{"id":25897,"date":"2026-09-29T11:32:12","date_gmt":"2026-09-29T11:32:12","guid":{"rendered":"https:\/\/coulinmedical.com\/?page_id=25897"},"modified":"2026-10-06T16:29:27","modified_gmt":"2026-10-06T16:29:27","slug":"chondropathie-rotulienne","status":"publish","type":"page","link":"https:\/\/coulinmedical.com\/en\/chondropathie-rotulienne\/","title":{"rendered":"PATELLAR CHONDROPATHY"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"25897\" class=\"elementor elementor-25897\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-14c72c0 e-grid e-con-boxed e-con e-parent\" data-id=\"14c72c0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dc6fc58 elementor-widget elementor-widget-heading\" data-id=\"dc6fc58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">CHONDROPATHIE ROTULIENNE<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-404f408 elementor-nav-menu__align-center elementor-nav-menu--dropdown-none elementor-widget-mobile__width-inherit home-page-3-buttons elementor-fixed elementor-widget elementor-widget-nav-menu\" data-id=\"404f408\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;_position&quot;:&quot;fixed&quot;,&quot;layout&quot;:&quot;horizontal&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;svg aria-hidden=\\&quot;true\\&quot; 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Un examen permet d\u2019en comprendre l\u2019origine.<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c33e344 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"c33e344\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8ffaa11 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"8ffaa11\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<article class=\"text-token-text-primary w-full focus:outline-none [--shadow-height:45px] has-data-writing-block:pointer-events-none has-data-writing-block:-mt-(--shadow-height) has-data-writing-block:pt-(--shadow-height) [&amp;:has([data-writing-block])&gt;*]:pointer-events-auto scroll-mt-(--header-height)\" dir=\"auto\" tabindex=\"-1\" data-turn-id=\"19d5947d-7672-4641-b4bd-c66a79a14de3\" data-testid=\"conversation-turn-7\" data-scroll-anchor=\"false\" data-turn=\"user\"><div class=\"text-base my-auto mx-auto pt-12 [--thread-content-margin:--spacing(4)] @w-sm\/main:[--thread-content-margin:--spacing(6)] @w-lg\/main:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\"><div class=\"[--thread-content-max-width:40rem] @w-lg\/main:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col\" tabindex=\"-1\"><div class=\"flex max-w-full flex-col grow\"><div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+&amp;]:mt-1\" dir=\"auto\" data-message-author-role=\"user\" data-message-id=\"19d5947d-7672-4641-b4bd-c66a79a14de3\"><div class=\"flex w-full flex-col gap-1 empty:hidden items-end rtl:items-start\"><div class=\"user-message-bubble-color corner-superellipse\/1.1 relative rounded-[18px] px-4 py-1.5 data-[multiline]:py-3 max-w-[var(--user-chat-width,70%)]\"><div class=\"whitespace-pre-wrap\"><p>La <strong>chondropathie rotulienne<\/strong> d\u00e9signe une alt\u00e9ration du cartilage situ\u00e9 sur la face arri\u00e8re de la rotule. Elle peut \u00eatre superficielle ou plus profonde et s\u2019accompagner de douleurs \u00e0 l\u2019avant du genou.<\/p><p>La g\u00eane d\u00e9pend de l\u2019\u00e9tat du cartilage, mais aussi de la fa\u00e7on dont la rotule se d\u00e9place et des contraintes exerc\u00e9es sur l\u2019articulation. Le traitement vise \u00e0 am\u00e9liorer la fonction du genou et \u00e0 r\u00e9duire les sympt\u00f4mes.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/article>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-f44e654 e-grid e-con-full elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile e-con e-parent\" data-id=\"f44e654\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b0108c1 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"b0108c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cda79dd e-con-full e-flex e-con e-child\" data-id=\"cda79dd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6bad02e elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"6bad02e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">COMPRENDRE LA CHONDROPATHIE ROTULIENNE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bddd8ca elementor-widget elementor-widget-html\" data-id=\"bddd8ca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<iframe src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/image-interactive-arthrose-du-genou.html\" style=\"width:100%;height:900px;border:0;background:transparent;\" loading=\"lazy\"><\/iframe>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4d52101 e-grid e-con-full e-con e-parent\" data-id=\"4d52101\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-16465eb e-con-full e-flex e-con e-child\" data-id=\"16465eb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-450894c elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"450894c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e5ceea2 elementor-widget elementor-widget-image\" data-id=\"e5ceea2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1448\" height=\"1086\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-symptomes-escaliers.webp\" class=\"attachment-full size-full wp-image-26311\" alt=\"\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-symptomes-escaliers.webp 1448w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-symptomes-escaliers-400x300.