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background_color_gradient_direction=\u00a0\u00bb120deg\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_image=\u00a0\u00bbhttp:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/health-clinic-87.jpg\u00a0\u00bb border_radii=\u00a0\u00bb|||150px|\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset3&Prime; box_shadow_vertical=\u00a0\u00bb39px\u00a0\u00bb box_shadow_blur=\u00a0\u00bb200px\u00a0\u00bb box_shadow_spread=\u00a0\u00bb-40px\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb][et_pb_column_inner type=\u00a0\u00bb4_4&Prime; saved_specialty_column_type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb3.0.47&Prime; parallax__hover=\u00a0\u00bboff\u00a0\u00bb parallax_method__hover=\u00a0\u00bbon\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb3.23.3&Prime; text_font=\u00a0\u00bbWork Sans||||||||\u00a0\u00bb text_font_size=\u00a0\u00bb20px\u00a0\u00bb text_line_height=\u00a0\u00bb1.5em\u00a0\u00bb header_font=\u00a0\u00bbWork Sans|700|||||||\u00a0\u00bb header_font_size=\u00a0\u00bb60px\u00a0\u00bb header_line_height=\u00a0\u00bb1.2em\u00a0\u00bb background_layout=\u00a0\u00bbdark\u00a0\u00bb max_width=\u00a0\u00bb450px\u00a0\u00bb max_width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb text_font_size_tablet=\u00a0\u00bb18px\u00a0\u00bb text_font_size_phone=\u00a0\u00bb16px\u00a0\u00bb text_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_font_size_tablet=\u00a0\u00bb40px\u00a0\u00bb header_font_size_phone=\u00a0\u00bb28px\u00a0\u00bb header_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb]<p style=\"text-align: left;\">La Rhizarthrose (ou arthrose de la base du pouce) correspond \u00e0 une arthrose trap\u00e9zo-m\u00e9tacarpienne. Il s\u2019agit de l\u2019arthrose la plus fr\u00e9quemment rencontr\u00e9e \u00e0 la main, avec l\u2019arthrose des articulations interphalangiennes distales (derni\u00e8re articulation avant l\u2019extr\u00e9mit\u00e9 pulpaire d\u2019un doigt ).<\/p>\n<p style=\"text-align: left;\">Elle atteint une femme sur six \u00e0 partir de 50 ans et touche souvent les 2 c\u00f4t\u00e9s \u00e0 des stades arthrosiques diff\u00e9rents.<\/p>\n<p>&nbsp;<\/p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb3.0.47&Prime; padding_phone__hover=\u00a0\u00bb60px|50px||50px||true\u00a0\u00bb padding_tablet__hover=\u00a0\u00bb80px|60px|80px|60px|true|true\u00a0\u00bb padding_last_edited__hover=\u00a0\u00bbon|desktop\u00a0\u00bb padding_left__hover=\u00a0\u00bb100px\u00a0\u00bb padding_right__hover=\u00a0\u00bb15vw\u00a0\u00bb padding_top__hover=\u00a0\u00bb250px\u00a0\u00bb parallax__hover=\u00a0\u00bboff\u00a0\u00bb parallax_method__hover=\u00a0\u00bbon\u00a0\u00bb][et_pb_accordion _builder_version=\u00a0\u00bb3.23.3&Prime;][et_pb_accordion_item title=\u00a0\u00bbLes sympt\u00f4mes de la Rhizarthrose.\u00a0\u00bb _builder_version=\u00a0\u00bb3.23.3&Prime; open=\u00a0\u00bboff\u00a0\u00bb]<p>Le plus souvent l\u2019arthrose est li\u00e9e \u00e0 une pr\u00e9-disposition g\u00e9n\u00e9tique. Toutefois, elle peut \u00eatre la cons\u00e9quence d\u2019une fracture, d\u2019une infection ( arthrite ) ou d\u2019un rhumatisme inflammatoire ( polyarthrite rhumato\u00efde ).<\/p>\n<p>On estime que la Rhizarthrose ne deviendra symptomatique que dans 20% des cas.<\/p>\n<p>Le sympt\u00f4me essentiel, motif de la consultation, reste la douleur, peu importante au d\u00e9but, pouvant \u00e9voluer vers des douleurs plus tenaces survenant lors des activit\u00e9s quotidiennes utilisant la pince pouce-index ( manipuler de petits objets, tourner la cl\u00e9 d\u2019une porte\u2026). Ces douleurs vont s\u2019accompagner peu \u00e0 peu d\u2019une d\u00e9formation de l\u2019articulation qui finit par se subluxer : il appara\u00eet alors une d\u00e9formation caract\u00e9ristique de la base du pouce, appel\u00e9 pouce en Z. Cette d\u00e9formation s\u2019accompagne d\u2019une difficult\u00e9 \u00e0 ouvrir la 1\u00e8re commissure (angulation entre le 1er et le 2\u00e8me rayons), c\u2019est \u00e0 dire \u00e9carter le pouce.