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Samenvatting colleges Vraagstukken Bewegen (alles!)

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Uitgebreide samenvatting van alle colleges van het vak Vraagstukken Bewegen. Inclusief afbeeldingen.

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  • June 7, 2022
  • 241
  • 2021/2022
  • Class notes
  • Dr. h.j.l. van der heide
  • All classes
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Vraagstukken bewegen

Inhoudsopgave
Thema 1 knieklachten ...................................................................................................................................... 4
Hoorcollege 2 anatomie van de knie ................................................................................................................ 11
Werkgroep 1 thema knieklachten ..................................................................................................................... 15
Hoorcollege 3 pathologie van de knie............................................................................................................... 17
Hoorcollege 4 Monoartritis knie ....................................................................................................................... 21
Hoorcollege 5 fractuurleer ................................................................................................................................ 24
Hoorcollege 6 beoordelen van röntgenfoto’s ................................................................................................... 28
Hoorcollege 7 behandeling van fracturen......................................................................................................... 31
Hoorcollege 8 fracturen rond de knie ............................................................................................................... 33
Hoorcollege 9 farmacologie artrose ................................................................................................................. 38
Hoorcollege 10 introductie revalidatiegeneeskunde ........................................................................................ 41
Hoorcollege 11 fracturen bij kinderen .............................................................................................................. 43

Thema 2 hand- pols- en elleboogklachten ...................................................................................................... 49
Hoorcollege 12 anatomie van de onderarm en hand ....................................................................................... 55
Hoorcollege 13 vinger- en polsfracturen........................................................................................................... 62
Hoorcollege 14 kleine kwalen bovenste extremiteit ......................................................................................... 67
Hoorcollege 15 chronische klachten elleboog, hand en pols ............................................................................ 72
Hoorcollege 17 diagnose reumatoïde artritis ................................................................................................... 76
Hoorcollege 18 behandeling RA ........................................................................................................................ 79
Hoorcollege 19 artrose ..................................................................................................................................... 81
Hoorcollege 16 fracturen rond de elleboog ...................................................................................................... 84
Werkgroep 2 hand klachten.............................................................................................................................. 88
Snijzaal 2 ........................................................................................................................................................... 89

Thema 3 schouderklachten ............................................................................................................................ 92
Hoorcollege 20 schouder anatomie .................................................................................................................. 97
Hoorcollege 21 schouderklachten: rotator-cuff letsel..................................................................................... 101
Hoorcollege 22 schouderklachten: instabiliteit en ‘stijve’ schouder ............................................................... 104
Hoorcollege 23 en 24 chronische schouderklachten posttrauma ................................................................... 108
Hoorcollege 25 schouderfracturen na trauma ................................................................................................ 110

Thema 4 uitgebreid trauma .......................................................................................................................... 112
Hoorcollege 26 polyneuropathie ..................................................................................................................... 115
Hoorcollege 51 trauma capitis ........................................................................................................................ 119

, Hoorcollege 27 trauma capitis bij kinderen .................................................................................................... 122
Hoorcollege 28 revalidatie na hersenletsel (kennisclip) .................................................................................. 126
Hoorcollege 30 heupfracturen ........................................................................................................................ 128
Hoorcollege 31 PD revalideren amputaties / prothese ................................................................................... 131
Hoorcollege 32 botstofwisseling ..................................................................................................................... 132
Hoorcollege 33 stoornissen botstofwisseling .................................................................................................. 135

Thema 5 afwijkend looppatroon .................................................................................................................. 137
Hoorcollege 35 normaal looppatroon ............................................................................................................. 140
Hoorcollege 36 afwijkend looppatroon .......................................................................................................... 145
Hoorcollege 37 het mank lopend kind ............................................................................................................ 147
Hoorcollege 38 chronische heupklachten, de heup van jong tot oud ............................................................. 152
Hoorcollege 39 basis neuromusculaire overgang en spierziekten .................................................................. 156
Kennisclip neurologische loopstoornis eerste en tweede motorneuron ......................................................... 159
Kennisclip neurologische loopstoornissen proximale zwakte ......................................................................... 160
Kennisclip piramidaal en extrapiramidaal ...................................................................................................... 161
Kennisclip polyneuropathie ............................................................................................................................. 162
Hoorcollege 40 voetafwijkingen ..................................................................................................................... 164

