{"id":1263,"date":"2024-04-15T13:01:09","date_gmt":"2024-04-15T11:01:09","guid":{"rendered":"https:\/\/imppact-chirurgie.fr\/?page_id=1263"},"modified":"2024-10-08T13:09:58","modified_gmt":"2024-10-08T11:09:58","slug":"entorse-du-poignet","status":"publish","type":"page","link":"https:\/\/imppact-chirurgie.fr\/index.php\/orthopedie\/chirurgie-du-poignet\/entorse-du-poignet\/","title":{"rendered":"Entorse du poignet"},"content":{"rendered":"

[et_pb_section fb_built=\u00a0\u00bb1″ admin_label=\u00a0\u00bbsection\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb||0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbrow\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbText\u00a0\u00bb _builder_version=\u00a0\u00bb4.24.3″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb width=\u00a0\u00bb99.8%\u00a0\u00bb min_height=\u00a0\u00bb157.8px\u00a0\u00bb custom_margin=\u00a0\u00bb||-49px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb12px||14px|0px||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Entorse du poignet<\/h2>\n

C\u2019est un accident, souvent b\u00e9nin, mais parfois aux cons\u00e9quences graves, qui suit une torsion ou un mouvement forc\u00e9 du poignet, qui d\u00e9passe la r\u00e9sistance des ligaments. En r\u00e9alit\u00e9, le mot entorse (du vieux fran\u00e7ais : entordre, c\u2019est-\u00e0-dire tordre) d\u00e9signe un m\u00e9canisme (mouvement forc\u00e9), qui peut aboutir \u00e0 diff\u00e9rents traumatismes (fracture, l\u00e9sion ligamentaire, l\u00e9sion tendineuse, luxation). Toutefois, par habitude, le mot \u00a0\u00bb entorse \u00a0\u00bb est plut\u00f4t utilis\u00e9 pour parler des l\u00e9sions ligamentaires. Mais plusieurs l\u00e9sions diff\u00e9rentes peuvent m\u00eame cohabiter apr\u00e8s une entorse, et il n\u2019est pas rare de retrouver, par exemple, une fracture associ\u00e9e \u00e0 une d\u00e9chirure ligamentaire.<\/p>\n

Les ligaments sont des \u00a0\u00bb c\u00e2bles \u00a0\u00bb qui relient les os pour contr\u00f4ler leur d\u00e9placement et \u00e9viter le d\u00e9bo\u00eetement de l\u2019articulation.
Leur l\u00e9sion, si elle n\u2019est pas grave, peut cicatriser spontan\u00e9ment. Toutefois, la gravit\u00e9 d\u2019une entorse du poignet est souvent difficile \u00e0 appr\u00e9cier sur le moment, d\u2019autant que le poignet est une articulation particuli\u00e8rement complexe, r\u00e9unissant 15 os !
Si un poignet reste douloureux au-del\u00e0 de quelques jours apr\u00e8s un traumatisme, m\u00eame, et surtout, si les radiographies sont normales, une entorse grave doit \u00eatre crainte, et recherch\u00e9e, car ses cons\u00e9quences peuvent aboutir \u00e0 la destruction arthrosique du poignet en quelques ann\u00e9es.<\/p>\n

La recherche d\u2019une l\u00e9sion ligamentaire s\u00e9v\u00e8re du poignet passe par un examen m\u00e9ticuleux fait par un professionnel sp\u00e9cialis\u00e9 dans cette articulation.
En cas de doute, des examens particuliers peuvent \u00eatre propos\u00e9s :
\u2013 Radiographie sp\u00e9cifique (dynamique)
\u2013 Arthroscanner (scanner pr\u00e9c\u00e9d\u00e9 d\u20191 injection intra-articulaire de produit de contraste)
\u2013 Arthroscopie (examen du poignet sous anesth\u00e9sie, par cam\u00e9ra, permettant d\u2019inspecter l\u2019int\u00e9rieur de l\u2019articulation). Cet examen est actuellement consid\u00e9r\u00e9 par la communaut\u00e9 scientifique comme l\u2019examen le plus informatif sur les possibles l\u00e9sions du poignet. Il est cependant invasif, est d\u00e9j\u00e0 consid\u00e9r\u00e9 comme une intervention chirurgicale.
Seuls quelques chirurgiens de la main particuli\u00e8rement entra\u00een\u00e9s et form\u00e9s \u00e0 cette technique sont \u00e0 m\u00eame de r\u00e9aliser un diagnostic pr\u00e9cis par cette m\u00e9thode th\u00e9rapeutique.<\/p>\n

