit section: Full weight bearing (week 8-10 post-surgery)(22)\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Marcher avec des bandes de r\u00e9sistance et des poids<\/li>\n<li>Step up et step overs (marche &#8211; monter et passer par dessus)<\/li>\n<li>1 jambe en \u00e9quilibre (faire l&rsquo;avion)<\/li>\n<li>Le <a href=\"\/Star_Excursion_Balance_Test\" title=\"Star Excursion Balance Test\">Test d&rsquo;\u00e9quilibre \u00e0 excursion en \u00e9toile<\/a><\/li>\n<\/ul>\n<ul class=\"gallery mw-gallery-traditional\">\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:26.5px auto;\"><a href=\"\/File:Phase_4_SEBT.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 4 SEBT.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d8\/Phase_4_SEBT.png\/250px-Phase_4_SEBT.png\" decoding=\"async\" width=\"250\" height=\"327\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d8\/Phase_4_SEBT.png\/375px-Phase_4_SEBT.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d8\/Phase_4_SEBT.png\/500px-Phase_4_SEBT.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:31.5px auto;\"><a href=\"\/File:Phase_4_aeroplane.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 4 aeroplane.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9a\/Phase_4_aeroplane.png\/250px-Phase_4_aeroplane.png\" decoding=\"async\" width=\"250\" height=\"317\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9a\/Phase_4_aeroplane.png\/375px-Phase_4_aeroplane.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9a\/Phase_4_aeroplane.png\/500px-Phase_4_aeroplane.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:27.5px auto;\"><a href=\"\/File:Phase_4_walking_backwards.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 4 walking backwards.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7f\/Phase_4_walking_backwards.png\/250px-Phase_4_walking_backwards.png\" decoding=\"async\" width=\"250\" height=\"325\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7f\/Phase_4_walking_backwards.png\/375px-Phase_4_walking_backwards.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7f\/Phase_4_walking_backwards.png\/500px-Phase_4_walking_backwards.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<\/ul>\n<h4><span id=\"Week_10_to_final_phase(22)\"><\/span><span class=\"mw-headline\" id=\"Week_10_to_final_phase.5B22.5D\">De la semaine 10 \u00e0 la phase finale <sup id=\"cite_ref-:7_22-10\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22) <\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=21\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Week 10 to final phase(22)\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=21\" title=\"Edit section: Week 10 to final phase(22)\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Endurance \u00e0 la marche avec poids (aller au travail et en revenir avec un sac \u00e0 dos)<\/li>\n<li>Sauts et atterrissages (mur d&rsquo;escalade int\u00e9rieur)<\/li>\n<li>Temps total depuis l&rsquo;accident &#8211; 14 semaines : randonn\u00e9es, th\u00e9rapie du stress post-traumatique<\/li>\n<li>Orth\u00e8ses : bottes de randonn\u00e9e, semelles, manchon de compression pour les jambes.<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Resources\">Ressources<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=22\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=22\" title=\"Edit section: Resources\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Henkelmann R, Schneider S, M\u00fcller D, Gahr R, Josten C, B\u00f6hme J. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/bmcmusculoskeletdisord.biomedcentral.com\/articles\/10.1186\/s12891-017-1461-0\">Outcome of patients after lower limb fracture with partial weight-bearing postoperatively treated with or without anti-gravity treadmill (alter G\u00ae) during six weeks of rehabilitation &#8211; a protocol of a prospective randomized trial.<\/a> BMC Musculoskelet Disord. 2017 Mar 14;18(1):104.<\/li>\n<li>Matthews PA, Scammell BE, Ali A, Coughlin T, Nightingale J, Khan T, Ollivere BJ. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.researchgate.net\/publication\/325481395_Early_motion_and_directed_exercise_EMADE_versus_usual_care_post_ankle_fracture_fixation_Study_protocol_for_a_pragmatic_randomised_controlled_trial\">Early motion and directed exercise (EMADE) versus usual care post ankle fracture fixation: study protocol for a pragmatic randomised controlled trial.<\/a> Trials. 2018 May 31;19(1):304.<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"References\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=23\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=23\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">Pfl\u00fcger P, Braun KF, Mair O, Kirchhoff C, Biberthaler P, Cr\u00f6nlein M. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/eor.bioscientifica.com\/view\/journals\/eor\/6\/8\/2058-5241.6.200138.xml\">Current management of trimalleolar ankle fractures.<\/a> EFORT Open Reviews. 2021 Aug 10;6(8):692-703.<\/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\">Brockett CL, Chapman GJ. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1877132716300483\">Biomechanics of the ankle. Orthopaedics and trauma<\/a>. 2016 Jun 1;30(3):232-8.<\/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\">Ficke J, Byerly DW. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK546698\/\">Anatomy, Bony Pelvis and Lower Limb, Foot.<\/a> (Updated 2021 Aug 11). In: StatPearls (Internet). Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK546698\/<\/span><\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Golan\u00f3 P, Vega J, de Leeuw PA, Malagelada F, Manzanares MC, G\u00f6tzens V, van Dijk CN. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2855022\/\">Anatomy of the ankle ligaments: a pictorial essay<\/a>. Knee Surg Sports Traumatol Arthrosc. 2010 May;18(5):557-69.<\/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\">Milner CE, Soames RW. Anatomy of the collateral ligaments of the human ankle joint. Foot Ankle Int. 1998 Nov;19(11):757-60.<\/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\">Szaro P, Ghali Gataa K, Polaczek M. <i>et al.<\/i> <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.nature.com\/articles\/s41598-020-77856-8\">The double fascicular variations of the anterior talofibular ligament and the calcaneofibular ligament correlate with interconnections between lateral ankle structures revealed on magnetic resonance imaging.<\/a> Sci Rep 2020;10: 20801.<\/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\">Yammine K, Jalloul M, Assi C.Distal tibiofibular syndesmosis: A meta-analysis of cadaveric studies. Morphologie, 2021.<\/span><\/li>\n<li id=\"cite_note-:1-8\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_8-0\">8.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_8-1\">8.1<\/a><\/sup> <sup><a href=\"#cite_ref-:1_8-2\">8.2<\/a><\/sup><\/span> <span class=\"reference-text\">Yamashita M, Mezaki T, Yamamoto T. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/jnnp.bmj.com\/content\/65\/5\/798\">\u00ab\u00a0All tibial foot\u00a0\u00bb with sensory crossover innervation between the tibial and deep peroneal nerves.<\/a> J Neurol Neurosurg Psychiatry. 1998 Nov;65(5):798-9.<\/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\">Gruji\u010di\u0107 R. Common fibular (peroneal) nerve (Internet). KenHub. 2021 (cited 24 July 2022). Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.kenhub.com\/en\/library\/anatomy\/common-fibular-nerve\">https:\/\/www.kenhub.com\/en\/library\/anatomy\/common-fibular-nerve<\/a><\/span><\/li>\n<li id=\"cite_note-:2-10\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_10-0\">10.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_10-1\">10.1<\/a><\/sup> <sup><a href=\"#cite_ref-:2_10-2\">10.2<\/a><\/sup><\/span> <span class=\"reference-text\">Olczak J, Emilson F, Razavian A, Antonsson T, Andreas Stark A, Gordon M.  <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/17453674.2020.1837420\">Ankle fracture classification using deep learning: automating detailed AO Foundation\/Orthopedic Trauma Association (AO\/OTA) 2018 malleolar fracture identification reaches a high degree of correct classification<\/a>. Acta Orthopaedica, 2021; 92(1): 102-108,<\/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\">Michelson JD, Magid D, McHale K. Clinical utility of a stability-based ankle fracture classification system. J Orthop Trauma. 