Summary
Samenvatting Complete beschrijving van ALLE pathologieën van het bewegingsapparaat - ruim 100 pagina's
pathologieën van alle extremiteiten, nek, rug, arm, elleboog, pols, heup, bovenbeen, knie, onderbeen, voet, enkel. graad 3 en 4 indelingen van de nek, extra's als motor control impairment, scapula dyskinesie, schouderinstabiliteit en de indelingen TUBS, AMBRI, AIOS, GIRD en volgens de Stanmore cla...
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Uploaded on
February 14, 2022
Number of pages
99
Written in
2021/2022
Type
Summary
pathologie
fysiotherapie
behandelen
symptomen
oorzaken
therapie
nekpijn
schouder
aandoeningen
elleboog
peesaandoeningen
tendinitis
tendinose
lwk
wvk
twk
cwk
cto
lage rugpijn
polsaandoeningen
heupaando
Institution
Thim Hogeschool voor Fysiotherapie (THIM)
Education
Fysiotherapie
Course
Pathologie
All documents for this subject (34)
By: johanneslutgens • 2 year ago
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This document is also available in parts:
Complete beschrijving van ALLE pathologieën van het bewegingsapparaat - ruim 100 pagina's: Schouder gerelateerde klachten
Dit is een deel van het document waarin alle pathologieen van het bewegingsapparaat aan bod komen. In dit deel zijn alle schouder gerelateerde klachten gebundeld.
Quick View
Pathologieën
Inhoudsopgave
Nek Graad III en IV .................................................................................................................................................. 4
Graad III: Cervicale radiculopathie...................................................................................................................... 4
Graad IV: Fracturen............................................................................................................................................. 5
Graad IV: Cervicale arteriële disfunctie .............................................................................................................. 5
Graad IV: Schade aan het ruggenmerg/ Cervicale myelopathie ......................................................................... 6
Graad IV: Infecties .............................................................................................................................................. 6
Graad IV: Maligne tumoren ................................................................................................................................ 6
Graad IV: Systemische ziekten ............................................................................................................................ 6
Schouderaandoeningen .......................................................................................................................................... 7
Subacromiaal pijnsyndroom (SAPS) .................................................................................................................... 8
Schouderimpingment ..................................................................................................................................... 8
Rotator cuff tendinopathie ............................................................................................................................. 9
Rotator cuff ruptuur ..................................................................................................................................... 10
Tendinitis calcarea ........................................................................................................................................ 11
Biceps (caput longum) pees ruptuur (+SLAP laesie) ..................................................................................... 12
Bursitis subacromialis ....................................................................................................................................... 13
Glenohumerale gewrichtsklachten ................................................................................................................... 14
Frozen shoulder ............................................................................................................................................ 14
Artrose .......................................................................................................................................................... 16
Overige schouderaandoeningen ....................................................................................................................... 17
Glenohumerale instabiliteit .......................................................................................................................... 17
Cervicale radiculopathie ............................................................................................................................... 18
Aandoening van de plexus brachialis – Thoracic Outlet Syndroom (TOS).................................................... 19
Schouderluxaties .............................................................................................................................................. 20
AC-Luxaties (+ indeling in Tossy)....................................................................................................................... 21
Elleboogaandoeningen.......................................................................................................................................... 23
Laterale epicondylalgie (LE) / epicondylus lateralis .......................................................................................... 23
Mediale epicondylalgie (ME) / epicondylus medialis ....................................................................................... 24
Elleboogluxatie ................................................................................................................................................. 25
Osteochondritis dissecans (OD) ........................................................................................................................ 26
Bursitis olecrani ................................................................................................................................................ 27
Cubitale tunnel syndroom ................................................................................................................................ 28
Polsaandoeningen ................................................................................................................................................. 29
Ziekte van de Quervain ..................................................................................................................................... 29
Roeierspols (intersection syndrome, oarsman’s wrist) .................................................................................... 30
Carpaletunnelsyndroom ................................................................................................................................... 31
Compressieneuropathie n. ulnaris .................................................................................................................... 32
1
,Pathologieën
Scaphoideum fractuur ...................................................................................................................................... 33
Scapuholunaire instabiliteit .............................................................................................................................. 34
Contractuur van Dupuytren .............................................................................................................................. 35
Triggerfinger ..................................................................................................................................................... 36
Ganglion ............................................................................................................................................................ 37
Artrose .............................................................................................................................................................. 38
Reumatoïde artritis ........................................................................................................................................... 38
Skiduim (gamekeeper’s thumb) ........................................................................................................................ 39
Malletvinger (hamervinger) .............................................................................................................................. 39
Heupaandoeningen ............................................................................................................................................... 40
Trochanter major pijnsyndroom ....................................................................................................................... 40
Liesklachten ...................................................................................................................................................... 41
Femoroacetabulair impingement ..................................................................................................................... 42
Coxartrose......................................................................................................................................................... 43
Heupfracturen .................................................................................................................................................. 44
Avasculaire kopnecrose femur ......................................................................................................................... 45
Heupaandoeningen bij kinderen ...................................................................................................................... 46
Bovenbeen en knieaandoeningen ......................................................................................................................... 47
Patellofemoraal pijnsyndroom c.q. young girls knee ................................................................................... 48
Hamstring(spier)ruptuur .............................................................................................................................. 50
