{"id":5077,"date":"2023-03-07T01:33:13","date_gmt":"2023-03-07T01:33:13","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/hallux-valgus\/"},"modified":"2023-08-14T23:43:06","modified_gmt":"2023-08-14T23:43:06","slug":"hallux-valgus-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/hallux-valgus-fr\/","title":{"rendered":"L&rsquo;hallux valgus"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>R\u00e9dacteur original<\/b> &#8211; <a title=\"User:Bradley Svoboda\" href=\"\/User:Bradley_Svoboda\">Bradley Svoboda<\/a><\/p>\n<p><b>Principaux contributeurs<\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Laura Ritchie\" href=\"\/User:Laura_Ritchie\"><bdi>Laura Ritchie<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Van Horebeek Erika\" href=\"\/User:Van_Horebeek_Erika\"><bdi>Van Horebeek Erika<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Mariam Hashem\" href=\"\/User:Mariam_Hashem\"><bdi>Mariam Hashem<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\" href=\"\/User:Ewa_Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Lucinda hampton\" href=\"\/User:Lucinda_hampton\"><bdi>Lucinda hampton<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Rachael Lowe\" href=\"\/User:Rachael_Lowe\"><bdi>Rachel Lowe<\/bdi><\/a> , <a class=\"mw-userlink\" title=\"User:Bradley Svoboda\" href=\"\/User:Bradley_Svoboda\"><bdi>Bradley Svoboda<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Andeela Hafeez\" href=\"\/User:Andeela_Hafeez\"><bdi>Andeela Hafeez<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Jolien Rottie\" href=\"\/User:Jolien_Rottie\"><bdi>Jolien Rottie<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Admin\" href=\"\/User:Admin\"><bdi>Admin<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Morgane Michiels\" href=\"\/User:Morgane_Michiels\"><bdi>Morgane Michiels<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Khloud Shreif\" href=\"\/User:Khloud_Shreif\"><bdi>Khloud Shreif<\/bdi><\/a> , <a class=\"mw-userlink\" title=\"User:Kristin Zumo\" href=\"\/User:Kristin_Zumo\"><bdi>Kristin Zumo<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Tinne Tielemans\" href=\"\/User:Tinne_Tielemans\"><bdi>Tinne Tielemans<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Evan Thomas\" href=\"\/User:Evan_Thomas\"><bdi>Evan Thomas<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Tarina van der Stockt\" href=\"\/User:Tarina_van_der_Stockt\"><bdi>Tarina van der Stockt<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"Utilisateur:WikiSysop\" href=\"\/User:WikiSysop\"><bdi>WikiSysop<\/bdi><\/a><\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Clinically_Relevant_Anatomy\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Anatomie cliniquement pertinente<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Bones\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">Les os<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Joints\"><span class=\"tocnumber\">2.2<\/span> <span class=\"toctext\">Les articulations<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Ligaments_.5B5.5D\"><span class=\"tocnumber\">2.3<\/span> <span class=\"toctext\">Les ligaments <sup>(5)<\/sup><\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Muscles\"><span class=\"tocnumber\">2.4<\/span> <span class=\"toctext\">Les muscles<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Motion\"><span class=\"tocnumber\">2.5<\/span> <span class=\"toctext\">Le mouvement<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-8\"><a href=\"#Hallux_Valgus_Angle\"><span class=\"tocnumber\">2.5.1<\/span> <span class=\"toctext\">L&rsquo;angle d&rsquo;hallux valgus<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Epidemiology_and_Aetiology\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">\u00c9pid\u00e9miologie et \u00e9tiologie<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-10\"><a href=\"#Clinical_Presentation\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Pr\u00e9sentation clinique<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Biomechanical_Factors.5B2.5D\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">Facteurs biom\u00e9caniques<sup>(2)<\/sup><\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Signs_and_Symptoms\"><span class=\"tocnumber\">4.2<\/span> <span class=\"toctext\">Signes et sympt\u00f4mes<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#Pre-operative_Management\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Traitement pr\u00e9op\u00e9ratoire<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#Operative_Treatment\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Traitement op\u00e9ratoire<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-15\"><a href=\"#Post-operative_Management\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Traitement postop\u00e9ratoire<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-16\"><a href=\"#Physiotherapy\"><span class=\"tocnumber\">7.1<\/span> <span class=\"toctext\">En physioth\u00e9rapie <\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-17\"><a href=\"#Fixing_Gait\"><span class=\"tocnumber\">7.1.1<\/span> <span class=\"toctext\">Correction de la d\u00e9marche<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-18\"><a href=\"#Check_the_Foot_Core\"><span class=\"tocnumber\">7.1.2<\/span> <span class=\"toctext\">V\u00e9rification de la force des stabilisateurs du pied<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-19\"><a href=\"#Planter_Push-Off\"><span class=\"tocnumber\">7.1.3<\/span> <span class=\"toctext\">La pouss\u00e9e plantaire<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-20\"><a href=\"#Address_the_Pain\"><span class=\"tocnumber\">7.1.4<\/span> <span class=\"toctext\">Gestion de la douleur<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-21\"><a href=\"#Match_the_Shoe\"><span class=\"tocnumber\">7.1.5<\/span> <span class=\"toctext\">Assortir la chaussure<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-22\"><a href=\"#References\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L&rsquo;Hallux Valgus est consid\u00e9r\u00e9 comme l&rsquo;une des d\u00e9formations du pied les plus courantes,<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup> et est d\u00e9crit comme \u00ab\u00a0une d\u00e9viation lat\u00e9rale de l&rsquo;hallux et son \u00e9loignement cons\u00e9cutif de l&rsquo;axe m\u00e9dian du corps\u00a0\u00bb.