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Manual

Onderzoek en behandeling 2B: BFO pols en hand

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Volledig basisfunctie onderzoek van de pols en de hand met de casus.

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Basisfunctieonderzoek Pols/Hand:
Inspectie:
Antalgische houding:
- Pols ondersteunen
- Pols in palmair flexie
- Arm in pronatie
Roodheid:
- Wijst op een ontsteking:
o Gewrichtskapsel
o Pezen
o Bursa
- Vergelijken met andere kant
- Kijken naar de locatie en uitgebreidheid
Zwelling:
- Zelfde bemerkingen als roodheid
- Komt voor bij ontsteking
Blauw verkleuring:
- Ruptuur van ligament
- Ruptuur spier
- Botkneuzing
- Spierkneuzing
- Peesruptuur
Wit verkleuring:
- Neurogeen probleem
- CRPS
o Ook letten op: kan witte verkleuring zijn (verminderde doorbloeding) of sterk
rode kleur, ook glanzende huid, lokaal toename van beharing, zweterige huid
en hevige zwelling
Littekens:
- Trofiek
- Antecedenten
Stand van de gewrichten:
- Door arthrose afwijkende stand
- Door verkorte spieren
- Door verkorte ligamenten
- Gewrichtskapsel
Stand van de wervelkolom:
- Protractie van het hoofd
- Lateroflexie van het hoofd
- Rotatiestand van het hoofd
Atrofie/hypertrofie:
- Flexoren en extensoren van de onderarm
- Thenar en hypothenar
- Handpalm aan de zijde van de thenar
- Na 2-3 weken van de klachten is er atrofie mogelijk
Palperen met de handrug voor de temperatuur.

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Uploaded on
May 28, 2017
Number of pages
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Written in
2016/2017
Type
Manual
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