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SAMENVATTING MSK OL ziekteleer - enkel & voet
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MSK REVALIDATIE OL – ZIEKTELEER ENKEL – VOETREVAKI BACH -2023 KOEN PEERS
1. ANATOMIE
MSK REVALIDATIE OL – ZIEKTELEER KNIE: ENKEL – VOET 1
REVAKI BACH -2023 KOEN PEERS
, STABILIZING LIGAMENTS
LATERAAL
• anterior talofibular ligament (ATFL)
• calcaneofibular ligament (CFL)
• posterior talofibular ligament (PTFL)
• limit ankle inversion and prevent anterior and lateral subluxation of the talus
MEDIAAL
• deltoid ligament (group of four ligaments)
• anterior and posterior tibiotalar
• tibionavicular
• tibiocalcaneal
• stabilize the joint during eversion and prevent talar subluxation
• 20-50% stronger than lateral ligaments
2. GESCHIEDENIS
o Mechanisme, positionering (enkel – voet) en geluiden van tijdens de blessure
o Voorgeschiedenis van enkelblessure / knie- of voetpijn
o Graad van functie na de blessure
3. FYSIEK ONDERZOEK
• INSPECTIE (gang) à vervorming, ecchymose, zwelling, perfusie
• ROM (normaal)
- 30-50° plantairflexie
- 20° dorsiflexie
- 25° in/eversie
- 15° adductie
- 30° abductie
• INTRA-ARTICULAIR VOCHT
• KRACHTTESTS
• PALPATIE
o Individuele ligamenten (MCL, LCL, syndesmotisch) en pezen
o De gewrichten boven en onder de enkel
o Belangrijk : proximale fibula (‘masionneuve fractuur’) en de basis van metatarsaal V
(‘dansersfractuur’)
2 MSK REVALIDATIE OL – ZIEKTELEER KNIE: ENKEL – VOET
REVAKI BACH -2023 KOEN PEERS
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