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FMH femurschachtfractuur
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Fysiotherapeutisch methodisch handelen bij een femurschacht fractuur. Onderzoek en behandeling.
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FemurschachtfractuurFMH
Vries de, Maxime (1913638)
Zuyd hogeschool
,Inhoudsopgave
Anamnese ........................................................................................................................................................ 3
Inspectie .......................................................................................................................................................... 4
Statische inspectie: ............................................................................................................................................. 4
Dynamische inspectie/functioneel ...................................................................................................................... 4
Steun nemen op aangedane been ...................................................................................................................... 4
Onderzoek Test passieve structuren heup ........................................................................................................ 5
Flexie (120°), zacht eindgevoel ....................................................................................................................... 5
Extensie (15°/20°) elastisch eindgevoel ......................................................................................................... 5
Abductie (45°, gebogen knie 50°) elastisch eindgevoel ................................................................................. 5
Adductie (20°/25°) elastisch eindgevoel ........................................................................................................ 6
Endorotatie (45°) elastisch eindgevoel ........................................................................................................... 6
Exorotatie (70°) elastisch eindgevoel ............................................................................................................. 6
Test actieve structuren heup............................................................................................................................... 7
Flexie .............................................................................................................................................................. 7
Extensie .......................................................................................................................................................... 7
Abductie ......................................................................................................................................................... 7
Adductie ......................................................................................................................................................... 8
Endorotatie..................................................................................................................................................... 8
Exorotatie ....................................................................................................................................................... 8
Test passieve structuren knie .............................................................................................................................. 9
Intra-articulaire zwelling ................................................................................................................................ 9
Flexie (160 graden), zacht eindgevoel ............................................................................................................ 9
Extensie (10 graden), ligamentair hard eindgevoel ........................................................................................ 9
Exorotatie ( 45 graden), elastisch eindgevoel .............................................................................................. 10
Endorotatie ( 15 graden), elastisch eindgevoel ............................................................................................ 10
Abductie met extensie (0 graden), elastisch eindgevoel ............................................................................. 10
Abductie met 20 graden flexie knie (11 graden), elastisch eindgevoel ........................................................ 10
Adductie met extensie (0 graden), elastisch eindgevoel .............................................................................. 11
Adductie met 20 graden flexie knie (11 graden), elastisch eindgevoel ........................................................ 11
Test actieve structuren ..................................................................................................................................... 11
Flexie ............................................................................................................................................................ 11
Extensie ........................................................................................................................................................ 12
Fasisch/kracht-onderzoek heup ........................................................................................................................ 13
M. gluteus maximus ..................................................................................................................................... 13
M. gluteus medius en minimus .................................................................................................................... 13
Tonisch/spierlengte-onderzoek van de spieren die over de heup en de knie lopen .......................................... 14
M. iliopsoas .................................................................................................................................................. 14
M. rectus femoris ......................................................................................................................................... 15
M. tensor fascioa latae ................................................................................................................................. 16
Mm. hamstring ............................................................................................................................................. 16
Mm. adductors ............................................................................................................................................. 17
Testen voor de actieve stabiliteit van de knie ................................................................................................... 18
, Y-ebt ............................................................................................................................................................. 18
Op één been, onstabiele ondergrond .......................................................................................................... 19
Weerstand knie ............................................................................................................................................ 19
Behandeling ................................................................................................................................................... 20
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