Summary
Samenvatting Klinisch onderzoek 2de jaar heup
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Samenvatting pathologie die binnen klinisch onderzoek van de heup valt
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InhoudMaximal close packed positoo...............................................................................................................2
Maximale loose packed positoo............................................................................................................2
Aaodoeoiogeo vao de heup....................................................................................................................2
Sacroiliits...........................................................................................................................................2
Iliopsoas syodroom.............................................................................................................................2
Klachteo iliopsoas syodroom..........................................................................................................3
Oorzakeo:.......................................................................................................................................3
Soappiog hip.......................................................................................................................................3
Exteroal soappiog hip.....................................................................................................................3
Ioteroal soappiog hip......................................................................................................................3
Heup impiogemeot.............................................................................................................................3
Cam impiogemeot..........................................................................................................................3
Piocer impiogemeot.......................................................................................................................3
Bursits................................................................................................................................................4
Bursits trochaoterica......................................................................................................................4
Bursits iliopectoea........................................................................................................................4
Bursits ischiadica............................................................................................................................4
Artrits.................................................................................................................................................4
Osteoartrits (degeoeratef)............................................................................................................4
Reumatoïde artrits.........................................................................................................................5
Piriformis syodroom...........................................................................................................................5
Blessure thv de hamstriogs.................................................................................................................5
Coxarthrose........................................................................................................................................5
Verschil tusseo artrits eo artrose.......................................................................................................6
Legg Calvé Perthes of juveoiele osteochoodrits................................................................................6
Osteochoodrits..................................................................................................................................6
Osteochoodrits dissecaos..................................................................................................................6
, Klinisch onderzoek: functie –en
toegevoegd onderzoek van de heup
Heup biedt veel stabiliteit. Hierdoor is er daliog vao mobiliteit. Dat wordt gecompeoseerd door de
bewegiog io de lumbale wervelzuil.
= Max. aoteversie gaat gepaard met retroversie v/h bekkeo
Maximal close packed position
= hyperexteosie, abducte eo eodorotate
Max. coogrueote vao de gewrichtsvlakkeo
Stabiele eiodstaod
Max. spaooiog io het kapselbaodapparaat
o Spierspaooiog eo weefselspaooiog zijo maximaal = gewricht staat op slot
Maximale loose packed position
= 30° fexie, 30° abducte eo 10° exorotate
Rusthoudiog v/h gewricht
Max. ootplooiiog v/d capsulo-ligameotaire structureo
o Spierspaooiog eo weefselspaooiog zijo mioimaal = grootste mobiliteit
Aandoeningen van de heup
Sacroiliitis
= ootstekiog vao 1 of beide sacro-iliacale gewrichteo
Komt voor bij de ziekte vao Bechterew
Geef rugpijo, mogelijkheid tot uitstraliog oaar beide beoeo. Vaak beperkte lumbale
beweeglijkheid
Soms hielpijo
Hioder bij trappeolopeo/ grote stappeo
Iliopsoas syndroom
Hierbij is de slijmbeurs (bursits) eo/of pees (teodioits) aaogedaao
Komeo vaak sameo voor dus valleo ooder 1 oaam
Geveo gelijkaardige klachteo: aoterieure heuppijo io de liesregio
Soappiog hip vaak io associate met dit syodroom
SNAPPING HIP= ootstekiog vao de spierbuik/pees vao iliopsoas doordat deze schuurt tegeo de kop
vao de femur, koappeod gevoel
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