Pronatie-eversie (PE) / Pronation-External Rotation (PER). Komt overeen met Weber C (20 van alle enkelfrcturen). In de nederlandse literatuur wordt meestal de term pronatie-eversie (SE) gebruikt, terwijl de Angelsaksische literatuur de originele benaming hanteert. Analoog aan het se-mechanisme, roteert de krachtwerking om de enkel, echter de krachtinwerking, en dus de schade, begint aan de mediale zijde, draait voorlangs de enkel naar lateraal en eindigt aan de achterzijde. Pe 1 scheur in het ligamentum deltoïdeum en/of fractuur van de malleolus medialis. Pe 2, pE 1 scheuring van de voorste vorkband (ligamentum tibiofibularis anterior of een kleine avulsiefractuur van de voorzijde van de tibia (Tillaux-Chaputfractuur of een kleine avulsiefractuur van de voorzijde van de fibula (le fort-Wagstaffefractuur). PE  3, pE2 scheur van de membrana interosseous hoge fractuur van de fibula (Maisonneuve fractuur).

drain spoelen protocol tibiofibularis ant of een kleine avulsiefractuur van de voorzijde van de tibia (Tillaux-Chaputfractuur of een kleine avulsiefractuur van de voorzijde van de fibula (le fort-Wagstaffefractuur). Se 2, sE 1   spiraal- of obliquefractuur van de malleolus lateralis. Se 3, sE 2 ruptuur van achterste vorkband (ligamentum tibiofibularis posterior) en/of fractuur van malleolus tertius. Se 4, sE 3 fractuur van de malleolus medialis.

Soms zeer hoogte van maken de fibulakop: maisonneuve. Lauge-hansen classificatie, de classificatie informeert over het traumamechanisme. Anamnestisch wordt bepaald hoed de stand van de voet was ten tijde van het trauma (in supinatie of pronatie) en welke beweging er is gemaakt (eversie of adductie). Hieruit kan men distilleren welke ossale en ligamentaire structuren er wellicht gelaedeerd zijn, hetgeen directe consequenties heeft voor de behandeling. Er zijn 5 typen lh-fracturen (supinatie-adductie wegmetdeweegschaal (sa pronatie-abductie (pa supinatie-eversie (se pronatie-eversie (PE) en pronatie-dorsiflexie (PD). De eerste naam geeft de stand van de voet weer op het moment van het trauma, terwijl de tweede naam de krachtwerking weergeeft. Supinatie-eversie (SE) / Supination-External Rotation (SER). Komt overeen met Weber B (50-60 van alle enkelfracturen). In de nederlandse literatuur wordt meestal de term supinatie-eversie (SE) gebruikt, terwijl de Angelsaksische literatuur de originele benaming hanteert. Betreft meest voorkomend mechanisme.

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Mechanisme, indirect geweld door geforceerde eversie/exorotatie. Komt voornamelijk voor bij jonge, actieve mensen. Classificatie, de 2 meest gebruikte classificaties zijn die volgens eruit Weber en lauge-hansen. De weber is gebaseerd op de hoogte van de fibulafractuur ten opzichte van de syndesmose, terwijl de lauge-hanse het mechanisme verklaart. Weber a, b en c zijn essentieel dezelfde als respectievelijk lauge-hansen sa, se. Weber classificatie, weber A fractuurlijn distaal van de syndesmose (23). Weber B fractuurlijn ter hoogte van de syndesmose (50-60). Weber C fractuurlijn boven de syndesmose (20).

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