Beweging
Inhoudsopgave
Poli hand....................................................................................................................................................... 4
Ziekte van Kienböck..............................................................................................................................................4
Ganglion...............................................................................................................................................................5
Polsverstuiking.....................................................................................................................................................5
Roeierspols...........................................................................................................................................................5
Trigger finger........................................................................................................................................................6
Carpaal tunnel syndroom.....................................................................................................................................7
CMC-1 Artrose......................................................................................................................................................8
Tendinitis van de Quervain...................................................................................................................................9
Morbus dupuytren..............................................................................................................................................10
Mucoïde cyste....................................................................................................................................................11
Skiduim / gamekeepers thumb..........................................................................................................................11
Mallet finger.......................................................................................................................................................12
Poli reumatologie........................................................................................................................................ 13
Osteoporose en fracturen van de wervelkolom en heup...................................................................................13
Reumatoïde arteritis..........................................................................................................................................15
RA vs artrose......................................................................................................................................................17
Spondylartritis (SpA)...........................................................................................................................................17
Ziekte van Bechterew (spondylitis Ankylopoetica).............................................................................................18
Artritis Psoriatica (PsA)......................................................................................................................................19
Jicht / kristalartropathieen.................................................................................................................................21
Pseudojicht.........................................................................................................................................................22
Polymyalgia rheumatica....................................................................................................................................23
Firbomyalgie.......................................................................................................................................................23
Poli Orthopedie........................................................................................................................................... 24
Osteoporose.......................................................................................................................................................24
Knie............................................................................................................................................................. 26
Septische artritis.................................................................................................................................................26
gonartose...........................................................................................................................................................27
Muniscus letsel...................................................................................................................................................28
Corpus librium....................................................................................................................................................28
Ziekte van Osgood-schlatter...............................................................................................................................29
Bursitis prepatellaris..........................................................................................................................................29
, Kruisbandletsel...................................................................................................................................................30
Voorste kruisbandletsel......................................................................................................................................30
Unhappy traid....................................................................................................................................................31
Collaterale band letsel........................................................................................................................................31
Kniekuilcyste.......................................................................................................................................................31
Genu valga/genua vara......................................................................................................................................32
Osteochondritis Dissecans..................................................................................................................................32
Retropathellar chondropathie............................................................................................................................34
Jumper’s knee, patella pees tedinopathie (patella tendinitis)...........................................................................36
Pes ansorine bursitis...........................................................................................................................................37
Rug en nek................................................................................................................................................... 38
Aspecifieke lage rugpijn.....................................................................................................................................38
Spondylolyse.......................................................................................................................................................39
Hyperkyfose........................................................................................................................................................41
Posturale kyfose.................................................................................................................................................42
Congenitale kyfose.............................................................................................................................................42
Ziekte van Scheuermann....................................................................................................................................42
Scoliose...............................................................................................................................................................43
Whiplash.............................................................................................................................................................44
Fracturen van de wervelkolom...........................................................................................................................45
Schouder..................................................................................................................................................... 45
Frozen schoulder (adhesieve capsulitis).............................................................................................................45
Ruptuur van de rotatorcuff................................................................................................................................46
Subacromiaal pijnsyndroom SAPS......................................................................................................................46
Glenohumorale luxatie.......................................................................................................................................47
Acromioclaviculaire luxtaie................................................................................................................................48
Artrose AC-gewricht en glenohumerale gewricht..............................................................................................48
Bursitis................................................................................................................................................................49
Tendinopathie....................................................................................................................................................49
Tendinitis calcarea.............................................................................................................................................49
Heup............................................................................................................................................................ 50
Coxitis Fugax......................................................................................................................................................50
Ziekte van Perthes..............................................................................................................................................50
Avasculaire kopnecrose......................................................................................................................................51
