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2010 | OriginalPaper | Hoofdstuk

Addendum: de achillespeesruptuur

Auteur : Koos van Nugteren

Gepubliceerd in: Orthopedische casustiek

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

Achillespeesrupturen werden al in de klassieke oudheid beschreven door Hippocrates. Deze rupturen treden gewoonlijk op in een gebied van twee tot zes centimeter boven de calcaneus, een relatief slecht gevasculariseerd deel van de pees. Het wordt gezien onder alle leeftijdsgroepen ouder dan twintig jaar. De ruptuur kan ontstaan door enorme krachten die op kerngezonde pezen inwerken, maar er kunnen ook spontane rupturen optreden in sterk gedegenereerde pezen. Een trauma is hierbij geen voorwaarde. Veel rupturen zullen ontstaan in pezen waarin al enige mate van pathologie bestaat (tendinose); sporters die pijnklachten in de achillespees negeren, vallen in deze groep.
Voetnoten
1
Incidentie = het aantal nieuwe gevallen van een bepaalde aandoening per jaar. Meestal wordt dit aantal nieuwe gevallen vermeld per 1.000 personen of 100.000 personen.
** Zie casus EV 82: Sinds een half jaar bestaande loopstoornissen bij een 75-jarige CARA-patiënte.
 
2
Zie casus EV 82: Sinds een half jaar bestaande loopstoornissen bij een 75-jarige CARA-patiënte.
 
3
Meer informatie over dit onderwerp is gepubliceerd in Orthopedische Casuïstiek, 2002; casus en addendum EV 80.
 
4
Meer informatie over dit onderwerp is gepubliceerd in Orthopedische Casuïstiek, 2002; casus en addendum EV 77.
 
5
Voor een uitgebreide beschrijving hiervan zie Orthopedische Casuïstiek EV77, 2002: hypesthesie van het laterale aspect van de enkel na een percutane achillespeesreconstructie bij een 37-jarige langeafstandloper bij wie spontaan de achillespees ruptureerde.
 
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Metagegevens
Titel
Addendum: de achillespeesruptuur
Auteur
Koos van Nugteren
Copyright
2010
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-313-8803-5_202