骨科讀片閱片英文課件orthopedics-reading

1、orthopedics readingorthopedics readingUnderstanding X-ray1895，GermanyWilhelm Konrad RntgenUnderstanding X-ray1895，GermanSignificance of X-ray examination in Department of orthopedicsUnderstanding fracture、dislocation and Bone lesionsthe minimum、foremost accessory examination of orthopedicsthe first

2、way to check the department of orthopedics injurythe basic monitoring method in the treatment of injury in the Department of orthopedics.the basic means to evaluate the therapeutic effect.Significance of X-ray examinatThe basic position of X-ray examination frontal position lateral position When nec

3、essary, oblique position, tangent position, axial position or other special position is ok.include Far and near joints；Contrast with normal side。The basic position of X-ray ex frontal position lateral position frontal position latGeneral principles of reading X - rayImagine the patient standing in f

4、ront of you（Anatomical standard position）In principle, the left and right side of the X-rayIn accordance with the manner in which the doctor is used to put the X-ray filmAbsolutely ，dont paint or write on the X-ray filmGeneral principles of reading The left and right sides were judged according to t

5、he anatomical standard positionThe left and right sides were The information that should be mastered in the first sightWhat is the location of the X-ray filmleft or right？The area and scope of X-ray displayWhat the type of the fracture？Dont ignore soft tissue and other details！The information that s

6、hould beSpecification and description of the fracture sitenear ead？far end？inner joint？out of joint？Specification and description inner joint fractureinterior？centre？outboard？inner joint fracturePay attention to the quality of bones.sclerosissagPay attention to the quality o注意小兒生長板注意小兒生長板Growth plat

7、es black on x-rayEpiphysis (closed growth plates) white on x-raysthe closed epiphysis lineGrowth plate not yet closedGrowth plates black on x-raytDescription of the logical sequence of the X - ray filmLengthAngulationRotationDisplacementDescription of the logical seqcripeturaseparatenormalLengthcrip

8、eturaseparatenormalLengthcripeturaseparatecripeturaseparatenormalout sideinsideAngulationfrontal position:ectropion and introversion？lateral position:Forward or backward？normalout sideinsideAngulationsmaller introversionbigger ectropion Angle judgment of femoral neck fracturenormal collodiaphysial a

9、ngle： 125 - 135smaller introversion Aectropion and introversion？normalintroversionectropionectropion and introversion？norRotationfrontal positionlateral positionfrontal positionRotationfrontal positionlaterato judge ectropion or introversion：Always refer to the far endTo judge whether there is a rotation： Far ead and near end should be consideredto judge ectropion or To judge外內外內Medial displacement50%外內Lateral complete displac