Samenvatting van de meest voorkomende aandoeningen aan de hand en pols. Alles wat je moet weten voor de HOCK. Check ook de andere samenvattingen van de pathologieën! Ook in bundel te koop.
PATHOFYSIOLOGIE
Beginfase (meer een itis beeld)
- Tenosynovitis/tenovaginitis
- Abductor pollicis longus (APL) en extensor pollicis brevis (EPB)
- Ter hoogte van de 1e extensor loge/retinaculum
Chronische fase (meer een ose beeld):
- Tendinose (degeneratie pees)
- Degeneratie/fibrosering en (harde) verdikking peesscheden/retinaculum nauwere
tunnel verminderde glijfunctie pezen
SYMPTOMATOLOGIE
- Pijn radiale zijde pols (thv 1e loge)
- Zwelling (zacht in acute fase, hard in chronische fase door fibrosering)
- Duim extensie en abductie pijnlijk
- Rek APL/EBP pijnlijk (Finkelstein)
- Grijpbewegingen pijnlijk
- In acute fase: temperatuurverhoging
DIAGNOSTIEK
TEST SENSITIVITEI SPECIFICITEIT
T
TEST VAN FINKELSTEIN NA NA
3
PATHOLOGIEËN POLS EN HAND | THIM VAN DER LAAN
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