{"id":5040,"date":"2025-06-02T10:05:10","date_gmt":"2025-06-02T10:05:10","guid":{"rendered":"https:\/\/www.impc.fr\/?page_id=5040"},"modified":"2025-06-02T10:14:45","modified_gmt":"2025-06-02T10:14:45","slug":"irm-du-pied-examen-precis-pour-pathologies-articulaires","status":"publish","type":"page","link":"https:\/\/www.impc.fr\/en\/irm-du-pied-examen-precis-pour-pathologies-articulaires\/","title":{"rendered":"IRM du pied : examen pr\u00e9cis pour pathologies articulaires"},"content":{"rendered":"

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IRM du pied : examen pr\u00e9cis pour pathologies articulaires<\/h1>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb46px|||||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb _module_preset=\u00a0\u00bbdefault\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_2,1_2″ use_custom_gutter=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4″ width=\u00a0\u00bb92%\u00a0\u00bb width_tablet=\u00a0\u00bb92%\u00a0\u00bb width_phone=\u00a0\u00bb94%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb max_width=\u00a0\u00bb1306px\u00a0\u00bb make_fullwidth=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb _module_preset=\u00a0\u00bbdefault\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb _module_preset=\u00a0\u00bbdefault\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.4″ text_font=\u00a0\u00bb–et_global_body_font||||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#000000″ text_font_size=\u00a0\u00bb15px\u00a0\u00bb header_2_font=\u00a0\u00bb–et_global_heading_font|600|||||||\u00a0\u00bb header_2_font_size=\u00a0\u00bb23px\u00a0\u00bb header_2_line_height=\u00a0\u00bb1.4em\u00a0\u00bb header_3_font=\u00a0\u00bb–et_global_heading_font||||||||\u00a0\u00bb header_3_text_color=\u00a0\u00bb#004D77″ min_height=\u00a0\u00bb104px\u00a0\u00bb custom_margin=\u00a0\u00bb||68px|||\u00a0\u00bb custom_padding=\u00a0\u00bb|10px|0px|0px|false|false\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ border_width_right=\u00a0\u00bb1px\u00a0\u00bb border_color_right=\u00a0\u00bb#a3a3a3″ border_width_right_tablet=\u00a0\u00bb1px\u00a0\u00bb border_width_right_phone=\u00a0\u00bb0px\u00a0\u00bb border_width_right_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb _module_preset=\u00a0\u00bbdefault\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

Introduction<\/h2>\n

L\u2019<\/span>IRM du pied<\/b> est un examen d\u2019imagerie m\u00e9dicale non invasif, utilis\u00e9 pour explorer en d\u00e9tail les structures osseuses, tendineuses, ligamentaires et nerveuses du pied. Lorsqu\u2019une douleur persistante ou une pathologie localis\u00e9e emp\u00eache le diagnostic clinique, cet examen devient un outil pr\u00e9cieux. Que ce soit pour d\u00e9tecter un <\/span>n\u00e9vrome de Morton<\/b>, des l\u00e9sions tendineuses, ou \u00e9valuer une douleur inexpliqu\u00e9e, l\u2019IRM offre des images tr\u00e8s pr\u00e9cises, sans irradiation.<\/span><\/p>\n

Dans cet article, nous vous expliquons <\/span>comment se passe un IRM du pied<\/b>, dans quels cas il est recommand\u00e9, comment s\u2019y pr\u00e9parer, et \u00e0 quoi s\u2019attendre lors du rendez-vous.<\/span><\/p>\n

\u00c0 quoi sert une IRM du pied ?<\/h2>\n

L\u2019IRM (Imagerie par R\u00e9sonance Magn\u00e9tique) repose sur un champ magn\u00e9tique puissant et des ondes radio pour produire des images en coupe du pied. Elle est indiqu\u00e9e dans de nombreuses situations :<\/span><\/p>\n