Voorste kruisbandletsel................................................................................................................................ 51
Achterste kruisbandletsel ............................................................................................................................. 51
Meniscus laesie ............................................................................................................................................ 52
Meniscus bewegingen .................................................................................................................................. 53
Collaterale band ruptuur .............................................................................................................................. 54
Osgood Schlatter .......................................................................................................................................... 55
Iliotibiaal bandsyndroom c.q. Runner’s knee ............................................................................................... 56
Patellofemoraal instabiliteit ......................................................................................................................... 57
Tendinopathie patellapees c.q. Jumper’s knee ............................................................................................ 58
Bursitis .......................................................................................................................................................... 59
Bursitis infrapatellaris................................................................................................................................... 59
Baker’s cyste c.q. kniekuilcyste .................................................................................................................... 59
Onderbeen, Voet en Enkelaandoeningen ............................................................................................................. 60
Acute pathologieën .......................................................................................................................................... 60
Achillespeesruptuur ..................................................................................................................................... 61
Spierletsel Gastrocnemius – Zweepslag c.q. Coup de fouet......................................................................... 63
Inversietrauma = supinatietrauma .............................................................................................................. 64
Syndesmose letsel ........................................................................................................................................ 66
2
,Pathologieën
Chronische structurele pathologieën enkel, voet en tenen ............................................................................. 67
Enkelartrose ................................................................................................................................................. 67
Deformiteiten van de voet ........................................................................................................................... 68
Deformiteit van de tenen ............................................................................................................................. 68
Chronische pathologieën; Belasting -Belastbaarheid ....................................................................................... 69
Functionele instabiliteit ................................................................................................................................ 70
Fasciosis plantaris c.q. fasciitis ..................................................................................................................... 71
Mediaal Tibiaal Stresssyndroom (MTSS) c.q. shin splint .............................................................................. 72
Achillespeestendinopathie c.q. achillodynie ................................................................................................ 74
Tarsale tunnelsyndroom............................................................................................................................... 75
Claudicatio Intermittens: c.q. perifeer arterieel vaatlijden c.q. etalagebenen ........................................... 77
Mortons Neuroom........................................................................................................................................ 79
Specifieke lage rugpijn .......................................................................................................................................... 80
Spondylolyse (wervelfractuur) .......................................................................................................................... 81
Spondylolisthesis (wervelverschuiving) ............................................................................................................ 81
Osteoporose ..................................................................................................................................................... 82
Kanaalstenose ................................................................................................................................................... 82
Bechterew ......................................................................................................................................................... 83
Aspecifieke lage rugpijn – 90% ......................................................................................................................... 84
EXTRA .................................................................................................................................................................... 85
Motor Control Impairment ............................................................................................................................... 85
Scapula dyskinesie ............................................................................................................................................ 87
Schouderinstabiliteit en indelingen .................................................................................................................. 88
T.U.B.S. = traumatische anterieure instabiliteit ........................................................................................... 88
A.I.O.S = overbelastingsinstabiliteit .............................................................................................................. 89
G.I.R.D. = Glenohumeral Internal Rotational Deficit .................................................................................... 89
A.M.B.R.I = multidirectionele instabiliteit .................................................................................................... 90
Indeling instabiliteit volgens Stanmore classification .................................................................................. 91
De pees en peesaandoeningen ......................................................................................................................... 92
De pees ......................................................................................................................................................... 92
Pees-bot overgang........................................................................................................................................ 93
Spier-pees overgang ..................................................................................................................................... 93
Tendinitis ...................................................................................................................................................... 94
Tendinose = peesdegeneratie ...................................................................................................................... 95
Overige peesaandoeningen (valt onder tendinose) ..................................................................................... 96
Bindweefsel .................................................................................................................................................. 97
3
, Pathologieën
Nek Graad III en IV
normaal beloop: <6 wkn (pijn afname, activiteit e/o participatie toename)
afwijkend beloop: >6 wkn (pijn, recidiverend)
Wereldwijd op drie na grootste categorie musculoskeletale klachten
Neck Pain Task Force
- Graad I: functiestoornissen zonder invloed op ADL
- Graad II: activiteitsbeperkingen
- Graad III: zonder tekenen of symptomen die kunnen wijzen op grote structurele pathologie,
waarbij wel neurologische symptomen aanwezig zijn, zoals verminderde peesreflexen,
spierzwakte of sensibiliteitsstoornissen (hypo- of hyperesthesie) in de bovenste extremiteit.
- Graad IV: met tekenen of symptomen die kunnen wijzen op ernstige structurele pathologie:
o Fracturen
o Cervicale arteriële disfunctie
o Schade aan het ruggenmerg/ Cervicale myelopathie
o Infecties
o Maligne tumoren
o Systemische ziekten, waaronder gewrichtsontstekingen
Fysiotherapie – Diagnostisch proces
Allereerst dient Graad IV uitgesloten te worden, middels screening rode vlaggen + rode vlaggen nek.
Indien uit screening/anamnese Graad III (cerv. radiculopathie) duidelijk blijkt, dan insluiten (SpPin):
- Spurling’s test >>provocatie van symptomen positief insluiten
- Tractie/distractie test>>afname symptomen positief insluiten
Indien uit screening/anamnese twijfel is voor een Graad III (cerv. radi), dan uitsluiten (SnNout):
- ULTT (upper limb tension) test>>geen symptomen negatief uitsluiten
Graad III: Cervicale radiculopathie
Kenmerken :
- ‘elektrische’ schietende pijn binnen de aangedane dermatomen,
vooral bij activiteiten die drukverhoging binnen de dura
veroorzaken (niezen, persen ed)
- Nekpijn
- Radiculaire pijn
- Pijn in arm of hand (evt rondom scapula)
- Paresthesieën, hypesthesie, anesthesie
- Krachtsverlies van arm- en handspieren
- Hyporeflexie
- Monosegmentaal en unilateraal
Oorzaken: (of combi van deze twee)
- Zachte nekhernia
- Harde nekhernia (facet-, unc- en discusartrose)
4