Skip to main content
SpringerLink
Log in

Enkel/voet

  • Chapter
  • First Online:
Evidence based diagnostiek van het bewegingsapparaat

  • 2568 Accesses

Samenvatting

In dit hoofdstuk wordt, aan de hand van een casus, het klinisch redeneerproces van de fysiotherapeut geschetst vanaf het moment dat de patiënt binnenkomt en de fysiotherapeut nog niet weet wat er aan de hand is. Het hoofdstuk start met algemene informatie over de epidemiologie van pijn aan de enkel of voet, de risicofactoren en de prognose. Vervolgens wordt besproken wat er wetenschappelijk bekend is over de validiteit van de anamnese, het lichamelijk onderzoek, provocatietesten en beeldvormende diagnostiek in het valide diagnosticeren van subgroepen van patiënten met enkel- en voetpijn.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 34.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Referenties

  • Aldridge T. (2004) Diagnosing heel pain in adults. American Family Physician 2004;70(2):332–8

    PubMed  Google Scholar 

  • Alonso A, Khoury L & Adams R. (1998) Clinical tests for ankle syndesmosis injury: reliability and prediction of return to function. J Orthop Sports Phys Ther. 1998 Apr;27(4):276-84.

    Article  CAS  PubMed  Google Scholar 

  • American Academy of Orthopaedic Surgeons. (2009) The diagnosis and treatment of acute achilles tendon rupture: guideline and evidence report. 2009.

    Google Scholar 

  • Asplund CA & Best TM. (2013) Achilles tendon disorders. BMJ. 2013 Mar 12;346:f1262.

    Google Scholar 

  • Bachmann LM, Kolb E, Koller MT, Steurer J & Ter Riet G. (2003) Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review. BMJ 2003;326:417–23.

    Article  PubMed  PubMed Central  Google Scholar 

  • Barg A, Pagenstert GI, Hügle T, Gloyer M, Wiewiorski M, Henninger HB & Valderrabano V. (2013) Ankle osteoarthritis: etiology, diagnostics, and classification. Foot Ankle Clin. 2013 Sep;18(3):411–26.

    Article  PubMed  Google Scholar 

  • Belo J, Buis P, van Rijn R, Sentrop-Snijders E, Steenhuizen S, Wilkens C, Geijer R & Loogman M. (2012) NHG-standaard enkelbandletsel. Huisarts & Wetenschap 2012;55(8).

    Google Scholar 

  • Breitenseher MJ, Trattnig S, Kukla C, Gaebler C, Kaider A, Bald MM et al. (1997) MRI versus lateral stress radiography in acute lateral ankle ligament injuries. J Comput Assist Tomogr 1997;21:280–5.

    Article  CAS  PubMed  Google Scholar 

  • Carcia CR, Martin RL, Houck J & Wukich DK. (2010) Achilles pain, stiffness, and muscle power deficits: Achilles tendinitis clinical practice guidelines linked to the international classification of functioning, disability, and health from the orthopaedic section of the American Physical Therapy Association. J Orthop Sports Phys Ther2010:40:A1–26.

    Google Scholar 

  • CBO. www.cbo.nl

  • Chandnani VP, Harper MT, Ficke JR, et al. (1994) Chronic ankle instability: evaluation with MR arthrography, MR imaging and stress radiography. Radiology 1994;192:189–94.

    Article  CAS  PubMed  Google Scholar 

  • Consument en Veiligheid. Enkelblessures 2011. https://www.veiligheid.nl/themas

  • Croy T, Saliba SA, Saliba E, Anderson MW, Hertel J (2012) Differences in lateral ankle laxity measured via stress ultrasonography in individuals with chronic ankle instability, ankle sprain copers, and healthy individuals. J Orthop Sports Phys Ther 2012;42(7):593–600

    Article  PubMed  Google Scholar 

  • Croy T, Koppenhaver S, Saliba S & Hertel J. (2013) Anterior talocrural joint laxity: diagnostic accuracy of the anterior drawer test of the ankle. J Orthop Sports Phys Ther. 2013 Dec;43(12):911–9.

