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Samenvatting Bewegingsanalyse en Pathologie II (ABAPATH II)
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Samenvatting Bewegingsanalyse en Pathologie LET OP! Alleen B&A deel, wel volledig!
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By: oscar_blikie • 6 year ago
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Bewegingsanalyse en Pathologie IIHoorcollege 1; Aandoeningen van de hand
Reuma
Vingers buigen vaak naar ulnair + bult aan ulnaire zijde. Reuma start dan ook vaak bij de
proc. styloideus van de ulnae; eerste symptomen
Distale interfalangeale gewrichten (DIP) niet aangedaan, andere gewrichten vingers wel
Artrose wel vaak in de laatste gewrichtjes
Reumatoïde artritis
Eerst worden vaak de kootjes dik (vochtophoping).
Ontstaat vanuit synoviale membraan, macrofagen
worden actief.
Op röntgen worden de gewrichtsspleetjes steeds
kleiner + erosie osteoclasten ‘’vreten’’ het bot weg.
Bot wordt dunner (demineralisatie).
Mallet vinger
Afgebroken fractuur in DIP (bij balrecht op vingertop, waardoor deze omhoog knalt) of
afgescheurde pees over DIP door dubbelklappen vingertop.
Bot afgebroken: ossale mallet vinger
Pees afgebroken: lendineuze mallet vinger
Fractuur of pees scheur genezen kunnen mensen vaak niet meer actief strekken in DIP,
passief wel
m. extensor digitorum niet meer gespannen over de laterale slipper, dus kunnen niet
meer extenderen over de DIP. Daarom moet fractuur weer op dezelfde plek terug
worden gezet.
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