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11a Addendum: het patellofemorale pijnsyndroom

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Book cover Onderzoek en behandeling van anterieure kniepijn

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Samenvatting

De term ‘patellofemorale pijnsyndroom’ is geen diagnose maar een symptoombeschrijving: de term geeft aan dat sprake is van kniepijn waar het patellofemorale gewricht bij betrokken is. Wát er exact mis is met het patellofemorale gewricht, is dus niet duidelijk. Vaak wordt aangenomen dat de pijn veroorzaakt wordt door het verkeerd sporen van de patella in de patellofemorale groeve. Harde bewijzen hiervoor ontbreken echter. De term wordt dus eigenlijk gebruikt voor die gevallen van anterieure kniepijn waarbij geen duidelijke oorzaak voor het probleem wordt gevonden. De ‘diagnose’ moet met enige terughoudendheid worden gesteld; als men tegen een patiënt met anterieure kniepijn zegt dat hij of zij lijdt aan een patellofemoraal pijnsyndroom, dan is dat dus eigenlijk: ‘U hebt anterieure kniepijn en ik weet niet waardoor het wordt veroorzaakt.’

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Notes

  1. 1.

    Chondromalacia: chondros = kraakbeen; malacia = verweking.

  2. 2.

    Malalignement: eigenlijk mal-alignement ofwel ‘slecht uitgelijnde’ patella: door een abnormale anatomische positie glijdt de patella niet perfect door de femorale groeve tijdens flexie en extensie.

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  1. Koos van Nugteren
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Koos van Nugteren Dos Winkel

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© 2010 Bohn Stafleu van Loghum, onderdeel van Springer Media

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van Nugteren, K. (2010). 11a Addendum: het patellofemorale pijnsyndroom. In: van Nugteren, K., Winkel, D. (eds) Onderzoek en behandeling van anterieure kniepijn. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-313-8587-4_17

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  • DOI: https://doi.org/10.1007/978-90-313-8587-4_17

  • Publisher Name: Bohn Stafleu van Loghum, Houten

  • Print ISBN: 978-90-313-8586-7

  • Online ISBN: 978-90-313-8587-4

  • eBook Packages: Dutch language eBook collection

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