{"id":3129,"date":"2025-02-17T00:15:56","date_gmt":"2025-02-16T23:15:56","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=3129"},"modified":"2025-02-17T00:50:43","modified_gmt":"2025-02-16T23:50:43","slug":"nevrome-de-morton","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=3129","title":{"rendered":"N\u00e9vrome de Morton"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<div class=\"wp-block-media-text has-media-on-the-right is-stacked-on-mobile\" style=\"grid-template-columns:auto 17%\"><div class=\"wp-block-media-text__content\">\n<p><strong>D\u00e9finition<\/strong><br>Neuropathie compressive de l&rsquo;avant-pied li\u00e9e \u00e0 l\u2019irritation chronique des nerfs interdigitaux<\/p>\n\n\n\n<p>Epid\u00e9miologie<br>Incidence : F=87\/100 000 > H=50\/100 000<\/p>\n<\/div><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"215\" height=\"287\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-65-png.avif\" alt=\"\" class=\"wp-image-3132 size-full\"\/><\/figure><\/div>\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\u00e8que<\/strong><br>&#8211; Anatomie du pied : os, d\u00e9formation hallux, pied plat, \u00e9paisseur du nerf interdigital<\/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\u00e8que<\/strong> :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>&#8211; Chaussage inadapt\u00e9 : serr\u00e9, talon<br>&#8211; Activit\u00e9 physique : charge excessive sur l\u2019avant-pied comme la course \u00e0 pied, sport d\u2019impact<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div class=\"wp-block-media-text has-media-on-the-right is-stacked-on-mobile\" style=\"grid-template-columns:auto 36%\"><div class=\"wp-block-media-text__content\">\n<p><strong>Physiopathologie<\/strong><br>&#8211; Neuropathie compressive li\u00e9e \u00e0 l&rsquo;irritation chronique des nerfs interdigitaux<br>&#8211; Compression r\u00e9p\u00e9t\u00e9e du nerf plantaire commun -> inflammation, oed\u00e8me, d\u00e9my\u00e9linisation, fibrose p\u00e9ri-neurale -> \u00e9paississement du nerf et formation cicatricielle autour du nerf entra\u00eenant de la douleur<br>&#8211; Nerf plantaire commun entre les t\u00eates des m\u00e9tatarses et le ligament transverse inter-m\u00e9tatarsien<br>&#8211; 3\u00e8me espace interdigital le plus souvent atteint<br>&#8211; Pr\u00e9sence d&rsquo;une bursite interdigitale concomitante possible<\/p>\n<\/div><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"239\" height=\"162\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-66-png.avif\" alt=\"\" class=\"wp-image-3133 size-full\"\/><\/figure><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>Diagnostic clinique<\/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<ul class=\"wp-block-list\">\n<li>&#8211; Douleur lancinante de l&rsquo;avant-pied<br>&#8211; Exacerb\u00e9e \u00e0 la marche avec chaussures sp\u00e9cifiques<\/li>\n<\/ul>\n\n\n\n<p><strong>Test de Mulder<\/strong> : test diagnostic de r\u00e9f\u00e9rence<\/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=\"Foot Squeeze Test and Mulder&#039;s Click Sign\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/OX7wDLMcczQ?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>Examen paraclinique<\/strong><br>&#8211; Echographie privil\u00e9gi\u00e9e : masse hypo\u00e9chog\u00e8ne dans l&rsquo;espace interdigital<br>&#8211; IRM pour cas complexe (n\u00e9vroses asymptomatiques)<br>&#8211; Radio pour exclure les pathologies osseuses<\/p>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div class=\"wp-block-media-text has-media-on-the-right is-stacked-on-mobile\" style=\"grid-template-columns:auto 38%\"><div class=\"wp-block-media-text__content\">\n<ul class=\"wp-block-list\">\n<li><strong>Prototype clinique<\/strong><br>&#8211; Douleur entre le 3e et le 4e orteil<br>&#8211; Irradiation paresth\u00e9sique vers les orteils<\/li>\n<\/ul>\n<\/div><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"297\" height=\"169\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/02\/image-67-png.avif\" alt=\"\" class=\"wp-image-3134 size-full\"\/><\/figure><\/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; Orth\u00e8se : redistribuer la charge sur l&rsquo;avant-pied et r\u00e9duire la compression sur les nerfs interdigitaux<br>&#8211; Chaussure large et talons bas<br>&#8211; Injection pour faire diminuer la douleur \u00e0 court terme<br>&#8211; Onde de choc<\/p>\n\n\n\n<p><strong>2\u00e8me intention : chirurgie<\/strong><br>&#8211; N\u00e9vrectomie du nerf affect\u00e9<br>&#8211; Voie dorsale privil\u00e9gi\u00e9e car incision sur zone non portante du pied mais risque accru de r\u00e9cidive car section du ligament transverse inter-m\u00e9tatarsien<br>&#8211; Voie plantaire : cicatrisation plus lente et potentiellement cicatrice plus douloureuse<\/p>\n\n\n\n<p><strong>Pr\u00e9vention<\/strong><br>&#8211; Gestion des FDR extrins\u00e8ques<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Vid\u00e9os<\/strong><\/p>\n\n\n\n<p><strong><em>Soulager le N\u00e9vrome de Morton : Exercices Kin\u00e9<\/em><\/strong><br>Par Benjamin Brochet<br>9 recommandations : conseil de chaussage et de semelle orthop\u00e9dique, massage, pression du trigger-point, mobilisation des m\u00e9tatarses, \u00e9tirement de la face plantaire du pied, solliciter les muscles pieds, renforcer la vo\u00fbte 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=\"Soulager le Ne\u0301vrome de Morton : Exercices Kine\u0301\" width=\"925\" height=\"520\" src=\"https:\/\/www.youtube.com\/embed\/dpPm8_xeSQ0?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><\/p>\n","protected":false},"excerpt":{"rendered":"<p>D\u00e9finitionNeuropathie compressive de l&rsquo;avant-pied li\u00e9e \u00e0 l\u2019irritation chronique des nerfs interdigitaux Epid\u00e9miologieIncidence : F=87\/100 000 > H=50\/100 000 Facteurs de risque Intrins\u00e8que&#8211; Anatomie du pied : os, d\u00e9formation hallux, pied plat, \u00e9paisseur du nerf interdigital&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=3129\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0N\u00e9vrome de Morton\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-3129","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\/3129","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=3129"}],"version-history":[{"count":4,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/3129\/revisions"}],"predecessor-version":[{"id":3139,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/3129\/revisions\/3139"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3129"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3129"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3129"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}