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-symptomes-escaliers-1067x800.webp 1067w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-symptomes-escaliers-768x576.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-symptomes-escaliers-16x12.webp 16w\" sizes=\"(max-width: 1448px) 100vw, 1448px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-abd889e e-con-full e-flex e-con e-child\" data-id=\"abd889e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6c34a81 elementor-widget elementor-widget-heading\" data-id=\"6c34a81\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">RECONNA\u00ceTRE LES SYMPT\u00d4MES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a7229b9 elementor-widget elementor-widget-text-editor\" data-id=\"a7229b9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La chondropathie rotulienne peut provoquer une douleur \u00e0 l\u2019avant du genou, autour ou derri\u00e8re la rotule. Elle appara\u00eet souvent lors d\u2019activit\u00e9s qui sollicitent le genou fl\u00e9chi, mais ces sympt\u00f4mes peuvent aussi avoir d\u2019autres causes.<\/p><ul><li><strong>Douleur dans les escaliers :<\/strong> descendre les marches peut \u00eatre particuli\u00e8rement inconfortable.<\/li><li><strong>G\u00eane en position assise :<\/strong> le genou peut devenir douloureux apr\u00e8s \u00eatre rest\u00e9 pli\u00e9 longtemps.<\/li><li><strong>Douleur \u00e0 la flexion :<\/strong> s\u2019accroupir, s\u2019agenouiller ou se relever d\u2019une chaise peut r\u00e9veiller les sympt\u00f4mes.<\/li><li><strong>Craquements ou sensation de frottement :<\/strong> ils peuvent accompagner les mouvements, sans indiquer \u00e0 eux seuls la gravit\u00e9 de l\u2019atteinte.<\/li><\/ul><p>Une douleur autour de la rotule ne suffit pas \u00e0 confirmer une chondropathie. L\u2019examen permet de la distinguer d\u2019autres causes de douleur ant\u00e9rieure du genou.<\/p><p>\u00a0<\/p><p><a href=\"https:\/\/coulinmedical.com\/arthrose-femoro-patellaire\/\">\u2192 Comprendre l\u2019arthrose f\u00e9moro-patellaire<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9dc57dd e-con-full e-flex e-con e-parent\" data-id=\"9dc57dd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-09fb0b9 e-con-full e-flex e-con e-child\" data-id=\"09fb0b9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e32d70f elementor-widget elementor-widget-heading\" data-id=\"e32d70f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">POURQUOI LE CARTILAGE ROTULIEN S\u2019AB\u00ceME-T-IL ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cd07fd9 elementor-widget elementor-widget-text-editor\" data-id=\"cd07fd9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"1179\" data-end=\"1406\">La chondropathie rotulienne peut \u00eatre favoris\u00e9e par plusieurs facteurs. Le bilan cherche \u00e0 comprendre les contraintes qui s\u2019exercent sur la rotule et \u00e0 v\u00e9rifier si d\u2019autres structures sont concern\u00e9es.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ac7a92f e-con-full e-grid e-con e-child\" data-id=\"ac7a92f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-84ebc77 e-con-full e-flex e-con e-child\" data-id=\"84ebc77\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2c3ca10 elementor-widget elementor-widget-heading\" data-id=\"2c3ca10\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">SURCHARGE R\u00c9P\u00c9T\u00c9E<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ef4334 elementor-widget elementor-widget-text-editor\" data-id=\"7ef4334\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La course, les sauts, les flexions r\u00e9p\u00e9t\u00e9es ou une augmentation trop rapide de l\u2019entra\u00eenement peuvent solliciter fortement l\u2019articulation entre la rotule et le f\u00e9mur.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ed0fa5b e-con-full e-flex e-con e-child\" data-id=\"ed0fa5b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-691533d elementor-widget elementor-widget-heading\" data-id=\"691533d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">TRAJET DE LA ROTULE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-453acde elementor-widget elementor-widget-text-editor\" data-id=\"453acde\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Un d\u00e9placement ou un guidage particulier de la rotule peut modifier la r\u00e9partition des pressions. L\u2019alignement de la jambe et le fonctionnement du genou sont pris en compte dans l\u2019\u00e9valuation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-adf8056 e-con-full e-flex e-con e-child\" data-id=\"adf8056\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-62e25ca elementor-widget elementor-widget-heading\" data-id=\"62e25ca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">TRAUMATISME OU INSTABILIT\u00c9<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-871b4cc elementor-widget elementor-widget-text-editor\" data-id=\"871b4cc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Un choc direct, une luxation ou des \u00e9pisodes d\u2019instabilit\u00e9 peuvent endommager le cartilage rotulien. Le m\u00e9decin recherche \u00e9galement d\u2019\u00e9ventuelles l\u00e9sions associ\u00e9es.