{"id":10030,"date":"2013-09-06T12:48:24","date_gmt":"2013-09-06T10:48:24","guid":{"rendered":"http:\/\/wp.primigi.it\/the-real-defects\/"},"modified":"2023-05-03T17:18:33","modified_gmt":"2023-05-03T15:18:33","slug":"the-real-defects","status":"publish","type":"post","link":"https:\/\/www.primigi.it\/fr\/tu-sais-maman\/devenir-grands\/the-real-defects\/","title":{"rendered":"Les vrais d\u00e9fauts"},"content":{"rendered":"\t\t
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Les probl\u00e8mes les plus courants et les d\u00e9lais d'intervention<\/H3><\/div>

Le pied pr\u00e9sente une grande diversit\u00e9 morphologique et structurelle. De ce fait, dans la pratique il est difficile de s'orienter sur ce qui est, ou non, un d\u00e9faut, s'il est juste d'intervenir et si oui, quand et comment.
Notre exp\u00e9rience montre que des d\u00e9viations structurelles \u00e9videntes par rapport au morphotype consid\u00e9r\u00e9 comme normal sont bien tol\u00e9r\u00e9es. Elles ne donnent pas de limitations fonctionnelles tandis que d'autres d\u00e9viances moins \u00e9videntes, quelquefois difficiles \u00e0 identifier sont \u00e0 l'origine de probl\u00e8mes moteurs et de douleur. En g\u00e9n\u00e9ral, on peut affirmer que ce qui est en plus doit \u00eatre enlev\u00e9.<\/p><\/div><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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La polydactylie<\/H3><\/div>

La polydactylie, commun\u00e9ment connue comme doigts surnum\u00e9raires, est, par exemple, trait\u00e9e par r\u00e9section. L'intervention est effectu\u00e9e si possible avant l'acquisition de la position debout, et avant que l'enfant ait un an.<\/p><\/div><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Le pied bot cong\u00e9nital<\/H3><\/div>

Pour de nombreuses difformit\u00e9s cong\u00e9nitales, c'est \u00e0 dire d\u00e9j\u00e0 pr\u00e9sentes \u00e0 la naissance, que nous savons tr\u00e8s r\u00e9sistantes aux soins, le traitement doit d\u00e9marrer d\u00e8s les premiers jours apr\u00e8s la naissance. Le pied bot cong\u00e9nital pr\u00e9sent chez environ 1\/1000 nouveaux n\u00e9s \u2013 que les m\u00e9decins anglo-saxons appellent -Clubfoot-, c'est \u00e0 dire pied en forme de club de golf, dur et rigide comme un b\u00e2ton \u2013 exige des soins imm\u00e9diats et lourds avec manipulations et pl\u00e2tres d\u00e8s les premiers jours apr\u00e8s la naissance.<\/p>

\u00a0<\/p>

Il r\u00e9siste aux tentatives de correction et dans la plupart des cas vers le 5\/6 mois, il est op\u00e9r\u00e9. Durant, la croissance on doit appliquer des tuteurs et des semelles orthop\u00e9diques.<\/p>

Dans certains cas d'autres interventions sont n\u00e9cessaires. Le pied reste plus petit, le mollet plus maigre, la cheville et le pied plut\u00f4t rigides. Il ne provoque toutefois aucune douleur, ni boitement, et si bien soign\u00e9, on a la possibilit\u00e9 de jouer et de pratiquer toutes sortes de sports et adulte, on peut soutenir sans probl\u00e8me une activit\u00e9 professionnelle, m\u00eame intense.<\/p><\/div><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Le pied plat valgus<\/H3><\/div>

Nous avons aussi appris en suivant l'\u00e9volution morpho structurelle de la croissance du squelette au fil du temps, que certains cadres cliniques au d\u00e9part dramatiques, se normalisent, comme les jambes en X, tandis que d'autres plus banaux se d\u00e9t\u00e9riorent progressivement jusqu'\u00e0 devenir de graves d\u00e9fauts. Nous pensons donc que le v\u00e9ritable d\u00e9faut r\u00e9side dans la limitation fonctionnelle et la douleur. Pour le pied plat valgus, par exemple, on doit intervenir uniquement lorsque d'importantes limitations fonctionnelles apparaissent, ainsi qu'une douleur telle \u00e0 limiter l'activit\u00e9 sportive et les jeux de l'enfant.<\/p>

\u00a0<\/p>

L'objectif est de r\u00e9tablir une condition de bien-\u00eatre, et pas n\u00e9cessairement une morphologie et une structure normale. Ceci peut \u00eatre obtenu avec des semelles orthop\u00e9diques, des chaussures adapt\u00e9es, de la gymnastique des pieds pour favoriser le r\u00e9\u00e9quilibre musculaire et un bon jeu articulaire. Dans certains cas rares, la correction chirurgicale r\u00e9soudra les probl\u00e8mes qui r\u00e9sistent \u00e0 la th\u00e9rapie conservatrice.<\/p><\/div>

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Les probl\u00e8mes les plus courants et les d\u00e9lais d’intervention Le pied pr\u00e9sente une grande diversit\u00e9 morphologique et structurelle. De ce fait, dans la pratique il est difficile de s’orienter sur ce qui est, ou non, un d\u00e9faut, s’il est juste d’intervenir et si oui, quand et comment.Notre exp\u00e9rience montre que des d\u00e9viations structurelles \u00e9videntes par …<\/p>\n

Les vrais d\u00e9fauts<\/span> Lire la suite \u00bb<\/a><\/p>\n","protected":false},"author":4,"featured_media":9082,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":""},"categories":[58],"tags":[],"acf":[],"yoast_head":"\nLes vrais d\u00e9fauts - Primigi<\/title>\n<meta name=\"description\" content=\"Primigi - Les vrais d\u00e9fauts - Les probl\u00e8mes les plus courants et les d\u00e9lais d'intervention . 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