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Samenvatting revalidatie bovenste lidmaat (clinical reasoning) $6.25
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  7. Clinical reasoning

Summary

Samenvatting revalidatie bovenste lidmaat (clinical reasoning)
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  • Course
  • Clinical reasoning
  • Institution
  • Universiteit Gent (UGent)

Dit is een samenvatting van de revalidatie van het bovenste lidmaat binnen het vak clinical reasoning. Deze samenvatting bevat de anatomie van het bovenste lidmaat en revalidatie, pathologie en praktijk van de schouder afkomstig uit de boekjes van 3de bachelor. Ook hoor- en responscollege zijn hier...

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Document information

  • January 2, 2025
  • 31
  • 2023/2024
  • Summary

Subjects

  • bovenste lidmaat
  • schouder
  • revalidatie
  • clinical reasoning
  • anatomie

Written for

  • Universiteit Gent (UGent)
  • Revalidatiewetenschappen En Kinesitherapie
  • Clinical reasoning
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julmavandenbussche

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BL
Anatomie
Trapezius = pars descendens/transversa/ascendens

 Os occipitale – T12
 Clavicula/acromion/spina scapulae
 Elevatie/retractie/retractie – opwaartse rotatie

Levator scapulae

 Processus transversus C1-4
 Angulus superior, margo medialis
 Elevatie – neerwaartse rotatie

Rhomboideus minor/major

 Processus spinosi C7-T1/T2-5
 Margo medialis op/onder spina scapulae
 Retractie – neerwaartse rotatie

Subclavius: R1  onder clavicula, hulpAH

Pectoralis minor

 R3-5
 Processus coracoideus
 Protractie – depressie – hulpAH

Pectoralis major = pars clavicularis/sternocostalis/abdominalis

 Clavicula/sternum, R2-6/MRA
 Tuberculum majus
 Horizontale adductie – endorotatie – hulpAH

Serratus anterior

 R1-9
 Margo medialis
 Protractie, opwaartse rotatie, hulpAH, fixatie scapula tegen ribben

Supraspinatus Infraspinatus
 Fossa supraspinata  Fossa infraspinata
 Tuberculum majus  Tuberculum majus
 Abductie tot 90°, kapselspanner  Exorotatie

Teres minor Subscapularis
 Fossa infraspinata, margo lateralis  Fossa subscapularis
 Tuberculum majus  Tuberculum minus
 Exorotatie  Endorotatie




Teres major

,  Angulus inferior, margo lateralis
 Tuberculum minus
 Endorotatie

Latissimus dorsi

 Sacrum, crista iliaca, processus spinosi L5-1 & T12-7, R12-10, angulus inferior
 Tuberculum minus
 Retroflexie, adductie, endorotatie

Deltoideus = pars clavicularis/acromialis/spinalis

 Clavicula/acromion/spina scapulae
 Tuberositas deltoidea
 Anteflexie, horizontale adductie/abductie tot 90°/retroflexie, horizontale abductie

Triceps brachii = caput longum/laterale & mediale

 Tuberculum infraglenoidale/humerus lateraal & mediaal
 Olecranon
 Retroflexie, elleboogextensie/elleboogextensie

Anconeus

 Epicondylus lateralis humerus
 Olecranon
 Elleboogextensie, kapselspanner

Coracobrachialis

 Processus coracoideus
 Humerus (anterieur-mediaal)
 Anteflexie, adductie

Biceps brachii = caput longum/breve

 Tuberculum supraglenoidale/processus coracoideus
 Tuberositas radii, aponeurosis bicipitalis (ulna)
 Elleboogflexie met supinatie

Brachialis

 Humerus (anterieur)
 Tuberositas ulnae
 Elleboogflexie met pronatie




Oorsprong op epicondylus lateralis humeri

 Brachioradialis  processus styloideus radii elleboogflexie neutraal

,  Extensor carpi radialis longus  basis MC2 dorsiflexie, radiale deviatie
 Extensor carpi radilalis brevis  basis MC3 dorsiflexie, radiale deviatie
 Extensor digitorum communis  dorsaalaponeurose 2-5 extensie pols, MCP/PIP/DIP2-5
 Extensor digiti minimi  dorsaalaponeurose 5 extensie pols, MCP/PIP/DIP5
 Extensor carpi ulnaris  basis MC5 dorsiflexie, ulnaire deviatie

Oorsprong op epicondylus medialis humeri

 Pronator teres  radius pronatie
o Caput humerale: epicondylus medialis humeri
o Caput ulnare: processus coronoideus ulnae
 Flexor carpi radialis  basis MC2 palmairflexie, radiale deviatie
 Palmaris longus  aponeurosis palmaris palmairflexie
 Flexor digitorum superficialis  basis PM2-5 (x2)  KNOOP flexie pols, MCP/PIP2-5
o Caput humerale: epicondylus medialis humeri
o Caput ulnare: processus coronoideus ulnae
o Caput radiale: radius
 Flexor carpi ulnaris  os pisiforme, basis MC5 palmairflexie, ulnaire deviatie
o Caput humerale: epicondylus medialis humeri
o Caput ulnare: olecranon, margo posterior ulnae

Flexor digitorum profundus

 Ulna (anterieur), membrana interossea
 PD2-5
 Flexie pols, MCP/PIP/DIP2-5

Supinator

 Humerus, ulna
 Radius
 Supinatie

Pronator quadratus

 Ulna (anterieur)
 Radius (anterieur)
 Pronatie

Snuifdoos

 Abductor pollicis longus
 Extensor pollicis brevis
 Extensor pollicis longus

Extensor indices

 Ulna
 Dorsaalaponeurose 2
 Extensie pols, MCP/PIP/DIP

Thenar = duimmuis Hypothenar = pinkmuis
 Abductor pollicis brevis  Abductor digiti minimi
 Flexor pollicis brevis  Flexor digiti minimi

,  Opponens pollicis  Opponens digiti minimi


Adductor pollicis

 Caput obliquum = schuin
caput transversum = horizontaal
 Basis PP1
 Adductie, flexie MCP, extensie IP

Palmaris brevis

 Aponeurosis palmaris
 Hypothenar
 Huid hypothenar samentrekken, bescherming AN ulnaris

Lumbricales Interossei plantares/dorsales
 M. flexor digitorum profundus  Tussen carpalen
 Basis PP  Basis PP
 Flexie MCP, extensie PIP/DIP  Adductie/abductie, flexie MCP, extensie
PIP/DIP




Radius – ulna  os scaphoideum – lunatum – triquetrum – pisiforme  os trapezium –
trapezoideum – capitatum – hamatum



Glenohumerale gewricht

 LPP: 40-50° elevatie in scapulair vlak, neutrale rotatie
 CPP
o Antero-inferieure deel kapsel: max. EXO in 90° ABD
o Posterieure deel kapsel: max. ENDO in 90° ANTE
 Kapsulair patroon
o Antero-inferieure deel kapsel: EXO > ABD > ENDO
o Posterieure deel kapsel: ENDO in 90° ABD, horizontale ABD

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