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4c2db9a e-con-full e-flex e-con e-child\" data-id=\"4c2db9a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-56ad699 elementor-widget elementor-widget-heading\" data-id=\"56ad699\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u00c9VOLUTION ARTICULAIRE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ec455d6 elementor-widget elementor-widget-text-editor\" data-id=\"ec455d6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Avec le temps, l\u2019usure peut toucher le cartilage de la rotule et celui de la trochl\u00e9e. Lorsque l\u2019atteinte concerne plus largement l\u2019articulation, elle peut correspondre \u00e0 une arthrose f\u00e9moro-patellaire.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bc41f80 elementor-widget elementor-widget-text-editor\" data-id=\"bc41f80\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><a href=\"https:\/\/coulinmedical.com\/arthrose-du-genou\/\">\u2192 En savoir plus sur l\u2019arthrose du genou<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a5ec2b5 e-grid e-con-full e-con e-parent\" data-id=\"a5ec2b5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-92e6614 e-con-full e-flex e-con e-child\" data-id=\"92e6614\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-77b77e8 elementor-widget elementor-widget-image\" data-id=\"77b77e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1448\" height=\"1086\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-diagnostic-genou.webp\" class=\"attachment-full size-full wp-image-26312\" alt=\"Patiente consultant des images de son genou pour le diagnostic d\u2019une chondropathie rotulienne.\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-diagnostic-genou.webp 1448w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-diagnostic-genou-400x300.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-diagnostic-genou-1067x800.webp 1067w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-diagnostic-genou-768x576.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-diagnostic-genou-16x12.webp 16w\" sizes=\"(max-width: 1448px) 100vw, 1448px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ae5bad5 e-con-full e-flex e-con e-child\" data-id=\"ae5bad5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-673ffd0 elementor-widget elementor-widget-heading\" data-id=\"673ffd0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">POSER LE BON DIAGNOSTIC<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73de5f4 elementor-widget elementor-widget-text-editor\" data-id=\"73de5f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"1999\" data-end=\"2193\">Le diagnostic repose sur les sympt\u00f4mes, l\u2019examen du genou et, si n\u00e9cessaire, des examens d\u2019imagerie. Une anomalie du cartilage visible \u00e0 l\u2019IRM doit \u00eatre mise en relation avec la g\u00eane ressentie.<\/p><p dir=\"auto\" data-start=\"667\" data-end=\"693\">\u00a0<\/p><p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"667\" data-end=\"693\"><strong data-start=\"667\" data-end=\"693\">01 \u2014 L\u2019EXAMEN CLINIQUE<\/strong><\/p><p>Le m\u00e9decin pr\u00e9cise les circonstances d\u2019apparition de la douleur, examine la mobilit\u00e9 et la stabilit\u00e9 du genou, et observe le d\u00e9placement de la rotule. Certains mouvements, comme s\u2019accroupir ou descendre une marche, peuvent aider \u00e0 reproduire la g\u00eane.<\/p><p dir=\"auto\" data-start=\"876\" data-end=\"912\"><strong data-start=\"876\" data-end=\"912\">02 \u2014 LES RADIOGRAPHIES<\/strong><\/p><p dir=\"auto\" data-start=\"914\" data-end=\"1073\">Les radiographies \u00e9valuent notamment l\u2019alignement et l\u2019articulation entre la rotule et le f\u00e9mur. Elles peuvent aider \u00e0 rechercher des signes d\u2019arthrose ou certaines particularit\u00e9s anatomiques.<\/p><p dir=\"auto\" data-start=\"1075\" data-end=\"1111\"><strong data-start=\"1075\" data-end=\"1111\">03 \u2014 L&rsquo;IMAGERIE COMPL\u00c9MENTAIRE<\/strong><\/p><p>Une IRM peut \u00eatre demand\u00e9e lorsque les sympt\u00f4mes persistent ou si le m\u00e9decin doit pr\u00e9ciser l\u2019\u00e9tat du cartilage et des structures voisines. Le r\u00e9sultat est interpr\u00e9t\u00e9 avec l\u2019examen clinique et l\u2019histoire de la douleur.<\/p><p>\u00a0<\/p><p><strong>Une image montrant une chondropathie ne d\u00e9termine pas \u00e0 elle seule le traitement. La douleur, les activit\u00e9s et le fonctionnement du genou comptent \u00e9galement.<\/strong><\/p><p>\u00a0<\/p><p><a href=\"https:\/\/sosgenougeneve.ch\/irm-du-genou\/\" target=\"_blank\" rel=\"noopener\">\u2192 Comprendre le r\u00f4le de l\u2019IRM du genou<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4c33e9a e-grid e-con-full e-con e-parent\" data-id=\"4c33e9a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4d22fe8 e-con-full e-flex e-con e-child\" data-id=\"4d22fe8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-212e688 elementor-widget elementor-widget-heading\" data-id=\"212e688\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">SOULAGER LE GENOU SANS CHIRURGIE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d163419 elementor-widget elementor-widget-text-editor\" data-id=\"d163419\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Dans la plupart des situations, la prise en charge commence par des mesures non chirurgicales. Le programme est adapt\u00e9 aux sympt\u00f4mes, aux activit\u00e9s et aux facteurs qui peuvent entretenir la douleur.