医院消毒供应中心CSSD专科知识《日常生活中的骨科学道理》精美培训课件

TOD’sonOrthopaedics

日常生活中的骨科学道理

Outline骨科学来源于生活膝关节、踝关节骨质疏松症肘关节痛颈肩痛腰背痛骨科学来源于生活骨科学主要研究运动系统损伤和疾病theinventoroftheword‘‘orthopaedics’’NicolasAndry(Lyon1658–Paris1742):RemiKohler

JChildOrthop(2010)4:349–355AbstractThisisanhistoricalessayaboutNicolasAndry,aFrenchmedicaldoctor(Lyon1658–Paris1742)whowrotein1741thefamousbookcalled‘‘L’orthopedie’’,whichwassoonaftertranslatedintoEnglish(1742)‘‘Orthopaediaortheartofcorrectingandpreventingdeformitiesinchildren’’.Hislifeandworksaredetailedasthecontainmentofthebookcomposedoftwovolumesandmanyengravings(thecrookedtreehasbecomethesymbolofnumerousorthopaedicsocietiesaroundtheworld).Adiscussionofsemantics(ORTHO-PEDIE)andevolutionofthemeaningofthiswordisalsodiscussed.

paradox。halftorise,andhalftofall，passionagainstlogic,heartVSmind.，dustweare,andtodustweshallreturn。“自然和自然法则隐藏在暗处，上帝说：‘让牛顿来’然后所有的都暴露出来了”。牛津语录词典中收录了212条蒲柏的作品精辟语录。如“只有少量知识是危险的”，“人皆有错，难能宽恕”，“正确的学习造就男子汉”等运动系统疾患与日常生活中的

习惯、活动和姿势有关

running骨质疏松症分类原发性骨质疏松症

绝经后骨质疏松症（Ⅰ型）

老年骨质疏松症（Ⅱ型）

特发性骨质疏松（包括青少年型）继发性骨质疏松症骨质疏松症是一种静悄悄的疾病，当出现骨折时，才被发现，但疾病已经进展到严重阶段。THETIPOFTHEICEBERGASSESSMENTMANAGEMENTFrom:JerryTenenbaumMDFRCPCProfessorofMedicine:UniversityofTorontoMountSinaiHospitalVertebralFractureCascadeTHEHUMANCOST

DownwardSpiralBackinjuries.Ifyouthinkthatgolfisforwimps,considerthis:Agolfswingputsahighercompressiveloadonthelowback(8timesbodyweight)thanrunning(3times)orevenrowing(7times).That’swhyasingleswingcanproduceaherniateddiscorevenacompressionfractureofoneofthevertebralbodies.Althoughtheseinjuriesareextremelypainfulandcanbequiteserious,theyarerare.Musclestrains,however,arequitecommonbecauseofthetwistingthatisrequiredforagoodswing.The“modern”swing,withitsinverted-Cfollow-through,maymakeforlongerdrivesthanthe“classic”swingbutitalsoproducesmoretorque—andmoreinjuries(seeGolfinjuriesabove).HarvardMen’sHealthWatchAug2004The“modern”swing,withitsinverted-Cfollow-through,maymakeforlongerdrivesthanthe“classic”swingbutitalsoproducesmoretorque—andmoreinjuriesOsteoporosiscanbepreventedandcanbediagnosedandtreatedbeforeanyfractureoccurs.骨质疏松症是可以在发生骨折前预防、诊断和治疗的颈肩痛

颈肩痛常见损伤部位腰背痛

肥胖使关节和背部肌肉应力集中产生劳损坐姿和腰背痛正确搬重物保护腰背肌脊柱健康的保护平衡和应力分散肘关节痛网球肘、高尔夫肘网球肘（肱骨外上髁炎）高尔夫肘（肱骨内上髁炎）膝关节、踝关节

骨关节炎高跟鞋的危害脊柱姿势改变腓肠肌劳损萎缩拇趾外翻畸形踝关节韧带损伤跟痛胼胝拇趾外翻脊柱、膝关节退变跟腱周围韧带损伤功能锻炼可以防治颈肩痛和腰背痛阳光、营养