{"id":5528,"date":"2025-06-04T20:59:38","date_gmt":"2025-06-04T18:59:38","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=5528"},"modified":"2026-01-02T17:43:52","modified_gmt":"2026-01-02T16:43:52","slug":"entorse-ligament-collateral-ulnaire-du-pouce","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=5528","title":{"rendered":"Entorse du ligament collat\u00e9ral ulnaire du pouce (pouce du skieur)"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Introduction<\/h2>\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<h3 class=\"wp-block-heading\">Autres d\u00e9nominations<\/h3>\n\n\n\n<p>Pouce du skieur, game keeper\u2019s thumb, skyer&rsquo;s thumb<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">D\u00e9finition <\/h3>\n\n\n\n<p>L\u00e9sion du ligament ligament collat\u00e9ral ulnaire de l&rsquo;articulation m\u00e9tacarpo-phalangienne du pouce<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/axophysio.com\/wp-content\/uploads\/2023\/08\/Pouce-du-skieur-scaled.jpg\" alt=\"\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\">M\u00e9canisme l\u00e9sionnel<\/h3>\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>Abduction forc\u00e9e du pouce (m\u00e9tacarpophalangienne)<br>Causes multiples : chute sur le pouce, r\u00e9ception d&rsquo;un ballon, chute avec les b\u00e2tons de ski<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"468\" height=\"273\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/06\/image-90.png\" alt=\"\" class=\"wp-image-7688\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/06\/image-90.png 468w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/06\/image-90-300x175.png 300w\" sizes=\"auto, (max-width: 468px) 100vw, 468px\" \/><\/figure>\n<\/div>\n<\/div>\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>Effet Stene<\/strong>r<br>Lors de la rupture du LCU, sa partie proximale peut passer au-dessus de l\u2019apon\u00e9vrose du muscle adducteur du pouce. Cette l\u00e9sion avec interposition est connue sous le nom d\u2019effet Stener<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.revmed.ch\/var\/site\/storage\/images\/2\/7\/2\/4\/3774272-1-fre-CH\/RMS_563_1060_fig03_i1200.jpg\" alt=\"\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\">FDR<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ski<\/li>\n\n\n\n<li>Sport de ballon (volley, handball, gardien de foot)<\/li>\n\n\n\n<li>Sport de combat<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Examen<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Signes et sympt\u00f4mes<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sensation de craquement lors de la chute<\/li>\n\n\n\n<li>Douleur au pouce<\/li>\n\n\n\n<li>Gonflement \/ ecchymose<\/li>\n\n\n\n<li>Diminution de la force<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Rechercher les signes de gravit\u00e9<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Notion de craquement, de d\u00e9bo\u00eetement, pouce gonfl\u00e9 et impotence fonctionnelle majeure, existence d\u2019un h\u00e9matome \u00e0 la face dorsale de l\u2019IP du pouce : il faut alors imm\u00e9diatement demander une radiographie face et profil pour rechercher un arrachement osseux de la base de P1 et renoncer au\u00a0<em>testing<\/em>.<\/li>\n\n\n\n<li>En l\u2019absence de l\u00e9sion osseuse, il faut rechercher des signes d\u2019instabilit\u00e9 : douleur \u00e0 la pr\u00e9hension entre pouce et index (signe de la feuille cartonn\u00e9e ou avec une bouteille).<\/li>\n\n\n\n<li>Hyperextension douloureuse.<\/li>\n\n\n\n<li>Recherche d\u2019une laxit\u00e9 en valgus par un examen comparatif en extension puis surtout en flexion ; une diff\u00e9rence de valgus de 25 \u00e0 30\u00b0 par rapport au c\u00f4t\u00e9 oppos\u00e9 signe la gravit\u00e9 de l\u2019entorse.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Imagerie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Radio pour identifier une fracture<\/li>\n\n\n\n<li>Echographie pour retrouver une l\u00e9sion de Stener et orienter vers une chirurgie<\/li>\n<\/ul>\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<h3 class=\"wp-block-heading\">Test du ligament collat\u00e9ral ulnaire<\/h3>\n\n\n\n<p>Examen de la laxit\u00e9 de l\u2019articulation m\u00e9tacarpo-phalangienne en valgus forc\u00e9<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/www.revmed.ch\/var\/site\/storage\/images\/8\/7\/2\/4\/3774278-1-fre-CH\/RMS_563_1060_fig04_i1200.jpg\" alt=\"\" style=\"width:164px;height:auto\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Traitement<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Principes<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>L\u2019entorse de l\u2019articulation m\u00e9tacarpo-phalangienne du pouce doit \u00eatre trait\u00e9e de mani\u00e8re adapt\u00e9e pour \u00e9viter une laxit\u00e9 chronique. <\/li>\n\n\n\n<li>L\u2019examen clinique bilat\u00e9ral et comparatif est l\u2019\u00e9l\u00e9ment central pour d\u00e9pister une laxit\u00e9. Il doit \u00eatre pr\u00e9c\u00e9d\u00e9 d\u2019une radiographie. <\/li>\n\n\n\n<li>En cas d\u2019absence de laxit\u00e9, un traitement conservateur par attelle se justifie. <\/li>\n\n\n\n<li>En cas de laxit\u00e9 avec effet Stener, un traitement chirurgical est indispensable pour r\u00e9ins\u00e9rer le ligament collat\u00e9ral.