骨科查体英文精PPT课件

examnationoforthopedics,video,.,2,order：visualexaminationpalpationpercussdynamicdiagnosisspecialtest;,体格检查,.,3,principlesofPhysicalexamination,FullexposureBilateralcontrastuninjuredsidefirst,uninjuredsidesecondActivefirst,passivesecondcomprehensive、repeatedly、soft,.,4,visualexamination,gaitandgestureThereisnoskinredness,cyanosis,pigmentationorvenousengorgementSofttissueswellingandmassMusclecontractionormusclefiberfibrillationScar,wound,sinussecretions,anditspropertiesWoundshapeanddepth,thereisnoforeignbodyresidualandactivebleedingabnormalities,suchasscoliosis,limbshorteningandsoon.,.,5,.,6,.,7,palpation,tenderness：position、depth、scope、levelandqualityabnormalactivityandbonerubfeeling,playringLocaltemperatureandsensation,bilateralcontrast,.,8,percussion,percussionpainpercussionpainofLimbaxialIndirectspinalpainTinel,.,9,dynamicdiagnosis,Checktherangeofmotionofthejointandthecontractionofthemuscle.activemovementpassiveexercise,.,10,量诊,LimblengthmeasurementMeasurementoflimbcircumferenceactivemovement;freeexercise,.,11,Threeplanesofhumanjointmotion,.,12,关节测量方法中立位零度法,.,13,Relatednervoussystemexamination,Musclevolume,muscletension,musclestrength,ataxiaMusclestrengthratingcriteria0：Musclestrengthcompletelydisappeared,nomusclecontractionI：Mildmusclecontraction,jointscannotbeactiveII：Musclecontraction,jointmovement,butnotagainstthegravityofthebodyIII：Canresistthegravityofthebodytomakejointactivities,butcannotresisttheresistanceIV：Resistancetoexternalresistance,butweakmusclestrengthV：Normalmusclestrength,.,14,upperlimbjoint,ShoulderjointexaminationElbowjointinspectionWristandhand,.,15,Shoulderjointexamination,Visualexamination,wingedscapula：costoscapularisparalysation,Squareshoulderdeformity,.,16,Shoulderjointexamination,palpation,Emptinessoftheshoulder,Dugas征,.,17,Specialinspection,杜加斯(Dugas)征:Whenaormalpersonputhis/herhandsonthesideoftheshoulder，his/herelbowcanbeattachedtothechest,withtheshoulderhasanteriordislocation,whenweputthehandofinjuredsidetotheoppsiteshoulder,theelbowcannotbeattachedtothechest.ThisisapositivesignofDugas.,video,.,18,Elbowjointinspection,Visualexamination,posteriorcubitaltriangle,.,19,肘关节检查,视诊,.,20,肘关节检查,网球肘肱骨外上髁炎,.,21,肘关节检查,Millssign:whenextenttheelbow，flexthewrist,pronatetheforearm，ifthereispainontheexternalcondyleofhumerus,thereispositivesignofMills,video,.,22,Wristandhand,wristdropapehandClawhand,.,23,杵状指(acropachy)respiratorydiseaseheartdiseaseNutritionaldisorders,.,24,匙状甲(koilonych)iron-deficiencyanemia;Highaltitudediseaserheumaticfever,.,25,wristandhand,.,26,crushingtestofwristtriangularcartilage,Wristjointinneutralposition,Andthenmakethewristjointpassivetotheulnardeviationandlongitudinalextrusion,Ifthereispaininthelowerulnarjoint,itshowsthepositivesigninjuryoftriangularfibrocartilaginousdisc、fractureofprocessusstyloideusulnae,video,.,27,Jointoflowerextremity,JointoflowerextremityKneejointexaminationExaminationofanklejointandfoot,.,28,Anatomyofhipjoint,Maximumweightbearingjointofhumanbody,video,.,29,Jointmotiondegreeexamination,.,30,髋关节正常活动度,.,31,髋关节正常活动度,.,32,Anatomyofkneejoint,前交叉韧带,后交叉韧带,半月板韧带,半月板,胫骨,髌骨,股骨,.,33,膝关节正常活动度,.,34,Kneejointforcelineexamnation,UndernormalcircumstancesthekneecanbetogetherNormaldoubleankledistanceThekneecannotbetogetherTheanklejointdistanceistoolarge,bowleg,cross-knee,4-6cm,.,35,Kneejointforceline,Inthekneewithmedialpain,thekneeisaccompaniedbylateralpain,suggestingthatthemedialorlateraltibialfemoraljointisosteoarthritisoftheknee.Thepainofthekneejointoutsidethekneejointisoftenindicatedbytheinjuryofthelateralmeniscusofthekneejointandviceversa.Severekneejointforcelineabnormalitiesunderarthroscopicdebridementandcartilagetreatmentcanrelievepain,butthemaintreatmentishightibialosteotomy,.,36,Patellarelatedexamination,浮髌试验(floatingpatell