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Samenvatting SV theorie knie OL $3.26   Add to cart

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Samenvatting SV theorie knie OL

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  • May 31, 2021
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  • 2020/2021
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2021




Kinesiologie knie
SAMENVATTING
ELLEN COLLINS

, Inhoudstabel
Inleiding
- 3 beenderen: femur, tibia en patella
- Kniegewricht: tibiofemorale en patellofemorale binnen 1 gewrichtskapsel
- Fibula en proximale tibiafibulair gewricht (buiten kniegewricht)

Osteologie: biomechanische aspecten
- Knie = schakel tussen enkel/voet en heup
 Scharniergewricht
 Flexie-extensie rond TV-as (parallel aan lijn mediale en laterale femur epicondyle)
- Q- hoek
 Gevormd door 2 lijnen
 SIAS en midden patella
 Midden patella en midden tuberositas tibiae
 Normale waarde: 10-15 graden
 Fysiologische valgusstand
 Werking quadriceps
 Omgekeerde Q-hoek: genu varum (O-benen)
 Vergrote Q-hoek: genu valgum (X-benen)
- Stand: 0 graden
 Meer extensie: genu recurvatum
 Meer flexie: genu flexum
- 2 condylen (mediale > laterale) vormen kop gewricht, ertussen fossa intercondylaris
 Kruisbanden aanhechten
 Spiraalvormig met sterkere kromming achterzijde
 Mediale ook iets hoger dan laterale
- Kom gewricht gevormd door tibiaplateau
 Condylen die schotelvorm vertonen -> 8 graden achterwaarts, klein verschil mannen-
vrouwen
 Voorzijde condyli: patella (= grootste sesambot)
- Belangrijk high impactlandingen, en stabiliseren van knie daarbij in mogelijke relatie tot
kruisbandletsels
- Patella
 Opgenomen in pees quadriceps
 Bij gebogen been: in wigwormige ruimte tussen mediale-laterale epicondyli, gevormd door
facies patellaris
 Spoor gehouden bij buiging door mediale-laterale retinaculum patellae
 Medial: retinaculum met vastus medialis en insertie kniebuigers (=semimembranosus)
 Lateral: retinaculum met vastus lateralis en tractus iliotibialis
 Kan verstoord worden door patellofemorale pijnsyndroom
+ de heup, want tractus iliotiberalis ook functie heupgewricht

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