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Orthopaedics

The orthopaedics clinic detects and treats conditions and injuries of the support and locomotor apparatus which include the bones, joints, muscles, tendons, ligaments, and capsules.

When do you visit the orthopaedics clinic?

We mainly focus on conditions of the shoulder, elbows, knees, feet, and ankles. You can come to us for a clinical procedure for the diagnostics, such as X-rays and ultrasound, as well as for surgical procedures. Many of the procedures are outpatient procedures, but it is also possible to spend the night.

  • injury on the cartilage
  • osteochondral defect
  • osteoarthritis
  • meniscus injury
  • anterior cruciate ligament injury
  • correction of the position of the toes and big toe
  • hallux rigidus
  • keyhole surgery on the ankle, at both the front and back of the ankle
  • keyhole surgery on the tendons
  • heel complaints
  • frozen shoulder
  • shoulder instability
  • dislocation of the shoulder
  • osteoarthritis of the shoulder
  • collarbone fracture
  • shoulder / upper arm fracture
  • lesions of the biceps anchor

Treatment

The orthopaedic surgeons have regular combined consultation hours with the physiotherapists in order to come to adequate treatment plans. When necessary, we will first make X-rays after which you have an intake consultation with the physiotherapist who will also examine you. The physiotherapist will discuss his findings with the orthopaedist, and together they will explain the treatment options for your condition.

Knee clinic

Knee complaints are very common. With young people, they are mainly caused by sports activities whereby the meniscus and/or the anterior cruciate ligament have been damaged. Older people can also get a torn meniscus which can lead to inconvenient complaints. The knee often becomes thick, painful, and it may sometimes lead to insecurity when walking.

Other common knee problems are:

  • injury on the cartilage
  • osteochondral defect
  • osteoarthritis

The kneecap, or patella, is important for the ability to stretch the knee. Therefore, pain in the kneecap often gives a problem when you climb a stair or when you cycle. The kneecap can also become dislocated.

Treatment plan

At our knee clinic (surgery hours on Monday), people with knee complaints can be treated quickly and adequately. Our physiotherapist and one of the orthopaedic specialists help patients by using the latest treatment methods. When you come to the knee clinic, we may first take X-rays when this is necessary. You will first have an intake consultation with the physiotherapist who will also examine you. The physiotherapist discusses his findings with the orthopaedic specialist, after which they will jointly explain the treatment options for your condition. When it appears that an MRI scan, a keyhole surgery, or reconstruction of the anterior cruciate ligaments is required, then this can be scheduled at short notice. When the most suitable treatment only includes physiotherapy, then you can choose to get this treatment at the practice of one of our affiliated physiotherapists.

Foot and ankle clinic

Many foot disorders are clearly visible, such as a deformity of the big toe with a large bump: the hallux valgus, or bunion. Even so, the additional underlying problem which is not clearly visible is that most people not just experience hindrance or pain caused by the bump, but also from an overburdening of the forefoot.

All joints, ligaments, and tendons in the foot and ankle play an important role when you walk. A damaged tendon on the inside of the ankle can give complaints on the forefoot because the walking pattern and gait will have changed.

The most common surgeries performed at our centre include:

  • correction of the position of the toes and big toe
  • treatment of hallux rigidus
  • keyhole surgery on the ankle, at both the front and back of the ankle
  • keyhole surgery on the tendons
  • treatment of heel complaints

Treatment plan

Your appointment will be during duo-surgery hours (on a Wednesday). You will first see the physiotherapist and podiatrist Ted Willemsen, and after that the orthopaedist. This will enable us to quickly establish a treatment plan. Please call us for more information.

Shoulder clinic

Shoulder problems are very common and not always visible for the people around you, but they do have a major impact on your day-to-day life. A painful shoulder can not only disturb your sleep but the activities and movements that used to be so natural can become very difficult as well.

With young people, shoulder complaints are often related to sports, and in most cases they involve a form of instability. You can, for example, suffer from a torn labrum. Tendon problems can occur with middle-aged people. The tendons of the rotator cuff can become irritated. A fall or other acute injury can result in a rotator cuff rupture which causes pain and a loss of muscle strength. This can sometimes also give complaints in the long biceps tendon. Older people may suffer from a degeneration of the joint. There can be several causes for this. The collective name for this is arthritis. When the shoulder is very painful and noticeably stiff, the patient may have a frozen shoulder, also called adhesive capsulitis.

Other common shoulder conditions include:

  • Luxation of the AC joint (acromioclavicular joint)
  • Luxation of the SC joint (sternoclavicular joint)
  • Wear (osteoarthritis) of the AC joint
  • Wear (osteoarthritis) of the SC joint
  • (Past) fracture of the collarbone (clavicular fracture)
  • (Past) fracture of the shoulder / upper arm (humeral fracture)
  • Detachment of the biceps anchor (SLAP lesion)

At the clinic

The collaboration between an orthopaedic surgeon, radiologist, and physiotherapist with regard to the diagnostics of shoulder complaints will give a comprehensive image of the problem. People who suffer from shoulder pain want to know what is wrong with their shoulder. After the examination carried out by the specialist, we can also decide to make an X-ray and/or ultrasound. One of our physiotherapist assesses the movement function of all muscles and joints of the shoulder to see what causes the complaints. The joint opinion of the specialist and physiotherapist allows us to set up a treatment plan.

