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Samenvatting Overzicht specifieke orthopedische testen
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Samenvatting van 12 pagina's voor het vak Diagnostiek 6 aan de Avans (evt)
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KNIE Sens Spec LR+ LR- BronZwelling Strijktest
Age 55 years or older
Tenderness at head of fibula
Isolated tenderness of patella bachm
Fractuur Ottawa knee rules 0.985 0.486 1.9163 0.0309 ann,
Inability to flex the knee greater than 90° 2004
Inability to bear weight both immediately and in the
emergency department (4 steps)
Lachman 0.85 0.94 14.167 0.1596 BB
Voorste schuiflade 0.92 0.91 10.222 0.0879 BB
VKB
Pivot shift test 0.24 0.98 12 0.7755 BB
Cluster: heamtoom, popping, instability,
vsl 0.16 0.98 8 0.8571 BB
Step-offtest Step off test = gravity sign (in 70 graden)_
AKB Achterste-schuifladetest Achterste schuiflade 90 graden 0.91 0.98 45.5 0.0918 RL
Actieve-quadricepstest Let op: actieve quadricepstest in 70 graden
sMCL Valgus-stresstest (20°) 0.86 NB RL
Valgus-stresstest (0° en 20°) NB NB RL
AMRI-test Amri: Voorste schuiflade in 15 exo NB NB RL
PMC
Pt in buiklig, flexie knieen 30 graden, exo knieen via NB
Dial-test (30°) enkels (in df) NB RL
LCL Varus-stresstest (20°) NB NB RL
Varus-stresstest (0° en 20°) NB NB RL
PLC Pt in buiklig, flexie knieen 30 graden, exo knieen via
Dial-test (30° & 90°) enkels (in df), ook in knieen 90 graden (dan tevens NB NB RL
verdenking achterste kruisband)
Endo gecombineerd met valgus, exo gecombineerd 0.55
McMurray 0.77 2.3913 0.5844 RL
met varus
JLT-test 0.76 0.77 3.3043 0.3117 RL
passieve flexie 0.48 0.59 1.1707 0.8814 RL
Meniscus passieve extensie 0.36 0.86 2.5714 0.7442 RL
Thessaly mag eventueel ook (pt staat op 1
been, roteren in 5 en 20 graden), want
richtlijn heeft deze ook opgenomen), niet 0.97 0.97 32.333 0.0309 RL
in lessen
Cluster: pijn, ochtend stijfheid, functionele
Arthrose beperking, crepitaties, verdikking bij NB NB RL
palpatie, beperkte ROM (flexie/ext en
rotaties)
-beenlengteverschil
-actief/passief mn ext ad
-kracht abductoren
-kracht exorotatoren
-Noble compressietest Noble: pt ligt in zijlig. Fysio: compressie thv nb nb bb
ITBS epicondyle femum tijdens flexie extensie
Renne: compressie thv epicondyle femur tijdens
-Test van Renne uitvalspas nb nb bb
-Test van Ober NIET UITVOEREN
-Thomas test Thomas: iliopsoas test
Inspectie
-Palpatie (maar! laag sens/spec)
-Actief
-Passief onderzoek, inclusief enkel df
Jumpers (want risicofactor)
Knee
, Jumpers
Knee
-Weerstand 4ceps/hamstrings/plantairflex
-Lengtetests rectus/hamstrings
-Single leg decline squat 1 benige squat op schuine helling
-Keten: eventueel hoptsts
Ecccentric step test 1 been squat naar beneden, 2b omhoog 2.34 0.71
PatellaFemo Nijs,
raal Apprehension test patella lateraal duwen, dan van 30gr flexie naar max 2.26 0.79 2006
flexie
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