{"id":2579,"date":"2025-02-08T21:08:18","date_gmt":"2025-02-08T20:08:18","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=2579"},"modified":"2025-03-01T21:47:47","modified_gmt":"2025-03-01T20:47:47","slug":"entose-laterale","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=2579","title":{"rendered":"Entorse lat\u00e9rale"},"content":{"rendered":"\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:42% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"300\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-25-png.avif\" alt=\"\" class=\"wp-image-2838 size-full\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-25-png.avif 640w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-25-300x141.avif 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p><strong>D\u00e9finition <\/strong><br>Atteinte des ligaments du complexe lat\u00e9rale de la cheville : <br>&#8211; Ligament talo-fibulaire ant\u00e9rieure (LTFA) : le plus courant<br>&#8211; Ligament calcan\u00e9o-fibulaire (LCF)<br>&#8211; Ligament talo-fibulaire post\u00e9rieur (LTFP) : plus rare<\/p>\n<\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><strong>Facteurs de risque<\/strong><br>&#8211; ATCD d&rsquo;entorse de cheville<br>&#8211; Sports \u00e0 risque<br>&#8211; D\u00e9ficit de proprioception<br>&#8211; D\u00e9s\u00e9quilibre force inverseurs\/\u00e9verseurs<br>&#8211; IMC \u00e9lev\u00e9<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><strong>M\u00e9canisme l\u00e9sionnel<\/strong><br>Mise en tension excessive des ligaments lat\u00e9raux par un mouvement d&rsquo;inversion (supination, rotation m\u00e9diale, flexion plantaire), provoqu\u00e9e notamment par la r\u00e9ception d&rsquo;un saut pour un changement de direction.<\/p>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Crit\u00e8res de gravit\u00e9<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Douleur <strong>syncopale <\/strong>(perte de connaissance)<\/li>\n\n\n\n<li><strong>Impotence <\/strong>fonctionnelle (impossibilit\u00e9 de faire qq pas)<\/li>\n\n\n\n<li><strong>Craquement <\/strong>(\u00e9voque une fracture)<\/li>\n\n\n\n<li><strong>Gonflement <\/strong>imm\u00e9diat (si rupture ligamentaire)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Diagnostic<\/strong><\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center\"><strong>Examen clinique<\/strong><br>Difficile de poser un diagnostic \u00e0 J0 \u00e0 cause de la douleur. Tests \u00e0 faire \u00e0 J+3<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><strong>Test du tiroir ant\u00e9rieur pour le LTFA<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/youtu.be\/vAcBEYZKcto?si=E3lDroj__KWEUSbW\" target=\"_blank\" rel=\" noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"165\" height=\"93\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-28-png.avif\" alt=\"\" class=\"wp-image-2844\"\/><\/a><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><strong>Talar Tilt test pour le LCF<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/youtu.be\/UHNbm6Z3XK4?si=fHHtJUlYMrS0rjxT\" target=\"_blank\" rel=\" noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"163\" height=\"94\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-26-png.avif\" alt=\"\" class=\"wp-image-2842\"\/><\/a><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p><strong>Imagerie<\/strong><br>Radio<br>IRM\/\u00e9cho (\u00e9tendu des l\u00e9sions ligamentaires)<\/p>\n<\/div>\n<\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Diagnostic diff\u00e9rentiel<\/strong><\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:38% auto\"><figure class=\"wp-block-media-text__media\"><a href=\"https:\/\/youtu.be\/KDkkhGZF1TI?si=t63TGwc9WRIvWxK5\" target=\"_blank\" rel=\" noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"164\" height=\"97\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-27-png.avif\" alt=\"\" class=\"wp-image-2843 size-full\"\/><\/a><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"has-text-align-left\"><br><strong>Crit\u00e8res d&rsquo;Ottawa<\/strong><br>Si suspicion de fracture, positif si 1 crit\u00e8re sur 4 :<\/p>\n\n\n\n<p>&#8211; Incapacit\u00e9 de marcher sur 4 pas<br>&#8211; Sensibilit\u00e9 osseuse de la partie post de la mall\u00e9ole lat sur 6 cm<br>&#8211; Sensibilit\u00e9 osseuse de la partie post de la mall\u00e9ole m\u00e9d sur 6 cm<br>&#8211; Sensibilit\u00e9 au naviculaire ou base du 5<sup>e<\/sup> m\u00e9ta<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:38% auto\"><figure class=\"wp-block-media-text__media\"><a href=\"https:\/\/youtu.be\/1wM6zkFXh_M?si=qfjeWQ8SNRs3aVRS\" target=\"_blank\" rel=\" noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"167\" height=\"98\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-29-png.avif\" alt=\"\" class=\"wp-image-2845 