2007 May;21(5):307-15. <\/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\">Fonseca LLD, Nunes IG, Nogueira RR, Martins GEV, Mesencio AC, Kobata SI. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5771788\/\">Reproducibility of the Lauge-Hansen, Danis-Weber, and AO classifications for ankle fractures<\/a>. Rev Bras Ortop. 2017 Dec 6;53(1):101-106<\/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\">Lambert LA, Falconer L, Mason L. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S097656622030093X?fr=RR-1&amp;ref=cra_js_challenge\">Ankle stability in ankle fracture. J Clin Orthop Trauma<\/a>. 2020 May-Jun;11(3):375-379.<\/span><\/li>\n<li id=\"cite_note-:3-14\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_14-0\">14.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_14-1\">14.1<\/a><\/sup> <sup><a href=\"#cite_ref-:3_14-2\">14.2<\/a><\/sup> <sup><a href=\"#cite_ref-:3_14-3\">14.3<\/a><\/sup><\/span> <span class=\"reference-text\">Feger J. AO\/OTA classification of malleolar fractures. Reference article. Available from <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/radiopaedia.org\/articles\/aoota-classification-of-malleolar-fractures\">https:\/\/radiopaedia.org\/articles\/aoota-classification-of-malleolar-fractures<\/a> (last access 29.06.2022) <\/span><\/li>\n<li id=\"cite_note-:4-15\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_15-0\">15.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_15-1\">15.1<\/a><\/sup><\/span> <span class=\"reference-text\">Seewoonarain S, Prempeh M, Shakokani M, Magan A. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.iomcworld.org\/open-access\/ankle-fractures-review-article-46484.html\">Ankle fractures<\/a>. Journal of Arthritis. 2016:1-4.<\/span><\/li>\n<li id=\"cite_note-:5-16\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:5_16-0\">16.0<\/a><\/sup> <sup><a href=\"#cite_ref-:5_16-1\">16.1<\/a><\/sup> <sup><a href=\"#cite_ref-:5_16-2\">16.2<\/a><\/sup> <sup><a href=\"#cite_ref-:5_16-3\">16.3<\/a><\/sup> <sup><a href=\"#cite_ref-:5_16-4\">16.4<\/a><\/sup> <sup><a href=\"#cite_ref-:5_16-5\">16.5<\/a><\/sup><\/span> <span class=\"reference-text\">McKeown R, Rabiu AR, Ellard DR, Kearney RS. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/bmcmusculoskeletdisord.biomedcentral.com\/articles\/10.1186\/s12891-019-2770-2#citeas\">Primary outcome measures used in interventional trials for ankle fractures: a systematic review.<\/a> BMC Musculoskelet Disord 2019; 20 (388). <\/span><\/li>\n<li id=\"cite_note-17\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-17\">\u2191<\/a><\/span> <span class=\"reference-text\">Olerud C, Molander H. A scoring scale for symptom evaluation after ankle fracture. Archives of orthopaedic and traumatic surgery. 1984 Sep;103(3):190-4.<\/span><\/li>\n<li id=\"cite_note-:6-18\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:6_18-0\">18.0<\/a><\/sup> <sup><a href=\"#cite_ref-:6_18-1\">18.1<\/a><\/sup> <sup><a href=\"#cite_ref-:6_18-2\">18.2<\/a><\/sup> <sup><a href=\"#cite_ref-:6_18-3\">18.3<\/a><\/sup><\/span> <span class=\"reference-text\">Hansen CF, Obionu KC, Comins JD, Krogsgaard MR. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1268773121000874\">Patient reported outcome measures for ankle instability. An analysis of 17 existing questionnaires<\/a>. Foot Ankle Surg. 2022 Apr;28(3):288-293<\/span><\/li>\n<li id=\"cite_note-19\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-19\">\u2191<\/a><\/span> <span class=\"reference-text\">Dawson J, Boller I, Doll H, Lavis G, Sharp R, Cooke P, Jenkinson C. The MOXFQ patient-reported questionnaire: assessment of data quality, reliability and validity in relation to foot and ankle surgery. The Foot. 2011 Jun 1;21(2):92-102.<\/span><\/li>\n<li id=\"cite_note-20\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-20\">\u2191<\/a><\/span> <span class=\"reference-text\">Nguyen MQ, Dalen I, Iversen MM, Harboe K, Paulsen A. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s11136-022-03166-3\">Ankle fractures: a systematic review of patient-reported outcome measures and their measurement properties.<\/a> Qual Life Res. 2022 Jun 18.