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Orthesebehandeling bij epicondylitis lateralis: nutteloos, nuttige toevoeging of behandeling op zichzelf?

  • Klinische vraag
  • Published:
Stimulus

Samenvatting

Epicondylitis lateralis, ofwel tenniselleboog, werd in 1873 voor het eerst beschreven als ‘writers cramp’ (Runge, 1873). Deze aandoening wordt gekenmerkt door pijn rondom de laterale epicondyl van de humerus die toeneemt door dorsiflexie van de pols en door palpatie van het gebied rondom de epicondyl. Meestal is de dominante arm aangedaan, terwijl er in voorkomen geen noemenswaardig verschil per geslacht is. Met een incidentie van 4-7 patiënten per 1000 per jaar en een prevalentie van 1 tot 3% is epicondylitis lateralis een veelvoorkomende klacht (Smidt e.a., 2002). De incidentie is het hoogst in de leeftijdscategorie van 40-50 jaar. Meer dan de helft van de patiënten met epicondylitis gaat niet naar de huisarts. Van de patiënten die de huisarts consulteren, wordt 20-40% doorgestuurd naar de fysiotherapeut en wordt 3-6% doorverwezen naar de tweede lijn (meestal orthopedisch chirurg) (NHG Standaard (NHG)).

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Authors and Affiliations

  1. www.bsl.nl/shop/stimulus-online-0929-0591-onl.html

    Miriam Faes (drs., prof. dr.), Maria Hopman (dr.) & Dick Thijssen

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  1. Miriam Faes
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  2. Maria Hopman
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  3. Dick Thijssen
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Additional information

Bewegingswetenschapper, klinisch geriater in opleiding; afdelingen Fysiologie en Geriatrie, UMC St Radboud Nijmegen.

Fysiotherapeut, bewegingswetenschapper, fysioloog; afdeling Fysiologie, UMC St Radboud Nijmegen.

Arts-fysioloog; afdeling Fysiologie, UMC St Radboud Nijmegen.

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Faes, M., Hopman, M. & Thijssen, D. Orthesebehandeling bij epicondylitis lateralis: nutteloos, nuttige toevoeging of behandeling op zichzelf?. STIM 26, 143 (2007). https://doi.org/10.1007/BF03063072

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  • DOI: https://doi.org/10.1007/BF03063072

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