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Samenvatting Anatomie (klinische en functionele anatomie van enkel, knie en heup) $4.27
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Samenvatting Anatomie (klinische en functionele anatomie van enkel, knie en heup)

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Overzichtelijke samenvatting met veel duidelijke afbeelding over de klinische en functionele anatomie van de enkel, knie en heup. Docenten: Karl Jacob en Anton Luzier Hogeschool van Amsterdam - Fysiotherapie jaar 1

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  • March 13, 2019
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  • 2018/2019
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By: ljcvanrietschoten • 4 year ago

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Anatomie Module 2.1

Donderdag 07/02/2019 8.30 - 10.10
Week 1: Klinische en Functionele Anatomie van de enkel.

Enkelgewricht:
- Bovenste Spronggewricht (BSG): Art. Talocruralis ⇒ Plantair-/dorsaalflexie.
→ Scharniergewricht: art. ginglymus.
● Tibia (facies articularis inferior) + fibula (facies articularis malleoli lateralis) =
kom (vork).
● Talus (facies superior - trochlea tali) = kop.
- Onderste Spronggewricht (OSG): Art. Subtalare (dorsale kamer -
cilinder/rol) en art. talo-calcaneo-naviculare (ventrale kamer - bol), worden
gescheiden door sinus tarsi (kanaal tussen de twee kamers) ⇒
Inversie/eversie.

Bewegingsuitslag dorsaalflexie - plantairflexie




Passieve stabiliteit: Gewrichtscontinuïteit, ligamenten,
congruentie.
Actieve stabiliteit: Spieren/pezen.

Laterale ligamenten:
1. Lig. Talofibulare anterius
2. Lig. Calcaneofibulare
3. Lig. Talofibulare posterius

,Mediale ligamenten:
Lig. Deltoideum
1. Pars tibiotalaris anterior
2. Pars tibiotalaris posterior
3. Pars tibionavicularis
4. Pars tibiocalcanea

Syndesmosis:
1. Lig. tibiofibularis anterior
2. Lig. tibiofibularis posterior
⇒ Bij ruptuur gaat vork wijken.

⇒ Ligamenten houden passief botstukken bij elkaar; zorgen dat ze niet van
elkaar gaan wijken ⇒ Bij elkaar houden gewrichtsvlakken.

Bewegingsas: Onder mediale malleolus en door
laterale malleolus.

Congruentie kan door trauma afnemen; drukverdeling
wordt anders.
Adhesie in gewrichten door synovia.
Smeer weggeperst → wrijving ⇒ slijtage (pas pijn
als kraakbeen kapot is).
⇒ Congruentie inzien om slijtage tegen te gaan
(preventie).

Bewegingsremming dorsaal:
1. Passieve insufficiëntie:
M. Gastrocnemius (30%)
M. Soleus (5%)
2. Botremming:
Talushals - tibia (30%)
Vork - trochlea (syndesmosis) (30%)
3. Capsulaire/ligamentaire remming (5%)

Bewegingsremming plantair:
1. Passieve insufficiëntie:
Ventrale spieren (5%)
2. Botremming:
Tub post talus – tibia (80 – 90%)
3. Capsulaire/ligamentaire remming (5%)

, Passieve stabiliteit:Gewrichtscontinuïteit, ligamenten, congruentie.




Actieve stabiliteit: Spieren/pezen.

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