Lorsque le bilan a permis de conclure \u00e0 une atteinte r\u00e9ellement, ou potentiellement s\u00e9v\u00e8re, une proposition th\u00e9rapeutique peut \u00eatre discut\u00e9e, qui peut notamment comprendre une r\u00e9paration ligamentaire s\u2019il n\u2019est pas trop tard, ou une chirurgie palliative (arthrod\u00e8se, r\u00e9section partielle du carpe), si la situation est d\u00e9j\u00e0 d\u00e9grad\u00e9e.
Cet expos\u00e9 est une base d\u2019illustration. Chaque cas est particulier et m\u00e9rite une r\u00e9flexion approfondie avant toute d\u00e9cision. Chaque intervention a ses avantages, ses inconv\u00e9nients, ses risques et ses contraintes post op\u00e9ratoires, qui seront expliqu\u00e9es clairement par votre chirurgien.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb min_height=\u00a0\u00bb24.8px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

<\/span><\/p>\n

<\/span><\/p>\n

Imagerie (\u00a9 Professeur Emmanuel Camus)<\/span><\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_2,1_2″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/imppact-chirurgie.fr\/wp-content\/uploads\/2024\/04\/entorse-poignet-1.jpeg\u00a0\u00bb alt=\u00a0\u00bbentorse poignet 1″ title_text=\u00a0\u00bbentorse poignet 1″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

(Ci-dessus) Poignet avec une entorse (d\u00e9chirure) du ligament scapho-lunaire. Notez l\u2019espace anormalement agrandi entre le scapho\u00efde et le lunatum (cercle rouge), comparativement au poignet oppos\u00e9.<\/em><\/p>\n

[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

(A droite) Arthroscopie d\u2019une l\u00e9sion scapho-lunaire. Le crochet m\u00e9tallique p\u00e9n\u00e8tre dans l\u2019interligne normalement
ferm\u00e9 entre le scapho\u00efde et le lunatum (fl\u00e8che rouge).<\/em><\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/imppact-chirurgie.fr\/wp-content\/uploads\/2024\/04\/entorse-poignet-2.jpeg\u00a0\u00bb alt=\u00a0\u00bbMaladie de Kienbock 2″ title_text=\u00a0\u00bbentorse poignet 2″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_2,1_2″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/imppact-chirurgie.fr\/wp-content\/uploads\/2024\/04\/entorse-poignet-3.jpeg\u00a0\u00bb alt=\u00a0\u00bbentorse poignet 3″ title_text=\u00a0\u00bbentorse poignet 3″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/imppact-chirurgie.fr\/wp-content\/uploads\/2024\/04\/entorse-poignet-4.jpeg\u00a0\u00bb alt=\u00a0\u00bbentorse poignet 4″ title_text=\u00a0\u00bbentorse poignet 4″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

(Ci-dessus) Les broches d\u00e9passent fr\u00e9quemment la peau, des pansements doivent \u00eatre renouvel\u00e9s jusqu\u2019\u00e0 leur ablation, qui se fait g\u00e9n\u00e9ralement sans douleur \u00e0 la consultation.<\/em><\/p>\n