    Article  PubMed  Google Scholar 

  • De Bie RA, de Vet HC, van den Wildenberg FA, Lenssen T & Knipschild PG. (1997) The prognosis of ankle sprains. Int J Sports Med 1997 May;18(4):285–9.

    Google Scholar 

  • De Noronha M, Refshauge KM, Herbert RD, Kilbreath SL & Hertel J. (2006) Do voluntary strength, proprioception, range of motion or postural sway predict occurrence of lateral ankle sprain? Br J Sports Med 2006;40:824–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Docherty CL, Valovich McLeod TC & Shultz SJ. (2006) Postural Control Deficits in Participants with Functional Ankle Instability as Measured by the Balance Error Scoring System. Clinical Journal of Sport Medicine 2006;16(3):203–8.

    Article  PubMed  Google Scholar 

  • Doherty C, Delahunt E, Caulfield B, Hertel J, Ryan J & Bleakley C. (2014) The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies. Sports Med. 2014 Jan;44(1):123–40.

    Article  PubMed  Google Scholar 

  • Ekinci S, Polat O, Günalp M, Demirkan A & Koca A. (2013) The accuracy of ultrasound evaluation in foot and ankle trauma. Am J Emerg Med. 2013 Nov;31(11):1551–5.

    Article  PubMed  Google Scholar 

  • Fong DT, Hing Y, Chan LK, Yung PS & Chan KM. (2007) A systematic review on ankle injury and ankle sprain in sports. Sport Med 2007;37:73–94.

    Article  Google Scholar 

  • Fujii T, Luo ZP, Kitaoka HB & An KN. (2000) The manual stress test may not be sufficient to differentiate ankle ligament injuries. Clin Biomech (Bristol, Avon) 2000 Oct;15(8):619–23.

    Article  CAS  Google Scholar 

  • Haywood KL, Hargreaves J & Lamb SE. (2004) Multi-item outcome measures for lateral ligament injury of the ankle: a structured review. J Eval Clin Pract 2004 May;10(2):339–52.

    Article  CAS  PubMed  Google Scholar 

  • Hertel J, Denegar CR, Monroe MM, et al. (1999) Talocrural and subtalar joint instability after lateral ankle sprain. Med Sci Sports Exerc.1999;31(11):1501–1508.

    Article  CAS  PubMed  Google Scholar 

  • Hess GW. (2010) Achilles tendon rupture: a review of etiology, population, anatomy, risk factors, and injury prevention. Foot Ankle Spec 2010;3:29–32.

    Article  PubMed  Google Scholar 

  • Hopkinson WJ, St Pierre P, Ryan JB & Wheeler JH. (1990) Syndesmosis sprains of the ankle. Foot Ankle. 1990 Jun;10(6):325–30.

    Article  CAS  PubMed  Google Scholar 

  • Hutchison AM, Evans R, Bodger O, Pallister I, Topliss C, Williams P, Vannet N, Morris V & Beard D. (2013) What is the best clinical test for Achilles tendinopathy? Foot Ankle Surg. 2013 Jun;19(2):112–7.

    Article  PubMed  Google Scholar 

  • Karlsson J & Peterson L. (1991) Evaluation of ankle joint function. The use of a scoring scale. Foot 1991;11:15–9.

    Article  Google Scholar 

  • Khan KM, Forster BB, Robinson J, et al. (2003) Are ultrasound and magnetic resonance imaging of value in assessment of achilles tendon disorders?: a two year prospective study. Br J Sports Med 2003;37:149–153.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kerkhoffs GM, van den Bekerom M, Elders LA, van Beek PA, Hullegie WA, Bloemers GM, de Heus EM, Loogman MC, Rosenbrand KC, Kuipers T, Hoogstraten JW, Dekker R, Ten Duis HJ, van Dijk CN, van Tulder MW, van der Wees PJ, de Bie RA. (2912) Diagnosis, treatment and prevention of ankle sprains: an evidence-based clinical guideline. Br J Sports Med. 2012 Sep;46(12):854–60.

