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Samenvatting NEXT2 veelvoorkomende pathologieën onderbeen, enkel en voet $5.39   Add to cart

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Samenvatting NEXT2 veelvoorkomende pathologieën onderbeen, enkel en voet

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Samenvatting van de meest voorkomende aandoeningen aan de onderbeen, enkel en voet. Beschrijving omvat etiologie en risicofactoren, pathofysiologie, symptomatologie, diagnostiek en behandeling. Kortom, alles wat je moet weten voor de HOCK. Check ook de andere samenvattingen van de pathologieën! ...

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  • January 23, 2023
  • 33
  • 2022/2023
  • Summary
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PATHOLOGIEËN ONDERBEEN,
ENKEL & VOET
NEXT 2 | THIM VAN DER LAAN

,Inhoudsopgave

INDELING...........................................................................................................................................3

ACUTE PATHOLOGIEËN......................................................................................................................6

ACHILLESPEESRUPTUUR....................................................................................................................7

SPIERLETSEL GASTROCNEMIUS..........................................................................................................9

INVERSIETRAUMA...........................................................................................................................10

SYNDESMOSE LETSEL.......................................................................................................................12

CHRONISCH: STRUCTUREEL.............................................................................................................14

ENKELARTROSE................................................................................................................................15

DEFORMITEITEN VOET.....................................................................................................................16

DEFORMITEITEN TENEN...................................................................................................................17

CHRONISCH: BELASTING-BELASTBAARHEID.....................................................................................18

FUNCTIONELE INSTABILITEIT...........................................................................................................19

FASCIOSIS PLANTARIS......................................................................................................................20

MEDIAAL TIBIAAL STRESS SYNDROOM (MTSS)................................................................................22

ACHILLESPEESTENDINOPATHIE........................................................................................................25

TARSALE TUNNELSYNDROOM.........................................................................................................27

OVERIG............................................................................................................................................29

CLAUDICATIO INTERMITTENS..........................................................................................................30

MORTONS NEUROOM.....................................................................................................................32




2
PATHOLOGIEËN ONDERBEEN, ENKEL EN VOET | THIM VAN DER LAAN

,INDELING
Zie: ‘KNGF richtlijn enkelletsel’ of ‘NHG enkeldistorsie’




Pathologie
onderbeen, enkel
en voet


Chronische
Acute pathologieën
pathologieën



> Voorste schuiflade
> Ottawa ankle rules
(differentiatie Structurele pathologieën Belasting-belastbaarheid
(binnen 48 uur)
distorsie/ruptuur)

KLINISCH BEELD
- Pijn laterale zijde enkel
- Zwelling (direct/en na de eerste dagen van letsel)
- Gevoel van instabiliteit
- Verminderde ROM

DIAGNOSTIEK
OTTAWA ANKLE RULES




Let op: kan zijn dat patiënt ook reageert wanneer er geen sprake is van een fractuur.
Fractuur is ontzettend pijnlijk, patiënt kan door plafond

VOORSTE SCHUIFLADETEST




3
PATHOLOGIEËN ONDERBEEN, ENKEL EN VOET | THIM VAN DER LAAN

, BELOOP
Normaal beloop 6-8 weken herstel (hangt af van ernst)
Lopen mogelijk binnen 1 tot 2 weken
Binnen 12 weken hervatten sport
Afwijkend beloop
Herstelbelemmerende factoren:
- Nevenpathologie
- Uit de hand gelopen ontstekingsreactie
- Niet te verklaren pijn
- Niet adequaat houding- en bewegingsgedrag
- Angst voor bewegen
- Recidief
- Perexistente instabiele enkel




PROGNOSTISCHE FACTOREN




Functiescore de Bie:
>40 pt  geen ernstig letsel  na 14 dagen functioneel hersteld.
< of gelijk aan 40 pt  rekening houden met ongunstige prognose




4
PATHOLOGIEËN ONDERBEEN, ENKEL EN VOET | THIM VAN DER LAAN

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