amenvatting
S
Bewegingsstelsel 1
,Anamneseenklinischonderzoekbijmusculoskeletaleaandoeningen................................4
Schematischonderzoek..........................................................................................................5
1.Anamnese............................................................................................................................6
Semiologie.................................................................................................................................20
Inleiding.................................................................................................................................20
Anamnese..............................................................................................................................23
Klinischonderzoek.................................................................................................................26
Technischeinvestigaties........................................................................................................29
Medicatie....................................................................................................................................34
1.Analgetica..........................................................................................................................34
2.Anti-inflammatoiretherapie................................................................................................35
3.Diseasemodifyinganti-rheumaticdrugs(DMARDs).........................................................38
Preventievannevenwerkingen(!!!).......................................................................................41
Klinschescenario’s................................................................................................................42
Kristalartritis..............................................................................................................................43
Overzicht................................................................................................................................43
1.Kristalvorming....................................................................................................................43
2.Jicht...................................................................................................................................44
3.CPPD.................................................................................................................................54
4.HADD.................................................................................................................................57
5.Casuïstiek..........................................................................................................................58
Bewegenalstherapie?Blessurepreventie.............................................................................63
Develevoordelenvanbewegen...........................................................................................63
Blessurepreventie:10boodschappen...................................................................................69
Multidisciplinairteam-paramedici..........................................................................................72
Infiltratietechnieken:hoeenwat?............................................................................................74
Spinaldeformity.........................................................................................................................77
Anatomy.................................................................................................................................77
Scoliosis.................................................................................................................................79
Classification..........................................................................................................................80
Adultscoliosis(nietkennen)..................................................................................................90
Sagittaledisbalance...............................................................................................................90
Questions?.............................................................................................................................93
Osteoarthritis(OA)....................................................................................................................94
Epidemiologie........................................................................................................................94
Pathophysiologyofosteoarthritis...........................................................................................97
ClinicalfeaturesanddiagnosisofOA(welbelangrijk)...........................................................99
TreatmentOA......................................................................................................................103
Reumatoïdeartritis..................................................................................................................108
1.Inleiding...........................................................................................................................108
2.Pathogenese....................................................................................................................108
2
, .Diagnose..........................................................................................................................109
3
4.Behandeling.....................................................................................................................114
5.Extra-articulairemanifestaties..........................................................................................116
Polymyalgiarheumatica.......................................................................................................117
Casuïstiek............................................................................................................................120
Botmetabolisme.......................................................................................................................125
1.Anatomie..........................................................................................................................125
2.Botvorming.......................................................................................................................126
3.Botfunctie........................................................................................................................129
Osteoporose&osteomalacie.................................................................................................131
Osteoporose........................................................................................................................131
Osteomalacie.......................................................................................................................146
ImagingofArthropathies........................................................................................................148
Overzicht..............................................................................................................................148
ImageQuality.......................................................................................................................148
ImagingModalities...............................................................................................................149
ImagingAssessment...........................................................................................................158
ImagingofArthropathies......................................................................................................162
3
S
Bewegingsstelsel 1
,Anamneseenklinischonderzoekbijmusculoskeletaleaandoeningen................................4
Schematischonderzoek..........................................................................................................5
1.Anamnese............................................................................................................................6
Semiologie.................................................................................................................................20
Inleiding.................................................................................................................................20
Anamnese..............................................................................................................................23
Klinischonderzoek.................................................................................................................26
Technischeinvestigaties........................................................................................................29
Medicatie....................................................................................................................................34
1.Analgetica..........................................................................................................................34
2.Anti-inflammatoiretherapie................................................................................................35
3.Diseasemodifyinganti-rheumaticdrugs(DMARDs).........................................................38
Preventievannevenwerkingen(!!!).......................................................................................41
Klinschescenario’s................................................................................................................42
Kristalartritis..............................................................................................................................43
Overzicht................................................................................................................................43
1.Kristalvorming....................................................................................................................43
2.Jicht...................................................................................................................................44
3.CPPD.................................................................................................................................54
4.HADD.................................................................................................................................57
5.Casuïstiek..........................................................................................................................58
Bewegenalstherapie?Blessurepreventie.............................................................................63
Develevoordelenvanbewegen...........................................................................................63
Blessurepreventie:10boodschappen...................................................................................69
Multidisciplinairteam-paramedici..........................................................................................72
Infiltratietechnieken:hoeenwat?............................................................................................74
Spinaldeformity.........................................................................................................................77
Anatomy.................................................................................................................................77
Scoliosis.................................................................................................................................79
Classification..........................................................................................................................80
Adultscoliosis(nietkennen)..................................................................................................90
Sagittaledisbalance...............................................................................................................90
Questions?.............................................................................................................................93
Osteoarthritis(OA)....................................................................................................................94
Epidemiologie........................................................................................................................94
Pathophysiologyofosteoarthritis...........................................................................................97
ClinicalfeaturesanddiagnosisofOA(welbelangrijk)...........................................................99
TreatmentOA......................................................................................................................103
Reumatoïdeartritis..................................................................................................................108
1.Inleiding...........................................................................................................................108
2.Pathogenese....................................................................................................................108
2
, .Diagnose..........................................................................................................................109
3
4.Behandeling.....................................................................................................................114
5.Extra-articulairemanifestaties..........................................................................................116
Polymyalgiarheumatica.......................................................................................................117
Casuïstiek............................................................................................................................120
Botmetabolisme.......................................................................................................................125
1.Anatomie..........................................................................................................................125
2.Botvorming.......................................................................................................................126
3.Botfunctie........................................................................................................................129
Osteoporose&osteomalacie.................................................................................................131
Osteoporose........................................................................................................................131
Osteomalacie.......................................................................................................................146
ImagingofArthropathies........................................................................................................148
Overzicht..............................................................................................................................148
ImageQuality.......................................................................................................................148
ImagingModalities...............................................................................................................149
ImagingAssessment...........................................................................................................158
ImagingofArthropathies......................................................................................................162
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