<sup id=\"cite_ref-:3_2-0\" class=\"reference\"><a href=\"#cite_note-:3-2\">(2)<\/a><\/sup> Le traitement de l&rsquo;hallux valgus va du traitement conservateur au traitement chirurgical.<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup> Il existe environ 131 techniques chirurgicales diff\u00e9rentes. Cependant, il n&rsquo;existe \u00e0 ce jour aucune m\u00e9thode permettant de corriger suffisamment toutes les d\u00e9formations de l&rsquo;hallux valgus.<sup id=\"cite_ref-:1_4-0\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> Cet article aborde les principes de traitement pr\u00e9 et postop\u00e9ratoire de l&rsquo;hallux valgus.<\/p>\n<h2><span id=\"Clinically_Relevant_Anatomy\" class=\"mw-headline\">Anatomie cliniquement pertinente <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinically Relevant Anatomy\" href=\"\/index.php?title=Hallux_Valgus&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=Hallux_Valgus&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: 302px;\"><a class=\"image\" href=\"\/File:Foot_inferior.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e5\/Foot_inferior.png\/300px-Foot_inferior.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e5\/Foot_inferior.png\/450px-Foot_inferior.png 1.5x, https:\/\/www.physio-pedia.com\/images\/e\/e5\/Foot_inferior.png 2x\" alt=\"\" width=\"300\" height=\"300\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Face plantaire du pied<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h3><span id=\"Bones\" class=\"mw-headline\">Les os<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Bones\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=3\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Bones\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=3\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le <a title=\"Metatarsals\" href=\"\/Metatarsals\">premier m\u00e9tatarsien<\/a>, sa phalange proximale et sa phalange distale forment l&rsquo;hallux, premier ou gros orteil. De plus, deux <a title=\"Sesamoid\" href=\"\/Sesamoid\">os s\u00e9samo\u00efdes<\/a> (m\u00e9dial et lat\u00e9ral) contribuent \u00e0 la premi\u00e8re articulation m\u00e9tatarso-phalangienne. Leur surface dorsale s&rsquo;articule avec la face plantaire de la premi\u00e8re t\u00eate m\u00e9tatarsienne et est contenue dans le tendon du muscle <a title=\"Flexor Hallucis Brevis\" href=\"\/Flexor_Hallucis_Brevis\">court fl\u00e9chisseur de l&rsquo;hallux<\/a>. La premi\u00e8re t\u00eate m\u00e9tatarsienne est responsable d&rsquo;une bonne mise en charge statique et dynamique. Les os s\u00e9samo\u00efdes prot\u00e8gent les tendons du court fl\u00e9chisseur de l&rsquo;hallux et aident \u00e0 g\u00e9n\u00e9rer plus de force en allongeant ses leviers.<\/p>\n<h3><span id=\"Joints\" class=\"mw-headline\">Les articulations<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Joints\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=4\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Joints\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=4\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>L&rsquo;articulation m\u00e9tatarsophalangienne (MTP) de l&rsquo;hallux est une articulation synoviale. Trois articulations font partie de ce syst\u00e8me :<\/p>\n<ul>\n<li><a class=\"mw-redirect\" title=\"Foot Anatomy\" href=\"\/Foot_Anatomy\">L&rsquo;articulation tarso-m\u00e9tatarsienne<\/a> &#8211; situ\u00e9e entre le premier os cun\u00e9iforme (m\u00e9dial) et le premier m\u00e9tatarsien.<\/li>\n<li><a class=\"mw-redirect\" title=\"Foot Anatomy\" href=\"\/Foot_Anatomy\">L&rsquo;articulation m\u00e9tatarso-phalangienne<\/a> &#8211; relie le premier m\u00e9tatarsien et la premi\u00e8re phalange proximale.<\/li>\n<li><a class=\"mw-redirect\" title=\"Foot Anatomy\" href=\"\/Foot_Anatomy\">L&rsquo;articulation interphalangienne<\/a> &#8211; situ\u00e9e entre les deux phalanges du premier orteil.<\/li>\n<\/ul>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Ligaments_of_the_foot_plantar_aspect_Primal.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/42\/Ligaments_of_the_foot_plantar_aspect_Primal.png\/300px-Ligaments_of_the_foot_plantar_aspect_Primal.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/42\/Ligaments_of_the_foot_plantar_aspect_Primal.png\/450px-Ligaments_of_the_foot_plantar_aspect_Primal.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/4\/42\/Ligaments_of_the_foot_plantar_aspect_Primal.png\/600px-Ligaments_of_the_foot_plantar_aspect_Primal.png 2x\" alt=\"\" width=\"300\" height=\"300\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Ligaments de l&rsquo;aspect plantaire du pied<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h3><span id=\"Ligaments_(5)\"><\/span><span id=\"Ligaments_.5B5.5D\" class=\"mw-headline\">Les ligaments <sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5) <\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Ligaments (5)\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=5\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Ligaments (5)\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=5\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Le ligament inters\u00e9samo\u00efdien (LIS) relie deux s\u00e9samo\u00efdes et connecte indirectement les tendons du <a title=\"Flexor Hallucis Brevis\" href=\"\/Flexor_Hallucis_Brevis\">court fl\u00e9chisseur de l&rsquo;hallux<\/a>, de l&rsquo;<a title=\"Abductor Hallucis\" href=\"\/Abductor_Hallucis\">abducteur de l&rsquo;hallux<\/a> et de l&rsquo;<a title=\"Adductor Hallucis\" href=\"\/Adductor_Hallucis\">adducteur de l&rsquo;hallux<\/a>.