    \n
  • Douleur chronique au talon ou \u00e0 l\u2019avant-pied<\/span>\n

    <\/span><\/li>\n

  • Inflammation suspect\u00e9e (arthrite, fasciite)<\/span>\n

    <\/span><\/li>\n

  • Fractures non visibles \u00e0 la radiographie<\/span>\n

    <\/span><\/li>\n

  • Suspicion de tumeur osseuse ou kyste<\/span>\n

    <\/span><\/li>\n

  • Pathologies nerveuses comme le <\/span>n\u00e9vrome de Morton<\/b>\n

    <\/b><\/li>\n

  • Tendinite, entorse, d\u00e9chirure ligamentaire<\/span>\n

    <\/span><\/li>\n

  • Suivi post-op\u00e9ratoire<\/span>\n

    <\/span><\/li>\n<\/ul>\n

    L\u2019IRM est souvent prescrite apr\u00e8s des examens de premi\u00e8re intention comme la radiographie ou l\u2019\u00e9chographie, lorsque les douleurs persistent ou s\u2019aggravent.<\/span><\/p>\n

    IRM du pied : comment \u00e7a se passe ?<\/h2>\n

    Comment se passe un IRM du pied ?<\/h3>\n

    L\u2019IRM est un examen simple et indolore. Voici le <\/span>d\u00e9roulement type d\u2019un IRM du pied<\/b> :<\/span><\/p>\n

      \n
    1. Pr\u00e9paration<\/b>
      <\/b> Vous \u00eates invit\u00e9 \u00e0 retirer tout objet m\u00e9tallique. En g\u00e9n\u00e9ral, il n\u2019est pas n\u00e9cessaire d\u2019\u00eatre \u00e0 jeun, sauf indication contraire.<\/span>\n

      <\/span><\/li>\n

    2. Positionnement<\/b>
      <\/b> Le <\/span>patient est allong\u00e9<\/b>, le pied plac\u00e9 dans une antenne sp\u00e9ciale au centre de l\u2019appareil. Il est important de rester immobile durant l\u2019examen pour \u00e9viter tout flou.<\/span>\n

      <\/span><\/li>\n

    3. D\u00e9roulement de l\u2019examen<\/b>
      <\/b> L\u2019examen dure entre 15 et 30 minutes. Vous entendrez des bruits r\u00e9p\u00e9titifs (claquements, bourdonnements), ce qui est normal. Un casque ou des bouchons d\u2019oreilles sont g\u00e9n\u00e9ralement fournis.<\/span>\n

      <\/span><\/li>\n

    4. Injection de produit de contraste (si n\u00e9cessaire)<\/b>
      <\/b> Dans certains cas, un <\/span>produit de contraste \u00e0 base de gadolinium<\/b> est inject\u00e9 par voie intraveineuse pour mieux visualiser une inflammation ou une tumeur.<\/span>\n

      <\/span><\/li>\n

    5. Apr\u00e8s l\u2019IRM<\/b>
      <\/b> Aucun effet secondaire n\u2019est attendu. Vous pouvez reprendre vos activit\u00e9s imm\u00e9diatement.<\/span>\n

      <\/span><\/li>\n<\/ol>\n

      Focus sur l\u2019IRM du pied pour n\u00e9vrome de Morton<\/h2>\n

      Le <\/span>n\u00e9vrome de Morton<\/b> est une pathologie fr\u00e9quente, provoquant une douleur vive \u00e0 l\u2019avant-pied, entre les 3e et 4e orteils. Il s\u2019agit d\u2019une inflammation d\u2019un nerf plantaire comprim\u00e9 entre les t\u00eates m\u00e9tatarsiennes.<\/span><\/p>\n

      L\u2019IRM est l\u2019examen de choix pour diagnostiquer cette affection. Elle permet de :<\/span><\/p>\n

        \n
      • Visualiser l\u2019\u00e9paississement du nerf<\/span>\n

        <\/span><\/li>\n

      • \u00c9valuer la taille du n\u00e9vrome<\/span>\n

        <\/span><\/li>\n

      • Exclure d\u2019autres causes de douleur (kystes, fractures, m\u00e9tatarsalgie m\u00e9canique)<\/span>\n