Bursitis trochanterica.........................................................................................................................................52
Syndroom van sjorden........................................................................................................................................52
Snapping hip.......................................................................................................................................................53
, Congenitale heupdysplasie.................................................................................................................................53
Epifysiolysis capitis femoris................................................................................................................................54
Elleboog en onderarm.................................................................................................................................. 55
Epicondylitis lateralis..........................................................................................................................................55
Epicondylitis medialis.........................................................................................................................................55
Bursitis olecrani..................................................................................................................................................55
Zondagsarmpje..................................................................................................................................................56
Elleboog luxatie..................................................................................................................................................57
Cubitale tunnel syndroom..................................................................................................................................58
Supinator syndroom...........................................................................................................................................59
Pronator teres syndroom...................................................................................................................................59
Enkel en voet............................................................................................................................................... 60
Instabiel ligamentair letsel /enkelbandletsel.....................................................................................................60
Enkel artrose......................................................................................................................................................61
Tendinitis............................................................................................................................................................62
Tarsaal tunnel syndroom...................................................................................................................................62
Tibiale stress syndroom......................................................................................................................................63
Achillespees ruptuur...........................................................................................................................................64
Pes cavus (holvoet).............................................................................................................................................64
Pes planus (platvoet)..........................................................................................................................................65
Fasciitis plantaris................................................................................................................................................65
Hielspoor............................................................................................................................................................65
Hallux valgus en bunion.....................................................................................................................................66
Halluxis rigidus...................................................................................................................................................66
Klauwtenen en hamertenen...............................................................................................................................66
Neuralgie van Morton........................................................................................................................................67
Trigger toe..........................................................................................................................................................67
Eetknobbels en likdoorns (estheroog/clavus)....................................................................................................67
Poli Neurologie............................................................................................................................................ 68
Radiculair syndroom...........................................................................................................................................68
Hernia nuclei pulposi..........................................................................................................................................68
Radialis neuropathie..........................................................................................................................................70
Peroneus neuropatie..........................................................................................................................................70
Meralgia paraestherica (MP), syndroom van Bernhart -Roth...........................................................................71
Polyneuropathie.................................................................................................................................................71
Guillain-berre.....................................................................................................................................................71
MS multiple sclerosis..........................................................................................................................................71
, ALS amyotrofische laterle sclerose.....................................................................................................................72
Cerebellaire ataxie.............................................................................................................................................73
Parkinson............................................................................................................................................................73
Cerebrellaire tremor/intensie tremor.................................................................................................................74
Brown-sequard syndroom..................................................................................................................................76
B12 insufficientie, hierdoor gecombineerde strengziekte..................................................................................77
Hersenbloedingen..............................................................................................................................................77
TIA......................................................................................................................................................................80
Infarct.................................................................................................................................................................80
Poli revalidatie............................................................................................................................................. 82
ICF-model...........................................................................................................................................................82
Diabetes voet.....................................................................................................................................................83
CRPS/sympathische reflexdystrofie....................................................................................................................85
Poli Traumatologie....................................................................................................................................... 86
Scherp en stomp letsel.......................................................................................................................................86
Fracturen............................................................................................................................................................87
Brandwonden.....................................................................................................................................................97
Poli evengewicht........................................................................................................................................ 103
Duizeligheid......................................................................................................................................................103
BPPD benige paroxismale positieduizelligheid.................................................................................................104
Ziekte van ménière...........................................................................................................................................104
Neurutis vestibularis.........................................................................................................................................105
Labyrintitis........................................................................................................................................................105
Vestibulaire migraine.......................................................................................................................................105
Poli hand
Ziekte van Kienböck
Pathofysiologie
Vergoeiing van het lunatum, door botnecrose doordat de bloedvoorziening naar het lunatum
belemmerd wordt. Komt eenzijdig voor en het nieuwe bot wordt tijdens ontwikkeling belast
en zakt uit. Hierdoor gaan ook andere handwortelbeentjes verplaatsen, hierdoor raakt de ahnd
vervormd.
Klinisch beeld
Pijn rond de handwortel, drukpijn rond de lunatum, functiebeperking pols en geen kracht.