<\/li>\n<li>Les ligaments phalangiens s\u00e9samo\u00efdes sont les ligaments les plus \u00e9pais de la premi\u00e8re articulation m\u00e9tatarsienne. Ils prot\u00e8gent les s\u00e9samo\u00efdes d&rsquo;une subluxation lorsque des forces de traction \u00e9lev\u00e9es agissent sur eux pendant la marche ou la course.<\/li>\n<li>Les ligaments m\u00e9tatarsosesamo\u00efdiens, ou ligaments suspenseurs, font partie du complexe de la plaque plantaire. Ils aident \u00e0 stabiliser les os s\u00e9samo\u00efdes.<\/li>\n<li>Les ligaments m\u00e9tatarsophalangiens m\u00e9dial et lat\u00e9ral (ligaments collat\u00e9raux) s&rsquo;attachent aux os s\u00e9samo\u00efdes en p\u00e9riph\u00e9riques. Ils ne font pas partie du complexe de la plaque plantaire mais jouent un r\u00f4le essentiel de stabilisateur statique lors de l&rsquo;application de forces en valgus ou en varus.<\/li>\n<\/ul>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Intrinsic_foot_muscles.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/6a\/Intrinsic_foot_muscles.png\/300px-Intrinsic_foot_muscles.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/6a\/Intrinsic_foot_muscles.png\/450px-Intrinsic_foot_muscles.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/6\/6a\/Intrinsic_foot_muscles.png\/600px-Intrinsic_foot_muscles.png 2x\" alt=\"\" width=\"300\" height=\"177\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Muscles intrins\u00e8ques du pied<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h3><span id=\"Muscles\" class=\"mw-headline\">Muscles<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Muscles\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=6\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Muscles\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=6\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Les muscles suivants agissent sur la premi\u00e8re articulation MTP : <a title=\"Tibialis Anterior\" href=\"\/Tibialis_Anterior\">tibial ant\u00e9rieur<\/a>, <a title=\"Long extenseur de l'hallux\" href=\"\/Extensor_Hallucis_Longus\">long extenseur de l&rsquo;hallux<\/a>, <a title=\"Peroneus (Fibularis) Longus Muscle\" href=\"\/Peroneus_(Fibularis)_Longus_Muscle\">long p\u00e9ronier<\/a>, long fl\u00e9chisseur de l&rsquo;hallux, court extenseur de l&rsquo;hallux, <a title=\"Abductor Hallucis\" href=\"\/Abductor_Hallucis\">abducteur de l&rsquo;hallux<\/a>, <a title=\"Flexor Hallucis Brevis\" href=\"\/Flexor_Hallucis_Brevis\">court fl\u00e9chisseur de l&rsquo;hallux<\/a>, <a title=\"Adductor Hallucis\" href=\"\/Adductor_Hallucis\">adducteur de l&rsquo;hallux<\/a>, <a title=\"Dorsal Interossei of the Foot\" href=\"\/Dorsal_Interossei_of_the_Foot\">interosseux dorsaux<\/a>, et <a title=\"Aponeurosis\" href=\"\/Aponeurosis\">apon\u00e9vrose plantaire<\/a>.<\/p>\n<p>Les muscles responsables du contr\u00f4le du mouvement au niveau de la premi\u00e8re articulation MTP sont le <a title=\"Extensor Hallucis Brevis\" href=\"\/Extensor_Hallucis_Brevis\">court extenseur de l&rsquo;hallux<\/a>, l&rsquo;abducteur de l&rsquo;hallux, le court fl\u00e9chisseur de l&rsquo;hallux et l&rsquo;adducteur de l&rsquo;hallux. L&rsquo;abducteur de l&rsquo;hallux contribue \u00e0 l&rsquo;abduction et \u00e0 la flexion de la premi\u00e8re articulation MTP. En plus des muscles intrins\u00e8ques du pied, le long fl\u00e9chisseur de l&rsquo;hallux contribue \u00e0 la flexion de la phalange distale de l&rsquo;hallux et le long extenseur de l&rsquo;hallux \u00e0 son extension.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup><\/p>\n<h3><span id=\"Motion\" class=\"mw-headline\">Le mouvement<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Motion\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=7\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Motion\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=7\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le mouvement principal de l&rsquo;articulation m\u00e9tatarso-phalangienne est la flexion et l&rsquo;extension avec une abduction et une adduction minimes. Les ligaments collat\u00e9raux limitent le mouvement m\u00e9dio-lat\u00e9ral de l&rsquo;articulation.<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Hallux_valgus_angle_2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/8a\/Hallux_valgus_angle_2.jpg\/300px-Hallux_valgus_angle_2.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/8\/8a\/Hallux_valgus_angle_2.jpg 1.5x\" alt=\"\" width=\"300\" height=\"481\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Angle de l&rsquo;hallux valgus<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h4><span id=\"Hallux_Valgus_Angle\" class=\"mw-headline\">L&rsquo;angle de l&rsquo;hallux valgus <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Hallux Valgus Angle\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=8\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Hallux Valgus Angle\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=8\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>L&rsquo;angle cr\u00e9\u00e9 entre les lignes qui bissectent longitudinalement la phalange proximale et le premier m\u00e9tatarsien.<\/li>\n<li>Un angle inf\u00e9rieur \u00e0 15\u00b0 est consid\u00e9r\u00e9 comme normal. Les angles de 20\u00b0 et plus sont consid\u00e9r\u00e9s comme anormaux. Un angle de 45-50\u00b0 est consid\u00e9r\u00e9 comme s\u00e9v\u00e8re.<\/li>\n<\/ul>\n<h2><span id=\"Epidemiology_and_Aetiology\" class=\"mw-headline\">\u00c9pid\u00e9miologie et \u00e9tiologie <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Epidemiology and Aetiology\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=9\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Epidemiology and Aetiology\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=9\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La d\u00e9formation en hallux valgus est une affection complexe. Elle a une tendance familiale qui d\u00e9pend de la transmission de l&rsquo;h\u00e9ritage autosomique dominant avec une p\u00e9n\u00e9trance incompl\u00e8te. <sup id=\"cite_ref-:3_2-1\" class=\"reference\"><a href=\"#cite_note-:3-2\">(2)<\/a><\/sup> Les autres facteurs \u00e9tiologiques sont les suivants :<\/p>\n<ul>\n<li>Le sexe (plus fr\u00e9quent chez les femmes que chez les hommes (le rapport est de 15:1) <sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><\/li>\n<li>Les chaussures (chaussures serr\u00e9es et pointues)\n<ul>\n<li>Menz et al. ont constat\u00e9 que le port de chaussures constrictives \u00ab\u00a0entre 20 et 39 ans peut \u00eatre une p\u00e9riode critique pour le d\u00e9veloppement de l&rsquo;hallux valgus plus tard dans la vie\u00a0\u00bb.