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Samenvatting 95 pagina's aan uitgewerkte pathologieën opleiding fysiotherapie $11.20
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Samenvatting 95 pagina's aan uitgewerkte pathologieën opleiding fysiotherapie

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  • Course
  • Pathologie
  • Institution
  • Avans Hogeschool (Avans)

In de afgelopen jaren van de studie fysiotherapie heb ik alle behandelde pathologieën uitgewerkt. In het document staat de pathologie beschreven, de symptomen, de behandeling, de testen en overige informatie.

Last document update: 3 year ago

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Document information

  • November 14, 2021
  • December 27, 2021
  • 106
  • 2021/2022
  • Summary

Subjects

  • pathologieën enkel
  • pathologieën knie
  • pathologieën
  • pathologieën heup
  • pathologieën rug
  • pathologieën schouder
  • pathologieën elleboog
  • pathologieën pols
  • pathologieën longen
  • pathologieën hand

Written for

  • Avans Hogeschool (Avans)
  • Fysiotherapie
  • Pathologie
All documents for this subject (26)

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Fysiotherapie



Pathologieën
Knie, heup, enkel, voet, schouder, elleboog, pols, hand, rug en overige




Loes van Roovert
1-1-2021

,Inhoud
Knie.........................................................................................................................................................6
Voorste kruisband gescheurd.............................................................................................................6
Achterste kruisband gescheurd..........................................................................................................6
Patella luxatie....................................................................................................................................7
Acuut meniscus letsel.........................................................................................................................7
Gon-artrose........................................................................................................................................8
Gon-artritis.........................................................................................................................................9
Jumpers knee......................................................................................................................................9
Iliotibiale bandsyndroom (runners knee).........................................................................................10
Patellofemoraal pijnsyndroom (PFPS).............................................................................................11
Patellofemorale instabiliteit............................................................................................................11
Lateraal patella compressie syndroom.............................................................................................12
Gescheurde patellapees...................................................................................................................12
Fractuur............................................................................................................................................13
Kraakbeen letsel...............................................................................................................................13
Osgood Schlatter..............................................................................................................................13
Sinding-Larsen-Johansson.................................................................................................................14
Surmenage meniscus........................................................................................................................14
Plica..................................................................................................................................................15
PMC..................................................................................................................................................15
PLC....................................................................................................................................................16
LCL....................................................................................................................................................16
MCL..................................................................................................................................................16
Zweepslag hamstrings......................................................................................................................17
Lege tabellen....................................................................................................................................18
Heup.....................................................................................................................................................18
Laterale/centrale kanaalstenose......................................................................................................18
Trochantor major pijnsyndroom.......................................................................................................19
Adductorentendinopathie................................................................................................................19
FAI (femoro-acetabulair impingement)............................................................................................20
Coxartrose........................................................................................................................................21
Liespijn..............................................................................................................................................22
Perthes (morbus Legg-Calvé-Perthes)..............................................................................................22
Piriformis syndroom.........................................................................................................................23

1

, Fractuur............................................................................................................................................23
Enkel.....................................................................................................................................................26
Weberfractuur/stressfractuur..........................................................................................................26
Maisonneuve fractuur/art. talocruralis............................................................................................26
Avulsiefractuur metatarsale V..........................................................................................................26
Marsfractuur.....................................................................................................................................27
Enkeldistorsie inversietrauma..........................................................................................................27
Enkeldistorsie eversietrauma...........................................................................................................28
Syndesmoseletsel.............................................................................................................................29
Osteochondraal letsel.......................................................................................................................29
Corpus liberum.................................................................................................................................30
Impingement dorsaal en anterieur...................................................................................................30
Achillespeestendinopathie...............................................................................................................31
Achillespeesruptuur..........................................................................................................................31
Acuut compartimentsyndroom........................................................................................................32
M. Sever...........................................................................................................................................33
Enkelartrose.....................................................................................................................................33
Mediaal tibiaal stress syndroom (springschenen)............................................................................33
Zweepslag kuit..................................................................................................................................34
Posterieur impingement (PIES).........................................................................................................34
Lege tabellen....................................................................................................................................35
Voet......................................................................................................................................................35
Mortons neuroom............................................................................................................................35
Fasciosis plantaris (hielspoor)...........................................................................................................36
Sesamoïditis metatarsale I................................................................................................................36
Hallux valgus.....................................................................................................................................37
Pes planus.........................................................................................................................................37
Lege tabellen....................................................................................................................................38
Schouder..............................................................................................................................................38
Frozen shoulder................................................................................................................................38
Multidirectionele instabiliteit...........................................................................................................39
Tendinopathie rotator cuff...............................................................................................................40
SAPS..................................................................................................................................................40
Labrum laesie...................................................................................................................................41
SLAP laesie........................................................................................................................................41
Anterieure instabiliteit......................................................................................................................42