<\/p>\n<p>&nbsp;<\/p>[\/et_pb_accordion_item][et_pb_accordion_item title=\u00a0\u00bbTraitement de la rhizarthrose\u00a0\u00bb _builder_version=\u00a0\u00bb3.23.3&Prime; open=\u00a0\u00bbon\u00a0\u00bb]<p>Initialement, le traitement est m\u00e9dical\u00a0:<\/p>\n<p>Port d\u2019une orth\u00e8se de nuit thermoform\u00e9e sur mesure<\/p>\n<p>L\u2019utilisation des anti-inflammatoires locaux, par prise orale, et en dernier recours par infiltration de coticoides apr\u00e8s, le plus souvent, plusieurs ann\u00e9es d\u2019\u00e9volution<\/p>\n<p>&#8211; viscosuppl\u00e9mentation par acide hyaluronique<\/p>\n<p>Kin\u00e9sith\u00e9rapie\u00a0: \u00e9lectroth\u00e9rapie, ultra-sons, gla\u00e7age.<\/p>\n<p>Acupuncture.<\/p>\n<p>Ces diff\u00e9rentes techniques permettent le plus souvent de gagner plusieurs ann\u00e9es avant d\u2019en arriver \u00e0 une solution chirurgicale. A l\u2019inverse, lorsque ces traitements bien conduits pendant six mois \u00e0 un an restent insuffisants, une intervention doit \u00eatre envisag\u00e9e plus pr\u00e9cocement.<\/p>\n<p><strong>\u00a0\u00a0Le\u00a0 traitement chirurgical de la Rhizarthrose<\/strong><\/p>\n<p>2 types d\u2019intervention peuvent \u00eatre propos\u00e9s\u00a0: la trap\u00e9zectomie et la proth\u00e8se trap\u00e9zo-m\u00e9tacarpienne<\/p>\n<p>Le type d\u2019intervention requise est fonction de nombreux param\u00e8tres : l\u2019\u00e2ge du patient, son niveau d\u2019activit\u00e9, le degr\u00e9 d\u2019arthrose\u2026<\/p>\n<p><span style=\"text-decoration: underline;\">La trap\u00e9zectomie\u00a0:<\/span><\/p>\n<p>Elle est r\u00e9alis\u00e9e sous anesth\u00e9sie loco r\u00e9gionale dans le cadre d\u2019une hospitalisation ambulatoire. Elle permet un retour \u00e0 l\u2019indolence et \u00e0 un secteur de mobilit\u00e9 satisfaisant. Elle a l\u2019avantage d\u2019obtenir un r\u00e9sultat d\u00e9finitif ( \u00e0 l\u2019inverse des proth\u00e8ses trap\u00e9zo-m\u00e9tacarpiennes qui peuvent n\u00e9cessiter un changement pour usure) , mais l\u2019inconv\u00e9nient d\u2019une r\u00e9cup\u00e9ration plus longue ( entre trois et six mois ) \u00e0 l\u2019inverse de la proth\u00e8se o\u00f9 la r\u00e9cup\u00e9ration est plus rapide ( entre six semaines et deux mois ).<\/p>\n<p><span style=\"text-decoration: underline;\">La proth\u00e8se trap\u00e9zo-m\u00e9tacarpienne\u00a0:<\/span><\/p>\n<p>Cette proth\u00e8se ressemble \u00e0 une proth\u00e8se de hanche miniaturis\u00e9e. Comme pour la trap\u00e9zectomie une immobilisation post-op\u00e9ratoire de trois \u00e0 quatre semaines est n\u00e9cessaire. La r\u00e9cup\u00e9ration est par contre plus rapide (six semaines \u00e0 deux mois)\u00a0 La proth\u00e8se trap\u00e9zo-m\u00e9tacarpienne pr\u00e9sente par contre l\u2019inconv\u00e9nient de toutes les proth\u00e8ses, \u00e0 savoir une usure dans le temps pouvant impliquer un changement proth\u00e9tique.<\/p>[\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_section]","protected":false},"excerpt":{"rendered":"<p>La Rhizarthrose (ou arthrose de la base du pouce) correspond \u00e0 une arthrose trap\u00e9zo-m\u00e9tacarpienne. Il s\u2019agit de l\u2019arthrose la plus fr\u00e9quemment rencontr\u00e9e \u00e0 la main, avec l\u2019arthrose des articulations interphalangiennes distales (derni\u00e8re articulation avant l\u2019extr\u00e9mit\u00e9 pulpaire d\u2019un doigt ). Elle atteint une femme sur six \u00e0 partir de 50 ans et touche souvent les 2 [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v18.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Rhizarthrose - Hallux Valgus Nice | Chirurgie pied Nice<\/title>\n<meta name=\"description\" content=\"Dr Becquet Chirurgien du Pied \u00e0 Nice. Informations sur la chirurgie du pied \/ mini-invasive et percutan\u00e9e \/ Hallux Valgus | Nice. 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