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1、examnation of orthopedics最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 video最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 2v Full exposureFull exposurev Bilateral contrastBilateral contrastv uninjured side uninjured side first, first, uninjured side uninjured side secondsecondv Active Active first,first, passive passive secondsecondv
2、comprehensivecomprehensive、repeatedlyrepeatedly、softsoft最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 3v gait and gesturegait and gesturev There is no skin redness, cyanosis, pigmentation or venous There is no skin redness, cyanosis, pigmentation or venous engorgementengorgementv Soft tissue swelling and massSoft tis
3、sue swelling and massv Muscle contraction or muscle fiber fibrillationMuscle contraction or muscle fiber fibrillationv Scar, wound, sinus secretions, and its propertiesScar, wound, sinus secretions, and its propertiesv Wound shape and depth, there is no foreign body residual and Wound shape and dept
4、h, there is no foreign body residual and active bleedingactive bleedingv abnormalities, such as scoliosis, limb shortening and so on.abnormalities, such as scoliosis, limb shortening and so on.最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 4最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 5最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 6v tenderness:positio
5、n、depth、scope、level and qualityv abnormal activity and bone rub feeling, play ringv Local temperature and sensation, bilateral contrast最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 7v percussion painv percussion pain of Limb axial v Indirect spinal painv Tinel最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 8v Check the range of motion o
6、f the joint and the contraction of the Check the range of motion of the joint and the contraction of the muscle.muscle.v active movementactive movementv passive exercisepassive exercise最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 9v Limb length measurementLimb length measurementv Measurement of limb circumferenceMea
7、surement of limb circumferencev active movement; free exerciseactive movement; free exercise最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 10最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 11最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 12 Related nervous system examination Muscle volume, muscle tension, muscle strength, ataxiav Muscle strength rating cri
8、teria 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
9、IV:Resistance to external resistance, but weak muscle strength V:Normal muscle strength最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 13 upper limb joint v Shoulder joint examinationv Elbow joint inspectionv Wrist and hand最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 14Shoulder joint examinationVisual examination winged scapula :costos
10、capularis paralysation Square shoulder deformity最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 15Shoulder joint examinationpalpation Emptiness of the shoulderDugas征最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 16 Special inspection 杜加斯杜加斯(Dugas)(Dugas)征征: : When a When a ormal ormal personperson put put hishis/her/her hands on the side
11、 of hands on the side of the shoulderthe shoulder,his/her ehis/her elbow lbow can be attached to the can be attached to the chestchest,with the shoulder has ,with the shoulder has anterior dislocation,when we anterior dislocation,when we put the hand of injured side put the hand of injured side to t
12、he oppsite shoulder,the to the oppsite shoulder,the elbow can not be attached to elbow can not be attached to the chestthe chest.This is a positive .This is a positive sign of Dusign of Dugasgas. .最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 video17 Elbow joint inspectionVisual examination最全骨科查体最全骨科查体 来自互联网来自互联网分享分享
13、 posterior cubital triangle18肘关节检查肘关节检查视视 诊诊最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 19肘关节检查肘关节检查网球肘网球肘肱骨外上髁炎肱骨外上髁炎最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 20肘关节检查肘关节检查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 positive s
14、ign of Mills最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 video21 Wrist and handv wrist drop v ape handv Claw hand最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 22杵状指杵状指(acropachy)v respiratory disease v heart diseasev Nutritional disorders最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 23v 匙状甲匙状甲(koilonych) iron-deficiency anemia ; High altitude disease
15、rheumatic fever 最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 24wrist and hand最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 25crushing test of wrist triangular cartilagecrushing test of wrist triangular cartilagev Wrist joint in neutral Wrist joint in neutral positionposition, ,And then make the And then make the wrist joint passive t
16、o the wrist joint passive to the ulnar deviation and ulnar deviation and longitudinal extrusionlongitudinal extrusion, ,If If there is pain in the lower there is pain in the lower ulnar jointulnar joint,it shows the ,it shows the positive signpositive signv injury of triangular injury of triangular
17、fibrocartilaginous discfibrocartilaginous disc、 fracture of processus fracture of processus styloideus ulnaestyloideus ulnae最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 video26Joint of lower extremityv Joint of lower extremityv Knee joint examinationv Examination of ankle joint and foot 最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 2
18、7 Anatomy of hip jointvMaximum weight bearing joint of human body最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 video28 Joint motion degree examination最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 29髋关节正常活动度髋关节正常活动度最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 30髋关节正常活动度髋关节正常活动度最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 31 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
19、最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 32膝关节正常活动度膝关节正常活动度最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 33 Knee joint force line examnationv Under normal circumstances the knee can be togetherv Normal double ankle distancev The knee can not be togetherv The ankle joint distance is too largebow legcross-knee4-6cm最全骨科查体最全骨科查体 来自互联网来自互联网分享分享 34 Knee joint force linev 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.v The pain of the knee joi
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