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Samenvatting praktijk msk 4 onderdeel voet
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samenvatting praktijk msk 4 onderdeel voet 20-21
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MANUELE TECHNIEKEN VAN DE ENKEL EN VOETTom Dick And verry Nervous Hary
- De A. en N. tibialis liggen hier ook nog tussen
Anatomie is weerderom belangrijk om te kennen.
- Spieren
- Ligamenten
o Lig deltoideum
Lig tibiotalare anterio
Lig tibiotalare posteriot
Lig tibiocalcanea
Lig tibionaviculare
o Lig calcaneofibulare + talofibulare anterior + talofibulare posterior
o Lig interosseus anterior en posterior
- Chiasma
o Cruralis = ext digitorum longus + tibialis posterior
o Plantaris = ext digitorum longus + extensor hallucis longus
- Zenuwen
o N. peroneus communis
Ligt over het fibula kopje
N. peroneus profundus
N. peroneus superficialis
o N. tibialis posterior
o N. saphenus enkel sensorich
Er zijn 4 grote systemen
- Talocruraal
o Open keten: voet in juiste hoek
o Gesloten keten: dragen lichaamsgewicht
- Subtalair
o Schokdemping/bufferwerking
- Midtarsaal/tarsometatarsaal
o Schokdemping/bufferwerking
- Tarsalen en phalangen
o Evenwicht
o Afrollen van de voet
Art tibiofubularis
- Orientatie naar lateraal en dorsaal
- CPP = max drfl
- Artrokinematica drfl = ventraal + lateraal + proximaal
- Artrokinematica plfl = dorsaal + mediaal + distaal
Syndesmosis tibiofibulare
- CPP = max drfl
- Artrokinematica drfl = fibula naar dorsaal/lateraal/proximaal gapping
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, - Artrokinematica plfl = fibula eerst terug naar tibia nadien naar ventraal/ lateraal
Art talocruralis
- Talus, tibia en fibula
- CPP = max drlf trochlea tali loopt vast in furca
- Ruststand = 10° plfl
- Artrokinematica drfl = talus rolt naar ventraal/proximaal en glijdt naar dorsaal/distaal
- Artrokinematica plfl = talus rolt naar dorsaal/distaal en glijdt naar ventraal/proximaal
Art subtalaris
- CPP = max supinatie
- Ruststand = middenpositie tussen pro- en supinatie
tot art subt is dorsaal naar beneden, hierna (talocalcaneonaviculare) wordt dorsaal naar de
voetrug
art talocalcaneonaviculare
- Naviculare = concaaf
- Talus en calcaneus = convex
Art calcaneo-cuboidea
- Cuboideum = convex
- Calcaneus = concaaf
Deze convex en concaaf bepalen de translatie richting. Bij tegengestelde rol en glij voer je de
tractie uit in de glij richting.
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