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Samenvatting PAS Echografie

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Alles duidelijk en uitgebreid uitgelegd over hoe je de structuren vind en scant.

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  • November 2, 2022
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  • 2022/2023
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Samenvatting Echografie




Elisanne Kamperman
Hogeschool Saxion
Enschede
2022

,Inhoud
Algemene informatie......................................................................................................................... 1
Schouder........................................................................................................................................... 3
Positie 1: lange kop biceps............................................................................................................. 3
Positie 2: subscapularis pees.......................................................................................................... 4
Positie 3: ventrale structuren en coracoacromiaal ligament...........................................................5
Positie 4a/b: Supraspinatus............................................................................................................ 6
Positie 5: Infaspinatus en teres minor............................................................................................. 6
Positie 6: Posterior structuren (labrum) en Gleno-humeraal gewricht.............................................7
Positie 7: AC gewricht..................................................................................................................... 8
Knie................................................................................................................................................... 9
Positie 1: Quadricepspees............................................................................................................... 9
Positie 2: Suprapatellair parapatellair gewricht receccus................................................................9
Positie 3: Trochlea femur.............................................................................................................. 10
Positie 4: Patellapees.................................................................................................................... 10
Positie 5: MCL en pes anserinus.................................................................................................... 11
Positie 6: Tractus iliotibialis.......................................................................................................... 11
Positie 7: LCL................................................................................................................................ 12
Positie 8: Pezen mediaal............................................................................................................... 12
Positie 9: Semimembranosus en gastrocnemius bursa.................................................................13
Positie 10: Postolaterale hoek en biceps femoris.......................................................................... 13
Enkel............................................................................................................................................... 14
Positie 1: Extensoren.................................................................................................................... 14
Positie 2: Ventrale kapsel enkel.................................................................................................... 14
Positie 3: Lig. Talofibularis anterior............................................................................................... 15
Positie 4: Lig. Tib fibularis............................................................................................................. 15
Positie 5: Lig. Calcaneofibulare..................................................................................................... 15
Positie 6: Mid tarsale ligamenten.................................................................................................. 16
Positie 7: Peroneus pezen............................................................................................................. 16
Positie 8: Mediaal: tib. Posterior, flex. Dig long............................................................................. 16
Positie 9: Flexor hallucis longus transversaal................................................................................ 17
Positie 10: Lig. Deltoideum........................................................................................................... 18
Positie 11: Flexor Hall. Longus longitudinaal en dorsale kapsel.....................................................18
Positie 12: Achillespees................................................................................................................ 18
Positie 13: fascia plantaris............................................................................................................ 19


Algemene informatie

- Mediaal: binnenkant
- Lateraal: buitenkant
- Craniaal: boven (cr = kruin)
- Caudaal: onder
- Ventraal: voorkant (borstzijde)

, - Distaal: achterkant (rugzijde)



De probe kan je op 2 verschillende manieren positioneren:

- Transversaal: dwars op te scannen structuur
- Longitudinaal: over de lengte op de structuur



Tijdens de echo kijk je naar:

- onderbrekingen
- homogeniteit (of een structuur er overal hetzelfde uitziet)
- vocht
- calcificaties
- verdikkingen door middel van ontstekingen of vocht
- links rechts verschil

De ligamenten hoeven tijdens het performance assessment alleen over longitudinaal te worden
gescand. Zodra er sprake is van afwijkingen in het longitudinale beeld scan je de ligamenten ook
transversaal.

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