2

, Posterieure instabiliteit....................................................................................................................42
Ruptuur rotator cuff.........................................................................................................................43
AC-pathologie...................................................................................................................................43
Scapulaire dyskinesie........................................................................................................................44
GIRD..................................................................................................................................................45
Artrose..............................................................................................................................................45
Plexus brachialis letsel......................................................................................................................45
Slijmbeursontsteking schouder........................................................................................................46
Elleboog................................................................................................................................................47
Cubitale tunnel syndroom................................................................................................................47
Tennis elleboog (epicondalgia lateralis.............................................................................................48
Golfers elleboog (epicondalgia medialis)..........................................................................................49
Pronator teres syndroom (N. medianus)..........................................................................................49
Radiale tunnelsyndroom (N. radialis)...............................................................................................50
Werperselleboog (mediale instabiliteit)...........................................................................................51
Biceps pees ruptuur..........................................................................................................................52
Subluxatie van de n. ulnaris..............................................................................................................52
Artrose..............................................................................................................................................52
Kraakbeenlaesie...............................................................................................................................53
Capsulitis en synovitis.......................................................................................................................53
Plica syndroom.................................................................................................................................54
Insertietendinopathie triceps...........................................................................................................54
Pols.......................................................................................................................................................55
Carpaal tunnelsyndroom (n. medianus)...........................................................................................55
Tunnel van Guyon (n. ulnaris)...........................................................................................................56
Roeierspols/intersectiesyndroom.....................................................................................................57
Morbus de Quervain (kappersduim).................................................................................................58
Tenosynovitis van de m. extensor carpi ulnaris................................................................................58
Scaphoideumfractuur.......................................................................................................................59
Distale radio-ulnaire instabiliteit (DRU)...........................................................................................59
TFCC-problematiek...........................................................................................................................59
Distorsie art. manus..........................................................................................................................60
Pseudoartrose..................................................................................................................................60
Lege tabellen....................................................................................................................................60
Hand.....................................................................................................................................................61
Skiduim.............................................................................................................................................61

3

, CMC artrose......................................................................................................................................62
Lege tabellen....................................................................................................................................62
Rug/nek................................................................................................................................................62
Lumbale radiculopathie....................................................................................................................62
Cervicale radiculopathie...................................................................................................................63
SI-gewricht........................................................................................................................................64
Aspecifieke lage rugklachten............................................................................................................65
Specifieke lage rugpijn......................................................................................................................65
Hernia (lumbosacrale radiculopathie)..............................................................................................66
Wervelfractuur.................................................................................................................................67
Lumbale kanaalstenose....................................................................................................................67
Bekkeninstabiliteit............................................................................................................................68
Scoliose.............................................................................................................................................68
Nekpijn.............................................................................................................................................69
Nekpijn graad 1.................................................................................................................................70
Nekpijn graad 2.................................................................................................................................71
Nekpijn graad 3.................................................................................................................................72
Nekpijn graad 4.................................................................................................................................72
Maligniteit rug..................................................................................................................................73
Osteoporotische fractuur/wervelfractuur........................................................................................73
Bechterew (Spondylitis ankylopoetica).............................................................................................74
Spondylolistheses/spondylolyse.......................................................................................................75
Zwangerschap gerelateerde bekkenpijn...........................................................................................77
Cauda equina syndroom...................................................................................................................78
TOS...................................................................................................................................................78
Whiplash...........................................................................................................................................79
Torticollis..........................................................................................................................................80
Ziekte van Klippel-Feil.......................................................................................................................80
Discopathie.......................................................................................................................................80
Perifeer neurologisch...........................................................................................................................82
Myopathie........................................................................................................................................83
Overige pathologieën Duizeligheid...................................................................................................86
Hoofdpijn..........................................................................................................................................87
Hoog cervicale instabiliteit...............................................................................................................89
Diepe veneuze trombose..................................................................................................................90
Claudicatio intermittens (etalagebenen)..........................................................................................90

