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Summary

Samenvatting schouderklachten

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Dit is een document die je kan helpen om te leren voor de theorie toets en praktijktoets over de schouder.

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  • July 3, 2023
  • 57
  • 2022/2023
  • Summary
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Schouderklachten

,2

, Inhoudsopgave
Anatomie van de schouder 4

Therapeutisch proces 5
Screening 5
Anamnese 7
Beloop 8
Prognostische factoren 8
Lichamelijk onderzoek

Indeling schouderklachten 9

Indeling volgens de NHG-richtlijn 10

SAPS 11
Impingement 11
Rotator cuff tendinopathie 13
Tendinitis calcarea 16
Biceps peesruptuur (& SLAP-laesie) 18
Bursitis subacromialis 21
Rotator cuff ruptuur 25

Glenohumerale gewrichtsklachten 28
Frozen shoulder 28
Artrose 31

Overige schouderklachten 39
Glenohumerale instabiliteit 39
Aandoening van de cervicale wervelkolom 42
Aandoening van de plexus brachialis 46
Schouderluxaties 49
AC-luxaties 52
Scapulaire dyskinesie 55

Mobilisatie 56




3

, Anatomie van de schouder
Bewegingsuitslagen schoudergordel in zijn geheel
- Maximale anteflexie: 170-180 graden
- Maximale retroflexie: 50-60 graden
- Maximale abductie: 160-180 graden
- Maximale adductie: 50-75 graden
- Maximale endorotatie: 60-100 graden

Bewegingsuitslagen SC gewricht
- Protractie: 30 graden
- Retractie: 30 graden
- Elevatie: 50 graden
- Depressie: 5 graden
- Rotatie om de lengte as, waarbij de voorzijde van de clavicula naar boven draait:
40 graden

Bewegingsuitslagen AC gewricht
- Elevatie – detractie: de totale verplaatsing bedraagt 10-12 cm
- Protractie - retractie: de totale verplaatsing bedraagt 15 cm
- Laterorotatie - mediorotatie: de totale verplaatsing bedraagt 10 cm




Therapeutisch proces
4

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