[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

\n
\n

(A gauche) Image d\u2019une r\u00e9paration ligamentaire : des broches maintenant temporairement les os sont visibles. Elles sont g\u00e9n\u00e9ralement enlev\u00e9es apr\u00e8s 8 semaines. Une ou plusieurs ancres (point blanc entre les deux broches) servent \u00e0 r\u00e9ins\u00e9rer les ligaments sur les os, et sont g\u00e9n\u00e9ralement laiss\u00e9es \u00e0 vie.<\/em><\/p>\n<\/div>\n<\/div>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,1_3,1_3″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/imppact-chirurgie.fr\/wp-content\/uploads\/2024\/04\/entorse-poignet-5.jpeg\u00a0\u00bb alt=\u00a0\u00bbentorse poignet 7″ title_text=\u00a0\u00bbentorse poignet 5″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

\n
\n

Image apr\u00e8s ablation des broches : l\u2019espace scapholunaire reste bien ferm\u00e9.<\/em><\/p>\n<\/div>\n<\/div>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_3″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/imppact-chirurgie.fr\/wp-content\/uploads\/2024\/04\/entorse-poignet-6.jpeg\u00a0\u00bb alt=\u00a0\u00bbentorse poignet 6″ title_text=\u00a0\u00bbentorse poignet 6″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Image d\u2019une arthrod\u00e8se (blocage) partielle du poignet, parfois faite lorsque la r\u00e9paration ligamentaire n\u2019est plus possible et que l\u2019arthrose est d\u00e9j\u00e0 pr\u00e9sente.<\/em><\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_3″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/imppact-chirurgie.fr\/wp-content\/uploads\/2024\/04\/entorse-poignet-7.jpeg\u00a0\u00bb alt=\u00a0\u00bbentorse du poignet 7″ title_text=\u00a0\u00bbentorse poignet 7″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Image d\u2019une r\u00e9section (ablation) d\u2019une partie des os du poignet, parfois faite lorsque la r\u00e9paration ligamentaire n\u2019est plus possible, et que l\u2019arthrose est d\u00e9j\u00e0 pr\u00e9sente.<\/em><\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbrow\u00a0\u00bb _builder_version=\u00a0\u00bb4.24.0″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb min_height=\u00a0\u00bb325px\u00a0\u00bb custom_margin=\u00a0\u00bb|auto||144px||\u00a0\u00bb custom_padding=\u00a0\u00bb23px||0px|58px||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbText\u00a0\u00bb _builder_version=\u00a0\u00bb4.24.3″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb width=\u00a0\u00bb99.8%\u00a0\u00bb min_height=\u00a0\u00bb183.2px\u00a0\u00bb custom_margin=\u00a0\u00bb-10px||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb13px|||0px||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

\n
\n
\n
\n
\n
\n

Bibliographie :<\/span><\/strong><\/p>\n

\u2013 Interdisciplinary consensus statements on imaging of scapholunate joint instability. Tobias Johannes Dietrich, Andoni Paul Toms, Luis Cerezal, Patrick Omoumi, Robert Downey Boutin, Jan Fritz, Rainer Schmitt, Maryam Shahabpour, Fabio Becce, Anne Cotton, Alain Blum, Marco Zanetti, Eva Llopis, Maciej Bie?, Radhesh Krishna Lalam, P. Diana Afonso, Vasco V. Mascarenhas, Reto Sutter, James The, Grzegorz Praco?, Milko C. de Jonge, Jean-Luc Drap\u00e9, Marc Mespreuve, Alberto Bazzocchi, Guillaume Bierry, Danoob Dalili, Marc Garcia-Elias, Andrea Atzei, Gregory Ian Bain, Christophe L. Mathoulin, Francisco del Pi\u00f1al, Luc Van Overstraeten, Robert M. Szabo, Emmanuel J. Camus, Riccardo Luchetti, Adrian Julian Chojnowski, J\u00f6rg G. Gr\u00fcnert, Piotr Czarnecki, Fernando Corella, Ladislav Nagy, Michiro Yamamoto, Igor O. Golubev, J\u00f6rg van Schoonhoven, Florian Goehtz, Maciej Klich, Iwona Sudo?-Szopi?ska. Europ. Radiol. 2021 E-pub first.<\/p>\n

