Basic Clinical Examination of the Foot and Ankle.

Abstract:

:Successful treatment of foot and ankle diseases requires an accurate diagnosis. In addition to differentiated history taking, clinical examination is the most important component in the diagnosis of foot and ankle diseases. The present video explains the common provocation tests and functional tests that are used in the basic clinical examination of the foot and ankle complex. In addition to general inspection and palpation, the focus is on different diagnostic tests and clinical signs that improve diagnostic accuracy. The present basic clinical examination methods allow a structured approach to clinical issues and can be a good basis, if supplemented by further specific and individual tests. :Eine fundierte, klinische Basisuntersuchung ist neben einer zielgerichteten Anamneseerhebung und Bilddiagnostik die Grundvoraussetzung, um die verschiedenen Beschwerde- und Erkrankungsbilder am Fuß und am Sprunggelenk sicher zu diagnostizieren und erfolgreich zu therapieren. Nur wenn vom Untersucher entsprechende klinische Untersuchungstechniken sicher erlernt und beherrscht werden, erlauben diese auch reproduzierbare Befunderhebungen und damit differenzialdiagnostische Rückschlüsse auf vorliegende Pathologien. Eine standardisierte und strukturierte Herangehensweise ist im Rahmen der körperlichen Untersuchung unerlässlich und stellt für den ärztlichen Behandler das wichtigste Diagnostikum für eine zielgerichtete Diagnosestellung und die Grundlage für einen richtigen Behandlungsansatz dar. Das vorliegende Video demonstriert neben Instruktionen zur systematischen Inspektion und Palpation, vor allem die wichtigsten Untersuchungstechniken in der Funktions- und Beweglichkeitsprüfung sowie Durchführung von Provokationstests des Fußes und des Sprunggelenkes, die im Rahmen einer klinischen Basisuntersuchung zur Anwendung kommen sollten. Die demonstrierte Untersuchungsabfolge stellt eine solide und systematische Anleitung für eine standardisierte und strukturierte körperliche Untersuchung des Fußes und des Sprunggelenkes dar. Diese bildet die Grundlage für eine klinische Basisdiagnostik in der Erkennung und Behandlung von Erkrankungsbildern des Fußes und Sprunggelenkes.

journal_name

Z Orthop Unfall

authors

Kehrer M,Kohlhof H,Schwetje D,Kasapovic A,Kehrer A,Wirtz DC,Friedrich MJ

doi

10.1055/a-1209-3971

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

657-660

issue

6

eissn

1864-6697

issn

1864-6743

journal_volume

158

pub_type

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