    Article  Google Scholar 

  • Kujala UM, Sarna S & Kaprio J. (2005) Cumulative incidence of Achilles tendon rupture and tendinopathy in former elite athletes. Clin J Sport Med 2005;15:133–5.

    Article  PubMed  Google Scholar 

  • Leanderson J, Eriksson E, Nilsson C & Wykman A. (1996) Proprioception in classical ballet dancers. A prospective study of the influence of an ankle sprain on proprioception in the ankle joint. Am J Sports Med 1996 May;24(3):370–4.

    Article  CAS  PubMed  Google Scholar 

  • Lee KT, Park YU, Jegal H, Park JW, Choi JP & Kim JS. (2013) New method of diagnosis for chronic ankle instability: comparison of manual anterior drawer test, stress radiography and stress ultrasound. Knee Surg Sports Traumatol Arthrosc. 2014 Jul;22(7):1701–7.

    Article  PubMed  Google Scholar 

  • Lin CW, Uegaki K, Coupé VM, Kerkhoffs GM & van Tulder MW. (2013) Economic evaluations of diagnostic tests, treatment and prevention for lateral ankle sprains: a systematic review. Br J Sports Med. 2013 Dec;47(18):1144–9.

    Article  PubMed  Google Scholar 

  • Linde F, Hvass I, Jurgensen U & Madsen F. (1986) Early mobilizing treatment in lateral ankle sprains; course and risk factors for chronic painful or function limiting ankle. Scan J Rehabil Med 1986;18:17–21.

    CAS  Google Scholar 

  • Lysholm J & Wiklander J. (1987) Injuries in runners. Am J Sports Med 1987;15:168–171.

    Article  CAS  PubMed  Google Scholar 

  • Maffulli N, Sharma P & Luscombe KL. (2004) Achilles tendinopathy: aetiology and management. J R Soc Med 2004;97:472.

    Article  PubMed  PubMed Central  Google Scholar 

  • Maffulli N, Kenward MG, Testa V, Capasso G, Regine R & King JB. (2003) Clinical diagnosis of Achilles tendinopathy with tendinosis. Clin J Sport Med. 2003 Jan;13(1):11–5.

    Article  PubMed  Google Scholar 

  • Maffulli N. (1998) The clinical diagnosis of subcutaneous tear of the achilles tendon; A prospective study in 174 patients. Am J Sports Med. 1998;26(2):266–70.

    Article  CAS  PubMed  Google Scholar 

  • Mulder S, Bloemhoff A & Harris S. (1995) Ongevallen in Nederland, opnieuw gemeten. Amsterdam: Stichting Consument en Veiligheid; 1995.

    Google Scholar 

  • Nikken JJ, Oei EH, Ginai AZ, Krestin GP, Verhaar JA, van Vugt AB, Hunink MG. Acute ankle trauma: value of a short dedicated extremity MR imaging examination in prediction of need for treatment. Radiology. 2005 Jan;234(1):134–42.

    Article  PubMed  Google Scholar 

  • O’Neill PJ, Van Aman SE & Guyton GP. (2010) Is MRI adequate to detect lesions in patients with ankle instability? Clin Orthop Relat Res. 2010 Apr;468(4):1115–9.

    Article  PubMed  Google Scholar 

  • Olsson N, Petzold M, Brorsson A, Karlsson J, Eriksson BI & Grävare Silbernagel K. (2014) Predictors of Clinical Outcome After Acute Achilles Tendon Ruptures. Am J Sports Med. 2014 Mar 21;42(6):1448–55.

    Article  PubMed  Google Scholar 

  • Paavola M, Kannus P, Paakkala T, Pasanen M & Jarvinen M. (2000) Long-term prognosis of patients with achilles tendinopathy. An observational 8-year follow-up study. Am J Sports Med. 2000;28:634–642.

    Article  CAS  PubMed  Google Scholar 

  • Paavola M & Jarvinnen TAH. (2005) Paratendinopathy. Foot Ankle Clin N Am 2005;10:279–92.