\u2013 Chapitre d\u2019ouvrage : Histoire naturelle de l\u2019instabilit\u00e9 scapho lunaire, place de l\u2019arthroscopie dans le diagnostic l\u00e9sionnel et indications th\u00e9rapeutiques. E.J Camus ; Luc Van Overstaeten. In : L\u2019arthroscopie de la main, du poignet et du coude. Carlier Y, Garret J. Eds. Elsevier 2020.<\/p>\n

\u2013 Chapitre d\u2019ouvrage : L\u00e9sions Ligamentaires intra-carpiennes. Camus EJ, Van Overstraeten L. in: Traumatismes ost\u00e9o-articulaires du poignet et de la main. Fontaine C. et Obert L. editors. Lavoisier M\u00e9decine. 2016 : 73-79.<\/p>\n

\u2013 Arthroscopic classification of the lesions of the Dorsal Capsulo-Scapholunate Septum (DCSS). L. Van Overstraeten, E.J. Camus. Tech. Hand Up. Extr. Surg. 2016: 125-8.<\/p>\n

\u2013 The role of extrinsic ligaments in maintaining carpal stability \u2013 A prospective statistical analysis of 85 arthroscopic cases. Van Overstraeten L, Camus EJ. Hand Surg. Rehab. 2016:10-15.<\/p>\n

\u2013 Chapitre d\u2019ouvrage : Les l\u00e9sions ligamentaires EJ Camus, L Van Overstraeten. In : Arthroscopie du poignet : Techniques. C Mathoulin Editor. Sauramps medical. 2014.<\/p>\n

\u2013 Dorsal scapholunate stabilization using Viegas\u2019 capsulodesis: 25 cases with 26 months follow-up E.J. Camus, L. Van Overstraeten. Chir Main. 2013; 32(6): 393-402.<\/p>\n

\u2013 A Systematic Method of Arthroscopic Testing of Extrinsic Carpal Ligaments: Implication in Carpal stability. L Van Overstraeten, EJ. Camus. Tech Hand Upper Extr. Surg. 2013 Dec; 17(4): 202-6.<\/p>\n

\u2013 Anatomical Description of the Dorsal Capsulo-Scapholunate Septum (DCSS)-Arthroscopic Staging of Scapholunate Instability after DCSS Sectioning. Van Overstraeten L, Camus EJ, Wahegaonkar A, Messina J, Tandara A, Cambon-Binder A, Mathoulin C. J Wrist Surg. 2013; 2(2):149-154.<\/p>\n

\u2013 Chapitre d\u2019ouvrage: Ligaments carpiens. Camus EJ, Van Overstraeten L, Garret J. In Classifications et scores en chirurgie orthop\u00e9dique et en traumatologie. Collection GECO. Springer 2013.167-185.<\/p>\n

\u2013 Co-Directeur de l\u2019ouvrage : Carpal ligament surgery before arthritis. E. Camus et L. Van Overstraeten. Springer Verlag. Auteur de 4 Chapitres. Mars 2013.<\/p>\n

\u2013 Arthroscopic criteria for dating wrist sprains (crit\u00e8res arthroscopiques de datation des entorses de poignet). L. Van Overstraeten, E.J. Camus. Chir Main 2012;31(4): 171-5.<\/p>\n

