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Lesaantekeningen extramuraal kw2 jr2
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Aantekeningen van alle lessen extramuraal kw2 jr2
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Extramuraal. Jaar 2, kwartaal 2. Week 1____________________________________________________
Piet van Leeuwen.
Wat zou piet kunnen hebben?
- Mediale meniscus
Verstapping, instabiliteit, pijn aan de mediale zijde, lichte zwelling.
- Mediale collaterale band
Giving way, trauma moment, gevoel van instabiliteit,
- Artrose
Instabiliteit en stram gevoel, pijn bij traplopen, lang open en staan is moeizaam door
stramheid en pijn, steeds meer O stand, recidiverende zwelling.
Artrose + Post OK meniscectomie.
Artrose: Stramheid/stijfheid, toenemende pijn tijdens belasting, ook in rust, ontstaan kan langzaam
zijn, beloop is progressief, leeftijd, krachtsverlies, O-benen, intensief gesport, korte episodes van
zwelling.
Wat wordt je onderzoek?
- Gangpatroon effen/oneffen ondergrond.
- Traplopen en in/uit een auto stappen.
- Ontstekingsverschijnselen
- Zwelling middels ballotement/strijktest.
- ROM flexie
- Capsulair patroon
- Meniscustesten: Tessaley en Mcmurray test.
- Krachten van quadriceps en hamstrings.
- Valgus/Varustest.
- Pijnlijke gewrichtsspleet middels palpatie.
Gebruiken.
- Richtlijn meniscectomie
- Richtlijn artrose
Belangrijk om te vragen.
- Hulpvraag
- Beloop
- Medicatie.
- Wanneer geopereerd?
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