骨科查体英文课件

examnationoforthopedicsvideo体格检查2大家好

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

IndirectspinalpainTinel8大家好dynamicdiagnosisChecktherangeofmotionofthejointandthecontractionofthemuscle.activemovementpassiveexercise9大家好量诊LimblengthmeasurementMeasurementoflimbcircumferenceactivemovement;freeexercise10大家好Threeplanesofhumanjointmotion

11大家好关节测量方法

中立位零度法12大家好RelatednervoussystemexaminationMusclevolume,muscletension,musclestrength,ataxiaMusclestrengthratingcriteria

0：Musclestrengthcompletelydisappeared,nomusclecontraction

I：Mildmusclecontraction,jointscannotbeactive

II：Musclecontraction,jointmovement,butnotagainstthegravityofthebody

III：Canresistthegravityofthebodytomakejointactivities,butcannotresisttheresistance

IV：Resistancetoexternalresistance,butweakmusclestrength

V：Normalmusclestrength13大家好upperlimbjointShoulderjointexaminationElbowjointinspectionWristandhand14大家好ShoulderjointexaminationVisualexaminationwingedscapula：costoscapularisparalysationSquareshoulderdeformity15大家好ShoulderjointexaminationpalpationEmptinessoftheshoulderDugas征16大家好Specialinspection

杜加斯(Dugas)征:

Whenaormalpersonputhis/herhandsonthesideoftheshoulder，his/herelbowcanbeattachedtothechest,withtheshoulderhasanteriordislocation,whenweputthehandofinjuredsidetotheoppsiteshoulder,theelbowcannotbeattachedtothechest.ThisisapositivesignofDugas.video17大家好ElbowjointinspectionVisualexaminationposteriorcubitaltriangle18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Millssign:whenextenttheelbow，flexthewrist,pronatetheforearm，ifthereispainontheexternalcondyleofhumerus,thereispositivesignofMillsvideo21大家好WristandhandwristdropapehandClawhand22大家好杵状指(acropachy)respiratorydiseaseheartdiseaseNutritionaldisorders23大家好匙状甲(koilonych)

iron-deficiencyanemia;Highaltitudediseaserheumaticfever

24大家好wristandhand

25大家好Wristjointinneutralposition,Andthenmakethewristjointpassivetotheulnardeviationandlongitudinalextrusion,Ifthereispaininthelowerulnarjoint,itshowsthepositivesigninjuryoftriangularfibrocartilaginousdisc、fractureofprocessusstyloideusulnaevideo26大家好JointoflowerextremityJointoflowerextremityKneejointexaminationExaminationofanklejointandfoot27大家好AnatomyofhipjointMaximumweightbearingjointofhumanbodyvideo28大家好Jointmotiondegreeexamination29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大家好膝关节正常活动度33大家好KneejointforcelineexamnationUndernormalcircumstancesthekneecanbetogetherNormaldoubleankledistanceThekneecannotbetogetherTheanklejointdistanceistoolargebowlegcross-knee4-6cm34大家好KneejointforcelineInthekneewithmedialpain,thekneeisaccompaniedbylateralpain,suggestingthatthemedialorlateraltibialfemoraljointisosteoarthritisoftheknee.Thepainofthekneejointoutsidethekneejointisoftenindicatedbytheinjuryofthelateralmeniscusofthekneejointandviceversa.Severekneejointforcelineabnormalitiesunderarthroscopicdebridementandcartilagetreatmentcanrelievepain,butth