TOS syndroom............................................................................................................................... 24
, Skills
Enkel
Anatomie
◼ Talocrurale gewricht
o Talus convex
o Tibia concaaf
◼ Rol/glij is tegenovergesteld
o Dorsaalflexie: rol naar ventraal proximaal, glij dorsaal distaal
o Plantairflexie: rol naar dorsaal distaal, glij ventraal proximaal
Stress test
◼ Inversie
o Doel: vaststellen van pijn, beperking of vorm van
laxiteit van de ventrale en laterale ligamenten van
de enkel/voet.
o Maak onderscheidt tussen de ligamenten door
dorsaalflexie of plantairflexie te maken.
◼ Eversie
o Doel: vaststellen van een beperking of vorm van
laxiteit van de mediale ligamenten van de voet
o Maak onderscheid tussen de ligamenten door
plantairflexie of dorsaalflexie te maken.
Talo-crurale instabiliteitstesten (schuiflade)
- Doel: instabilieitstesten van het enkelgewricht
- Twee uitvoeringen
o In ruglig, voet afhangend van de bank. Hand fixeert fibula en tibia. Andere hand omvat
de calcaneus en brengt de voet naar ventraal.
▪ Mild en eerste keuze in de eerste fase van herstel (+/- 5 dagen)
o In ruglig, voet op kussentje. Fixeer de voet en duw fibula en tibia naar dorsaal
▪ Intensief: schuiflade test mn voor return to play (+/- 6 weken)
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