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Samenvatting palpatie heup

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palpatie technieken van de heup

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  • January 23, 2021
  • 8
  • 2019/2020
  • Summary
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Palpatie heup
Spina iliaca anterior posterior (SIAS)
 Ventrale deel crista iliaca
 Ruglig patiënt
 Liesplooi volgen
o Lateraal-superior

 Spieren origo
o M. sartorius
o M. tensor fasciae latae
 Anteflexie + abductie
Lig. Inguinale
 Liesplooi volgen vanuit SIAS
o Caudaal-mediaal gaan


Tuberculum pubicum
 Voelbare botverhevenheid na lig. Inguinale

 Origo
o M. adductor longus (caudaal deel tuberculum)

 Vanuit caudaal deel
o Caudaal palperen tot botverhevenheid = symphysis pubicum
 Bilateraal -> tubercula pubica
Crista iliaca
 Buiklig
 SIAS (ventraal) -> SIPS (dorsaal)
 Hoogte niveau = L4


SIPS
 Crista iliaca volgen -> dorsaal-mediaal-caudaal -> tot verdikking
 Kuiltje ter hoogte SIPS -> caudaal palperen
 SIPS verbinden -> verbindingslijn = S2

, Tuber ischiadicum
 Buiklig
 Midden horizontale bilplooi

 Zijlig
 Heupen in flexie
o M. gluteus maximus -> craniaalwaarts verplaatst
 Oppervlakkig liggen tuber ischiadicum
 Origo
o M. hamstrings
o M. adductor magnus
o Lig. Sacrotuberale


Trochanter major
 Ruglig
 Abductie been
o Depressie boven trochanter major


M. sartorius
 Origo: SIAS
 Spiraalvormig mediaal-distaal op bovenbeen
o Kruisen
 M. rectus femoris
 M. adductor longus

 Dorsaal condylus medialis femoris
 Insertie: ventrale zijde tibia

 Proximaal zichtbaar maken spier
o Heup exorotatie
o Heup abductie
o Anteflexie
o Knie gebogen

o Weerstand geven tegen abductie

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