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Volledige uitwerking anatomie van de Pols en Hand $6.41
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Volledige uitwerking anatomie van de Pols en Hand

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Dit document bevat alle anatomie van de pols en hand. De botten, spieren, zenuwen en de extensor-loges worden hierin beschreven. Het bevat ook aantekeningen die gemaakt zijn tijdens de lessen op de hogeschool Utrecht.

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  • April 16, 2021
  • 18
  • 2020/2021
  • Other
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Anatomie pols & hand




ROM van de pols:
Beweging Graden
Palmairflexie ± 80°
Dorsaalflexie ± 70°
Radiale deviatie ± 20°
Ulnair deviatie ± 35°
Pronatie ± 90°
Supinatie ± 90°

Bewegingen duim:




Carpus-carpalia (handwortelbeentjes):
- Some lovers try pies that they can’t handle
o Scaphoideum
o Lunatum
o Triquetrum
o Pisiforme
o Trapezium
o Trapezoideum
o Hamatum
o Capitatum

,Tuberculum van lister:
- Bobbeltje op de radius
- Is gevoelig

Anatomische snuifdoos:
- Palpatie van het scaphoid
- Gevormd door:
o Abductor pollicis longus (APL)
o Extensor pollicis longus (EPL)
o Extensor pollicis brevis (EPB)

Carpale tunnel:
- Nervus medianus
- Transverse carpal ligament
o 4 inserties:
 Pisiforme
 Hamatum
 Scaphoid
 Trapezium
- 9 pezen door de carpale tunnel:
o 1 lange buiger van de duim (FPL=flexor pollicis longus)
o 4 korte buigers van de vingers (FDS= flexor digitorum superficialis)
o 4 lange buigers van de vingers (FDP= flexor digitorum profundus)




Tunnel van Guyon:
- Nervus ulnaris
- Tussen het os pisiforme en het hamatum door
- Vertakking van de zenuwen




TFCC complex:
- Complex van structuren met verbindingen tussen ulna/radius/carpus en ECU
- Locatie:
o Tussen ulna en ulnaire carpalia
o Strekt zich uit tot DRU
- Functie:
o Stabiliserend en schokdempend

, Pols-flexoren:

Superficial:
- Pronator teres (PT)
o Mediane zenuw loopt door de pronator teres

Spier Origo Insertie Functie Innervatie
Pronator teres Epicondylus In het middelste Ellebooggewricht: n.medianus
caput humerale medialis derde deel van de - Pronatie
van de facies lateralis van - Flexie
humerus de radius
Pronator teres Processus In het middelste Ellebooggewricht: n.medianus
caput ulnare coronoideus derde deel van de - Pronatie
facies lateralis van - Flexie
de radius

- Flexor carpi radialis (FCR)




Spier Origo Insertie Functie Innervatie
m.flexor carpi Epicondylus medialis Palmar area of Ellebooggewricht: n.medianus
radialis of the humerus, fascia the base of the - Flexie
antebrachii os metacarpi II - Pronatie
Polsgewricht:
- Palmair flexie
- Radiale abductie

- Palmaris longus (PL)




Spier Origo Insertie Functie Innervatie
m.palmaris Epicondylus Aponeurosis Ellebooggewricht: n.medianus
longus medialis of the palmaris - Flexie
humerus Polsgewricht:
- Palmair flexie

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