<\/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\">Hansen CF, Obionu KC, Comins JD, Krogsgaard MR. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/reader.elsevier.com\/reader\/sd\/pii\/S1268773121000874?token=575C1396246463B9050BDC478E24239AED5DB3ACDA5EAD536BFE1F2E236641791D548F750202463A0472F325AB57BC30&amp;originRegion=eu-west-1&amp;originCreation=20220809195240\">Patient reported outcome measures for ankle instability. An analysis of 17 existing questionnaires<\/a>. Foot Ankle Surg. 2022 Apr;28(3):288-293.<\/span><\/li>\n<li id=\"cite_note-:7-22\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:7_22-0\">22.00<\/a><\/sup> <sup><a href=\"#cite_ref-:7_22-1\">22.01<\/a><\/sup> <sup><a href=\"#cite_ref-:7_22-2\">22.02<\/a><\/sup> <sup><a href=\"#cite_ref-:7_22-3\">22.03<\/a><\/sup> <sup><a href=\"#cite_ref-:7_22-4\">22.04<\/a><\/sup> <sup><a href=\"#cite_ref-:7_22-5\">22.05<\/a><\/sup> <sup><a href=\"#cite_ref-:7_22-6\">22.06<\/a><\/sup> <sup><a href=\"#cite_ref-:7_22-7\">22.07<\/a><\/sup> <sup><a href=\"#cite_ref-:7_22-8\">22.08<\/a><\/sup> <sup><a href=\"#cite_ref-:7_22-9\">22.09<\/a><\/sup> <sup><a href=\"#cite_ref-:7_22-10\">22.10<\/a><\/sup><\/span> <span class=\"reference-text\">Simpson H. Ankle Fractures Course. Physiopedia. 2022<\/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\">Lin CWC, Donkers NAJ, Refshauge KM, Beckenkamp PR, Khera K, Moseley AM. Rehabilitation for ankle fractures in adults. Cochrane Database of Systematic Reviews 2012, Issue 11. Art. No.: CD005595.<\/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\">Pfeifer CG, Grechenig S, Frankewycz B, Ernstberger A, Nerlich M, Krutsch W. Analysis of 213 currently used rehabilitation protocols in foot and ankle fractures. Injury. 2015 Oct;46 Suppl 4:S51-7. <\/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\">Swart E, Bezhani H, Greisberg J, Vosseller JT. How long should patients be kept non-weight bearing after ankle fracture fixation? 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Injury. 2015;46(6):1127-30<\/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\">Goost H, Wimmer MD, Barg A, Kabir K, Valderrabano V, Burger C. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4075279\/\">Fractures of the ankle joint: investigation and treatment options.<\/a> Dtsch Arztebl Int. 2014 May 23;111(21):377-88.<\/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\">Albin SR, Koppenhaver SL, Marcus R, Dibble L, Cornwall M, Fritz JM. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/10.2519\/jospt.2019.8864?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed\">Short-term Effects of Manual Therapy in Patients After Surgical Fixation of Ankle and\/or Hindfoot Fracture: A Randomized Clinical Trial<\/a>. 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PLoS One. 2015 Feb 19;10(2):e0118320.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230109191911 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.190 seconds Real time usage: 0.208 seconds Preprocessor visited node count: 642\/1000000 Post\u2010expand include size: 41\/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: 30411\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 10.158 1 Special:Contributors\/Ankle_Fractures 100.00% 10.158 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9diteur original &#8211; Ewa Jaraczewska d&rsquo;apr\u00e8s le cours de Helene Simpson Contributeurs principaux &#8211; Ewa Jaraczewska, Jess Bell et Kim Jackson Contenu 1 Introduction 2 Anatomie cliniquement pertinente 2.1 Articulation de la cheville 2.1.1 Os 2.1.2 Ligaments 2.1.3 Muscles 2.1.4 Nerfs et vaisseaux sanguins 2.1.4.1 Nerfs 2.1.4.2 Vaisseaux sanguins 3 Classifications des fractures 4 Pr\u00e9sentation [&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-4536","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4536","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=4536"}],"version-history":[{"count":4,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4536\/revisions"}],"predecessor-version":[{"id":4725,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/4536\/revisions\/4725"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=4536"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}