<\/p><p>L\u2019objectif est de retrouver progressivement une meilleure fonction du genou, sans imposer un arr\u00eat syst\u00e9matique de toute activit\u00e9.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1935cd9 elementor-widget elementor-widget-n-accordion\" data-id=\"1935cd9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2640\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2640\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> PHYSIOTH\u00c9RAPIE ET RENFORCEMENT <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2640\" class=\"elementor-element elementor-element-52c8065 e-con-full e-flex e-con e-child\" data-id=\"52c8065\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2640\" class=\"elementor-element elementor-element-738d254 e-flex e-con-boxed e-con e-child\" data-id=\"738d254\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f92d1c9 elementor-widget elementor-widget-text-editor\" data-id=\"f92d1c9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La physioth\u00e9rapie peut associer des exercices pour les muscles de la cuisse et de la hanche, ainsi qu\u2019un travail progressif du contr\u00f4le du mouvement. Le programme est ajust\u00e9 selon la douleur et la tol\u00e9rance du genou.<\/p><p><a href=\"https:\/\/coulinmedical.com\/reeducation-du-genou\/\">\u2192 D\u00e9couvrir les objectifs de la r\u00e9\u00e9ducation du genou<\/a><\/p><p dir=\"auto\" data-start=\"964\" data-end=\"1095\">\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2641\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2641\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> ADAPTATION DES ACTIVIT\u00c9S <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2641\" class=\"elementor-element elementor-element-f0cc119 e-con-full e-flex e-con e-child\" data-id=\"f0cc119\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cad70bb elementor-widget elementor-widget-text-editor\" data-id=\"cad70bb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"1295\" data-end=\"1452\">Une r\u00e9duction temporaire des mouvements qui r\u00e9veillent fortement la douleur peut \u00eatre utile. L\u2019activit\u00e9 est ensuite reprise progressivement, en tenant compte de la r\u00e9action du genou pendant l\u2019effort et dans les heures qui suivent.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2642\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2642\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> TRAITEMENTS M\u00c9DICAMENTEUX <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2642\" class=\"elementor-element elementor-element-8840717 e-con-full e-flex e-con e-child\" data-id=\"8840717\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e1c5a9b elementor-widget elementor-widget-text-editor\" data-id=\"e1c5a9b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"1683\" data-end=\"1857\">Des antalgiques ou, dans certaines situations, des anti-inflammatoires peuvent \u00eatre envisag\u00e9s selon les ant\u00e9c\u00e9dents et les contre-indications. Ils peuvent aider \u00e0 contr\u00f4ler les sympt\u00f4mes, mais ne restaurent pas le cartilage.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2643\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2643\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> MESURES COMPL\u00c9MENTAIRES <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2643\" class=\"elementor-element elementor-element-97b7f30 e-flex e-con-boxed e-con e-child\" data-id=\"97b7f30\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-97a9db2 elementor-widget elementor-widget-text-editor\" data-id=\"97a9db2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"2048\" data-end=\"2231\">Selon l\u2019examen, des conseils sur la reprise sportive, le chaussage ou certaines aides temporaires peuvent \u00eatre discut\u00e9s. Une infiltration peut \u00eatre envisag\u00e9e dans des situations pr\u00e9cises, apr\u00e8s \u00e9valuation de son int\u00e9r\u00eat.<\/p><p dir=\"auto\" data-start=\"2233\" data-end=\"2412\">\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9a98687 elementor-widget elementor-widget-text-editor\" data-id=\"9a98687\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>La physioth\u00e9rapie et l\u2019adaptation progressive des activit\u00e9s constituent souvent les premi\u00e8res \u00e9tapes du traitement.<\/strong><\/p><p>\u00a0<\/p><p>Les recommandations pour les douleurs f\u00e9moro-patellaires soutiennent notamment les exercices ciblant le genou et la hanche, adapt\u00e9s \u00e0 chaque personne.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-61f3849 e-con-full e-flex e-con e-child\" data-id=\"61f3849\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9cab433 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"9cab433\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe86703 elementor-widget elementor-widget-image\" data-id=\"fe86703\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1448\" height=\"1086\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-physiotherapie.webp\" class=\"attachment-full size-full wp-image-26323\" alt=\"Femme r\u00e9alisant un exercice de renforcement sur une marche basse dans le cadre d\u2019une prise en charge de la chondropathie rotulienne.