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header_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb]<p>Il s\u2019agit d\u2019une inflammation des tendons du pouce (court extenseur et long abducteur) situ\u00e9e \u00e0 la face externe du poignet. Elle est li\u00e9e au frottement excessif et r\u00e9p\u00e9t\u00e9 entre ces tendons et la gaine o\u00f9 ils coulissent au bord externe du poignet. Chez les patients atteints de cette pathologie, la gaine est trop \u00e9troite par pr\u00e9disposition anatomique entretenant ainsi l\u2019inflammation tendineuse et faisant rentrer le patient dans un cercle vicieux.<\/p>\n[\/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\u00bbQui est touch\u00e9 par cette pathologie ?\u00a0\u00bb _builder_version=\u00a0\u00bb3.23.3&Prime; open=\u00a0\u00bboff\u00a0\u00bb]<p>Cette infection touche majoritairement la femme le plus souvent apr\u00e8s 50 ans. Les mouvements r\u00e9p\u00e9titifs et fr\u00e9quents du pouce et en particulier de la pince pouce-index favorise l\u2019apparition de la tendinite, notamment chez les couturi\u00e8res, m\u00e9caniciens, kin\u00e9sith\u00e9rapeutes, secr\u00e9taires. La tendinopathie de De Quervain peut donc constituer une maladie professionnelle (tableau 57B des maladies professionnelles).<\/p>[\/et_pb_accordion_item][et_pb_accordion_item title=\u00a0\u00bbQuels sont les sympt\u00f4mes de la t\u00e9nosynovite ?\u00a0\u00bb _builder_version=\u00a0\u00bb3.23.3&Prime; open=\u00a0\u00bboff\u00a0\u00bb]<p>La douleur constitue le motif principal de consultation. Elle est situ\u00e9e au bord externe du poignet, appara\u00eet le plus souvent progressivement sur quelques semaines pour g\u00eaner consid\u00e9rablement les mouvements du pouce. L\u2019intensit\u00e9 de la douleur est tr\u00e8s variable d\u2019un individu \u00e0 l\u2019autre, elle peut parfois devenir insomniante et tr\u00e8s invalidante avec des irradiations douloureuses \u00e0 l\u2019avant-bras. On rencontre fr\u00e9quemment une tum\u00e9faction douloureuse \u00e0 la palpation en regard du bord externe du poignet. Elle correspond \u00e0 l\u2019\u00e9paississement de la gaine tendineuse en conflit avec les tendons.<\/p>\n<p>La man\u0153uvre de Finkelstein est un test caract\u00e9ristique de cette tendinopathie. Elle consiste \u00e0 d\u00e9clencher une douleur lors de la mobilisation du pouce vers l\u2019annulaire avec une inclinaison cubitale du poignet. Cette man\u0153uvre met en tension les tendons inflammatoires.<\/p>[\/et_pb_accordion_item][et_pb_accordion_item title=\u00a0\u00bbComment \u00e9tablit-on le diagnostic ?\u00a0\u00bb _builder_version=\u00a0\u00bb3.23.3&Prime; open=\u00a0\u00bboff\u00a0\u00bb]<p>Il s\u2019agit d\u2019un diagnostic essentiellement clinique. En cas de doute diagnostic, une \u00e9chographie pourra \u00eatre r\u00e9alis\u00e9e et confirmera l\u2019inflammation tendineuse entourant les tendons court extenseur et long abducteur du pouce.<\/p>[\/et_pb_accordion_item][et_pb_accordion_item title=\u00a0\u00bbComment traiter la Tendinopathie de De Quervain ?\u00a0\u00bb _builder_version=\u00a0\u00bb3.23.3&Prime; open=\u00a0\u00bbon\u00a0\u00bb]<div class=\"ui-accordion-content ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" style=\"display: block;\" id=\"ui-accordion-4-panel-0\" aria-labelledby=\"ui-accordion-4-header-0\" role=\"tabpanel\" aria-expanded=\"true\" aria-hidden=\"false\">\n<p>Le traitement est d\u2019abord m\u00e9dical car, bien men\u00e9, il entra\u00eene une gu\u00e9rison dans 80% des cas. Il doit associer\u00a0:<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Une mise au repos du pouce par arr\u00eat des activit\u00e9s favorisant<br \/>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 la tendinopathie.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Des anti-inflammatoires par voie orale et locale<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Une orth\u00e8se de repos la nuit<\/p>\n<p>Pour les cas r\u00e9sistant \u00e0 ces traitements, un traitement infiltratif par cortico\u00efdes peut s\u2019av\u00e9rer utile.<\/p>\n<p>L\u2019orth\u00e8se de nuit devra \u00eatre conserv\u00e9e trois mois au total. En cas d\u2019origine professionnelle, il est important que la reprise du travail soit faite avec un am\u00e9nagement du poste de travail.<\/p>\n<p>Le traitement chirurgical est r\u00e9serv\u00e9 aux formes r\u00e9sistantes au traitement m\u00e9dical bien conduit et aux r\u00e9cidives douloureuses. Il a lieu sous anesth\u00e9sie loco r\u00e9gionale du membre sup\u00e9rieur et en ambulatoire (le patient ne dort pas en clinique ). Par une voie mini invasive r\u00e9alis\u00e9e au bord externe du poignet, la gaine tendineuse est ouverte afin de d\u00e9comprimer les tendons, et l\u2019inflammation synoviale p\u00e9ri-tendineuse enlev\u00e9e.<\/p>\n<p>Une r\u00e9\u00e9ducation sp\u00e9cifique est d\u00e9but\u00e9e dans la semaine suivant l\u2019intervention. En moyenne six semaines sont n\u00e9cessaires pour voir dispara\u00eetre compl\u00e8tement la douleur. Pour les travailleurs manuels, un arr\u00eat de travail de la m\u00eame dur\u00e9e est le plus souvent n\u00e9cessaire.<\/p>\n<\/div>[\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_section]","protected":false},"excerpt":{"rendered":"<p>Il s\u2019agit d\u2019une inflammation des tendons du pouce (court extenseur et long abducteur) situ\u00e9e \u00e0 la face externe du poignet. Elle est li\u00e9e au frottement excessif et r\u00e9p\u00e9t\u00e9 entre ces tendons et la gaine o\u00f9 ils coulissent au bord externe du poignet. Chez les patients atteints de cette pathologie, la gaine est trop \u00e9troite par [&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>Tendinopathie de De Quervain - 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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