<sup id=\"cite_ref-:5_9-0\" class=\"reference\"><a href=\"#cite_note-:5-9\">(9)<\/a><\/sup><sup id=\"cite_ref-:5_9-1\" class=\"reference\"><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>D\u00e9formation cong\u00e9nitale<\/li>\n<li>Facteurs anatomiques et biom\u00e9caniques, tels que\n<ul>\n<li>Un premier m\u00e9tatarsien long<\/li>\n<li>Une articulation de forme arrondie<\/li>\n<li>Un m\u00e9tatarse primus varus<\/li>\n<\/ul>\n<\/li>\n<li>Une raideur chronique du <a title=\"Achilles Tendon\" href=\"\/Achilles_Tendon\">tendon d&rsquo;Achille<\/a><\/li>\n<li>Un pied plat s\u00e9v\u00e8re<\/li>\n<li>Une hypermobilit\u00e9 de la premi\u00e8re articulation m\u00e9tatarsocun\u00e9iforme<\/li>\n<li>Une maladie syst\u00e9mique<\/li>\n<li>Des insertions musculaires anormales<\/li>\n<li>Une <a title=\"Arthrose\" href=\"\/Osteoarthritis\">arthrose<\/a> de la hanche et du genou <sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10) <\/a><\/sup><sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11) <\/a><\/sup><sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12) <\/a><\/sup><sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13) <\/a><\/sup><\/li>\n<li><a title=\"Body Mass Index\" href=\"\/Body_Mass_Index\">Un indice de masse corporelle (IMC)<\/a> \u00e9lev\u00e9<\/li>\n<\/ul>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Hallux_valgus_anatomy.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/fe\/Hallux_valgus_anatomy.jpg\/300px-Hallux_valgus_anatomy.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/fe\/Hallux_valgus_anatomy.jpg\/450px-Hallux_valgus_anatomy.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/f\/fe\/Hallux_valgus_anatomy.jpg 2x\" alt=\"\" width=\"300\" height=\"267\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Anatomie de l&rsquo;Hallux Valgus<\/p>\n<\/div>\n<\/div>\n<\/div>\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=Hallux_Valgus&amp;veaction=edit&amp;section=10\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Clinical Presentation\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=10\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Biomechanical_Factors(2)\"><\/span><span id=\"Biomechanical_Factors.5B2.5D\" class=\"mw-headline\">Facteurs biom\u00e9caniques <sup id=\"cite_ref-:3_2-2\" class=\"reference\"><a href=\"#cite_note-:3-2\">(2) <\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Biomechanical Factors(2)\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=11\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Biomechanical Factors(2)\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=11\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La pathologie de l&rsquo;hallux valgus correspond \u00e0 une d\u00e9viation osseuse et \u00e0 une d\u00e9stabilisation du groupe musculaire autour de l&rsquo;articulation. Le processus suivant peut se d\u00e9rouler par \u00e9tapes ou en parall\u00e8le :<\/p>\n<ul>\n<li>La blessure initiale est li\u00e9e \u00e0 la rupture de l&rsquo;os s\u00e9samo\u00efde m\u00e9dial et des ligaments collat\u00e9raux m\u00e9diaux.<\/li>\n<li>D\u00e9viation m\u00e9diale de la premi\u00e8re t\u00eate m\u00e9tatarsienne<\/li>\n<li>D\u00e9formation en valgus de la phalange proximale alors que sa base est fix\u00e9e \u00e0 l&rsquo;os s\u00e9samo\u00efde, au ligament transverse et au tendon de l&rsquo;adducteur de l&rsquo;hallux.<\/li>\n<li>La cambrure lat\u00e9rale des tendons longs extenseur et fl\u00e9chisseur de l&rsquo;hallux augmente la d\u00e9formation en valgus.<\/li>\n<li>Le tendon de l&rsquo;adducteur de l&rsquo;hallux tire la phalange en pronation, ce qui entra\u00eene une luxation de la base de la phalange.<\/li>\n<li>La premi\u00e8re articulation m\u00e9tatarso-phalangienne tourne m\u00e9dialement avec la pronation et devient instable.<\/li>\n<\/ul>\n<blockquote><p>Le r\u00e9sultat final est une d\u00e9viation lat\u00e9rale et une rotation lat\u00e9rale de l&rsquo;hallux accompagn\u00e9es d&rsquo;une d\u00e9viation m\u00e9diale et une rotation lat\u00e9rale du premier m\u00e9tatarsien.<\/p><\/blockquote>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 408px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 400px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/L_orU3MgOVw?\" width=\"400\" height=\"225\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/p>\n<h3><span id=\"Signs_and_Symptoms\" class=\"mw-headline\">Signes et sympt\u00f4mes <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Signs and Symptoms\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=12\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Signs and Symptoms\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=12\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Inflammation des articulations<\/li>\n<li>Douleur initiale et sensibilit\u00e9 locale \u00e0 la pression de la chaussure<\/li>\n<li>Alt\u00e9ration de la peau localement : elle devient dure, chaude et rouge<\/li>\n<li>\u00c9largissement osseux de la premi\u00e8re t\u00eate m\u00e9tatarsienne <sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><\/li>\n<li>Progression de la douleur \u00e0 mesure que la taille de l&rsquo;oignon de pied (hallux valgus) augmente<\/li>\n<li><a title=\"Gait Deviations\" href=\"\/Gait_Deviations\">D\u00e9viations de la d\u00e9marche<\/a> dans la phase d&rsquo;appui et la phase de propulsion (fin de l&rsquo;appui)\n<ul>\n<li>Lorsque le poids du corps se d\u00e9place vers