<\/li>\n<\/ul>\n\n\n\n<p>Quel que soit le traitement, la r\u00e9\u00e9ducation est d\u00e9but\u00e9e d\u00e8s la 4<sup>e<\/sup>&nbsp;semaine pour limiter l\u2019enraidissement. Le retour \u00e0 la pratique sportive d\u00e9pend du stade de l\u2019entorse et de la possibilit\u00e9 de porter une attelle rigide.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Selon le stade de l&rsquo;entorse<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Stade 1 : entorse simple. <\/strong>\n<ul class=\"wp-block-list\">\n<li>Douleur sans laxit\u00e9 au niveau du ligament collat\u00e9ral.<\/li>\n\n\n\n<li>Traitement Orthop\u00e9dique. L\u2019immobilisation avec attelle pendant 1 \u00e0 3 semaines.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Stade 2 : d\u00e9sinsertion partielle du ligament avec laxit\u00e9 mais avec un point d\u2019arr\u00eat dur.<\/strong>\n<ul class=\"wp-block-list\">\n<li>Traitement Orthop\u00e9dique. &nbsp;L\u2019immobilisation avec attelle pendant 3 \u00e0 6 semaines<\/li>\n\n\n\n<li>S\u00e9ances de r\u00e9\u00e9ducation avec un kin\u00e9sith\u00e9rapeute sont n\u00e9cessaires dans certains cas.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Stade 3 : laxit\u00e9 importante. D\u00e9sinsertion compl\u00e8te ligamentaire avec ou sans effet Stener.<\/strong>\n<ul class=\"wp-block-list\">\n<li>Traitement chirurgical qui intervient rapidement apr\u00e8s la rupture (maximum 10 jours) car le ligament peut se r\u00e9tracter par la suite. Une immobilisation post-op\u00e9ratoire de 6 semaines est n\u00e9cessaire avec attelle et des s\u00e9ances de r\u00e9\u00e9ducations sont \u00e0 pr\u00e9voir.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">L&rsquo;attelle<\/h3>\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>Elle peut \u00eatre prescrite par le kin\u00e9sith\u00e9rapeute<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"data:image\/jpeg;base64,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\" alt=\"\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Chirurgie<\/h3>\n\n\n\n<p>Protocole post-op\u00e9ratoire impose une immobilisation du pouce pour une dur\u00e9e de 3 \u00e0 6 semaines selon le chirurgien. Des s\u00e9ances de r\u00e9\u00e9ducation seront ensuite propos\u00e9es pour r\u00e9cup\u00e9rer une mobilit\u00e9 compl\u00e8te du pouce comme suit&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>R\u00e9\u00e9ducation en flexion-extension \u00e0 partir de la 4\u00e8me&nbsp;semaine<\/strong><\/li>\n\n\n\n<li><strong>Inclinaisons lat\u00e9rales \u00e0 partir de la 6\u00e8me&nbsp;semaine<\/strong><\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Introduction Autres d\u00e9nominations Pouce du skieur, game keeper\u2019s thumb, skyer&rsquo;s thumb D\u00e9finition L\u00e9sion du ligament ligament collat\u00e9ral ulnaire de l&rsquo;articulation m\u00e9tacarpo-phalangienne du pouce M\u00e9canisme l\u00e9sionnel Abduction forc\u00e9e du pouce (m\u00e9tacarpophalangienne)Causes multiples : chute sur le&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=5528\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Entorse du ligament collat\u00e9ral ulnaire du pouce (pouce du skieur)\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":[361],"tags":[],"class_list":["post-5528","post","type-post","status-publish","format-standard","hentry","category-pathologie-poignet-main"],"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/5528","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=5528"}],"version-history":[{"count":11,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/5528\/revisions"}],"predecessor-version":[{"id":7722,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/5528\/revisions\/7722"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5528"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5528"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5528"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}