{"id":1495,"date":"2025-09-18T13:46:44","date_gmt":"2025-09-18T10:46:44","guid":{"rendered":"https:\/\/wiki.voka.io\/glossary\/contusion\/"},"modified":"2026-09-11T16:39:06","modified_gmt":"2026-09-11T13:39:06","slug":"contusion-meurtrissure","status":"publish","type":"glossary_item","link":"https:\/\/wiki.voka.io\/fr\/glossaire\/contusion-meurtrissure\/","title":{"rendered":"Contusion"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Une contusion est une l\u00e9sion ferm\u00e9e des tissus et des organes sans atteinte significative de l&rsquo;int\u00e9grit\u00e9 de la peau, qui r\u00e9sulte d&rsquo;un coup port\u00e9 avec un objet contondant ou d&rsquo;une chute. C&rsquo;est l&rsquo;une des blessures les plus courantes.<\/p>\n\n<p class=\"wp-block-paragraph\">Dans le cas d&rsquo;une contusion, la l\u00e9sion principale se produit dans les tissus sous-cutan\u00e9s. L&rsquo;onde de choc rompt les petits vaisseaux sanguins, ce qui entra\u00eene une h\u00e9morragie et la formation d&rsquo;un h\u00e9matome (ecchymose). Le tissu sous-cutan\u00e9, les muscles et le p\u00e9rioste peuvent \u00e9galement \u00eatre affect\u00e9s.<\/p>\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/catalog.voka.io\/fr\/models\/8861ee9e-a330-4451-856d-1de6ead27805\/16a5e51f-7cd7-4332-890b-5f5081afbe01\/66be3dd9-9646-4334-b392-9ba3f0cb3281\/206d18b6-4dfb-4bb5-ad9e-8d0698119c91\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">mod\u00e8les 3D<\/a> de contusions:<\/p>\n\n<div class=\"carousel-block\">\n    <div class=\"swiper carousel-swiper carousel-swiper-block_6abb2379ae27c\">\n        <div class=\"swiper-wrapper\">\n                    <div class=\"swiper-slide image-carousel-slide\">\n                <img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/glossary\/otorhinolaryngology\/contusion\/auricular-contusion.webp\" alt=\"Contusion du pavillon de l\u2019oreille\" \/>\n                <span class=\"small-text-article text-main-text-color\">Contusion du pavillon de l\u2019oreille<\/span>            <\/div>\n                    <div class=\"swiper-slide image-carousel-slide\">\n                <img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/glossary\/otorhinolaryngology\/contusion\/nasal-contusion-with-soft-tissue-swelling-and-hemorrhage.webp\" alt=\"Contusion du nez : \u0153d\u00e8me et h\u00e9morragie des tissus mous\" \/>\n                <span class=\"small-text-article text-main-text-color\">Contusion du nez : \u0153d\u00e8me et h\u00e9morragie des tissus mous<\/span>            <\/div>\n                <\/div>\n    <\/div>\n    <div class=\"swiper-article-carousel__controls\">\n        <div class=\"swiper-article-carousel__pagination-container swiper-article-carousel__pagination-container-block_6abb2379ae27c\"><\/div>\n        <div class=\"swiper-article-carousel__arrows\">\n            <button class=\"swiper__arrow swiper__arrow--prev carousel-swiper-button-prev swiper__arrow swiper__arrow--prev carousel-swiper-button-prev-block_6abb2379ae27c\">\n                <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewBox=\"0 0 40 40\" fill=\"none\">\n                    <path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"\/>\n                <\/svg>\n            <\/button>\n            <button class=\"swiper__arrow swiper__arrow--next carousel-swiper-button-next swiper__arrow swiper__arrow--next carousel-swiper-button-next-block_6abb2379ae27c\" tabindex=\"0\" aria-label=\"Next slide\">\n                <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewBox=\"0 0 40 40\" fill=\"none\">\n                    <path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"\/>\n                <\/svg>\n            <\/button>\n        <\/div>\n    <\/div>\n<\/div>\n\n<script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const imagesCarouselSwiper = new Swiper('.carousel-swiper-block_6abb2379ae27c', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-carousel__pagination-container-block_6abb2379ae27c',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.carousel-swiper-button-next-block_6abb2379ae27c',\n                