    Article  Google Scholar 

  • Picavet HS & Schouten JS. (2003) Musculoskeletal pain in The Netherlands: prevalences, consequences and risk groups, the DMC(3)-study. Pain 2003;102:167–78.

    Article  CAS  PubMed  Google Scholar 

  • Pijnenburg AC, Glas AS, de Roos MA, Bogaard K, Lijmer JG, Bossuyt PM et al. (2002) Radiography in acute ankle injuries: the Ottawa Ankle Rules versus local diagnostic decision rules. Ann Emerg Med 2002;39:599–604.

    Article  CAS  PubMed  Google Scholar 

  • Pourkazemi F, Hiller CE, Raymond J, Nightingale EJ & Refshauge KM. (2014) Predictors of chronic ankle instability after an index lateral anklesprain: A systematic review. J Sci Med Sport (2014), epub.

    Google Scholar 

  • Rao S, Riskowski JL & Hannan MT. (2012) Musculoskeletal conditions of the foot and ankle: Assessments and treatment options. Best Practice & Research Clinical Rheumatology. 2012;26:345–368.

    Article  Google Scholar 

  • Roche AJ, Calder JD. Achilles tendinopathy: A review of the current concepts of treatment. Bone Joint J. 2013 Oct;95-B(10):1299–307.

    Google Scholar 

  • Roemer FW, Jomaah N, Niu J, Almusa E, Roger B, D’Hooghe P, Geertsema C, Tol JL, Khan K, Guermazi A. (2014) Ligamentous Injuries and the Risk of Associated Tissue Damage in Acute Ankle Sprains in Athletes: A Cross-sectional MRI Study. Am J Sports Med. 2014 Apr 21;42(7):1549–57.

    Article  PubMed  Google Scholar 

  • Roos EM, Engstrom M, Lagerquist A & Soderberg B. (2004) Clinical improvement after 6 weeks of eccentric exercise in patients with mid-portion Achilles tendinopathy; a randomized trial with 1-year follow-up. Scand J Med Sci Sports. 2004;14:286–295.

    Article  PubMed  Google Scholar 

  • Rose A, Lee RJ, Williams RM, Thomson LC & Forsyth A. (2000) Functional instability in non-contact ankle ligament injuries. Br J Sports Med 2000 Oct;34(5):352–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Schwieterman B, Haas D, Columber K, Knupp D & Cook C. (2013) Diagnostic accuracy of physical examination tests of the ankle/foot complex: a systematic review JOSPT 2013; 8(4):416–26.

    Google Scholar 

  • Sman AD, Hiller CE, Rae K, Linklater J, Black DA, Nicholson LL, Burns J & Refshauge KM. (2013) Diagnostic accuracy of clinical tests for ankle syndesmosis injury. Br J Sports Med. 2013 Jul;47(10):620–8.

    Article  PubMed  Google Scholar 

  • Stiell IG, McKnight RD, Greenberg GH, McDowell I, Nair RC, Wells GA et al. (1994) Implementation of the Ottawa ankle rules. JAMA 1994;271:827–32.

    Article  CAS  PubMed  Google Scholar 

  • Thacker SB, Stroup DF, Branche CM, Gilchrist J, Goodman RA & Weitman EA. (1999) The prevention of ankle sprains in sports. A systematic review of the literature. Am J Sports Med 1999 Nov;27(6):753–60.

    Article  CAS  PubMed  Google Scholar 

  • Thomas MJ, Roddy E, Zhang W, Menz HB, Hannan MT & Peat GM. (2011) The population prevalence of foot and ankle pain in middle and old age: a systematic review. Pain 2011;152(12):2870–80.

    Article  PubMed  Google Scholar 

  • Thompson TC. (1962) A test for rupture of the tendo achillis. Acta Orthop Scand. 1962;32:461–5.

    Article  CAS  PubMed  Google Scholar 

  • Valderrabano V, Horisberger M, Russell I, Dougall H & Hintermann B. (2009) Etiology of ankle osteoarthritis. Clin Orthop Relat Res 2009;467(7):1800–6.