\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-physiotherapie.webp 1448w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-physiotherapie-400x300.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-physiotherapie-1067x800.webp 1067w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-physiotherapie-768x576.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-physiotherapie-16x12.webp 16w\" sizes=\"(max-width: 1448px) 100vw, 1448px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ef058c7 e-con-full e-flex e-con e-parent\" data-id=\"ef058c7\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-e19cff2 e-con-full e-flex e-con e-child\" data-id=\"e19cff2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-51df04c elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"51df04c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">QUAND ENVISAGER UNE CHIRURGIE ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-43729a9 elementor-widget elementor-widget-text-editor\" data-id=\"43729a9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Une op\u00e9ration est rarement d\u00e9cid\u00e9e sur la seule base d\u2019une image de chondropathie. Elle peut \u00eatre discut\u00e9e lorsque les sympt\u00f4mes persistent malgr\u00e9 un traitement adapt\u00e9 ou lorsqu\u2019une instabilit\u00e9 ou une anomalie m\u00e9canique pr\u00e9cise est identifi\u00e9e.<\/p><p>Le choix d\u00e9pend de l\u2019\u00e9tat du cartilage, du trajet de la rotule, de l\u2019alignement et des objectifs du patient.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a6038b2 e-con-full e-grid e-con e-child\" data-id=\"a6038b2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-a1d46e6 e-con-full e-flex e-con e-child\" data-id=\"a1d46e6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-88b9f45 elementor-widget elementor-widget-heading\" data-id=\"88b9f45\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">TRAITER UNE INSTABILIT\u00c9<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56697c3 elementor-widget elementor-widget-text-editor\" data-id=\"56697c3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"748\" data-end=\"872\">En cas de luxations r\u00e9p\u00e9t\u00e9es ou d\u2019instabilit\u00e9 confirm\u00e9e, une intervention peut \u00eatre envisag\u00e9e pour am\u00e9liorer le maintien et le guidage de la rotule. Elle ne se justifie pas pour toute douleur ant\u00e9rieure du genou.<\/p><p dir=\"auto\" data-start=\"874\" data-end=\"1079\">\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6a9f58d e-con-full e-flex e-con e-child\" data-id=\"6a9f58d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-90afccf elementor-widget elementor-widget-heading\" data-id=\"90afccf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">CORRIGER CERTAINES CONTRAINTES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-219134e elementor-widget elementor-widget-text-editor\" data-id=\"219134e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Dans des situations s\u00e9lectionn\u00e9es, une intervention osseuse peut modifier la r\u00e9partition des contraintes autour de la rotule. La d\u00e9cision n\u00e9cessite un bilan pr\u00e9cis de l\u2019alignement et du fonctionnement de l\u2019articulation.<\/p><p class=\"PDq2pG_selectionAnchorContainer\" dir=\"auto\" data-start=\"1211\" data-end=\"1401\">\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-aec14a9 e-con-full e-flex e-con e-child\" data-id=\"aec14a9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-40306f2 elementor-widget elementor-widget-heading\" data-id=\"40306f2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PRENDRE EN CHARGE UNE L\u00c9SION CARTILAGINEUSE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c0b3f55 elementor-widget elementor-widget-text-editor\" data-id=\"c0b3f55\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Pour certaines l\u00e9sions focales, des gestes de r\u00e9gularisation ou des techniques de restauration du cartilage peuvent \u00eatre discut\u00e9s. Leur indication d\u00e9pend de la localisation et de l\u2019\u00e9tendue de la l\u00e9sion, ainsi que de l\u2019\u00e9tat g\u00e9n\u00e9ral de l\u2019articulation.<\/p><p><a href=\"https:\/\/coulinmedical.com\/traitement-regenerer-genou-hanche\/\">\u2192 D\u00e9couvrir les traitements de pr\u00e9servation articulaire<\/a><\/p><p dir=\"auto\" data-start=\"1858\" data-end=\"1982\">\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-06c9f14 e-grid e-con-full e-con e-parent\" data-id=\"06c9f14\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-01eb791 e-con-full e-flex e-con e-child\" data-id=\"01eb791\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0dfc96f elementor-widget elementor-widget-heading\" data-id=\"0dfc96f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">CONTINUER \u00c0 BOUGER AVEC UNE CHONDROPATHIE ROTULIENNE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-571f7c0 elementor-widget elementor-widget-text-editor\" data-id=\"571f7c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Une chondropathie rotulienne ne signifie pas n\u00e9cessairement qu\u2019il faut arr\u00eater le sport ou toute activit\u00e9 physique. Il est souvent possible de maintenir une activit\u00e9 en ajustant temporairement les mouvements douloureux.