4

, Maligniteit LWK................................................................................................................................91
Reffered pain abdomen....................................................................................................................91
Liesbreuk (Hernia inguinalis)............................................................................................................92
KANS klachten..................................................................................................................................92
Reffered pain internen (hart/longen)...............................................................................................93
Complex regionaal pijnsyndroom (CRPS) (dystrofie)........................................................................93
Diabetes mellitus type 1...................................................................................................................94
Diabetes mellitus type 2...................................................................................................................95
Jicht artritis.......................................................................................................................................95
Bacteriële artritis..............................................................................................................................96
Reumatoïde artritis...........................................................................................................................96
Urineweginfectie..............................................................................................................................97
Nierbekkeninfectie...........................................................................................................................98
Ziekte van Kahler (multipel myeloom)..............................................................................................98
Osteoporose.....................................................................................................................................99
Ehlers-Danlos syndroom.................................................................................................................100
Longen...............................................................................................................................................103
Theorie...........................................................................................................................................105




5

,Knie
Voorste kruisband gescheurd
Voorste kruisband
Wat Scheuring voorste kruisband
Symptomen -Snelle zwelling knie
-Pop-sign
-Instabiliteitsklachten
-Verminderde neuromusculaire controle
-Giving away
-Haematros
Oorzaken -Hyperextensie trauma
-Valgus onderbeen met flexie-exorotatie femur
Behandelin -Minimaal herstel van 6 maanden
g -Pre en post OK: trainen uithoudingsvermogen, spierkracht en coördinatie
quadriceps en hamstrings (spieren rondom knie)
Testen -Lachman
-Pivot shift
-Voorste schuiflade
-VKB cluster:
*Zwelling
*Pop-sign
*Instabiliteit
*Positieve schuifladetest
Risico -Vaak bij jonge mensen tussen 15-40 jaar
-Vaker bij vrouwen
Overig -VKB is doorbloed en heeft een proprioceptieve en stabiliserende functie
-Verkleeft bij herstel soms met AKB
-Kans dat meniscus ook is aangedaan
-54% krijgt na 10 jaar na operatie gonartrose
Prevalentie 1 op de 1000
Pluis? Bij ernstig letsel naar de huisarts
Sneltest Schuiflade


Achterste kruisband gescheurd
Wat Cruciatum posterius
Symptomen -Snelle zwelling knie
-Haematros
-Giving way
-Pop-sign
Oorzaken -Trauma moment (ongeval of sportletsel)
-Bij kracht op de voorkant van de tibia terwijl de knie gebogen is (dashboard)

6

, -Hyperflexiestand (iemand stapt op bovenbeen)
-Hyperflexiestand (iemand valt op de knie)
Behandelin Zie voorste kruisband
g
Testen -Achterste schuiflade
-Step off test
-Actieve quadriceps test
-AKB cluster:
*Zwelling
*Pop-sign
*Instabiliteit
*Positieve schuifladetest
Risico -Sporters van jongere en middelbare leeftijd
Overig -Meest stevige band in het kniegewricht
-Functie: beperken beweging tibia richting dorsaal
Prevalentie
Pluis? Bij ernstig letsel naar de huisarts
Sneltest Schuiflade


Patella luxatie
Wat Patella luxatie
Symptomen -Knieschijf schiet meestal naar lateraal
-Meestal snel zelf weer terug in positie
-Ontstaan van instabiliteit
-Gezwollen knie
-Pijn is minder wanneer de knieschijf weer terug schiet
Oorzaken -Letsel bij sport (vooral waarbij plots en snel gedraaid wordt: voetbal, handbal)
-Aangeboren afwijkingen
Behandelin -3-6 maanden intensief trainingstraject waarbij de stabiliteit van de beenspieren en
g romp/heupspieren worden versterkt
Testen
Risico -Rond/ na de groeispurt > spiergroei gaat langzamer dan botgroei
-Tussen 10 en 30 jaar
-Vaker voor bij vrouwen dan bij mannen
Overig Bij mensen die eerder een patella luxatie hebben gehad is de kans veel groter dat
dit nog een keer gebeurt


Acuut meniscus letsel
Acuut meniscus letsel
Wat Een scheur in de binnenste en/of buitenste meniscus. Soms kan een stukje in het
scharnierende deel schieten.
Symptomen -Pijn aan de kant van de gescheurde meniscus
-Provocerend: traplopen, hurken, draaibewegingen
-Slotklachten mogelijk
-Verminderde extensie
-Pijn bij drukken op de gewrichtsspleet
-Hydrops
-Crepetaties
Oorzaken -Letsel > verdraaiing van gebogen knie

7

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