Functie onderzoek ........................................................................................................................................ 167

Thema 6 rugklachten .................................................................................................................................... 168
Hoorcollege 41 rugklachten inflammatoir spondyloartritis ............................................................................ 173
Hoorcollege aspecifieke rugklachten .............................................................................................................. 176
Hoorcollege specifieke rugklachten ................................................................................................................ 179
Kennisclip axiale spondyloartritis.................................................................................................................... 181
Hoorcollege 49 scoliose .................................................................................................................................. 182
Hoorcollege 53 rugklachten na trauma .......................................................................................................... 187

Thema 7 multipele gewrichtsklachten .......................................................................................................... 191
Hoorcollege multipele gewrichtsklachten ....................................................................................................... 196
Hoorcollege systeemziektes ............................................................................................................................ 199
Hoorcollege zwellingen bij reumatologie........................................................................................................ 201
Hoorcollege PMR ............................................................................................................................................ 202

Thema 8 zwelling ......................................................................................................................................... 204
Hoorcollege pijnloze zwelling gewricht/weke delen ....................................................................................... 209
Hoorcollege weke delen sarcomen ................................................................................................................. 210
Hoorcollege benigne en maligne bottumoren ................................................................................................ 213
Elearning presentatie bottumoren.................................................................................................................. 215

Thema 9 kind ............................................................................................................................................... 226

, Hoorcollege heupdysplasie tot 1 jaar ............................................................................................................. 228
Hoorcollege heupdysplasie na 1 jaar .............................................................................................................. 229
Hoorcollege groei en groeistoornissen ........................................................................................................... 230
Hoorcollege fibreuze dysplasie en botstofwisseling ....................................................................................... 234
Hoorcollege heupdysplasie ............................................................................................................................. 236

Extra............................................................................................................................................................. 238
Elearning polyartritis ...................................................................................................................................... 238
6 STEP ............................................................................................................................................................. 240

, Thema 1 knieklachten
Blokboek – samenvatting

Artritis van een gewricht kenmerkt zich door zwelling, warmte en bewegingsbeperking (zowel actief
als passief). Roodheid wordt soms gezien bij acute kristalartritis of bacteriele septische artritis (hoeft
niet altijd). Bij een artritis zijn de pijn en zwelling te herleiden tot de gewrichtsholte en het kapsel.

Voor het diagnosticeren moet je als eerste onderscheid maken tussen periarticulaire problemen en
articulaire problemen. Ook moet je onderscheid maken gericht op de onderliggende oorzaak
(immuunziekte?). Peri-articulaire pijn is opwekbaar door lokale druk op het aangedane weefsel.
Articulaire pijn beperkt zich tot het gebied van het gewrichtskapsel. Bij articulaire aandoeningen treedt
de meeste pijn op in de stand waarbij de intracapsulaire ruimte het kleinst is: volledige extensie.
Inflammatoire aandoening; kenmerken van ontsteking: roodheid, zwelling, warmte, pijn en
functiebeperking. Roodheid wordt echter alleen in sommige gevallen van acute ontsteking gezien.

Artritis = ontsteking van een gewricht
- Monoartritis = ontsteking van 1 gewricht
- Oligoartritis = ontsteking van 2-4 gewrichten
- Polyartritis = ontsteking > 4 gewrichten

Artralgie = gewrichtspijn
Het onderscheid tussen artralgie en artritis is belangrijk voor de diagnose en kan alleen worden
gemaakt d.m.v. lichamelijk onderzoek.

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