{"id":5806,"date":"2022-06-13T11:48:30","date_gmt":"2022-06-13T09:48:30","guid":{"rendered":"https:\/\/elgeaditraumatologia.com\/?p=5806"},"modified":"2026-04-23T14:33:44","modified_gmt":"2026-04-23T12:33:44","slug":"syndrome-du-tunnel-tarsien","status":"publish","type":"post","link":"https:\/\/elgeaditraumatologia.com\/fr\/sindrome-tunel-tarsiano\/","title":{"rendered":"Syndrome du tunnel tarsien : qu'est-ce que c'est, sympt\u00f4mes, causes et traitement"},"content":{"rendered":"

Le tunnel tarsien est un espace situ\u00e9 \u00e0 l\u2019int\u00e9rieur de la cheville, juste \u00e0 c\u00f4t\u00e9 de ses os. Elle est d\u00e9limit\u00e9e par deux reliefs osseux, la mall\u00e9ole interne ou tibiale et le tubercule de l'os calcan\u00e9en. Tout comme il existe le syndrome du canal carpien, localis\u00e9 au niveau du poignet, les pieds peuvent \u00e9galement souffrir d'une blessure peu connue, mais tr\u00e8s douloureuse, appel\u00e9e syndrome du canal tarsien. Cette blessure est une compression du nerf tibial. Dans cet article, nous parlons de ses sympt\u00f4mes, de ses causes et du traitement de cette maladie.<\/em><\/p>\n

\"Qu'est-ce<\/p>\n

Qu\u2019est-ce que le syndrome du tunnel tarsien ?<\/h2>\n

Syndrome du tunnel tarsien, \u00e9galement connu sous le nom de syndrome du tunnel tarsien ou n\u00e9vralgie du tibial post\u00e9rieur<\/strong>Il s'agit d'une maladie qui appara\u00eet lorsque les tissus entourant le nerf tibial post\u00e9rieur le compriment.<\/p>\n

En raison de la difficult\u00e9 de son diagnostic, le syndrome du canal tarsien (STT) est d\u00e9crit comme un syndrome sous-diagnostiqu\u00e9. Cette pathologie peut donc \u00eatre d\u00e9tect\u00e9e suite \u00e0 d\u2019autres diagnostics de fasciite plantaire.<\/p>\n

Sympt\u00f4mes du syndrome tarsien<\/h3>\n

Les patients atteints du syndrome du canal tarsien pr\u00e9sentent des sympt\u00f4mes \u00e0 l\u2019int\u00e9rieur de la cheville et\/ou \u00e0 la plante du pied.<\/strong>. Dans certains cas, ces sympt\u00f4mes peuvent \u00eatre compl\u00e8tement isol\u00e9s et n\u2019appara\u00eetre que dans une de ces zones.<\/p>\n

Des picotements au niveau de la cheville, une sensation de br\u00fblure et des crampes dans les doigts et la plante du pied sont les sympt\u00f4mes les plus courants du tunnel tarsien, et ceux-ci peuvent irradier jusqu'\u00e0 la r\u00e9gion du genou.<\/p>\n

Lors d'activit\u00e9s quotidiennes telles que marcher, faire du sport et m\u00eame s'allonger, le patient ressent ces sympt\u00f4mes.<\/p>\n

Ces sympt\u00f4mes varient consid\u00e9rablement selon les patients, de sorte que certains sympt\u00f4mes progressent et s'aggravent avec le temps tandis que d'autres apparaissent soudainement. Lorsqu\u2019il y a des douleurs pendant les p\u00e9riodes de repos, cela aidera \u00e0 distinguer les sympt\u00f4mes de la fasciite plantaire. Ce qui est convenu, c'est que tous les patients atteints de cette maladie aggravent leurs sympt\u00f4mes avec l'exercice physique.<\/p>\n

\"Diagnostic<\/p>\n

Causes du syndrome tarsien<\/h3>\n

On peut dire que jusqu'\u00e0 un total de 40% de ce syndrome sont de cause inconnue. Comme mentionn\u00e9, La principale cause du syndrome tarsien est la compression du nerf tibial<\/strong>, mais cette compression peut \u00eatre due \u00e0 d'autres causes.<\/p>\n

Les alt\u00e9rations biom\u00e9caniques et morphologiques de la peau ou de la cheville telles que la pr\u00e9sence de pieds plats, une pronation excessive lors de la marche et la pr\u00e9sence d'une instabilit\u00e9 de la cheville en font partie.<\/p>\n

