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College aantekeningen Pathologie Van Het Bewegingsapparaat : Maartje Hooghiemstra R145,48   Add to cart

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College aantekeningen Pathologie Van Het Bewegingsapparaat : Maartje Hooghiemstra

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zeer uitgebreide samenvatting van alle lessen met notities.

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  • December 22, 2022
  • 294
  • 2022/2023
  • Class notes
  • Maartje hooghiemstra
  • All classes
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Pathologie van het bewegingsapparaat
Inhoud
Les 1 orthopedie ......................................................................................................................... 2
Opbouw van de lessen ............................................................................................................... 2
Begrip orthopedie ...................................................................................................................... 2
Orthopedisch letsel .................................................................................................................... 2
Etiologie ...................................................................................................................................... 3
Diagnose van orthopedisch letsel .............................................................................................. 4
anamnese ............................................................................................................................... 4
Inspectie / observatie ............................................................................................................. 5
Klinisch onderzoek.................................................................................................................. 5
Functioneel onderzoek ........................................................................................................... 6
Neurologisch onderzoek ........................................................................................................ 6
Medische beeldvorming (mbv)/radiologie............................................................................. 6
RX:....................................................................................................................................... 6
CT-scan ............................................................................................................................... 8
MRI/NMR............................................................................................................................ 9
Echografie ........................................................................................................................... 9
Skeletscintigrafie (botscan) .............................................................................................. 10
Elektrofysiologisch onderzoek: emg en zenuwbeleidingonderzoek ................................ 11
Arthroscopie: kijkoperatie ................................................................................................ 12
Medische overconsumptie ............................................................................................... 13
Behandeling orthopedische letsels .......................................................................................... 14
Preventief ............................................................................................................................. 14
Conservatief ......................................................................................................................... 14
Medicamenteus................................................................................................................ 14
Immobilisatie .................................................................................................................... 16
Kinesitherapie en ergotherapie........................................................................................ 16
Operatief .............................................................................................................................. 16
Operatie bot ..................................................................................................................... 16
Operatie gewricht............................................................................................................. 17
Operatie pees ................................................................................................................... 17

1

, Operatie ligament ............................................................................................................ 17
Operatie zenuw ................................................................................................................ 17
Amputatie ......................................................................................................................... 17
Post operatiev
Laag- energetische traumamechanisme: behandeling ........................................................ 19
Soorten traumatologische letsels ............................................................................................ 19
Spier en peesletsels .............................................................................................................. 20
Ruptuur............................................................................................................................. 20
Contusie/crush letsel ........................................................................................................ 21
Myositis ossificans ............................................................................................................ 21
Compartimentsyndroom .................................................................................................. 21



Les 1 orthopedie
Opbouw van de lessen
Bestaat uit:
- Anatomie
- Arthokinematica
- Biomechanica

Pathologie:
- Pathofysiologie
- Epidemiologie en risicofactoren
- Symptomen
- Onderzoek en behandeling



Begrip orthopedie
= paramedisch specialisme
specialisme dat zich bezighoudt met de
behandeling van afwijkingen en ziekten
van het steun- en bewegingsapparaat.
Orthos= recht
Pedisch = kind



Orthopedisch letsel
Verzamelnaam voor letsels en aandoeningen aan steun en bewegingsapparaat

2

,Verworven:
- Accuut: breuk na val
- Chronisch: artrose
Aangeboren: klompvoet



Etiologie
= oorzaakleer




3

, Biopsychosociaal
Multifactorieel

Leeftijd speelt een belangrijke rol
Gender: sommige dingen komen meet voor bij mannen of vrouwen
Algemene gezondheid: bmi enzo

Inciting events: hoe het gewricht beweegt



Diagnose van orthopedisch letsel
1. Anamnese
2. Inspectie/ observatie
3. Klinisch onderzoek: basis functie onderzoek en toegevoegd odnerzoek
4. Functioneel onderzoek
5. Neurologisch onderzoek
6. Mbv: medische beeldvorming
7. Labo: bvb bloedtesten


anamnese
• Meest belangrijke onderdeel!
• Vorming van hypothese
• Open vragen stellen (wees niet suggestief)
- Niet: wat kan je mij vertellen over knie, maar wat brengt je hier
• Aandacht voor ADL
- Wat maakt het specifiek lastig in het dagelijkse leven
• Rode/gele vlaggen
- Rode vlaggen: koorts,… kan aanduiding zijn van zwaardere ziekte
- Gele vlaggen: meer psychologisch, patienten die heel negatief zijn over
diagnose
• Verwachꢂngen/hulpvraag/aanmeldingsvraag paꢂënt
• Oefenen, oefenen, oefenen

http://www.wikifysio.nl/index.php/Rode_vlaggen_overzicht



4

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