samenvatting revaki MSS OL, deel pathologie, 3de bach revaki

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samenvatting revaki MSS OL, deel pathologie, 3de bach revaki

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samenvatting revaki MSS OL, deel pathologie, eigen notitie+ppt+cursus, academiejaar prof. Vandenbossche 1) pathologie van de heup 2) pathologie van de knie 3) pathologie van het onderbeen, voet en enkel 4) zenuwletsels: algemeen 5) zenuwletsels: onderste ledematen samenvatting is aangepast na het studeren!!

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REVAKI MSS OL
–
partim pathologie

1

, Pathologie thv heup en dij
Pubalgie:
 Schaambeenpijn
 Is een klacht => geen diagnose
 Problemen rond pubis:
- Ligamentair
- Musculotendineus
- Beenderig (stressfractuur, avulsiefractuur)
- Bursa
- Vasculair
 Beperkte bevloeiing
 Veneus geen kleppen meer
- Innervatiezone (L1-L2 tot S2-S4)

1. Femoroacetabulair impingement (FAI)
1.1. Definitie
 Intra-articulaire heuppathologie
 Gekenmerkt door: pijn en bewegingsbeperkingen
 door morfologische abnormaliteiten aan femur kop-hals overgang of thv
acetabulaire gedeelte
 repetitief mechanisch conflict tussen femur en acetabulum met progressieve schade aan
kraakbeen en labrum
1.2. Types
1.2.1. CAM- impingement
 10% vd prevalenties
 Femur-probleem
 Verwijding femurhals
 Door bump (botaangroei)
 Mechanisch conflict femur-acetabulum
 Pistol-grip deformity
 Etiologie
- ideopatisch

2

, - Ontwikkelingsstoornis
 Niet-sferische femurkop (niet ronde kop)
 Coxa vara (te scherpe hoek tov trochantor major)
 Geeft X-benen (genu valga)
- Traumatisch
 Malunion vd femurhals
 Post-traumatische retro-torsie femurkop
- Pediatrische aandoening
 Perthes
 Bot niet doorbloedt
 Necrose
 Femurkop sterft af
 Slipped capital femoral epiphysis
- Iatrogeen
 Femorale osteomie
 Natuurlijk verloop
- Verlies/afwezigheid femur kop-hals offset
 Femurhals komt tegen acetabulum
- Reactieve botvorming (bump) femurhals
- Labrum scheurt of komt los (niet altijd)
- Kraakbeen
 Chondrale laesies anteroposterieur
 Loskomen kraakbeen van labrum of bot
 Onstaat posterieure chondrale flap
1.2.2. PINCER-impingement
 5%
 Acetabulum-probleem
 Execcessieve overbedekking door acetabulaire retroversie
 Bij coxa profunda (diepe heup)
 Bij protusio acetabula
 Etiologie
- Ontwikkelingsstoonis
 Retroversie acetabulum
 Pan van acetabulum staat verkeerd gedraaid
 Cross over sign
 Coxa profunda
 Acetabulumrand kruist ischio-iliale lijn (ILL)
 Heup zit te diep
 Os acetabuli (extra/losgekomen stuk bot)
 Protrusio acetabuli
 Prominent posterior wall
 Posterieure wand komt te ver
 Zou door centrum femurkop moeten
- Traumatisch
 Post-traumatische misvorming
- Iatrogeen
 Overcorrectie retroversie dysplastische heupen
 Natuurlijk verloop
- Te weinig beweeglijkheid in opening vh acetabulum of foute oriëntatie acetabulum
 Labrumletsel
 Ganglionformatie
 Ossificatie vh labrum anterieur of lateraal

3

,  Nog meer overbedekking door acetabulum
 Nog meer impingement

1.2.3. Combinatie CAM + PINCER
 85%
1.3. Oorzaken
 Congenitale of verworven afwijkingen
 Dynamische heupinstabiliteit
 Excessieve femurkop-translatie tov acetabulum met grote ROM-waarden

1.4. Epidemiologie
 Vaak symptoomloos
 Meest bij europese populatie met normale BMI tussen 20-30j
 CAM-heup-FAI
 Bij jonge actieve mannen
 PINCER-heup-FAI
 Bij actieve vrouwen, middelbare leeftijd
 Gerelateerd aan sportactiviteiten (voetbal, gevechtssport)
 Na gemiddeld 1-3j chirurgie
1.5. Gevolgen
 Verminderde fysiologische ROM vd heup
 Chondrale laesies (vooral acetabulair)
 Lambrum-pathologie

4

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Study: Revalidatiewetenschappen En Kinesitherapie
Uploaded on: January 10, 2025
Number of pages: 36
Written in: 2024/2025
Type: Summary

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samenvatting revaki MSS OL, ALLES van theorie, 3de bach REVAKI 2024-2025

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fai
adductorenstrain
snapping of clicking hip
bursitis in heupregio
osteoitis pubis
malalignatie bij knie
patella instabiliteit
loge syndroom
chondromalacie
achillespeesletsels
zenuw
zenuwletsels

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