l&rsquo;avant sur un pied au sol, le patient aura tendance \u00e0 maintenir son poids sur le bord lat\u00e9ral du pied<\/li>\n<li>D\u00e9placement lat\u00e9ral et post\u00e9rieur du poids<\/li>\n<li>Lev\u00e9e tardive du talon due au d\u00e9placement du poids du corps sur le bord lat\u00e9ral du pied<\/li>\n<li>R\u00e9duction du temps d&rsquo;appui sur le membre affect\u00e9 <sup id=\"cite_ref-:4_16-0\" class=\"reference\"><a href=\"#cite_note-:4-16\">(16)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>D\u00e9formation en pronation du pied<\/li>\n<li>Faiblesse des muscles abducteurs de l&rsquo;hallux <sup id=\"cite_ref-:4_16-1\" class=\"reference\"><a href=\"#cite_note-:4-16\">(16)<\/a><\/sup><\/li>\n<li>Raccourcissement du muscle court fl\u00e9chisseur de l&rsquo;hallux<\/li>\n<\/ul>\n<h2><span id=\"Pre-operative_Management\" class=\"mw-headline\">Traitement pr\u00e9op\u00e9ratoire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Pre-operative Management\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=13\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Pre-operative Management\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=13\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>\u00c9ducation du patient concernant le temps de r\u00e9cup\u00e9ration<\/li>\n<\/ul>\n<blockquote><p>\u00ab\u00a0Je pense qu&rsquo;il serait utile, si vous connaissez un patient qui envisage de se faire op\u00e9rer, d&rsquo;en discuter avec lui, de lui donner les documents \u00e0 lire et de vous assurer qu&rsquo;il comprend ce qui l&rsquo;attend.\u00a0\u00bb <i>Helene Simpson<\/i> <sup id=\"cite_ref-:6_17-0\" class=\"reference\"><a href=\"#cite_note-:6-17\">(17)<\/a><\/sup><\/p><\/blockquote>\n<h2><span id=\"Operative_Treatment\" class=\"mw-headline\">Traitement chirurgical <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Operative Treatment\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=14\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Operative Treatment\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=14\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Malgr\u00e9 les nombreuses proc\u00e9dures chirurgicales pour traiter l&rsquo;hallux valgus, aucune m\u00e9thode unique ne peut corriger toutes les d\u00e9formations. <sup id=\"cite_ref-:1_4-1\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> Les chirurgiens d\u00e9cident du type d&rsquo;intervention en fonction des r\u00e9sultats de leur \u00e9valuation qui inclut :<\/p>\n<ul>\n<li>Une observation pr\u00e9cise de l&rsquo;augmentation de l&rsquo;angle en valgus de l&rsquo;hallux<\/li>\n<li>De l&rsquo;augmentation de l&rsquo;angle interm\u00e9tatarsien (IM)<\/li>\n<li>De la pronation du premier orteil<\/li>\n<li>DE l&rsquo;augmentation de l&rsquo;angle articulaire m\u00e9tatarsien distal<\/li>\n<li>De l&rsquo;\u00e9largissement de l&rsquo;\u00e9minence m\u00e9diane<\/li>\n<li>De la subluxation des os s\u00e9samo\u00efdes<\/li>\n<\/ul>\n<p><b>Objectifs :<\/b><\/p>\n<ol>\n<li>Maintenir la souplesse de la premi\u00e8re articulation MTP<\/li>\n<li>Pr\u00e9server le sch\u00e9ma normal de mise en charge sur l&rsquo;avant-pied<\/li>\n<\/ol>\n<p><b>R\u00e9sultats :<\/b><\/p>\n<ul>\n<li>Selon une \u00e9tude de Hernandez-Castillejo et al., <sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup> la chirurgie de l&rsquo;hallux valgus a diminu\u00e9 la perception de la douleur par le patient et a augment\u00e9 sa qualit\u00e9 de vie dans les domaines physique et social.<\/li>\n<li>Goh et al. <sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup> ont conclu que l&rsquo;\u00e2ge n&rsquo;influen\u00e7ait pas les r\u00e9sultats p\u00e9ri-op\u00e9ratoires, fonctionnels ou subjectifs apr\u00e8s une chirurgie de l&rsquo;hallux valgus, mais que les patients plus \u00e2g\u00e9s pouvaient pr\u00e9senter un risque plus \u00e9lev\u00e9 de r\u00e9cidive.<\/li>\n<\/ul>\n<h2><span id=\"Post-operative_Management\" class=\"mw-headline\">Traitement postop\u00e9ratoire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Post-operative Management\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=15\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Post-operative Management\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=15\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p><b>Directives g\u00e9n\u00e9rales :<\/b><\/p>\n<ul>\n<li>Au moins six semaines sans mise en charge<\/li>\n<li>Immobilisation dans une chaussure modifi\u00e9e<\/li>\n<li>Gestion de l&rsquo;<a title=\"Oedema Assessment\" href=\"\/Oedema_Assessment\">\u0153d\u00e8me<\/a><\/li>\n<\/ul>\n<h3><span id=\"Physiotherapy\" class=\"mw-headline\">En physioth\u00e9rapie<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiotherapy\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=16\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Physiotherapy\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=16\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<blockquote><p>Consid\u00e9rer le patient dans sa globalit\u00e9 : \u00ab corriger la d\u00e9marche, v\u00e9rifier les stabilisateurs du pied, la pouss\u00e9e plantaire, l\u2019usure des chaussures, s\u2019assurer que l\u2019on g\u00e8re \u00e0 la douleur, examiner toute la cha\u00eene cin\u00e9tique en incluant les chaussures. \u00bb Helene Simpson <sup id=\"cite_ref-:6_17-1\" class=\"reference\"><a href=\"#cite_note-:6-17\">(17)<\/a><\/sup><\/p><\/blockquote>\n<h4><span id=\"Fixing_Gait\" class=\"mw-headline\">Correction du patron de marche <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Fixing Gait\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=17\">modifier<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Fixing Gait\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=17\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Apr\u00e8s la correction de l&rsquo;hallux valgus, les patients peuvent prendre l&rsquo;habitude de marcher sur le c\u00f4t\u00e9 de leur pied pour \u00e9viter la mise en charge sur le gros orteil r\u00e9cemment op\u00e9r\u00e9. Il faut rem\u00e9dier \u00e0 cela afin d&rsquo;assurer un bon \u00e9quilibre et une bonne stabilit\u00e9 ainsi que pour pr\u00e9venir d&rsquo;autres blessures \u00e0 long terme.<sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup><\/p>\n<p><b>Objectif :<\/b><\/p>\n<ol>\n<li>R\u00e9tablir un patron de marche aussi proche que possible de la normale.<\/li>\n<\/ol>\n<p><b>Strat\u00e9gies :<\/b><\/p>\n<ul>\n<li>Regarder, filmer, adresser, corriger. R\u00e9p\u00e9tez l&rsquo;op\u00e9ration si n\u00e9cessaire pour que le patient ait confiance en son patron de marche<\/li>\n<li>Faciliter la mise en charge sur le premier m\u00e9tatarsien\n<ul>\n<li>Marchez avec un patient, un pied directement devant l&rsquo;autre<\/li>\n<li>Strat\u00e9gies de mobilisation de l&rsquo;avant-pied, y compris l&rsquo;allongement du fascia plantaire et du tendon d&rsquo;Achille<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h4><span id=\"Check_the_Foot_Core\" class=\"mw-headline\">V\u00e9rification de la force des stabilisateurs du pied <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Check the Foot Core\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=18\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Check the Foot Core\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=18\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les muscles cibl\u00e9s pour le renforcement sont : <sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup><\/p>\n<ul>\n<li>les muscles intrins\u00e8ques : l&rsquo;abducteur de l&rsquo;hallux, l&rsquo;adducteur de l&rsquo;hallux et le court fl\u00e9chisseur de l&rsquo;hallux<\/li>\n<li>les muscles extrins\u00e8ques : le tibial post\u00e9rieur et le long p\u00e9ronier<\/li>\n<\/ul>\n<p><b>Objectif :<\/b><\/p>\n<ol>\n<li>Renforcer les stabilisateurs du pied<\/li>\n<\/ol>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Metatarsal_doming.gif\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1b\/Metatarsal_doming.gif\/300px-Metatarsal_doming.gif\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1b\/Metatarsal_doming.gif\/450px-Metatarsal_doming.gif 1.5x, https:\/\/www.physio-pedia.com\/images\/1\/1b\/Metatarsal_doming.gif 2x\" alt=\"\" width=\"300\" height=\"169\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Doming exercise<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p><b>Strat\u00e9gies :<\/b><\/p>\n<ul>\n<li>Demander au patient de cr\u00e9er un d\u00f4me avec son pied depuis une position assise en appuyant sur les orteils et en raccourcissant le pied en tenant la position en isom\u00e9trique.<\/li>\n<li>Demander au patient d&rsquo;appuyer sur le premier orteil et de soulever les quatre autres orteils, puis inversement, d&rsquo;appuyer sur les quatre orteils et de soulever le gros orteil.<\/li>\n<li>Ajouter un peu de r\u00e9sistance en utilisant une bande \u00e9lastique (mettre la bande en dessous et appuyer dessus tout en tirant la bande vers le haut avec les deux mains). Cet exercice est appel\u00e9 \u00ab\u00a0foot core plus\u00a0\u00bb.<\/li>\n<li>Demander au patient de faire le m\u00eame exercice en maintenant le d\u00f4me du pied. Une \u00e9tape suppl\u00e9mentaire serait d&rsquo;appuyer les orteils, le premier rayon, et ensuite commencer \u00e0 soulever le talon, en maintenant une bonne posture du pied.<\/li>\n<li>Progresser en se tenant debout, en se tenant sur un pied, en marchant, en faisant un pas en avant, en faisant un pas en arri\u00e8re.<\/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\/pmqBTq3HIJw?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup><\/p>\n<h4><span id=\"Planter_Push-Off\" class=\"mw-headline\">La pouss\u00e9e plantaire<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Planter Push-Off\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=19\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Planter Push-Off\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=19\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p><b>Objectif :<\/b><\/p>\n<ol>\n<li>Am\u00e9liorer la pouss\u00e9e fonctionnelle du pied<\/li>\n<\/ol>\n<p><b>Strat\u00e9gies :<\/b><\/p>\n<ul>\n<li>Exercices\n<ul>\n<li>Debout sur le bord d&rsquo;une bo\u00eete ou d&rsquo;une marche avec une bande \u00e9lastique &#8211; demander au patient de pousser \u00e0 travers la bande.<\/li>\n<li>Marcher avec une bande \u00e9lastique sous les orteils en la tirant vers le haut &#8211; le patient pousse ses orteils dans la bande en marchant, en appuyant au sol pour pousser avec son pied.<\/li>\n<li>Le travail des tissus mous est \u00e9galement essentiel, comme la lib\u00e9ration des extenseurs des orteils. Ces muscles se raidissent et perdent la capacit\u00e9 de glisser en douceur dans le r\u00e9tinaculum extenseur, dans l&rsquo;axe de la syndesmose.<\/li>\n<li>Le soul\u00e8vement du talon est un exercice qui permet de renforcer les fl\u00e9chisseurs plantaires. S&rsquo;ils sont tendus, il est utile de les allonger, de les rel\u00e2cher et de les \u00e9tirer en demandant au patient de se tenir sur le bord d&rsquo;une marche et de baisser les talons. Vous pouvez mettre des ouattes de coton entre les orteils pour les assouplir.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Mobilit\u00e9 et flexibilit\u00e9 du deuxi\u00e8me orteil<\/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\/h2kaEOd3GcI?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><\/p>\n<h4><span id=\"Address_the_Pain\" class=\"mw-headline\">Gestion de la douleur <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Address the Pain\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=20\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Address the Pain\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=20\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p><b>Objectif :<\/b><\/p>\n<ol>\n<li>R\u00e9duire la douleur et r\u00e9tablir l&rsquo;amplitude normale de mouvement des articulations des orteils et des pieds ainsi que la longueur des muscles.