<\/p><p>Le v\u00e9lo, la natation ou des exercices de renforcement peuvent convenir selon les sympt\u00f4mes. La reprise de la course, des sauts ou des flexions r\u00e9p\u00e9t\u00e9es se fait progressivement, en observant la r\u00e9action du genou.<\/p><p>Une douleur qui augmente, un gonflement ou une g\u00eane qui persiste apr\u00e8s l\u2019activit\u00e9 sont des signes qu\u2019il faut adapter la charge et demander conseil si les sympt\u00f4mes ne s\u2019am\u00e9liorent pas.<\/p><p>\u00a0<\/p><p><strong>Le niveau d\u2019activit\u00e9 se r\u00e8gle selon la tol\u00e9rance du genou et l\u2019\u00e9volution des sympt\u00f4mes.<\/strong><\/p><p>\u00a0<\/p><p><a href=\"https:\/\/coulinmedical.com\/reeducation-du-genou\/\">\u2192 Comprendre les \u00e9tapes de la r\u00e9\u00e9ducation du genou<\/a><\/p><p dir=\"auto\" data-start=\"1268\" data-end=\"1456\">\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c029554 e-con-full e-flex e-con e-child\" data-id=\"c029554\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-16cfa8d elementor-widget elementor-widget-image\" data-id=\"16cfa8d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1448\" height=\"1086\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-activite-piscine.webp\" class=\"attachment-full size-full wp-image-26325\" alt=\"\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-activite-piscine.webp 1448w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-activite-piscine-400x300.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-activite-piscine-1067x800.webp 1067w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-activite-piscine-768x576.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-activite-piscine-16x12.webp 16w\" sizes=\"(max-width: 1448px) 100vw, 1448px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2fb3283 e-grid e-con-full e-con e-parent\" data-id=\"2fb3283\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-678d954 e-con-full e-flex e-con e-child\" data-id=\"678d954\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7bc3592 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"7bc3592\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-455454e elementor-widget elementor-widget-image\" data-id=\"455454e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1448\" height=\"1086\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-prise-en-charge-personnalisee.webp\" class=\"attachment-full size-full wp-image-26326\" alt=\"Patiente d\u00e9couvrant un mod\u00e8le anatomique du genou dans le cadre de sa prise en charge de la chondropathie rotulienne.\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-prise-en-charge-personnalisee.webp 1448w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-prise-en-charge-personnalisee-400x300.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-prise-en-charge-personnalisee-1067x800.webp 1067w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-prise-en-charge-personnalisee-768x576.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chondropathie-rotulienne-prise-en-charge-personnalisee-16x12.webp 16w\" sizes=\"(max-width: 1448px) 100vw, 1448px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-41bca07 e-con-full e-flex e-con e-child\" data-id=\"41bca07\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-717554e elementor-widget elementor-widget-heading\" data-id=\"717554e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">UNE PRISE EN CHARGE ADAPT\u00c9E \u00c0 CHAQUE PATIENT<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-71175e9 elementor-widget elementor-widget-text-editor\" data-id=\"71175e9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: left;\">La m\u00eame anomalie du cartilage peut \u00eatre associ\u00e9e \u00e0 des sympt\u00f4mes tr\u00e8s diff\u00e9rents d\u2019une personne \u00e0 l\u2019autre. Le traitement tient compte de l\u2019examen, des activit\u00e9s, des objectifs et des \u00e9ventuels probl\u00e8mes de stabilit\u00e9 ou d\u2019alignement.<\/p><p style=\"text-align: left;\">Le Dr Beno\u00eet Coulin privil\u00e9gie une d\u00e9marche progressive. Lorsque la situation le permet, les premi\u00e8res \u00e9tapes visent \u00e0 am\u00e9liorer la fonction du genou par des mesures non chirurgicales.<\/p><p style=\"text-align: left;\">Si une intervention est envisag\u00e9e, elle r\u00e9pond \u00e0 un probl\u00e8me identifi\u00e9 lors du bilan. La d\u00e9cision tient compte des b\u00e9n\u00e9fices attendus, des contraintes de la r\u00e9cup\u00e9ration et des attentes du patient.