\n<\/div>\n<\/div>\n

\n
<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

Entorse du poignet C\u2019est un accident, souvent b\u00e9nin, mais parfois aux cons\u00e9quences graves, qui suit une torsion ou un mouvement forc\u00e9 du poignet, qui d\u00e9passe la r\u00e9sistance des ligaments. En r\u00e9alit\u00e9, le mot entorse (du vieux fran\u00e7ais : entordre, c\u2019est-\u00e0-dire tordre) d\u00e9signe un m\u00e9canisme (mouvement forc\u00e9), qui peut aboutir \u00e0 diff\u00e9rents traumatismes (fracture, l\u00e9sion ligamentaire, […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1170,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-1263","page","type-page","status-publish","hentry"],"yoast_head":"\nEntorse du poignet | IMPPACT Chirurgie<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/imppact-chirurgie.fr\/index.php\/orthopedie\/chirurgie-du-poignet\/entorse-du-poignet\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Entorse du poignet | IMPPACT Chirurgie\" \/>\n<meta property=\"og:description\" content=\"Entorse du poignet C\u2019est un accident, souvent b\u00e9nin, mais parfois aux cons\u00e9quences graves, qui suit une torsion ou un mouvement forc\u00e9 du poignet, qui d\u00e9passe la r\u00e9sistance des ligaments. En r\u00e9alit\u00e9, le mot entorse (du vieux fran\u00e7ais : entordre, c\u2019est-\u00e0-dire tordre) d\u00e9signe un m\u00e9canisme (mouvement forc\u00e9), qui peut aboutir \u00e0 diff\u00e9rents traumatismes (fracture, l\u00e9sion ligamentaire, […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/imppact-chirurgie.fr\/index.php\/orthopedie\/chirurgie-du-poignet\/entorse-du-poignet\/\" \/>\n<meta property=\"og:site_name\" content=\"IMPPACT Chirurgie\" \/>\n<meta property=\"article:modified_time\" content=\"2024-10-08T11:09:58+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/index.php\\\/orthopedie\\\/chirurgie-du-poignet\\\/entorse-du-poignet\\\/\",\"url\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/index.php\\\/orthopedie\\\/chirurgie-du-poignet\\\/entorse-du-poignet\\\/\",\"name\":\"Entorse du poignet | IMPPACT Chirurgie\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/#website\"},\"datePublished\":\"2024-04-15T11:01:09+00:00\",\"dateModified\":\"2024-10-08T11:09:58+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/index.php\\\/orthopedie\\\/chirurgie-du-poignet\\\/entorse-du-poignet\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/imppact-chirurgie.fr\\\/index.php\\\/orthopedie\\\/chirurgie-du-poignet\\\/entorse-du-poignet\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/index.php\\\/orthopedie\\\/chirurgie-du-poignet\\\/entorse-du-poignet\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Orthop\u00e9die\",\"item\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/index.php\\\/orthopedie\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Chirurgie du poignet\",\"item\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/index.php\\\/orthopedie\\\/chirurgie-du-poignet\\\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Entorse du poignet\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/#website\",\"url\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/\",\"name\":\"IMPPACT Chirurgie\",\"description\":\"IMPPACT Institut Main Pied Plastique Articulations Chirurgie Traumatologie\",\"publisher\":{\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/#organization\",\"name\":\"Imppact Chirurgie\",\"alternateName\":\"Institut Main Pied Plastique Articulations Chirurgie Traumatologie\",\"url\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/wp-content\\\/uploads\\\/2024\\\/02\\\/logo_final_imppact.png\",\"contentUrl\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/wp-content\\\/uploads\\\/2024\\\/02\\\/logo_final_imppact.png\",\"width\":1000,\"height\":523,\"caption\":\"Imppact Chirurgie\"},\"image\":{\"@id\":\"https:\\\/\\\/imppact-chirurgie.fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Entorse du poignet | IMPPACT Chirurgie","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/imppact-chirurgie.fr\/index.php\/orthopedie\/chirurgie-du-poignet\/entorse-du-poignet\/","og_locale":"fr_FR","og_type":"article","og_title":"Entorse