        <\/span><\/li>\n<\/ul>\n

        Gr\u00e2ce \u00e0 une IRM, le traitement peut \u00eatre mieux cibl\u00e9 : port de semelles, infiltration, voire chirurgie en dernier recours.<\/span><\/p>\n

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        Prenez rendez-vous pour une \u00e9chographie dans nos centres:<\/p>\n

        IRM Bachaumont 75002<\/p>\n

        IRM Clinique du Sport 75009<\/p>\n

        P\u00f4le Sant\u00e9 Berg\u00e8re 75009<\/p>\n

        IRM Clinique Blomet 75015<\/p>\n

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button_url=\u00a0\u00bbhttps:\/\/www.doctolib.fr\/centre-d-imagerie-medicale\/paris\/centre-de-radiologie-blomet\u00a0\u00bb url_new_window=\u00a0\u00bbon\u00a0\u00bb button_text=\u00a0\u00bbRendez-vous Doctolib – IRM Paris 75015″ button_alignment=\u00a0\u00bbcenter\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_button=\u00a0\u00bbon\u00a0\u00bb button_text_size=\u00a0\u00bb17px\u00a0\u00bb button_text_color=\u00a0\u00bb#ffffff\u00a0\u00bb button_bg_color=\u00a0\u00bb#004D77″ button_border_width=\u00a0\u00bb0px\u00a0\u00bb button_border_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb button_border_radius=\u00a0\u00bb0px\u00a0\u00bb button_font=\u00a0\u00bb–et_global_heading_font||||||||\u00a0\u00bb button_icon_color=\u00a0\u00bb#ffffff\u00a0\u00bb custom_margin=\u00a0\u00bb||6px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb11px|152px|11px|152px|false|true\u00a0\u00bb 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border_color_right=\u00a0\u00bb#a3a3a3″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

        Quels sont les avantages de l\u2019IRM du pied ?<\/h2>\n
          \n
        • Examen sans rayons X<\/b>\n

          <\/b><\/li>\n

        • Haute r\u00e9solution des tissus mous<\/b> (tendons, ligaments, nerfs)<\/span>\n

          <\/span><\/li>\n

        • Diagnostic diff\u00e9rentiel fiable<\/b>\n

          <\/b><\/li>\n

        • Pr\u00e9cision dans le suivi post-chirurgical<\/b>\n

          <\/b><\/li>\n<\/ul>\n

          Contrairement au scanner ou \u00e0 la radiographie, l\u2019IRM est plus performante pour les l\u00e9sions non osseuses.<\/span><\/p>\n

          Pr\u00e9paration et contre-indications<\/h2>\n

          Faut-il se pr\u00e9parer ?<\/h3>\n
            \n
          • G\u00e9n\u00e9ralement, aucune pr\u00e9paration sp\u00e9cifique n\u2019est requise.<\/span>\n

            <\/span><\/li>\n

          • Il est conseill\u00e9 de porter des v\u00eatements confortables sans parties m\u00e9talliques.<\/span>\n

            <\/span><\/li>\n

          • En cas d\u2019injection de produit de contraste, une <\/span>prise de sang pr\u00e9alable<\/b> peut \u00eatre demand\u00e9e pour v\u00e9rifier la fonction r\u00e9nale.<\/span>\n

            <\/span><\/li>\n<\/ul>\n

            Contre-indications<\/h3>\n
              \n
            • Pacemaker non compatible IRM<\/b>\n

              <\/b><\/li>\n

            • Implants m\u00e9talliques anciens<\/b>\n

              <\/b><\/li>\n

            • Claustrophobie s\u00e9v\u00e8re<\/b> (la s\u00e9dation peut \u00eatre envisag\u00e9e)<\/span>\n

              <\/span><\/li>\n

            • Grossesse au 1er trimestre<\/b> (l\u2019examen peut \u00eatre report\u00e9 sauf urgence)<\/span>\n

              <\/span><\/li>\n<\/ul>\n

              Statistiques utiles<\/h2>\n
                \n
              • En France, plus de <\/span>30 000 IRM du pied<\/b> sont r\u00e9alis\u00e9es chaque ann\u00e9e.<\/span>\n

