骨科查体英文课件.ppt

,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,大家好,*,examnation of orthopedics,video,order,：,visual examination,palpation,percuss,d,ynamic,diagnosis,special test;,体格检查,2,大家好,principle,s of,Physical examination,Full exposure,Bilateral contrast,uninjured side,first,uninjured side,second,Active,first,passive,second,comprehensive、repeatedly、,soft,3,大家好,visual examination,gait and gesture,There is no skin redness,cyanosis,pigmentation or venous engorgement,Soft tissue swelling and mass,Muscle contraction or muscle fiber fibrillation,Scar,wound,sinus secretions,and its properties,Wound shape and depth,there is no foreign body residual and active bleeding,abnormalities,such as scoliosis,limb shortening and so on.,4,大家好,5,大家好,6,大家好,palpation,tenderness：,position,、,depth,、,scope,、,level and quality,abnormal activity and bone rub feeling,play ring,Local temperature and sensation,bilateral contrast,7,大家好,percussion,percussion pain,percussion pain,of Limb axial,Indirect spinal pain,Tinel,8,大家好,d,ynamic,diagnosis,Check the range of motion of the joint and the contraction of the muscle.,active movement,passive exercise,9,大家好,量 诊,Limb length measurement,Measurement of limb circumference,active movement;free exercise,10,大家好,Three planes of human joint motion,11,大家好,关节测量方法中立位零度法,12,大家好,Related nervous system examination,Muscle volume,muscle tension,muscle strength,ataxia,Muscle strength rating criteria,0,：Muscle strength completely disappeared,no muscle contraction,I,：Mild muscle contraction,joints can not be active,II,：Muscle contraction,joint movement,but not against the gravity of the body,III,：Can resist the gravity of the body to make joint activities,but can not resist the resistance,IV,：Resistance to external resistance,but weak muscle strength,V,：Normal muscle strength,13,大家好,upper limb joint,Shoulder joint examination,Elbow joint inspection,Wrist and hand,14,大家好,Shoulder joint examination,Visual examination,winged scapula：costoscapularis paralysation,Square shoulder deformity,15,大家好,Shoulder joint examination,palpation,Emptiness of the shoulder,Dugas,征,16,大家好,Special inspection,杜加斯,(Dugas),征,:,When a,ormal,person,put his,/her,hands on the side of the shoulder，,his/her e,lbow can be attached to the chest,with the shoulder has anterior dislocation,when we put the hand of injured side to the oppsite shoulder,the elbow can not be attached to the chest,.This is a positive sign of Du,gas,.,video,17,大家好,Elbow joint inspection,Visual examination,posterior cubital triangle,18,大家好,肘关节检查,视 诊,19,大家好,肘关节检查,网球肘,肱骨外上髁炎,20,大家好,肘关节检查,Mills sign:,when extent the elbow,，,flex the wrist,pronate the forearm,，,if there is pain on the external condyle of humerus,there is,positive sign of,Mills,video,21,大家好,Wrist and hand,wrist drop,ape,hand,Claw hand,22,大家好,杵状指,(acropachy),respiratory disease,heart disease,Nutritional disorders,23,大家好,匙状甲,(koilonych),iron-deficiency anemia;,High altitude disease,rheumatic fev,er,24,大家好,wrist and hand,25,大家好,crushing test of wrist triangular cartilage,Wrist joint in neutral position,And then make the wrist joint passive to the ulnar deviation and longitudinal extrusion,If there is pain in the lower ulnar joint,it shows the,positive sign,injury of triangular fibrocartilaginous disc、fracture of processus styloideus ulnae,video,26,大家好,Joint of lower extremity,Joint of lower extremity,Knee joint examination,Examination of ankle joint and foot,27,大家好,Anatomy of hip joint,Maximum weight bearing joint of human body,video,28,大家好,Joint motion degree examination,29,大家好,髋关节正常活动度,30,大家好,髋关节正常活动度,31,大家好,Anatomy of knee joint,前交叉韧带,后交叉韧带,半月板韧带,半月板,胫骨,髌骨,股骨,32,大家好,膝关节正常活动度,33,大家好,Knee joint force line,examnation,Under normal circumstances the knee can be together,Normal double ankle,distance,The knee can not be together,The ankle joint distance is too large,bow leg,cross-knee,4-6cm,34,大家好,Knee joint force line,In the knee with medial pain,the knee is accompanied by lateral pain,suggesting that the medial or lateral tibial femoral joint is osteoarthritis of the knee.,The pain of the knee joint outside the knee joint is often indicated by the injury of the lateral meniscus of the knee joint and vice versa.,Severe knee joint force line abnormalities under arthroscopic debridement and cartilage treatment can relieve pain,but the main treatment is high tibial osteotomy,35,大家好,Patella related examination,浮髌试验,(floating patella test),Check the joint effusion,generally moderate effusion(50ml),floating patella test was positive。,video,36,大家好,Examination of ankle joint and foot,37,大家好,Examination of ankle joint and foot,video,1,video2,38,大家好,summary,39,大家好,谢谢,