du poignet | IMPPACT Chirurgie","og_description":"Entorse du poignet C\u2019est un accident, souvent b\u00e9nin, mais parfois aux cons\u00e9quences graves, qui suit une torsion ou un mouvement forc\u00e9 du poignet, qui d\u00e9passe la r\u00e9sistance des ligaments. En r\u00e9alit\u00e9, le mot entorse (du vieux fran\u00e7ais : entordre, c\u2019est-\u00e0-dire tordre) d\u00e9signe un m\u00e9canisme (mouvement forc\u00e9), qui peut aboutir \u00e0 diff\u00e9rents traumatismes (fracture, l\u00e9sion ligamentaire, […]","og_url":"https:\/\/imppact-chirurgie.fr\/index.php\/orthopedie\/chirurgie-du-poignet\/entorse-du-poignet\/","og_site_name":"IMPPACT Chirurgie","article_modified_time":"2024-10-08T11:09:58+00:00","twitter_card":"summary_large_image","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"7 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/imppact-chirurgie.fr\/index.php\/orthopedie\/chirurgie-du-poignet\/entorse-du-poignet\/","url":"https:\/\/imppact-chirurgie.fr\/index.php\/orthopedie\/chirurgie-du-poignet\/entorse-du-poignet\/","name":"Entorse du poignet | IMPPACT Chirurgie","isPartOf":{"@id":"https:\/\/imppact-chirurgie.fr\/#website"},"datePublished":"2024-04-15T11:01:09+00:00","dateModified":"2024-10-08T11:09:58+00:00","breadcrumb":{"@id":"https:\/\/imppact-chirurgie.fr\/index.php\/orthopedie\/chirurgie-du-poignet\/entorse-du-poignet\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/imppact-chirurgie.fr\/index.php\/orthopedie\/chirurgie-du-poignet\/entorse-du-poignet\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/imppact-chirurgie.fr\/index.php\/orthopedie\/chirurgie-du-poignet\/entorse-du-poignet\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/imppact-chirurgie.fr\/"},{"@type":"ListItem","position":2,"name":"Orthop\u00e9die","item":"https:\/\/imppact-chirurgie.fr\/index.php\/orthopedie\/"},{"@type":"ListItem","position":3,"name":"Chirurgie du poignet","item":"https:\/\/imppact-chirurgie.fr\/index.php\/orthopedie\/chirurgie-du-poignet\/"},{"@type":"ListItem","position":4,"name":"Entorse du poignet"}]},{"@type":"WebSite","@id":"https:\/\/imppact-chirurgie.fr\/#website","url":"https:\/\/imppact-chirurgie.fr\/","name":"IMPPACT Chirurgie","description":"IMPPACT Institut Main Pied Plastique Articulations Chirurgie Traumatologie","publisher":{"@id":"https:\/\/imppact-chirurgie.fr\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/imppact-chirurgie.fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/imppact-chirurgie.fr\/#organization","name":"Imppact Chirurgie","alternateName":"Institut Main Pied Plastique Articulations Chirurgie Traumatologie","url":"https:\/\/imppact-chirurgie.fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/imppact-chirurgie.fr\/#\/schema\/logo\/image\/","url":"https:\/\/imppact-chirurgie.fr\/wp-content\/uploads\/2024\/02\/logo_final_imppact.png","contentUrl":"https:\/\/imppact-chirurgie.fr\/wp-content\/uploads\/2024\/02\/logo_final_imppact.png","width":1000,"height":523,"caption":"Imppact Chirurgie"},"image":{"@id":"https:\/\/imppact-chirurgie.fr\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/imppact-chirurgie.fr\/index.php\/wp-json\/wp\/v2\/pages\/1263","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/imppact-chirurgie.fr\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/imppact-chirurgie.fr\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/imppact-chirurgie.fr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/imppact-chirurgie.fr\/index.php\/wp-json\/wp\/v2\/comments?post=1263"}],"version-history":[{"count":6,"href":"https:\/\/imppact-chirurgie.fr\/index.php\/wp-json\/wp\/v2\/pages\/1263\/revisions"}],"predecessor-version":[{"id":1885,"href":"https:\/\/imppact-chirurgie.fr\/index.php\/wp-json\/wp\/v2\/pages\/1263\/revisions\/1885"}],"up":[{"embeddable":true,"href":"https:\/\/imppact-chirurgie.fr\/index.php\/wp-json\/wp\/v2\/pages\/1170"}],"wp:attachment":[{"href":"https:\/\/imppact-chirurgie.fr\/index.php\/wp-json\/wp\/v2\/media?parent=1263"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}