Liespijn in de praktijk .........................................................................................................................................................................11
Anamnese .............................................................................................................................................................................................. 11
Take home message ..........................................................................................................................................................................24
Addendum: scoring volgens Doha classificatie ..................................................................................................................................25
Hoorcollege 27/2 - De evaluatie en aanpak van een patiënt met complexe enkelklachten – Anthe Foubert .....................................27
Epidemiologie enkel artropathie ........................................................................................................................................................... 27
Enkel artropathie: klinische presentatie en klachten ....................................................................................................................... 27
Casus: patiënt met complexe enkelklachten ......................................................................................................................................... 28
Anamnese/Welke vragen ga je stellen aan patiënt? ........................................................................................................................ 28
Farmacokinetiek van FVIII & bloedingsrisico .................................................................................................................................... 29
Klinische presentatie......................................................................................................................................................................... 31
Klinische onderzoek .......................................................................................................................................................................... 31
Medische beeldvorming ................................................................................................................................................................... 32
Vragenlijsten: .................................................................................................................................................................................... 33
Achtergrond info hemofilie .................................................................................................................................................................... 33
Bloedingen ........................................................................................................................................................................................ 33
Ontwikkeling hemofilie arthropathie ............................................................................................................................................... 34
Enkel revalidatie .................................................................................................................................................................................... 34
Overzicht behandelopties enkel artropathie (hemofilie) ....................................................................................................................... 35
Kinesitherapie ................................................................................................................................................................................... 35
Sport? Ja! .......................................................................................................................................................................................... 35
Orthopedische chirurgie ................................................................................................................................................................... 36
Enkel arthrodese ............................................................................................................................................................................... 36
Totale enkel prothese ....................................................................................................................................................................... 36
Take home messages ............................................................................................................................................................................. 36
Hoorcollege 3/3: Management of meniscus injuries: an overview – J. Verbrugghe ...........................................................................53
Meniscus anatomy................................................................................................................................................................................. 53
Functions of the menisci ........................................................................................................................................................................ 56
Mechanisms of injury............................................................................................................................................................................. 58
Prevalence of pathological meniscal injuries ......................................................................................................................................... 58
Prevalence of nonpathological meniscal injuries ................................................................................................................................... 58
Clinical presentation .............................................................................................................................................................................. 59
Meniscal tears ....................................................................................................................................................................................... 60
Other diagnoses related to menisci to keep in mind ............................................................................................................................. 60
Clinical examination and diagnostic testing .......................................................................................................................................... 61
Risk factors ............................................................................................................................................................................................ 62
Relationship with osteoarthritis ............................................................................................................................................................ 62
Relationship with ACL ............................................................................................................................................................................ 64
Surgical procedures ............................................................................................................................................................................... 64
Muscle repair innovations ..................................................................................................................................................................... 66
Rehabilitation algorithms ...................................................................................................................................................................... 68
Surgical procedures vs conservative treatment ..................................................................................................................................... 68
Active rehabilitation (without surgery) .................................................................................................................................................. 69
Active rehabilitation (after surgery) ...................................................................................................................................................... 69
Active rehabilitation (patient beliefs) .................................................................................................................................................... 71
Active rehabilitation (weight bearing) ................................................................................................................................................... 71
Active rehabilitation (aquatic vs land based) ........................................................................................................................................ 72
Active rehabilitation (blood flow restriction) ......................................................................................................................................... 73
Active rehabilitation (use of a knee brace) ............................................................................................................................................ 73
Return to play/sport .............................................................................................................................................................................. 74
Hoorcollege 13/3 - mHealth and Telerehabilitation current and future applications for musculoskeletal rehabilitation –
J.Verbrugghe .....................................................................................................................................................................................76
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