Live better in movement

Live better in movement



Sprains and tendinitis in the front line!

Joints are highly sought in daily life and usually put under strain when practicing some sports. Joints may be subject to traumas that may be violent (knocks, shocks), or insidious but repetitive to end up with sprains and tendinitis.

These pathologies constitute the most frequent reasons for consult in common trauma with approximately 6 million consults per year for tendinitis and not less than 6000 consults a day for one ankle sprain (1)!

Sprains and tendinitis are trivial but painful and disabling and must not be neglected. They may cause complications and must be treated appropriately.

What is the difference between a sprain and tendinitis?

  • A sprain is a damage to one or more ligaments in a joint, leading to painful inflammation with eventual swelling (oedema). Ligaments are fibrous structures that maintain the joint by connecting bones resting on both sides. These ligaments are poorly expandable and any forced movement, excessive traction leads to extreme stretching, even a rupture. That is a sprain.
  • Tendinitis, on the other hand, corresponds to damage to the tendon. The tendon connects the bone from a joint to a muscle same as a rope. Its passes on the muscle strength and allows the movement of the joint. A too intense or repetitive effort induces an irritation and inflammation of the tendon. Unlike the sprain which is usually acute, tendinitis is generally progressive. The movement becomes difficult and painful, it’s tendinitis.


1) Leuret A. et al. L’entorse de cheville au service d’urgence. Conférence de consensus en médecine d’urgence – SFMU Actualisation 2004



Frequency of localization of Tendinitis

Many parts of the human body may be affected, first of all, the shoulder, elbow (“tennis elbow”), the knee but also the ankle, the hip, the wrist…


Figure 2 : Source IMS Health – EPPM Study – M75.0 / M75.1 / M75.3 / M76.5 / M76.6 / M76.8 / M77.1 – Fall 2014 – number of diagnosed


1. What is a tennis elbow?

It is a frequent elbow tendinitis, also called lateral epicondilytis. Contrary to common belief, it is not only related to tennis practice but mostly to professional or domestic activities. It is a tendon inflammation in the vicinity of a small osseous projection of the elbow, occurring after repetitive movements. Prevention is key.

2. Are work related tendinitis considered occupational diseases?

Yes. They are considered musculoskeletal disorders (MSD) and represent three quarters of occupational diseases! The occupational doctor is present to ensure it is. He/she will reassess working methods; ensure ergonomic workstation and manoeuvres to carry out.

Les entorses

Lésions traumatiques les plus souvent rencontrées (2)

Les entorses de cheville, suivies des entorses du poignet et du genou sont les lésions traumatiques les plus fréquentes.



Figure 1: Source IMS Santé – Etude EPPM – S90-S99 / S60-S69 / S80-S89 / S40-S49 / S50-S59 / S70-S79 / T00-T07 – Automne 2014 – nombre de diagnostiques


1. Comment éviter qu’une entorse ne récidive ?

Lors d’une entorse, il est toujours préférable de consulter le médecin traitant et de bien suivre le traitement, notamment la rééducation éventuellement prescrite auprès d’un kinésithérapeute. L’entorse entraîne en effet une perte importante de la force musculaire au niveau de l’articulation atteinte En cas d’entorse de cheville, talons hauts et terrains accidentés seront le plus souvent à éviter.

2. Toute entorse nécessite-t-elle une radiographie ?

Non, pas forcément. Il existe des critères pour réaliser une radiographie. Schématiquement, elle est préconisée avant 18 ans ou après 55 ans, en cas d’impossibilité de marcher ou de douleur à la palpation des os, car l’on doit écarter la possibilité d’un arrachement osseux ou d’une fracture.


Dernière mise à jour le : 03/10/2016