<\/p><p>\u00a0<\/p><p style=\"text-align: left;\">\u00ab Le traitement doit r\u00e9pondre \u00e0 la cause de la douleur et aux besoins de la personne, pas uniquement \u00e0 une image. \u00bb<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0ec73bd e-flex e-con-boxed e-con e-parent\" data-id=\"0ec73bd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f9be174 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"f9be174\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d2593bd elementor-widget elementor-widget-heading\" data-id=\"d2593bd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">QUESTIONS FR\u00c9QUENTES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-426434e elementor-widget elementor-widget-html\" data-id=\"426434e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\n#faq-arthrose {\n  --coulin-green: #A8B5A8;\n  --coulin-green-light: rgba(168, 181, 168, 0.45);\n  --coulin-orange: #E58A2B;\n  --coulin-black: #111111;\n\n  position: relative;\n  max-width: 90%;\n  margin: 0 auto;\n  display: flex;\n  align-items: flex-start;\n}\n\n#faq-arthrose .faq-col {\n  flex: 1;\n  display: flex;\n  flex-direction: column;\n  border: 1px solid var(--coulin-green);\n  font-family: \"Arboria\", sans-serif;\n}\n\n#faq-arthrose .faq-col:first-child {\n  border-radius: 12px 0 0 12px;\n  border-right: none;\n  margin-right: 1px;\n}\n\n#faq-arthrose .faq-col:last-child {\n  border-radius: 0 12px 12px 0;\n  border-left: none;\n  margin-left: 1px;\n}\n\n#faq-arthrose::after {\n  content: \"\";\n  position: absolute;\n  left: calc(50% - 0.5px);\n  top: 0;\n  bottom: 0;\n  width: 1px;\n  background: var(--coulin-green);\n  pointer-events: none;\n}\n\n#faq-arthrose .faq-item {\n  border-bottom: 1px solid var(--coulin-green-light);\n  color: var(--coulin-black);\n}\n\n#faq-arthrose .faq-col .faq-item:last-child {\n  border-bottom: none;\n}\n\n#faq-arthrose .faq-header {\n  display: flex;\n  align-items: center;\n  justify-content: space-between;\n  width: 100%;\n  min-height: 90px;\n  padding: 26px 22px;\n  gap: 14px;\n  border: none;\n  background: transparent;\n  color: var(--coulin-black);\n  text-align: left;\n  cursor: pointer;\n  transition: color 0.2s ease;\n}\n\n#faq-arthrose .faq-header:hover,\n#faq-arthrose .faq-item.open .faq-header {\n  color: var(--coulin-orange);\n}\n\n#faq-arthrose .faq-header:hover .faq-btn,\n#faq-arthrose .faq-item.open .faq-btn {\n  border-color: var(--coulin-orange);\n  color: var(--coulin-orange);\n}\n\n#faq-arthrose .faq-q {\n  font-family: \"Arboria\", sans-serif;\n  font-size: 13px;\n  font-weight: 400;\n  line-height: 1.45;\n  letter-spacing: 0.04em;\n  text-transform: uppercase;\n}\n\n#faq-arthrose .faq-btn {\n  flex-shrink: 0;\n  width: 30px;\n  height: 30px;\n  border: 1px solid var(--coulin-green);\n  border-radius: 50%;\n  display: flex;\n  align-items: center;\n  justify-content: center;\n  color: var(--coulin-orange);\n  font-size: 20px;\n  font-weight: 300;\n  line-height: 1;\n  background: transparent;\n  transition:\n    border-color 0.2s ease,\n    color 0.2s ease,\n    transform 0.3s ease;\n}\n\n#faq-arthrose .faq-item.open .faq-btn {\n  transform: rotate(45deg);\n}\n\n#faq-arthrose .faq-body {\n  max-height: 0;\n  overflow: hidden;\n  padding: 0 22px;\n  color: var(--coulin-black);\n  font-family: \"Arboria\", sans-serif;\n  font-size: 14px;\n  font-weight: 300;\n  line-height: 1.7;\n  transition:\n    max-height 0.35s ease,\n    padding 0.3s ease;\n}\n\n#faq-arthrose .faq-item.open .faq-body {\n  max-height: 600px;\n  padding: 0 22px 22px;\n}\n\n@media (max-width: 640px) {\n  #faq-arthrose {\n    max-width: 100%;\n    flex-direction: column;\n  }\n\n  #faq-arthrose::after {\n    display: none;\n  }\n\n  #faq-arthrose .faq-col {\n    width: 100%;\n  }\n\n  #faq-arthrose .faq-col:first-child {\n    margin-right: 0;\n    border-right: 1px solid var(--coulin-green);\n    border-bottom: none;\n    border-radius: 12px 12px 0 0;\n  }\n\n  #faq-arthrose .faq-col:last-child {\n    margin-left: 0;\n    border-top: 1px solid var(--coulin-green);\n    border-left: 1px solid var(--coulin-green);\n    border-radius: 0 0 12px 12px;\n  }\n\n  #faq-arthrose .faq-header {\n    min-height: auto;\n    padding: 22px 18px;\n  }\n\n  #faq-arthrose .faq-q {\n    font-size: 12px;\n  }\n\n  #faq-arthrose .faq-body {\n    padding: 0 18px;\n    font-size: 15px;\n  }\n\n  #faq-arthrose .faq-item.open .faq-body {\n    padding: 0 18px 20px;\n  }\n}\n<\/style>\n\n<div class=\"faq-outer\" id=\"faq-arthrose\">\n\n  <!-- Colonne gauche -->\n  <div class=\"faq-col\">\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          La chondropathie rotulienne est-elle une arthrose ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Pas n\u00e9cessairement. La chondropathie d\u00e9crit une alt\u00e9ration du cartilage. L\u2019arthrose f\u00e9moro-patellaire correspond \u00e0 une atteinte articulaire plus globale, qui peut associer d\u2019autres changements.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Une chondropathie rotulienne peut-elle gu\u00e9rir ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Le cartilage a une capacit\u00e9 limit\u00e9e \u00e0 se r\u00e9parer compl\u00e8tement. Les traitements peuvent toutefois r\u00e9duire les sympt\u00f4mes et am\u00e9liorer la fonction du genou. Le r\u00e9sultat d\u00e9pend de la situation de d\u00e9part.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Quels mouvements peuvent r\u00e9veiller la douleur ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n       Les escaliers, les flexions profondes, les squats, la course ou une position assise prolong\u00e9e avec le genou pli\u00e9 peuvent provoquer une g\u00eane. Cela varie selon les personnes.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          L\u2019IRM permet-elle de confirmer le diagnostic ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        L\u2019IRM peut montrer l\u2019\u00e9tat du cartilage et des structures voisines, mais elle ne suffit pas \u00e0 expliquer la douleur \u00e0 elle seule. Le r\u00e9sultat doit \u00eatre interpr\u00e9t\u00e9 avec l\u2019examen clinique.