prevEl: '.carousel-swiper-button-prev-block_6abb2379ae27c',\n            },\n        })\n    })\n<\/script>\n<h2 id=\"h-&#x44D;&#x442;&#x438;&#x43E;&#x43B;&#x43E;&#x433;&#x438;&#x44F;-&#x438;-&#x43F;&#x430;&#x442;&#x43E;&#x444;&#x438;&#x437;&#x438;&#x43E;&#x43B;&#x43E;&#x433;&#x438;&#x44F;\" class=\"wp-block-heading\"><strong>\u00c9tiologie et physiopathologie<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Une contusion est caus\u00e9e par l&rsquo;impact direct d&rsquo;une force m\u00e9canique contondante. Sur le plan physiopathologique, le sang provenant des vaisseaux endommag\u00e9s impr\u00e8gne les tissus, provoquant un \u0153d\u00e8me et comprimant les terminaisons nerveuses, ce qui entra\u00eene un syndrome douloureux.<\/p>\n\n<p class=\"wp-block-paragraph\">La couleur de l&rsquo;h\u00e9matome change avec le temps en raison des transformations biochimiques de l&rsquo;h\u00e9moglobine\u00a0: d&rsquo;abord bleu-violet, il devient ensuite verd\u00e2tre et enfin jaune.<\/p>\n\n<h2 id=\"h-&#x43A;&#x43B;&#x438;&#x43D;&#x438;&#x447;&#x435;&#x441;&#x43A;&#x43E;&#x435;-&#x437;&#x43D;&#x430;&#x447;&#x435;&#x43D;&#x438;&#x435;\" class=\"wp-block-heading\"><strong>Importance clinique<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Les principaux signes cliniques d&rsquo;une contusion sont la douleur, le gonflement (\u0153d\u00e8me), l&rsquo;ecchymose (h\u00e9matome) et une alt\u00e9ration partielle de la fonction de la partie du corps l\u00e9s\u00e9e.<\/p>\n\n<p class=\"wp-block-paragraph\">Les premiers soins en cas de contusion visent \u00e0 r\u00e9duire la douleur, l&rsquo;\u0153d\u00e8me et l&rsquo;h\u00e9morragie. Ils reposent sur le principe connu sous le nom de protocole RICE (acronyme anglais)\u00a0:<\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Rest (Repos).<\/strong> Assurer l&rsquo;immobilit\u00e9 du membre bless\u00e9.<\/li>\n\n\n\n<li><strong>Ice (Glace).<\/strong> Appliquer du froid sur la zone contusionn\u00e9e pendant 15\u00a0\u00e0 20\u00a0minutes (en interposant un tissu).<\/li>\n\n\n\n<li><strong>Compression (Compression).<\/strong> Appliquer un bandage compressif.<\/li>\n\n\n\n<li><strong>Elevation (\u00c9l\u00e9vation).<\/strong> Sur\u00e9lever le membre bless\u00e9.<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">Il est important de distinguer une contusion de blessures plus graves. Une d\u00e9formation importante, l&rsquo;impossibilit\u00e9 de s&rsquo;appuyer sur le membre affect\u00e9 ou une mobilit\u00e9 pathologique de l&rsquo;os sont des signes qui n\u00e9cessitent une consultation m\u00e9dicale imm\u00e9diate afin d&rsquo;exclure une fracture.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Une contusion est une l\u00e9sion ferm\u00e9e des tissus et des organes sans atteinte significative de l&rsquo;int\u00e9grit\u00e9 de la peau, qui r\u00e9sulte d&rsquo;un coup port\u00e9 avec un objet contondant ou d&rsquo;une chute. C&rsquo;est l&rsquo;une des blessures les plus courantes.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-1495","glossary_item","type-glossary_item","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Contusion : d\u00e9finition m\u00e9dicale et description | Voka Wiki<\/title>\n<meta name=\"description\" content=\"Une contusion est une l\u00e9sion ferm\u00e9e des tissus et des organes sans atteinte significative de l&#039;int\u00e9grit\u00e9 de la peau, qui r\u00e9sulte d&#039;un coup port\u00e9 avec un objet contondant ou d&#039;une chute. C&#039;est l&#039;une des blessures les plus courantes.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/wiki.voka.io\/fr\/glossaire\/contusion-meurtrissure\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Contusion\" \/>\n<meta property=\"og:description\" content=\"Une contusion est une l\u00e9sion ferm\u00e9e des tissus et des organes sans atteinte significative de l&#039;int\u00e9grit\u00e9 de la peau, qui r\u00e9sulte d&#039;un coup port\u00e9 avec un objet contondant ou d&#039;une chute. 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