<\/li>\n<\/ol>\n<p><b>Strat\u00e9gies :<\/b><\/p>\n<ul>\n<li>Techniques de <a title=\"Desensitization\" href=\"\/Desensitization\">d\u00e9sensibilisation<\/a><\/li>\n<li><a title=\"Transcutaneous Electrical Nerve Stimulation (TENS)\" href=\"\/Transcutaneous_Electrical_Nerve_Stimulation_(TENS)\">Stimulation \u00e9lectrique nerveuse transcutan\u00e9e <\/a> (TENS)<\/li>\n<li>Revue des m\u00e9dicaments avec le chirurgien et le patient<\/li>\n<li>Les th\u00e9rapeutes doivent avoir une bonne compr\u00e9hension des techniques chirurgicales afin d&rsquo;\u00e9viter d&rsquo;utiliser des techniques qui pourraient perturber la gu\u00e9rison de l&rsquo;os, comme par exemple, la mobilisation d&rsquo;une ost\u00e9otomie en \u00e9charpe.<\/li>\n<li>Mobilisation des os s\u00e9samo\u00efdes : mobilisations articulaires de grade III sur les s\u00e9samo\u00efdes m\u00e9dial et lat\u00e9ral de la premi\u00e8re MTP affect\u00e9e.\n<ul>\n<li>Un pouce est plac\u00e9 sur l&rsquo;aspect proximal du s\u00e9samo\u00efde et est utilis\u00e9 pour appliquer une force de proximal \u00e0 distal qui am\u00e8ne le s\u00e9samo\u00efde \u00e0 atteindre l&rsquo;amplitude finale du mouvement (glissements distaux). Celles-ci sont r\u00e9alis\u00e9es avec des oscillations rythmiques de grande amplitude. La technique ne doit pas permettre un mouvement de plus de 20\u00b0 de la MTP. <sup id=\"cite_ref-24\" class=\"reference\"><a href=\"#cite_note-24\">(24)<\/a><\/sup> <b>NOTE <\/b>: <i><b>V\u00e9rifiez toujours le protocole op\u00e9ratoire avant de choisir une intervention. Cette technique ne convient pas si une proc\u00e9dure chirurgicale avec fusion a \u00e9t\u00e9 effectu\u00e9e.<\/b><\/i><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h4><span id=\"Match_the_Shoe\" class=\"mw-headline\">Assortir la chaussure <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Match the Shoe\" href=\"\/index.php?title=Hallux_Valgus&amp;veaction=edit&amp;section=21\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Match the Shoe\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=21\">modifier la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p><b>Objectif :<\/b><\/p>\n<ol>\n<li>Apporter le soutien n\u00e9cessaire aux pieds sensibles et enfl\u00e9s.<\/li>\n<\/ol>\n<p><b>Strat\u00e9gies :<\/b><\/p>\n<ul>\n<li>Demander au patient quelles chaussures il se voit porter<\/li>\n<li>\u00c9valuer la chaussure que le patient porte actuellement<\/li>\n<li>Une chaussure usag\u00e9e peut ne plus convenir &#8211; sa forme peut avoir chang\u00e9 pour s&rsquo;adapter \u00e0 la posture du pied avant l&rsquo;op\u00e9ration.<\/li>\n<li>Un espace des orteils plus large et une structure de talon saine et solide peuvent \u00eatre utiles.<\/li>\n<li>Ne pas porter de chaussures \u00e0 semelle plate en cuir<\/li>\n<li>Le port de chaussettes ou de bas soyeux peut \u00e9viter les frottements et prot\u00e9ger la cicatrice.<\/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=Hallux_Valgus&amp;veaction=edit&amp;section=22\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Hallux_Valgus&amp;action=edit&amp;section=22\">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\">Mortka K, Lisi\u0144ski P. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4668189\/pdf\/jpts-27-3303.pdf\" rel=\"nofollow\">Hallux valgus-a case for a physiotherapist or only for a surgeon? Literature review.<\/a> J Phys Ther Sci. 2015 Oct;27(10):3303-7<\/span><\/li>\n<li id=\"cite_note-:3-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_2-1\">2.1<\/a><\/sup> <sup><a href=\"#cite_ref-:3_2-2\">2.2<\/a><\/sup><\/span> <span class=\"reference-text\">Cavalheiro CS, Arcuri MH, Guil VR, Gali JC. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7006535\/pdf\/1809-4406-aob-28-01-12.pdf\" rel=\"nofollow\">HALLUX VALGUS ANATOMICAL ALTERATIONS AND ITS CORRELATION WITH THE RADIOGRAPHIC FINDINGS.<\/a> Acta Ortop Bras. 2020 Jan-Feb;28(1):12-15.<\/span><\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">Wojcik B, Fabi\u015b M, Zadro\u017ana K, Ma\u0142ek A, Iwaniszyn-Zapo\u0142och K, Remjasz K,Aleksandrowicz J, Siedlecki W. Hallux valgus treatment and new methods. Journal of Education, Health and Sport (online). 2022;12( 9): 614\u2013620. (last access 18.02.2023)<\/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\">Joseph TN, Mroczek KJ. Decision making in the treatment of hallux valgus. Bull NYU Hosp Jt Dis. 2007;65(1):19-23. <\/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\">Hallinan JTPD, Statum SM, Huang BK, Bezerra HG, Garcia DAL, Bydder GM, Chung CB. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7337226\/pdf\/rg.2020190145.pdf\" rel=\"nofollow\">High-Resolution MRI of the First Metatarsophalangeal Joint: Gross Anatomy and Injury Characterization.<\/a> Radiographics. 2020 Jul-Aug;40(4):1107-1124.<\/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\">J.S. Kawalec JS. 12 &#8211; Mechanical testing of foot and ankle implants. Editor(s): Friis E. Mechanical Testing of Orthopaedic Implants. Woodhead Publishing 2017: pages 231-253<\/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\">Mojica MN, John S. Early JS.19 &#8211; Foot Biomechanics. Editor(s): Webster JB, Murphy DP. Atlas of Orthoses and Assistive Devices (Fifth Edition),Elsevier, 2019: 216-228.e1.<\/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\">Kakwani M, Kakwani R. Current concepts review of hallux valgus. Journal of Arthroscopy and Joint Surgery. 2021;8(3):222-30.<\/span><\/li>\n<li id=\"cite_note-:5-9\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-:5_9-0\">\u2191<\/a><\/span>Menz HB, Roddy E, Marshall M, Thomas MJ, Rathod T, Peat GM, Croft PR. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5106851\/\" target=\"_blank\" rel=\"nofollow noopener\">Epidemiology of shoe wearing patterns over time in older women: associations with foot pain and hallux valgus<\/a>. J Gerontol A Biol Sci Med Sci. 2016 Dec;71(12):1682-7.