    Article  PubMed  Google Scholar 

  • Van den Bekerom MPJ. (2011) Diagnosing syndesmotic instability in ankle fractures. World J Orthop 2011; 2(7): 51–56

    Article  PubMed  PubMed Central  Google Scholar 

  • Van der Wees PJ, Lenssen AF, Feijts YAEJ, Bloo H, van Moorsel SR, Ouderland R, Opraus KWF, Rondhuis G, Simons A, Swinkels RAHM, Vaes P, Verhagen E, Hendriks HJM, de Bie RA. (2006) KNGF richtlijn enkelletsel 2006

    Google Scholar 

  • Van der Wees PJ, Hendriks EJ, Bruls V, Dekker J & de Bie RA. (2011) Applicability of the Ottawa Ankle Rules in primary care: results from a pilot study. J Eval Clin Pract. 2011 Dec;17(6):1246–8.

    Article  PubMed  Google Scholar 

  • Van der Wees P, Hendriks E, van Beers H, van Rijn R, Dekker J & de Bie R. (2012) Validity and responsiveness of the ankle function score after acute ankle injury. Scand J Med Sci Sports. 2012 Apr;22(2):170–4.

    Article  PubMed  Google Scholar 

  • Van Dijk CN, Mol BW, Lim LS, Marti RK & Bossuyt PM. (1996) Diagnosis of ligament rupture of the ankle joint. Physical examination, arthrography, stress radiography and sonography compared in 160 patients after inversion trauma. Acta Orthop Scand 1996;67:566.

    Article  CAS  PubMed  Google Scholar 

  • Van Rijn RM, van Os AG, Bernsen RM, Luijsterburg PA, Koes BW & Bierma-Zeinstra SM. (2008) What is the clinical course of acute ankle sprains? A systematic literature review. Am J Med 2008; 121: 324–31.

    Google Scholar 

  • Van Rijn RM, van Heest JA, van der Wees P, Koes BW & Bierma-Zeinstra SM. (2009) Some benefit from physiotherapy intervention in the subgroup of patients with severe ankle sprain as determined by the ankle function score: a randomised trial. Aust J Physiother. 2009;55(2):107–13.

    Google Scholar 

  • Van Middelkoop M, van Rijn RM, Verhaar JAN, Koes BW & Bierma-Zeinstra SMA. (2012) Re-sprains during the first 3 months after initial ankle sprain are related to incomplete recovery: an observational study. Journal of Physiotherapy 2012;58: 181–188

    Google Scholar 

  • Verhagen EALM, van Mechelen W & de Vente W. (2000) The effect of preventive measures on the incidence of ankle sprains. Clin J Sports Med 2000;10(4):291–6.

    Article  CAS  Google Scholar 

  • Zeegers AV. (1995) Het supinatieletsel van de enkel [proefschrift]. Utrecht Universiteit Utrecht 1995.

    Google Scholar 

  • Zhang Y & Jordan JM. (2010) Epidemiology of osteoarthritis. Clin Geriatr Med. 2010 Aug;26(3):355–69.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Rotterdam, Zuid-Holland, The Netherlands

    Arianne Verhagen

  2. Ac. Health Care/ Fysiotherapy, AVANS Hogeschool, Breda, The Netherlands

    Jeroen Alessie

Authors
  1. Arianne Verhagen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jeroen Alessie
    View author publications

    You can also search for this author in PubMed Google Scholar

Copyright information

© 2014 Bohn Stafleu van Loghum

About this chapter

Cite this chapter

Verhagen, A., Alessie, J. (2014). Enkel/voet. In: Evidence based diagnostiek van het bewegingsapparaat. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-368-0821-7_7

Download citation

  • DOI: https://doi.org/10.1007/978-90-368-0821-7_7

  • Published:

  • Publisher Name: Bohn Stafleu van Loghum, Houten

  • Print ISBN: 978-90-368-0760-9

  • Online ISBN: 978-90-368-0821-7

  • eBook Packages: Dutch language eBook collection

Publish with us

Policies and ethics

Search

Navigation