Pols
,Inhoudsopgave
Pols............................................................................................................................................................................1
2
,Kinematica - Pols-handregio..................................................................................................................................6
Screening................................................................................................................................................................16
Onderzoek..............................................................................................................................................................17
Testen fracturen..................................................................................................................................................17
Onderzoek TFCC................................................................................................................................................18
Artt carpi – Passief functieonderzoek.................................................................................................................20
Instabiliteitstesten...............................................................................................................................................22
Art carpometacarpale 1 – Passief functieonderzoek..........................................................................................25
MCP, PIP, DIP 2-5 – Passief functieonderzoek.................................................................................................26
Onderzoek CTS...................................................................................................................................................27
Behandeling............................................................................................................................................................28
Rol-glij technieken artt carpi..............................................................................................................................29
Tracties/Approximatie artt carpi........................................................................................................................34
HVT tractie/repositie carpus..............................................................................................................................36
Rol-glij technieken art carpometacarpale 1.......................................................................................................40
Manipulaties art carpometacarpale 1................................................................................................................42
Rol-glij technieken MCP, PIP, DIP 2-5.............................................................................................................44
Manipulaties MCP, PIP, DIP 2-5......................................................................................................................45
Pathologie...............................................................................................................................................................46
Neoplastische ziekten en aandoeningen van pols-handregio.............................................................................47
Primaire tumoren of metastasten...................................................................................................................47
Systeemziekten en ziekten en aandoeningen van het bot-spierstelsel en bindweefsel van de pols-handregio...47
Reumatoïde artritis.........................................................................................................................................47
Triggerfinger..................................................................................................................................................48
Congenitale ziekten en aandoeningen van de pols-handregio...........................................................................48
Morbus dupuytren..........................................................................................................................................48
Degeneratieve ziekten en aandoeningen van de pols-handregio.......................................................................49
Arthrosis deformans.......................................................................................................................................49
Traumatische, exogene ziekten en aandoeningen van de pols-handregio.........................................................50
Bonebruise.....................................................................................................................................................50
Colles fractuur...............................................................................................................................................51
Smith fractuur................................................................................................................................................51
Scafoïdfractuur..............................................................................................................................................51
TFCC-letsels..................................................................................................................................................52
Lunatumluxatie..............................................................................................................................................52
Carpale disposities met rupturen en fracturen...............................................................................................52
Mechanische obstructie van de circulatie in de pols-handregio........................................................................52
CPRS..............................................................................................................................................................52
Lunatomalacie of morbus Kienböck..............................................................................................................53
Morbus Quervain...........................................................................................................................................53
Disposities in de pols-handregio........................................................................................................................54
Carpale instabiliteit .......................................................................................................................................54
DISI................................................................................................................................................................55
VISI................................................................................................................................................................55
Statische disposities.......................................................................................................................................55
3
, Dynamische disposities.................................................................................................................................56
Carpaal tunnel syndroom...................................................................................................................................56
Onderzoekshypothesen pols.................................................................................................................................58
ICD.....................................................................................................................................................................58
ICF......................................................................................................................................................................60
Pijn.....................................................................................................................................................................61
Onderzoeks- en behandeltechnieken...................................................................................................................62
Onderzoeken.......................................................................................................................................................62
Behandelen.........................................................................................................................................................63
Skills........................................................................................................................................................................64
Kinematica - Pols-handregio..............................................................................................................5
Screening........................................................................................................................................15
Onderzoek.......................................................................................................................................16
Testen fracturen...............................................................................................................................16
Onderzoek TFCC...............................................................................................................................17
Artt carpi – Passief functieonderzoek...............................................................................................19
Instabiliteitstesten...........................................................................................................................21
Art carpometacarpale 1 – Passief functieonderzoek........................................................................24
MCP, PIP, DIP 2-5 – Passief functieonderzoek..................................................................................25
Onderzoek CTS.................................................................................................................................26
Behandeling....................................................................................................................................27
Rol-glij technieken artt carpi............................................................................................................28
Tracties/Approximatie artt carpi......................................................................................................33
HVT tractie/repositie carpus............................................................................................................35
Rol-glij technieken art carpometacarpale 1.....................................................................................39
Manipulaties art carpometacarpale 1..............................................................................................41
Rol-glij technieken MCP, PIP, DIP 2-5...............................................................................................43
Manipulaties MCP, PIP, DIP 2-5.......................................................................................................44
Pathologie.......................................................................................................................................45
Neoplastische ziekten en aandoeningen van pols-handregio...........................................................45
Primaire tumoren of metastasten...............................................................................................45
Systeemziekten en ziekten en aandoeningen van het bot-spierstelsel en bindweefsel van de pols-
handregio.........................................................................................................................................46
Reumatoïde artritis......................................................................................................................46
Triggerfinger................................................................................................................................46
Congenitale ziekten en aandoeningen van de pols-handregio.........................................................47