Diagnose
Inhoudsopgave
Poli hand....................................................................................................................................................... 4
Ziekte van Kienböck..............................................................................................................................................4
Ganglion...............................................................................................................................................................5
Polsverstuiking.....................................................................................................................................................5
Roeierspols...........................................................................................................................................................5
Trigger finger........................................................................................................................................................6
Carpaal tunnel syndroom.....................................................................................................................................7
CMC-1 Artrose......................................................................................................................................................8
Tendinitis van de Quervain...................................................................................................................................9
Morbus dupuytren..............................................................................................................................................10
Mucoïde cyste....................................................................................................................................................11
Skiduim / gamekeepers thumb..........................................................................................................................11
Mallet finger.......................................................................................................................................................12
Poli reumatologie........................................................................................................................................ 13
Osteoporose en fracturen van de wervelkolom en heup...................................................................................13
Reumatoïde arteritis..........................................................................................................................................15
RA vs artrose......................................................................................................................................................17
Spondylartritis (SpA)...........................................................................................................................................17
Ziekte van Bechterew (spondylitis Ankylopoetica).............................................................................................18
Artritis Psoriatica (PsA)......................................................................................................................................19
Jicht / kristalartropathieen.................................................................................................................................21
Pseudojicht.........................................................................................................................................................22
Polymyalgia rheumatica....................................................................................................................................23
Firbomyalgie.......................................................................................................................................................23
Poli Orthopedie........................................................................................................................................... 24
Osteoporose.......................................................................................................................................................24
Knie............................................................................................................................................................. 26
Septische artritis.................................................................................................................................................26
gonartose...........................................................................................................................................................27
Muniscus letsel...................................................................................................................................................28
Corpus librium....................................................................................................................................................28
Ziekte van Osgood-schlatter...............................................................................................................................29
Bursitis prepatellaris..........................................................................................................................................29
, Kruisbandletsel...................................................................................................................................................30
Voorste kruisbandletsel......................................................................................................................................30
Unhappy traid....................................................................................................................................................31
Collaterale band letsel........................................................................................................................................31
Kniekuilcyste.......................................................................................................................................................31
Genu valga/genua vara......................................................................................................................................32
Osteochondritis Dissecans..................................................................................................................................32
Retropathellar chondropathie............................................................................................................................34
Jumper’s knee, patella pees tedinopathie (patella tendinitis)...........................................................................36
Pes ansorine bursitis...........................................................................................................................................37
Rug en nek................................................................................................................................................... 38
Aspecifieke lage rugpijn.....................................................................................................................................38
Spondylolyse.......................................................................................................................................................39
Hyperkyfose........................................................................................................................................................41
Posturale kyfose.................................................................................................................................................42
Congenitale kyfose.............................................................................................................................................42
Ziekte van Scheuermann....................................................................................................................................42
Scoliose...............................................................................................................................................................43
Whiplash.............................................................................................................................................................44
Fracturen van de wervelkolom...........................................................................................................................45
Schouder..................................................................................................................................................... 45
Frozen schoulder (adhesieve capsulitis).............................................................................................................45
Ruptuur van de rotatorcuff................................................................................................................................46
Subacromiaal pijnsyndroom SAPS......................................................................................................................46
Glenohumorale luxatie.......................................................................................................................................47
Acromioclaviculaire luxtaie................................................................................................................................48
Artrose AC-gewricht en glenohumerale gewricht..............................................................................................48
Bursitis................................................................................................................................................................49
Tendinopathie....................................................................................................................................................49
Tendinitis calcarea.............................................................................................................................................49
Heup............................................................................................................................................................ 50
Coxitis Fugax......................................................................................................................................................50
Ziekte van Perthes..............................................................................................................................................50
Avasculaire kopnecrose......................................................................................................................................51
