骨科查體英文課件

examnationoforthopedicsvideoorder：visualexaminationpalpationpercussdynamicdiagnosisspecialtest;體格檢查2精品課件

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

IndirectspinalpainTinel8精品課件dynamicdiagnosisChecktherangeofmotionofthejointandthecontractionofthemuscle.activemovementpassiveexercise9精品課件量診LimblengthmeasurementMeasurementoflimbcircumferenceactivemovement;freeexercise10精品課件Threeplanesofhumanjointmotion

11精品課件關(guān)節(jié)測量方法

中立位零度法12精品課件RelatednervoussystemexaminationMusclevolume,muscletension,musclestrength,ataxiaMusclestrengthratingcriteria

0：Musclestrengthcompletelydisappeared,nomusclecontraction

I：Mildmusclecontraction,jointscannotbeactive

II：Musclecontraction,jointmovement,butnotagainstthegravityofthebody

III：Canresistthegravityofthebodytomakejointactivities,butcannotresisttheresistance

IV：Resistancetoexternalresistance,butweakmusclestrength

V：Normalmusclestrength13精品課件upperlimbjointShoulderjointexaminationElbowjointinspectionWristandhand14精品課件ShoulderjointexaminationVisualexaminationwingedscapula：costoscapularisparalysationSquareshoulderdeformity15精品課件ShoulderjointexaminationpalpationEmptinessoftheshoulderDugas征16精品課件Specialinspection

杜加斯(Dugas)征:

Whenaormalpersonputhis/herhandsonthesideoftheshoulder，his/herelbowcanbeattachedtothechest,withtheshoulderhasanteriordislocation,whenweputthehandofinjuredsidetotheoppsiteshoulder,theelbowcannotbeattachedtothechest.ThisisapositivesignofDugas.video17精品課件ElbowjointinspectionVisualexaminationposteriorcubitaltriangle18精品課件肘關(guān)節(jié)檢查視診19精品課件肘關(guān)節(jié)檢查網(wǎng)球肘肱骨外上髁炎20精品課件肘關(guān)節(jié)檢查Millssign:whenextenttheelbow，flexthewrist,pronatetheforearm，ifthereispainontheexternalcondyleofhumerus,thereispositivesignofMillsvideo21精品課件WristandhandwristdropapehandClawhand22精品課件杵狀指(acropachy)respiratorydiseaseheartdiseaseNutritionaldisorders23精品課件匙狀甲(koilonych)

iron-deficiencyanemia;Highaltitudediseaserheumaticfever

24精品課件wristandhand

25精品課件crushingtestofwristtriangularcartilageWristjointinneutralposition,Andthenmakethewristjointpassivetotheulnardeviationandlongitudinalextrusion,Ifthereispaininthelowerulnarjoint,itshowsthepositivesigninjuryoftriangularfibrocartilaginousdisc、fractureofprocessusstyloideusulnaevideo26精品課件JointoflowerextremityJointoflowerextremityKneejointexaminationExaminationofanklejointandfoot27精品課件AnatomyofhipjointMaximumweightbearingjointofhumanbodyvideo28精品課件Jointmotiondegreeexamination29精品課件髖關(guān)節(jié)正?；顒?dòng)度30精品課件髖關(guān)節(jié)正常活動(dòng)度31精品課件Anatomyofkneejoint前交叉韌帶后交叉韌帶半月板韌帶半月板脛骨髕骨股骨32精品課件膝關(guān)節(jié)正?；顒?dòng)度33精品課件KneejointforcelineexamnationUndernormalcircumstancesthekneecanbetogetherNormaldoubleankledistanceThekneecannotbetogetherTheanklejointdistanceistoolargebowlegcross-knee4-6cm34精品課件KneejointforcelineInthekneewithmedialpain,thekneeisaccompaniedbylateralpain,suggestingthatthemedialorlateraltibialfemoraljointisosteoarthritisoftheknee.Thepainofthekneejointoutsidethekneejointisoftenindicatedbytheinjuryofthelateralmeniscusofthekneejointandviceversa.Severekneejointforcelineabnormalitiesunderarthroscopicdebridementandcartilagetreatmentcanrelievepain,butthemaintreatmentishightibialosteotomy35精品課件Patellarelatedexamination浮髕試驗(yàn)(floatingpatellatest)Checkthejointeffusion,generallymoderateeffusion(50ml),floatingpatel