Enkel/voet

  • Arianne Verhagen
  • Jeroen Alessie
Chapter

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.

Referenties

  1. Aldridge T. (2004) Diagnosing heel pain in adults. American Family Physician 2004;70(2):332–8PubMedGoogle Scholar
  2. 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.CrossRefPubMedGoogle Scholar
  3. American Academy of Orthopaedic Surgeons. (2009) The diagnosis and treatment of acute achilles tendon rupture: guideline and evidence report. 2009.Google Scholar
  4. Asplund CA & Best TM. (2013) Achilles tendon disorders. BMJ. 2013 Mar 12;346:f1262.Google Scholar
  5. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 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.CrossRefPubMedGoogle Scholar
  7. 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
  8. 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.CrossRefPubMedGoogle Scholar
  9. 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
  10. 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.CrossRefPubMedGoogle Scholar
  11. Consument en Veiligheid. Enkelblessures 2011. https://www.veiligheid.nl/themas
  12. 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):593–600CrossRefPubMedGoogle Scholar
  13. 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.CrossRefPubMedGoogle Scholar
  14. 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
  15. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 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.CrossRefPubMedGoogle Scholar
  17. 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.CrossRefPubMedGoogle Scholar
  18. 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.CrossRefPubMedGoogle Scholar
  19. 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.CrossRefGoogle Scholar
  20. 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.CrossRefGoogle Scholar
  21. 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.CrossRefPubMedGoogle Scholar
  22. 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.CrossRefPubMedGoogle Scholar
  23. Hess GW. (2010) Achilles tendon rupture: a review of etiology, population, anatomy, risk factors, and injury prevention. Foot Ankle Spec 2010;3:29–32.CrossRefPubMedGoogle Scholar
  24. Hopkinson WJ, St Pierre P, Ryan JB & Wheeler JH. (1990) Syndesmosis sprains of the ankle. Foot Ankle. 1990 Jun;10(6):325–30.CrossRefPubMedGoogle Scholar
  25. 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.CrossRefPubMedGoogle Scholar
  26. Karlsson J & Peterson L. (1991) Evaluation of ankle joint function. The use of a scoring scale. Foot 1991;11:15–9.CrossRefGoogle Scholar
  27. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  28. 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.CrossRefGoogle Scholar
  29. 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.CrossRefPubMedGoogle Scholar
  30. 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.CrossRefPubMedGoogle Scholar
  31. 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.CrossRefPubMedGoogle Scholar
  32. 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.CrossRefPubMedGoogle Scholar
  33. 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.Google Scholar
  34. Lysholm J & Wiklander J. (1987) Injuries in runners. Am J Sports Med 1987;15:168–171.CrossRefPubMedGoogle Scholar
  35. Maffulli N, Sharma P & Luscombe KL. (2004) Achilles tendinopathy: aetiology and management. J R Soc Med 2004;97:472.CrossRefPubMedPubMedCentralGoogle Scholar
  36. 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.CrossRefPubMedGoogle Scholar
  37. 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.CrossRefPubMedGoogle Scholar
  38. Mulder S, Bloemhoff A & Harris S. (1995) Ongevallen in Nederland, opnieuw gemeten. Amsterdam: Stichting Consument en Veiligheid; 1995.Google Scholar
  39. 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.CrossRefPubMedGoogle Scholar
  40. 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.CrossRefPubMedGoogle Scholar
  41. 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.CrossRefPubMedGoogle Scholar
  42. 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.CrossRefPubMedGoogle Scholar
  43. Paavola M & Jarvinnen TAH. (2005) Paratendinopathy. Foot Ankle Clin N Am 2005;10:279–92.CrossRefGoogle Scholar
  44. Picavet HS & Schouten JS. (2003) Musculoskeletal pain in The Netherlands: prevalences, consequences and risk groups, the DMC(3)-study. Pain 2003;102:167–78.CrossRefPubMedGoogle Scholar
  45. 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.CrossRefPubMedGoogle Scholar
  46. 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
  47. 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.CrossRefGoogle Scholar
  48. 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
  49. 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.CrossRefPubMedGoogle Scholar
  50. 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.CrossRefPubMedGoogle Scholar
  51. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  52. 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
  53. 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.CrossRefPubMedGoogle Scholar
  54. 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.CrossRefPubMedGoogle Scholar
  55. 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.CrossRefPubMedGoogle Scholar
  56. 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.CrossRefPubMedGoogle Scholar
  57. Thompson TC. (1962) A test for rupture of the tendo achillis. Acta Orthop Scand. 1962;32:461–5.CrossRefPubMedGoogle Scholar
  58. Valderrabano V, Horisberger M, Russell I, Dougall H & Hintermann B. (2009) Etiology of ankle osteoarthritis. Clin Orthop Relat Res 2009;467(7):1800–6.CrossRefPubMedGoogle Scholar
  59. Van den Bekerom MPJ. (2011) Diagnosing syndesmotic instability in ankle fractures. World J Orthop 2011; 2(7): 51–56CrossRefPubMedPubMedCentralGoogle Scholar
  60. 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 2006Google Scholar
  61. 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.CrossRefPubMedGoogle Scholar
  62. 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.CrossRefPubMedGoogle Scholar
  63. 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.CrossRefPubMedGoogle Scholar
  64. 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
  65. 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
  66. 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: 181–188Google Scholar
  67. 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.CrossRefGoogle Scholar
  68. Zeegers AV. (1995) Het supinatieletsel van de enkel [proefschrift]. Utrecht Universiteit Utrecht 1995.Google Scholar
  69. Zhang Y & Jordan JM. (2010) Epidemiology of osteoarthritis. Clin Geriatr Med. 2010 Aug;26(3):355–69.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Bohn Stafleu van Loghum 2014

Authors and Affiliations

  • Arianne Verhagen
    • 1
  • Jeroen Alessie
    • 2
  1. 1.RotterdamThe Netherlands
  2. 2.Ac. Health Care/ FysiotherapyAVANS HogeschoolBredaThe Netherlands

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