size-full\"\/><\/a><\/figure><div class=\"wp-block-media-text__content\">\n<p><strong>Crit\u00e8re de Burnese<\/strong> si Ottawa positif<br>&#8211; Compression manuelle tibia-fibula 10 cm au dessus de la mall\u00e9ole<br>&#8211; Compression du talon dans l&rsquo;axe longitudinal du pied<br>&#8211; Pression directe sur le c\u00f4t\u00e9 m\u00e9dial et lat\u00e9ral de la cheville<\/p>\n<\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Prototype clinique<\/strong><br>&#8211; Douleur aig\u00fce face lat\u00e9rale<br>&#8211; Oed\u00e8me<br>&#8211; Sensibilit\u00e9 \u00e0 la palpation des ligaments lat\u00e9raux<br>&#8211; Ecchymose<br>&#8211; Craquement rapport\u00e9 au moment de la blessure<br>&#8211; Instabilit\u00e9 ressenti<br>&#8211; Diminution de la mobilit\u00e9 articulaire<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Th\u00e9rapeutique<\/strong><br><strong>1\u00e8re intention : protocole Peace &amp; Love<\/strong><br>PEACE : recommand\u00e9 imm\u00e9diatement apr\u00e8s la blessure<br>LOVE : \u00e0 int\u00e9grer apr\u00e8s les premiers jours<br><\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><a href=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-30-png.avif\"><img loading=\"lazy\" decoding=\"async\" width=\"818\" height=\"673\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-30-png.avif\" alt=\"\" class=\"wp-image-2855\" style=\"width:376px;height:auto\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-30-png.avif 818w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-30-300x247.avif 300w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-30-768x632.avif 768w\" sizes=\"auto, (max-width: 818px) 100vw, 818px\" \/><\/a><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>2\u00e8me intention : r\u00e9\u00e9ducation fonctionnelle<\/strong><br>Les exercices ont pour but de restaurer la fonction de la cheville, pr\u00e9venir les r\u00e9cidives et r\u00e9duire les risques d&rsquo;instabilit\u00e9 chronique de la cheville<br>&#8211; mobilit\u00e9 articulaire<br>&#8211; Exercice d&rsquo;\u00e9quilibre et de renforcement : am\u00e9lioration de la perception et du contr\u00f4le sensori-moteur<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Vid\u00e9o<\/strong><br><em>5 exercices cl\u00e9s pour une entorse lat\u00e9rale de cheville &#8211; LES 5 ESSENTIELS <\/em>par NeuroXTrain<br>&#8211; Renfo des \u00e9verseurs<br>&#8211; Renfo des inverseurs<br>&#8211; Renfo des intrins\u00e8ques du pieds<br>&#8211; Renfo loge post\u00e9rieur de la jambe (sol\u00e9aires) <br>&#8211; Renfo de l&rsquo;hallux<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"5 exercices cl\u00e9s pour une entorse lat\u00e9rale de cheville - LES 5 ESSENTIELS\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/kritwVvTCNI?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><em>Reprenons simplement la r\u00e9\u00e9ducation des ENTORSES de CHEVILLE ! &#8211; Explications &amp; traitement <\/em>par NeuroXTrain<br>&#8211; Renfo loge m\u00e9diale et lat\u00e9rale<br>&#8211; Travail dans le mouvement l\u00e9sionnel (sur cheville bien cicatris\u00e9e)<br>&#8211; R\u00e9sistance dynamique \/ coordination<br>&#8211; Saut<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Reprenons simplement la r\u00e9\u00e9ducation des ENTORSES de CHEVILLE ! - Explications &amp; traitement\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/htxmTJ7raXk?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>D\u00e9finition Atteinte des ligaments du complexe lat\u00e9rale de la cheville : &#8211; Ligament talo-fibulaire ant\u00e9rieure (LTFA) : le plus courant&#8211; Ligament calcan\u00e9o-fibulaire (LCF)&#8211; Ligament talo-fibulaire post\u00e9rieur (LTFP) : plus rare Facteurs de risque&#8211; ATCD d&rsquo;entorse&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=2579\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Entorse lat\u00e9rale\u00a0\u00bb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[358],"tags":[],"class_list":["post-2579","post","type-post","status-publish","format-standard","hentry","category-pathologie-cheville-pied"],"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/2579","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2579"}],"version-history":[{"count":15,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/2579\/revisions"}],"predecessor-version":[{"id":3794,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/2579\/revisions\/3794"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2579"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2579"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2579"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}