When it is clear that there are no or hardly any defects in the shoulder structure, we may refer you (back) to a physiotherapist. This can either be your regular physiotherapist or you may get a referral within the Shoulder Network region Amsterdam (SNA). This is a network of physiotherapists in and around Amsterdam who are specialised in shoulder rehabilitation. The physiotherapist at the shoulder clinic is in direct contact with them and will propose a treatment.

It may also be necessary to conduct some additional examinations in the form of an MRI scan or a referral to another specialist. The shoulder clinic at Medical Centre Jan van Goyen works with highly experienced specialists and physiotherapist who have been working in this specialised area of shoulder complaints for at least 10 years. We welcome anyone who suffers from shoulder complaints.

Should you wish to get a second opinion, we advise you to send us all the information issued by previous hospitals before you have your appointment with us, so we will be able to prepare for your visit.

If you suffer from a (nearly) dislocated shoulder, we will be happy to help you.

MRI or surgery

When you need an MRI scan or surgery, then this is often possible at short notice. When the most suitable treatment only includes physiotherapy, then you can choose to get this treatment at the practice of our your own choice.

Elbow clinic

Most people who come to the elbow clinic suffer from a tennis elbow. This is a common problem with a large impact. In order to treat this problem, Medical Centre Jan van Goyen has joined the forces of physiotherapy and orthopaedics so we will be able to provide you with the best possible treatment.

Treatment

The best treatment begins with the best start. A proper treatment of the tennis elbow starts with a diagnosis that is made by the orthopaedic surgeon who has established his expertise in the diagnosing and treatment of elbow conditions. When the diagnosis is clear, the specialist, in consultation with you and the physiotherapist, will determine the best suitable treatment. Good elbow treatments require a concrete, evaluative treatment trajectory in which we will mutually determine the treatment goals and appointments.

U kunt van maandag t/m vrijdag tussen 8.30 en 17.00 uur bellen voor een afspraak. U heeft wel een verwijzing van uw huisarts nodig.  Komt u voor het eerst op de polikliniek Orthopedie? Zorg dan dat u 15 minuten voor uw afspraak aanwezig bent voor het maken van een röntgenfoto.Locatie Jan van GoyenkadeT: 020 – 3055817

KEURMERK

Coronavirus: belangrijke informatie!

Gezien de ontwikkelingen in de zorg en het oplopen van wachttijden voor patiënten zal Medisch Centrum Jan van Goyen vanaf 13 mei de poliklinische zorg deels weer opstarten. Dit is een richtdatum, per dag beoordelen wij of en hoe wij onze zorg kunnen continueren. Let op: door het coronavirus zijn er achterstanden opgelopen en zijn de wachttijden nu niet accuraat aan te geven. Afspraken worden gepland op prioriteit, het kan dus iets langer duren voordat u ingepland kan worden. Wij vragen hiervoor om uw begrip.

Uw bezoek aan Medisch Centrum Jan van Goyen

De gezondheid van onze patiënten en medewerkers staat bij Medisch Centrum Jan van Goyen voorop. Daarom volgen we het advies van RIVM over COVID-19 en passen we onze werkwijze hierop aan.

Neem contact met ons op voor het maken van een nieuwe afspraak indien u een van onderstaande vragen met ja beantwoordt:

  1. Heeft u de afgelopen 48 uur koorts gehad zonder duidelijke oorzaak?
  2. Heeft u de afgelopen 48 uur klachten zoals kortademigheid, hoesten, keelpijn, neusverkouden, diarree en/of algehele malaise gehad?
  3. Heeft u een huisgenoot (partner, ouder, kind, vriend/vriendin) die op dit moment in thuisisolatie zit met bewezen corona of verdenking op corona?

Welke maatregelen zijn er genomen?

  • Waar mogelijk worden afspraken nog zoveel mogelijk telefonisch/digitaal gehouden.
  • We proberen afspraken zo te plannen dat de 1,5 m afstand geborgd kan worden. We vragen u hier zelf ook op te letten.
  • Wij verzoeken u om alleen naar uw afspraak te komen. Als het toch noodzakelijk is dan vragen wij u om slechts één begeleider mee te nemen en geen kinderen. Wij verzoeken uw begeleider vriendelijk om tijdens uw afspraak niet in de wachtkamer plaats te nemen, maar bijvoorbeeld buiten of in de auto.
  • Om het aantal patiënten dat in onze panden aanwezig is te kunnen beheersen, vragen wij u om kort van tevoren te komen, maar wel op tijd. Indien u te laat komt kan de afspraak helaas niet doorgaan.
  • U dient uw handen voor én na een bezoek aan Jan van Goyen te desinfecteren. Hiervoor staan bij alle in- en uitgangen desinfectiemateriaal.

Heeft u vragen?
Neem dan contact op met onze medewerkers via 020 3055 800.

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