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Mw J. lijdt al 2 jaar aan gewrichtsklachten en is daardoor niet in staat haar werk te doen. Zij wordt begeleid door de bedrijfsarts en behandeld door haar huisarts, maar er zit niet veel verbetering in. De verzekeringsarts beoordeelt de WIA-claim van mw J. Hij meent dat niet alle behandelmogelijkheden zijn uitgeput, en stelt de huisarts voor om patiente te verwijzen naar specialist

The mantle plume/rift system model developed by three of the present authors (v. C., d. T., K.) for the northern Hesperian Massif is expanded to that of an aulacogen/ensialic orogen for the entire massif. The first author (v. d. M. M.) contributes a review of the supracrustal history of the massif and its predrift adjacent areas, summarized in a time-stratigraphic table of the Cambro-Ordovician and a palinspastic-palaeogeographic sketch map of the general region in Middle Cambrian times. The infrastructural history is also reviewed, and it is concluded that the early Palaeozoic features of the Massif are consistent with those of an aulacogen oriented at a high angle to the Iapetus ocean. In the Late Palaeozoic its features changed into those of an ensialic orogen without appreciable loss of continuity as shown by the facies- and age record of sedimentary, igneous and metamorphic events.