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Korte samenvatting praktijk gedeelte voet

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Beknopte samenvatting van praktijkgedeelte van de voet

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  • May 31, 2021
  • 11
  • 2020/2021
  • Summary
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Korte samenvatting praktijk OL
voet
Voorkennis
- Bovenste spronggewricht/ talocruralis
 DF: 20-30°
 PF: 30-50°
- Inversie - Eversie
 Supinatie, adductie en PF
 Pronatie, abductie en DF
- Onderste springgewricht/ subtalaris
 Supinatie: 20°
 Pronatie: 10°
 Varus: distale deel calcaneum naar binnen
 Valgus: distale deel calcaneum naar buiten
- Chopart (midtarsaal: talus – calcaneum - naviculare – cuboideum)
 DF-PF
 AB-AD
 PRO-SUP
- Lisfranc (midtarsal: ossa cuneiforme – cuboideum – MT)
 DF-PF
 AB-AD
 PRO-SUP
- MTP
 Flexie-extensie
 AB-AD
- IP
 Flexie-extensie
- Nulstand
 Voet 90° met ob
- LLP
 10° PF en neutral pro-sup en ab-ad
- CPP
 Talocruralis: max DF
 Tarso-MT: max inversie
- Kapsulair patroon
 Bovenste: PF>DF
 Onderste: sup
 Midtarsaal (vnl chopart): PF = DF = ADD = SUP
 MTP I: ext >>> flexie
 MTP II-V: variabel, eindstandig flexiebeperking
 PIP en DIP: flexie > extensie

, Inspectie
Algemene

 Rechtopstaan en dorso-ventraal-lateraal bekeken door T
Specifieke

- (Belast) been en voet
 Varus/ valgus calcaneum
 Genu varum/ valgum
 Achillespees
- (Belast) atrofie kuit
- (Belast/ onbelast) zwelling
 Oedeem voetrug/ hydrops malleoli
- Kleurverandering – huidveranderingen (belast/ onbelast)
 Blauw: slecht veneuze afvloei
 Wit: slechte arteriele afvloei
 Eeltvorming
 Exostosen: botwoekering plaatselijk
- Voetgewelf (belast/ onbelast)
 Pes planus: platvoet
 Pes plano – transversus: spreidvoet
 Pes plano – valgus: doorgezakt mediaal voetgewelf met valgusstand calcaneum
 Pes cavus: holvoet
 Pes equinus: spitsvoet
- Tenen (belast/ onbelast)
 Hamertenen/ klauwtenen
 Hallux valgus
 Toestand nagels
 Overmatige zweetsecretie
- Gewrichtverdeling links-rechts
Functionele evalutie

- Tenenstand
 Patient op tenen, afzonderlijk L-R (kuit-achillespezen test)
- Squat
 Buigt door knieen en hielen op grond (max DF enkels)
- Gaan
 Voetafrol
- Unipodaalstand
 1 been, T evalueert steunname volledige, belaste voet en evenwicht

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