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Samenvatting Pathologie Bovenste- en Onderste extremiteit

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In dit document staan de meeste pathologieën die voorkomen bij de onderste en bovenste extremiteiten. Hierbij staan de bijbehorende symptomen en risicofactoren beschreven. De pathologieën die beschreven worden gaan over: - Schouder - Elleboog - Pols - Heup - Knie - Enkel Ter ondersteuning staan er bij de meeste pathologieën afbeeldingen bij die de informatie duidelijker maken.

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Inhoudsopgave
Tendinopathie (algemeen)..........................................................4

1

,Onderste extremiteit – Enkel......................................................5
Distorsie/TFA.............................................................................................6
Syndesmose..............................................................................................7
Subtalaire luxatie......................................................................................8
...........................................................................................................10

Avulsiefractuur apofyse...........................................................................10
Weberfracturen.......................................................................................11
Maisonneuvre fractuur............................................................................12
Onderste extremiteit – Onderbeen............................................13
MTSS (Mediaal Tibiaal Stress Syndroom)................................................14
Fasciitis plantaris.....................................................................................15
Achillespees tendinopathie.....................................................................16
Onderste extremiteit – Knie......................................................17
Jumpers Knee (JK)...................................................................................17
Runners Knee (RK)..................................................................................18
Osgood-schlatter.....................................................................................19
Patella Femoraal Pijn Syndroom (PFPS)...................................................20
Mediale Collaterale Ligament (sMCL) letsel............................................21
Postero Mediaal Complex (PMC) letsel....................................................22
Laterale Collaterale Ligament (LCL) letsel..............................................23
Postero Lateraal Complex (PLC) letsel....................................................24
Voorste kruisband letsel (VKB)................................................................25
Achterste kruisband letsel (AKB).............................................................26
Meniscus letsel........................................................................................27
Onderste extremiteit – Hamstrings...........................................28
Hamstringruptuur...................................................................................28
Onderste extremiteit – Heup.....................................................29
Heupdysplasie (DDH)..............................................................................29
Femoroacetabulair impingement (FAI) = heupimpingement..................30
Trochanter Major Pijn Syndroom (TMPS).................................................31
Bovenste extremiteit – Schouder..............................................32
Frozen shoulder.......................................................................................32
Subacromiaal Pijn Syndroom (SAPS).......................................................35

2

, Rotator Cuff Related Shoulder Pain (RCRSP)/Cuff tendinopathie.............36
Cuff ruptuur............................................................................................37
Anterieure instabiliteit............................................................................38
Posterieure instabiliteit...........................................................................39
Labrum laesie (Bankart laesie of SLAP-laesie)........................................40
Glenohumeral Internal Rotation Deficit (GIRD).......................................41
AC-pathologie..........................................................................................42
Scapulaire diskinesie...............................................................................44
Bovenste extremiteit – Elleboog................................................45
Elleboogklachten (algemeen).................................................................45
Entrapment neuropathieën (algemeen)..................................................46
Artrose (ellebooggewricht)......................................................................48
Capsulitis en synovitis............................................................................49
Osteochondrale defecten (OCD).............................................................50
Plica syndroom........................................................................................52
Ziekte van Panner...................................................................................53
Cubitale tunnel syndroom.......................................................................54
Radiale tunnel syndroom........................................................................55
Epicondylitis medialis (golfers elleboog).................................................57
Laterale elleboog tendinopathie (tenniselleboog)...................................58
Werperselleboog.....................................................................................59
Bovenste extremiteit – Pols......................................................61
Carpaal tunnel syndroom........................................................................61
Scaphoïdeumfractuur..............................................................................62
Distale radio-ulnaire (DRU-) instabiliteit en TFCC problematiek.............63
Complex Regionaal Pijn Syndroom (CRPS)..............................................64
Chronische longziekten............................................................66
COPD (Chronic Obstructive Pulmonary Disease).....................................66
Astma......................................................................................................68
Emfyseem...............................................................................................69
Cardiovasculaire aandoeningen................................................71
Atherosclerose........................................................................................71
Agnina pectoris.......................................................................................73

3

, Myocardinfarct - hartinfarct....................................................................74
Hartfalen.................................................................................................75
Perifeer arterieel vaatlijden (PAV)...........................................................76
Suikerziekten..........................................................................77
Diabetes mellitus type II.........................................................................77
Aandoeningen bij ouder worden...............................................78
Artrose (heup en knie)............................................................................78
Osteoporose............................................................................................83




Tendinopathie (algemeen)
 Tendinopathie = aandoening van een pees

Pezen hebben moeite met veranderingen, daarom is het langzaam
opbouwen met belasting belangrijk.

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