{"id":2598,"date":"2025-02-08T21:14:49","date_gmt":"2025-02-08T20:14:49","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=2598"},"modified":"2025-02-16T23:57:44","modified_gmt":"2025-02-16T22:57:44","slug":"aponevrosite-plantaire","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=2598","title":{"rendered":"Apon\u00e9vrosite plantaire"},"content":{"rendered":"\n<div class=\"wp-block-media-text has-media-on-the-right is-stacked-on-mobile\"><div class=\"wp-block-media-text__content\">\n<p><strong>D\u00e9finition<\/strong><br>Affection chronique d\u00e9g\u00e9n\u00e9rative impliquant l\u2019apon\u00e9vrose plantaire, souvent \u00e0 son insertion sur le tubercule median du calcan\u00e9us.<br>Les \u00e9tudes montrent son caract\u00e8re d\u00e9g\u00e9n\u00e9ratif plut\u00f4t que inflammatoire. On parle alors de fasciopathie plantaire. <\/p>\n<\/div><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"523\" height=\"320\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-64-png.avif\" alt=\"\" class=\"wp-image-3118 size-full\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-64-png.avif 523w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-64-300x184.avif 300w\" sizes=\"auto, (max-width: 523px) 100vw, 523px\" \/><\/figure><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Epid\u00e9miologie<\/strong><br>&#8211; 15% des blessures du pied<br>&#8211; Incidence : 3\/1000 patients\/an<br>&#8211; Femme entre 40 et 60 ans<br>&#8211; 3,6% des coureurs<br>&#8211; Cause la plus fr\u00e9quente des douleurs au talon de l&rsquo;adulte<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Facteurs de risque<\/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><strong>Intrins\u00e8ques<\/strong><br>&#8211; D\u00e9ficit de flexion dorsale de cheville<br>&#8211; Augmentation de la flexion plantaire<br>&#8211; Pied creux\/plat<br>&#8211; Muscles du pied faible<br>&#8211; IMC \u00e9lev\u00e9e<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><strong>Extrins\u00e8ques<\/strong><br>&#8211; Activit\u00e9 en charge prolong\u00e9e<br>&#8211; Contraintes r\u00e9p\u00e9t\u00e9es : course \u00e0 pied<\/p>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Physiopathologie<\/strong><br>&#8211; Affection d\u00e9g\u00e9n\u00e9rative chronique<br>&#8211; Tubercule m\u00e9dial du calcan\u00e9us<br>&#8211; Microl\u00e9sions r\u00e9p\u00e9t\u00e9es de l&rsquo;apon\u00e9vrose en r\u00e9ponse \u00e0 des contraintes m\u00e9caniques excessives entra\u00eenant une r\u00e9paration tissulaire inad\u00e9quate -&gt; \u00e9paississement\/fibrose de l&rsquo;apon\u00e9vrose + n\u00e9crose du collag\u00e8ne + m\u00e9taplasie chondro\u00efde + calcifications<\/p>\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><strong>Test de Windlass<\/strong> pour mettre en \u00e9vidence une apnovrosite plantaire<\/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=\"The Windlass Test | Plantar Fasciitis\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/fg0PtnoAzSs?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<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><strong>Prototype clinique<\/strong><br>&#8211; Douleur au talon aux premiers pas le main, augmente en fin de journ\u00e9e<br>&#8211; Sensibilit\u00e9 du tubercule calcan\u00e9en m\u00e9dial<\/p>\n\n\n\n<p><strong>Examen paraclinique<\/strong><br>&#8211; Echographie : fibrome plantaire, apon\u00e9vrosite plantaire<br>&#8211; Analyse histologique : \u00e9paississement marqu\u00e9 + fibrose de l&rsquo;apon\u00e9vrose<br>&#8211; Radio : \u00e9pine calcan\u00e9enne<\/p>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Th\u00e9rapeutique<\/strong><\/p>\n\n\n\n<p><strong>1\u00e8re intention : conservateur<\/strong><br>&#8211; Etirement et renforcement \u00e0 haute charge pour diminuer la douleur et l&rsquo;am\u00e9lioration fonctionnelle<br>&#8211; Orth\u00e8se pour le maintien en dorsiflexion et l&rsquo;\u00e9tirement de l&rsquo;apon\u00e9vrose<br>&#8211; Chaussage : \u00e9viter chaussures plates, privil\u00e9gier le bon soutien de l&rsquo;arche plantaire<br>&#8211; Onde de choc : diminue la douleur \u00e0 court et moyen terme<\/p>\n\n\n\n<p><strong>2\u00e8me intention<\/strong><br>&#8211; Injection corticost\u00e9ro\u00efdes avec prudence (risque fragilisation apon\u00e9vrose) ou PRP<\/p>\n\n\n\n<p><strong>3\u00e8me intention<\/strong><br>&#8211; Chirurgie (10-15%) : apon\u00e9vrosectomie plantaire partielle ou totale en cas d&rsquo;\u00e9chec (complication possible : effondrement de l&rsquo;arche plantaire)<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Pr\u00e9vention<\/strong><br>&#8211; Gestion des facteurs de risque : poids, chaussage, activit\u00e9 physique<br>&#8211; Adaptation des activit\u00e9s prolong\u00e9es et r\u00e9p\u00e9t\u00e9es<br>&#8211; Travail des muscles du pied et du mollet<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>Vid\u00e9os<\/p>\n\n\n\n<p><em><strong>La FASCIITE PLANTAIRE, finissons-en ! &#8211; EXPLICATIONS ET TRAITEMENT<\/strong><\/em><br>Par NeuroXTrain<br>Exercices propos\u00e9s :<br>&#8211; Gain de mobilit\u00e9 pied-cheville<br>&#8211; Etirement cha\u00eene post\u00e9rieure<br>&#8211; Massage avec balle<br>&#8211; Renforcement triceps sural + vo\u00fbte plantaire<br>&#8211; Renforcement arche interne<br>&#8211; Renforcement moyen fessier contre r\u00e9sistance<\/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=\"La FASCIITE PLANTAIRE, finissons-en ! - EXPLICATIONS ET TRAITEMENT\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/t8Zg-iy5Uck?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\u00e9finitionAffection chronique d\u00e9g\u00e9n\u00e9rative impliquant l\u2019apon\u00e9vrose plantaire, souvent \u00e0 son insertion sur le tubercule median du calcan\u00e9us.Les \u00e9tudes montrent son caract\u00e8re d\u00e9g\u00e9n\u00e9ratif plut\u00f4t que inflammatoire. On parle alors de fasciopathie plantaire. Epid\u00e9miologie&#8211; 15% des blessures du&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=2598\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Apon\u00e9vrosite plantaire\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-2598","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\/2598","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=2598"}],"version-history":[{"count":7,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/2598\/revisions"}],"predecessor-version":[{"id":3128,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/2598\/revisions\/3128"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2598"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2598"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2598"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}