<\/li>\n<li id=\"cite_note-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-10\">\u2191<\/a><\/span> <span class=\"reference-text\">Hannan MT, Menz HB, Jordan JM, Cupples LA, Cheng C-H, Hsu Y-H. Hallux Valgus and Lesser Toe Deformities are Highly Heritable in Adult Men and Women: the Framingham Foot Study. Arthritis care &amp; research. 2013;65(9):1515-1521. <\/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\">Golightly YM, Hannan MT, Dufour AB, Renner JB, Jordan JM. Factors Associated with Hallux Valgus in a Community-Based Cross-Sectional Study of Adults with and without Osteoarthritis. Arthritis care &amp; research. 2015;67(6):791-798. <\/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\">Barnish MS, Barnish J. High-heeled shoes and musculoskeletal injuries: a narrative systematic review. BMJ Open. 2016;6(1):e010053<\/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\">Menz HB, Roddy E, Marshall M, et al. Epidemiology of Shoe Wearing Patterns Over Time in Older Women: Associations With Foot Pain and Hallux Valgus. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2016;71(12):1682-1687. <\/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\">Biomechanix Foot and Knee Clinic. Hallux Valgus. Available from: <a class=\"external free\" href=\"http:\/\/www.youtube.com\/watch?v=L_orU3MgOVw\" rel=\"nofollow\">http:\/\/www.youtube.com\/watch?v=L_orU3MgOVw<\/a> (last accessed 08\/01\/17)<\/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\">Menz HB, Munteanu SE. Radiographic validation of the Manchester scale for the classification of hallux valgus deformity. Rheumatology (Oxford). 2005 Aug;44(8):1061-6.<\/span><\/li>\n<li id=\"cite_note-:4-16\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_16-0\">16.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_16-1\">16.1<\/a><\/sup><\/span> <span class=\"reference-text\">Dimonte P, Light H. Pathomechanics, gait deviations, and treatment of the rheumatoid foot: a clinical report. Phys Ther. 1982 Aug;62(8):1148-56.<\/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><\/span> <span class=\"reference-text\">Simpson H. Hallux Valgus. Plus Course 2020<\/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\">Hern\u00e1ndez-Castillejo LE, Mart\u00ednez Vizca\u00edno V, Garrido-Miguel M, Cavero-Redondo I, Pozuelo-Carrascosa DP, \u00c1lvarez-Bueno C. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8023907\/pdf\/IORT_91_1764193.pdf\" rel=\"nofollow\">Effectiveness of hallux valgus surgery on patient quality of life: a systematic review and meta-analysis<\/a>. Acta Orthop. 2020 Aug;91(4):450-456.<\/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\">Goh GS, Tay AY, Thever Y, Koo K. Effect of age on clinical and radiological outcomes of hallux valgus surgery. Foot &amp; Ankle International. 2021 Jun;42(6):798-804.<\/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\">Schuh R, Hofstaetter SG, Adams SB Jr, Pichler F, Kristen KH, Trnka HJ. <a class=\"external text\" href=\"https:\/\/academic.oup.com\/ptj\/article\/89\/9\/934\/2737642?login=false\" rel=\"nofollow\">Rehabilitation after hallux valgus surgery: importance of physical therapy to restore weight bearing of the first ray during the stance phase.<\/a> Phys Ther. 2009 Sep;89(9):934-45.<\/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\">Glasoe WM. <a class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/epdf\/10.2519\/jospt.2016.6704\" rel=\"nofollow\">Treatment of progressive first metatarsophalangeal hallux valgus deformity: a biomechanically based muscle-strengthening approach.<\/a> Journal of orthopaedic &amp; sports physical therapy. 2016 Jul;46(7):596-605.<\/span><\/li>\n<li id=\"cite_note-22\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-22\">\u2191<\/a><\/span> <span class=\"reference-text\">Align Therapy. Strengthening the Foot Core! Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=pmqBTq3HIJw\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=pmqBTq3HIJw<\/a> (last accessed 24\/02\/2023)<\/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\">Northwest Foot &amp; Ankle. Toe Extensor Stretch with Dr Ray McClanahan. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=h2kaEOd3GcI\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=h2kaEOd3GcI<\/a> (last accessed 24\/02\/2023)<\/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\">Shamus J, Shamus E, Gugel RN, Brucker BS, Skaruppa C. <a class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/epdf\/10.2519\/jospt.2004.34.7.368\" rel=\"nofollow\">The effect of sesamoid mobilization, flexor hallucis strengthening, and gait training on reducing pain and restoring function in individuals with hallux limitus: a clinical trial<\/a>. J Orthop Sports Phys Ther. 2004 Jul;34(7):368-76.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230306141753 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.145 seconds Real time usage: 0.179 seconds Preprocessor visited node count: 389\/1000000 Post\u2010expand include size: 120\/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: 15096\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 36.088 1 Special:Contributors\/Hallux_Valgus 100.00% 36.088 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dacteur original &#8211; Bradley Svoboda Principaux contributeurs &#8211; Laura Ritchie, Van Horebeek Erika, Mariam Hashem, Ewa Jaraczewska, Lucinda hampton, Rachel Lowe , Bradley Svoboda, Andeela Hafeez, Jolien Rottie, Admin, Kim Jackson, Jess Bell, Morgane Michiels, Khloud Shreif , Kristin Zumo, Tinne Tielemans, Evan Thomas, Tarina van der Stockt et WikiSysop Contenu 1 Introduction 2 Anatomie [&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-5077","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/5077","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=5077"}],"version-history":[{"count":3,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/5077\/revisions"}],"predecessor-version":[{"id":7154,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/5077\/revisions\/7154"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=5077"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}