Bursitis trochanterica.........................................................................................................................................52
Syndroom van sjorden........................................................................................................................................52
Snapping hip.......................................................................................................................................................53
, Congenitale heupdysplasie.................................................................................................................................53
Epifysiolysis capitis femoris................................................................................................................................54
Elleboog en onderarm.................................................................................................................................. 55
Epicondylitis lateralis..........................................................................................................................................55
Epicondylitis medialis.........................................................................................................................................55
Bursitis olecrani..................................................................................................................................................55
Zondagsarmpje..................................................................................................................................................56
Elleboog luxatie..................................................................................................................................................57
Cubitale tunnel syndroom..................................................................................................................................58
Supinator syndroom...........................................................................................................................................59
Pronator teres syndroom...................................................................................................................................59
Enkel en voet............................................................................................................................................... 60
Instabiel ligamentair letsel /enkelbandletsel.....................................................................................................60
Enkel artrose......................................................................................................................................................61
Tendinitis............................................................................................................................................................62
Tarsaal tunnel syndroom...................................................................................................................................62
Tibiale stress syndroom......................................................................................................................................63
Achillespees ruptuur...........................................................................................................................................64
Pes cavus (holvoet).............................................................................................................................................64
Pes planus (platvoet)..........................................................................................................................................65
Fasciitis plantaris................................................................................................................................................65
Hielspoor............................................................................................................................................................65
Hallux valgus en bunion.....................................................................................................................................66
Halluxis rigidus...................................................................................................................................................66
Klauwtenen en hamertenen...............................................................................................................................66
Neuralgie van Morton........................................................................................................................................67
Trigger toe..........................................................................................................................................................67
Eetknobbels en likdoorns (estheroog/clavus)....................................................................................................67
Poli Neurologie............................................................................................................................................ 68
Radiculair syndroom...........................................................................................................................................68
Hernia nuclei pulposi..........................................................................................................................................68
Radialis neuropathie..........................................................................................................................................70
Peroneus neuropatie..........................................................................................................................................70
Meralgia paraestherica (MP), syndroom van Bernhart -Roth...........................................................................71
Polyneuropathie.................................................................................................................................................71
Guillain-berre.....................................................................................................................................................71
MS multiple sclerosis..........................................................................................................................................71
, ALS amyotrofische laterle sclerose.....................................................................................................................72
Cerebellaire ataxie.............................................................................................................................................73
Parkinson............................................................................................................................................................73
Cerebrellaire tremor/intensie tremor.................................................................................................................74
Brown-sequard syndroom..................................................................................................................................76
B12 insufficientie, hierdoor gecombineerde strengziekte..................................................................................77
Hersenbloedingen..............................................................................................................................................77
TIA......................................................................................................................................................................80
Infarct.................................................................................................................................................................80
Poli revalidatie............................................................................................................................................. 82
ICF-model...........................................................................................................................................................82
Diabetes voet.....................................................................................................................................................83
CRPS/sympathische reflexdystrofie....................................................................................................................85
Poli Traumatologie....................................................................................................................................... 86
Scherp en stomp letsel.......................................................................................................................................86
Fracturen............................................................................................................................................................87
Brandwonden.....................................................................................................................................................97
Poli evengewicht........................................................................................................................................ 103
Duizeligheid......................................................................................................................................................103
BPPD benige paroxismale positieduizelligheid.................................................................................................104
Ziekte van ménière...........................................................................................................................................104
Neurutis vestibularis.........................................................................................................................................105
Labyrintitis........................................................................................................................................................105
Vestibulaire migraine.......................................................................................................................................105
Poli hand
Ziekte van Kienböck
Pathofysiologie
Vergoeiing van het lunatum, door botnecrose doordat de bloedvoorziening naar het lunatum
belemmerd wordt. Komt eenzijdig voor en het nieuwe bot wordt tijdens ontwikkeling belast
en zakt uit. Hierdoor gaan ook andere handwortelbeentjes verplaatsen, hierdoor raakt de ahnd
vervormd.
Klinisch beeld
Pijn rond de handwortel, drukpijn rond de lunatum, functiebeperking pols en geen kracht.
Diagnose
