骨科查体英文课件

examnationoforthopedicsvideoorder：visualexaminationpalpationpercussdynamicdiagnosisspecialtest;体格检查2精品课件

principlesofPhysicalexaminationFullexposureBilateralcontrastuninjuredsidefirst,uninjuredsidesecondActivefirst,passivesecondcomprehensive、repeatedly、soft3精品课件visualexaminationgaitandgestureThereisnoskinredness,cyanosis,pigmentationorvenousengorgementSofttissueswellingandmassMusclecontractionormusclefiberfibrillationScar,wound,sinussecretions,anditspropertiesWoundshapeanddepth,thereisnoforeignbodyresidualandactivebleedingabnormalities,suchasscoliosis,limbshorteningandsoon.4精品课件5精品课件6精品课件palpationtenderness：position、depth、scope、levelandqualityabnormalactivityandbonerubfeeling,playringLocaltemperatureandsensation,bilateralcontrast7精品课件percussionpercussionpainpercussionpainofLimbaxial

IndirectspinalpainTinel8精品课件dynamicdiagnosisChecktherangeofmotionofthejointandthecontractionofthemuscle.activemovementpassiveexercise9精品课件量诊LimblengthmeasurementMeasurementoflimbcircumferenceactivemovement;freeexercise10精品课件Threeplanesofhumanjointmotion

11精品课件关节测量方法

中立位零度法12精品课件RelatednervoussystemexaminationMusclevolume,muscletension,musclestrength,ataxiaMusclestrengthratingcriteria

0：Musclestrengthcompletelydisappeared,nomusclecontraction

I：Mildmusclecontraction,jointscannotbeactive

II：Musclecontraction,jointmovement,butnotagainstthegravityofthebody

III：Canresistthegravityofthebodytomakejointactivities,butcannotresisttheresistance

IV：Resistancetoexternalresistance,butweakmusclestrength

V：Normalmusclestrength13精品课件upperlimbjointShoulderjointexaminationElbowjointinspectionWristandhand14精品课件ShoulderjointexaminationVisualexaminationwingedscapula：costoscapularisparalysationSquareshoulderdeformity15精品课件ShoulderjointexaminationpalpationEmptinessoftheshoulderDugas征16精品课件Specialinspection

杜加斯(Dugas)征:

Whenaormalpersonputhis/herhandsonthesideoftheshoulder，his/herelbowcanbeattachedtothechest,withtheshoulderhasanteriordislocation,whenweputthehandofinjuredsidetotheoppsiteshoulder,theelbowcannotbeattachedtothechest.ThisisapositivesignofDugas.video17精品课件ElbowjointinspectionVisualexaminationposteriorcubitaltriangle18精品课件肘关节检查视诊19精品课件肘关节检查网球肘肱骨外上髁炎20精品课件肘关节检查Millssign:whenextenttheelbow，flexthewrist,pronatetheforearm，ifthereispainontheexternalcondyleofhumerus,thereispositivesignofMillsvideo21精品课件WristandhandwristdropapehandClawhand22精品课件杵状指(acropachy)respiratorydiseaseheartdiseaseNutritionaldisorders23精品课件匙状甲(koilonych)

iron-deficiencyanemia;Highaltitudediseaserheumaticfever

24精品课件wristandhand

25精品课件crushingtestofwristtriangularcartilageWristjointinneutralposition,Andthenmakethewristjointpassivetotheulnardeviationandlongitudinalextrusion,Ifthereispaininthelowerulnarjoint,itshowsthepositivesigninjuryoftriangularfibrocartilaginousdisc、fractureofprocessusstyloideusulnaevideo26精品课件JointoflowerextremityJointoflowerextremityKneejointexaminationExaminationofanklejointandfoot27精品课件AnatomyofhipjointMaximumweightbearingjointofhumanbodyvideo28精品课件Jointmotiondegreeexamination29精品课件髋关节正常活动度30精品课件髋关节正常活动度31精品课件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32精品课件膝关节正常活动度33精品课件KneejointforcelineexamnationUndernormalcircumstancesthekneecanbetogetherNormaldoubleankledistanceThekneecannotbetogetherTheanklejointdistanceistoolargebowlegcross-knee4-6cm34精品课件KneejointforcelineInthekneewithmedialpain,thekneeisaccompaniedbylateralpain,suggestingthatthemedialorlateraltibialfemoraljointisosteoarthritisoftheknee.Thepainofthekneejointoutsidethekneejointisoftenindicatedbytheinjuryofthelateralmeniscusofthekneejointandviceversa.Severekneejointforcelineabnormalitiesunderarthroscopicdebridementandcartilagetreatmentcanrelievepain,butthemaintreatmentishightibialosteotomy35精品课件Patellarelatedexamination浮髌试验(floatingpatellatest)Checkthejointeffusion,generallymoderateeffusion(50ml),floatingpatel