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KNGF richtlijn samenvatting enkel functioneel $3.48   Add to cart

Summary

KNGF richtlijn samenvatting enkel functioneel

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samenvatting kngf richtlijn enkel functioneel, symptomen, prognose, behandeling etc

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  • June 14, 2016
  • 3
  • 2015/2016
  • Summary
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Enkel functioneel

Symptomen:
- inversieletsel rest klachten
- giving way
- recividerend zwikken
 langdurig belasten onstaat:
- pijn
- zwelling
- gewrichtstijfheid
 minder prominent
- acute pijn
- acute zwelling
-  gerelateerd aan overbelasting of feitelijk opnieuw zwikken
 gevolg
- ongewenst aangepast gedrag
- afwijkend gangpatroon
- vermijden dagelijkse bezigheden
- problemen met activiteiten op werken of met sporten op gewenst
niveau

factoren die van invloed zijn op het ontstaan of het voortbestaan:
- mechanische instabiliteit (laxiteit kapselbanden)
- verstoorde proprioceptie
- vertraagde recht tijd van spieren
- chronische synovitis ontsteking van het gewricht
- verminderde dorsale flexie
- angst en onzerkheid


rode vlaggen:
- aanhoudende synovitis indicator voor osterochondrale leaesie,
loosie bodies (stijfheid, functievermindering, aanhoudende zwelling)
- drukpijn op de sinustarsi ruimte tussen talus en calcaneus
indicator voor een sinustarsi syndroom
-  zwelling in de sinus tarsi ten gevolge van ligamentum interossi(
giving-way, drukpijn 2 cm anterior en distaal van de tip van de
malleolus lateralis (op sinus tarsi)

relevante vragen:
- hoe is het gang patroon?

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