D'autre part, la surcharge du nerf tibial provoqu\u00e9e par des entorses de la cheville, la pratique de sports d'impact sur la cheville et les pieds et le port de chaussures inappropri\u00e9es sont d'autres causes possibles du syndrome du canal tarsien.<\/p>\n

Maladies m\u00e9taboliques ou syst\u00e9matiques telles que la polyarthrite rhumato\u00efde, le diab\u00e8te, l'ob\u00e9sit\u00e9 et l'hyporiro\u00efdie sont des causes du syndrome du canal tarsien<\/strong>.<\/p>\n

Diagnostic et traitement du syndrome du tunnel tarsien<\/h2>\n

Gr\u00e2ce \u00e0 l'histoire clinique et \u00e0 une \u00e9tude diagnostique, \u00e0 la recherche des caract\u00e9ristiques pouvant indiquer un syndrome du canal tarsien, il est possible de d\u00e9terminer le traitement que n\u00e9cessite cette affection, en tenant toujours compte des sympt\u00f4mes de chaque patient.<\/p>\n

\"Causes<\/p>\n

Diagnostic du syndrome tarsien<\/h3>\n

Le sp\u00e9cialiste du pied et de la cheville emm\u00e8nera le patient pour un diagnostic afin de d\u00e9terminer s'il y a une perte de sensibilit\u00e9, en appuyant sur la zone afin de d\u00e9terminer \u00e9galement s'il y a des bosses dans la zone tibiale.<\/p>\n

Le test Tinel est un moyen de confirmer le diagnostic <\/strong>du syndrome du tunnel tarsien<\/a><\/strong>, \u00e9valuant le pi\u00e9geage du nerf m\u00e9dian.<\/p>\n

Dans les cas o\u00f9 des bosses apparaissent et que les sympt\u00f4mes ne s'am\u00e9liorent pas au fil des jours, le sp\u00e9cialiste exigera une \u00e9tude IRM. De m\u00eame, l\u2019\u00e9chographie permet la localisation des diff\u00e9rentes branches nerveuses, reproduisant ainsi les sympt\u00f4mes.<\/p>\n

Traitement de la n\u00e9vralgie tibiale post\u00e9rieure<\/h3>\n

Pour traiter le syndrome du tunnel tarsien, il existe diff\u00e9rents traitements conservateurs, g\u00e9n\u00e9ralement utilis\u00e9s en association. Il est recommand\u00e9 de reposer la peau, en essayant de ne pas la soutenir pour favoriser la cicatrisation et ainsi \u00e9viter d'autres blessures.<\/p>\n

En cas de gonflement du tunnel tarsien, de la glace peut \u00eatre appliqu\u00e9e sur la zone affect\u00e9e avec une serviette pendant environ 15 \u00e0 20 minutes.<\/p>\n

Dans les cas les plus graves et les plus prolong\u00e9s, qui ne s'am\u00e9liorent pas avec ces options conservatrices, le sp\u00e9cialiste proc\u00e8de \u00e0 techniques chirurgicales mini-invasives<\/strong>, avec lequel il est possible de r\u00e9duire la douleur postop\u00e9ratoire du patient et d'acc\u00e9l\u00e9rer sa gu\u00e9rison.<\/p>\n

Tout comme le nerf m\u00e9dian est coinc\u00e9 dans la main, la m\u00eame chose se produit dans le pied. Pr\u00e9sentez-vous l\u2019un des sympt\u00f4mes mentionn\u00e9s lors du post\u00a0? Si tel est le cas, il est important d'identifier \u00e0 temps tout sympt\u00f4me au niveau de la cheville et du pied, afin de pr\u00e9venir d'autres blessures que cela pourrait causer \u00e0 l'avenir. Chez Elgeadi Traumatologie nous sommes \u00e0 votre disposition <\/em>traumatologues experts en chirurgie mini-invasive<\/em><\/strong><\/a> reconnu internationalement. Prenez rendez-vous avec notre \u00e9quipe d\u2019experts pour un diagnostic sur mesure.<\/em><\/p>","protected":false},"excerpt":{"rendered":"

Le syndrome du tunnel tarsien est une maladie qui appara\u00eet lorsque les tissus du nerf tibial post\u00e9rieur le compriment. 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