\n      <\/div>\n    <\/div>\n\n  <\/div>\n\n  <!-- Colonne droite -->\n  <div class=\"faq-col\">\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Faut-il arr\u00eater le sport ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Pas syst\u00e9matiquement. Il est souvent possible d\u2019adapter les activit\u00e9s et de reprendre progressivement les mouvements douloureux. La progression d\u00e9pend de la r\u00e9action du genou.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          La physioth\u00e9rapie peut-elle aider ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Oui, un programme d\u2019exercices adapt\u00e9 peut aider \u00e0 am\u00e9liorer la force et le contr\u00f4le du genou. Il peut inclure un travail des muscles de la hanche et de la cuisse.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Une op\u00e9ration est-elle toujours n\u00e9cessaire ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Non. La prise en charge commence souvent sans chirurgie. Une op\u00e9ration se discute dans certaines situations, par exemple en pr\u00e9sence d\u2019une instabilit\u00e9 ou de sympt\u00f4mes persistants malgr\u00e9 un traitement adapt\u00e9.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Quand faut-il consulter ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Si la douleur persiste, revient r\u00e9guli\u00e8rement ou limite les activit\u00e9s. Apr\u00e8s un traumatisme, une douleur importante, un gonflement marqu\u00e9 ou une difficult\u00e9 \u00e0 prendre appui justifie une \u00e9valuation m\u00e9dicale.\n      <\/div>\n    <\/div>\n\n  <\/div>\n<\/div>\n\n<script>\n(function () {\n  const faq = document.getElementById(\"faq-arthrose\");\n\n  if (!faq) return;\n\n  const items = faq.querySelectorAll(\".faq-item\");\n\n  items.forEach(function (item) {\n    const header = item.querySelector(\".faq-header\");\n\n    header.addEventListener(\"click\", function () {\n      const isOpen = item.classList.contains(\"open\");\n\n      items.forEach(function (otherItem) {\n        otherItem.classList.remove(\"open\");\n\n        const otherHeader = otherItem.querySelector(\".faq-header\");\n\n        if (otherHeader) {\n          otherHeader.setAttribute(\"aria-expanded\", \"false\");\n        }\n      });\n\n      if (!isOpen) {\n        item.classList.add(\"open\");\n        header.setAttribute(\"aria-expanded\", \"true\");\n      }\n    });\n  });\n})();\n<\/script>\n<style>\n@media (max-width: 640px) {\n  #faq-arthrose .faq-header {\n    justify-content: flex-start;\n  }\n\n  #faq-arthrose .faq-q {\n    display: block;\n    flex: 1 1 auto;\n    min-width: 0;\n    white-space: normal !important;\n    overflow-wrap: anywhere;\n  }\n\n  #faq-arthrose .faq-btn {\n    position: static;\n    flex: 0 0 26px;\n  }\n\n  #faq-arthrose .faq-q br {\n    display: none;\n  }\n}\n#faq-arthrose .faq-btn {\n  box-sizing: border-box;\n  width: 30px;\n  min-width: 30px;\n  height: 30px;\n  min-height: 30px;\n  padding: 0;\n  aspect-ratio: 1 \/ 1;\n  flex: 0 0 30px;\n  border-radius: 50%;\n  line-height: 1;\n}\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-20cca87 e-flex e-con-boxed e-con e-parent\" data-id=\"20cca87\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-655f077 elementor-widget elementor-widget-heading\" data-id=\"655f077\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">VOUS SOUHAITEZ MIEUX COMPRENDRE VOS DOULEURS ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f5c73e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"9f5c73e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Un examen clinique permet d\u2019\u00e9valuer la rotule, le cartilage et les autres causes possibles de douleur \u00e0 l\u2019avant du genou.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c5faaad elementor-align-justify elementor-mobile-align-justify elementor-widget__width-initial elementor-widget-mobile__width-initial elementor-widget elementor-widget-button\" data-id=\"c5faaad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/coulinmedical.com\/prendre-rendez-vous\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">PRENDRE RDV<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>CHONDROPATHIE ROTULIENNE Une douleur derri\u00e8re la rotule ne signifie pas toujours que le cartilage est gravement ab\u00eem\u00e9. Un examen permet d\u2019en comprendre l\u2019origine. La chondropathie rotulienne d\u00e9signe une alt\u00e9ration du cartilage situ\u00e9 sur la face arri\u00e8re de la rotule. Elle peut \u00eatre superficielle ou plus profonde et s\u2019accompagner de douleurs \u00e0 l\u2019avant du genou. La [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-25897","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/25897","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/comments?post=25897"}],"version-history":[{"count":25,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/25897\/revisions"}],"predecessor-version":[{"id":26800,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/25897\/revisions\/26800"}],"wp:attachment":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media?parent=25897"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}