4
,Inhoudsopgave
Pols............................................................................................................................................................................1
2
,Kinematica - Pols-handregio..................................................................................................................................6
Screening................................................................................................................................................................16
Onderzoek..............................................................................................................................................................17
Testen fracturen..................................................................................................................................................17
Onderzoek TFCC................................................................................................................................................18
Artt carpi – Passief functieonderzoek.................................................................................................................20
Instabiliteitstesten...............................................................................................................................................22
Art carpometacarpale 1 – Passief functieonderzoek..........................................................................................25
MCP, PIP, DIP 2-5 – Passief functieonderzoek.................................................................................................26
Onderzoek CTS...................................................................................................................................................27
Behandeling............................................................................................................................................................28
Rol-glij technieken artt carpi..............................................................................................................................29
Tracties/Approximatie artt carpi........................................................................................................................34
HVT tractie/repositie carpus..............................................................................................................................36
Rol-glij technieken art carpometacarpale 1.......................................................................................................40
Manipulaties art carpometacarpale 1................................................................................................................42
Rol-glij technieken MCP, PIP, DIP 2-5.............................................................................................................44
Manipulaties MCP, PIP, DIP 2-5......................................................................................................................45
Pathologie...............................................................................................................................................................46
Neoplastische ziekten en aandoeningen van pols-handregio.............................................................................47
Primaire tumoren of metastasten...................................................................................................................47
Systeemziekten en ziekten en aandoeningen van het bot-spierstelsel en bindweefsel van de pols-handregio...47
Reumatoïde artritis.........................................................................................................................................47
Triggerfinger..................................................................................................................................................48
Congenitale ziekten en aandoeningen van de pols-handregio...........................................................................48
Morbus dupuytren..........................................................................................................................................48
Degeneratieve ziekten en aandoeningen van de pols-handregio.......................................................................49
Arthrosis deformans.......................................................................................................................................49
Traumatische, exogene ziekten en aandoeningen van de pols-handregio.........................................................50
Bonebruise.....................................................................................................................................................50
Colles fractuur...............................................................................................................................................51
Smith fractuur................................................................................................................................................51
Scafoïdfractuur..............................................................................................................................................51
TFCC-letsels..................................................................................................................................................52
Lunatumluxatie..............................................................................................................................................52
Carpale disposities met rupturen en fracturen...............................................................................................52
Mechanische obstructie van de circulatie in de pols-handregio........................................................................52
CPRS..............................................................................................................................................................52
Lunatomalacie of morbus Kienböck..............................................................................................................53
Morbus Quervain...........................................................................................................................................53
Disposities in de pols-handregio........................................................................................................................54
Carpale instabiliteit .......................................................................................................................................54
DISI................................................................................................................................................................55
VISI................................................................................................................................................................55
Statische disposities.......................................................................................................................................55
3
, Dynamische disposities.................................................................................................................................56
Carpaal tunnel syndroom...................................................................................................................................56
Onderzoekshypothesen pols.................................................................................................................................58
ICD.....................................................................................................................................................................58
ICF......................................................................................................................................................................60
Pijn.....................................................................................................................................................................61
Onderzoeks- en behandeltechnieken...................................................................................................................62
Onderzoeken.......................................................................................................................................................62
Behandelen.........................................................................................................................................................63
Skills........................................................................................................................................................................64
Kinematica - Pols-handregio..............................................................................................................5
Screening........................................................................................................................................15
Onderzoek.......................................................................................................................................16
Testen fracturen...............................................................................................................................16
Onderzoek TFCC...............................................................................................................................17
Artt carpi – Passief functieonderzoek...............................................................................................19
Instabiliteitstesten...........................................................................................................................21
Art carpometacarpale 1 – Passief functieonderzoek........................................................................24
MCP, PIP, DIP 2-5 – Passief functieonderzoek..................................................................................25
Onderzoek CTS.................................................................................................................................26
Behandeling....................................................................................................................................27
Rol-glij technieken artt carpi............................................................................................................28
Tracties/Approximatie artt carpi......................................................................................................33
HVT tractie/repositie carpus............................................................................................................35
Rol-glij technieken art carpometacarpale 1.....................................................................................39
Manipulaties art carpometacarpale 1..............................................................................................41
Rol-glij technieken MCP, PIP, DIP 2-5...............................................................................................43
Manipulaties MCP, PIP, DIP 2-5.......................................................................................................44
Pathologie.......................................................................................................................................45
Neoplastische ziekten en aandoeningen van pols-handregio...........................................................45
Primaire tumoren of metastasten...............................................................................................45
Systeemziekten en ziekten en aandoeningen van het bot-spierstelsel en bindweefsel van de pols-
handregio.........................................................................................................................................46
Reumatoïde artritis......................................................................................................................46
Triggerfinger................................................................................................................................46
Congenitale ziekten en aandoeningen van de pols-handregio.........................................................47
4