                <\/span><\/li>\n

              • Le <\/span>taux de d\u00e9tection du n\u00e9vrome de Morton<\/b> par IRM est estim\u00e9 \u00e0 <\/span>90 %<\/b>.<\/span>\n

                <\/span><\/li>\n<\/ul>\n

                Les examens IRM ont une sensibilit\u00e9 sup\u00e9rieure \u00e0 95 % pour les l\u00e9sions tendineuses du pied (source : HAS).<\/p>\n

                [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.23.1″ width=\u00a0\u00bb92%\u00a0\u00bb width_tablet=\u00a0\u00bb92%\u00a0\u00bb width_phone=\u00a0\u00bb94%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb max_width=\u00a0\u00bb1306px\u00a0\u00bb custom_padding=\u00a0\u00bb0px|||||\u00a0\u00bb make_fullwidth=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb _module_preset=\u00a0\u00bbdefault\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb _module_preset=\u00a0\u00bbdefault\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb–et_global_body_font||||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#000000″ text_font_size=\u00a0\u00bb15px\u00a0\u00bb header_2_font=\u00a0\u00bb–et_global_heading_font|600|||||||\u00a0\u00bb header_2_font_size=\u00a0\u00bb23px\u00a0\u00bb header_2_line_height=\u00a0\u00bb1.4em\u00a0\u00bb header_3_font=\u00a0\u00bb–et_global_heading_font||||||||\u00a0\u00bb header_3_text_color=\u00a0\u00bb#004D77″ header_4_font=\u00a0\u00bb–et_global_heading_font|600|||||||\u00a0\u00bb header_4_text_color=\u00a0\u00bbrgba(0,0,0,0.76)\u00a0\u00bb min_height=\u00a0\u00bb104px\u00a0\u00bb custom_margin=\u00a0\u00bb||68px|||\u00a0\u00bb custom_padding=\u00a0\u00bb||0px|||\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ border_width_right=\u00a0\u00bb1px\u00a0\u00bb border_color_right=\u00a0\u00bb#a3a3a3″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

                FAQ : Vos questions fr\u00e9quentes<\/b><\/h3>\n

                Combien co\u00fbte une IRM du pied ?
                <\/span><\/h4>\n

                En France, le tarif conventionn\u00e9 est d\u2019environ 150 \u20ac. L\u2019assurance maladie prend en charge 70 %, le reste \u00e9tant rembours\u00e9 par la mutuelle.<\/span><\/p>\n

                Est-ce que l\u2019IRM fait mal ?
                <\/span><\/h4>\n

                Non, l\u2019examen est totalement indolore.<\/span><\/p>\n

                Peut-on faire une IRM si on a une proth\u00e8se ?
                <\/span><\/h4>\n

                Cela d\u00e9pend du type de proth\u00e8se. Si elle est compatible IRM, l\u2019examen est possible. Sinon, une autre modalit\u00e9 d\u2019imagerie sera envisag\u00e9e.<\/span><\/p>\n

                Combien de temps pour obtenir les r\u00e9sultats ?
                <\/span><\/h4>\n

                Le <\/span>compte rendu<\/b> est g\u00e9n\u00e9ralement disponible dans les 24 \u00e0 48 heures.<\/span><\/p>\n

                Peut-on faire du sport juste apr\u00e8s une IRM ?
                <\/span><\/h4>\n

                Oui, sauf en cas d\u2019injection ou si un traitement est d\u00e9cid\u00e9 imm\u00e9diatement apr\u00e8s.<\/span><\/h4>\n

                [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

                IRM du pied : examen pr\u00e9cis pour pathologies articulairesIntroduction L\u2019IRM du pied est un examen d\u2019imagerie m\u00e9dicale non invasif, utilis\u00e9 pour explorer en d\u00e9tail les structures osseuses, tendineuses, ligamentaires et nerveuses du pied. Lorsqu\u2019une douleur persistante ou une pathologie localis\u00e9e emp\u00eache le diagnostic clinique, cet examen devient un outil pr\u00e9cieux. 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