骨科查體英文課件

1、examnation of orthopedicsvideoexamnation of orthopedicsvideoorder：visual examination palpationpercussdynamic diagnosisspecial test ; 體格檢查order：體格檢查 principles of Physical examination Full exposureBilateral contrastuninjured side first, uninjured side secondActive first, passive secondcomprehensive、r

2、epeatedly、soft principles of Physical examinvisual examinationgait and gestureThere is no skin redness, cyanosis, pigmentation or venous engorgementSoft tissue swelling and massMuscle contraction or muscle fiber fibrillationScar, wound, sinus secretions, and its propertiesWound shape and depth, ther

3、e is no foreign body residual and active bleedingabnormalities, such as scoliosis, limb shortening and so on.visual examinationgait and ges骨科查體英文骨科查體英文 palpation tenderness：position、depth、scope、level and quality abnormal activity and bone rub feeling, play ringLocal temperature and sensation, bilate

4、ral contrast palpation tenderness：posit percussionpercussion painpercussion pain of Limb axial Indirect spinal painTinel percussionpercussion paindynamic diagnosisCheck the range of motion of the joint and the contraction of the muscle.active movementpassive exercisedynamic diagnosisCheck the ran量 診

5、Limb length measurementMeasurement of limb circumferenceactive movement; free exercise量 診Limb length measurement Three planes of human joint motion Three planes of human joint 關(guān)節(jié)測(cè)量方法中立位零度法關(guān)節(jié)測(cè)量方法中立位零度法 Related nervous system examination Muscle volume, muscle tension, muscle strength, ataxia Muscle st

6、rength rating criteria 0：Muscle strength completely disappeared, no muscle contraction I：Mild muscle contraction, joints can not be active II：Muscle contraction, joint movement, but not against the gravity of the body III：Can resist the gravity of the body to make joint activities, but can not resis

7、t the resistance IV：Resistance to external resistance, but weak muscle strength V：Normal muscle strength Related nervous system exami upper limb joint Shoulder joint examinationElbow joint inspectionWrist and hand upper limb joint Shoulder joShoulder joint examinationVisual examination winged scapul

8、a ：costoscapularis paralysation Square shoulder deformityShoulder joint examinationVisuShoulder joint examinationpalpation Emptiness of the shoulderDugas征Shoulder joint examinationpalp Special inspection 杜加斯(Dugas)征: When a ormal person put his/her hands on the side of the shoulder，his/her elbow can

9、 be attached to the chest,with the shoulder has anterior dislocation,when we put the hand of injured side to the oppsite shoulder,the elbow can not be attached to the chest.This is a positive sign of Dugas.video Special inspection 杜加斯(Du Elbow joint inspectionVisual examinationposterior cubital tria

10、ngle Elbow joint inspectionVisual 肘關(guān)節(jié)檢查視 診肘關(guān)節(jié)檢查視 診肘關(guān)節(jié)檢查網(wǎng)球肘肱骨外上髁炎肘關(guān)節(jié)檢查網(wǎng)球肘肘關(guān)節(jié)檢查Mills sign:when extent the elbow，flex the wrist,pronate the forearm ，if there is pain on the external condyle of humerus ,there is positive sign of Millsvideo肘關(guān)節(jié)檢查Mills sign:video Wrist and handwrist drop ape handClaw hand

11、Wrist and handwrist drop 杵狀指(acropachy)respiratory disease heart diseaseNutritional disorders杵狀指(acropachy)匙狀甲(koilonych) iron-deficiency anemia ; High altitude disease rheumatic fever 匙狀甲(koilonych)wrist and handwrist and handcrushing test of wrist triangular cartilageWrist joint in neutral positio

12、n,And then make the wrist joint passive to the ulnar deviation and longitudinal extrusion,If there is pain in the lower ulnar joint,it shows the positive signinjury of triangular fibrocartilaginous disc、 fracture of processus styloideus ulnaevideocrushing test of wrist trianguJoint of lower extremit

13、yJoint of lower extremityKnee joint examinationExamination of ankle joint and foot Joint of lower extremityJoint Anatomy of hip jointMaximum weight bearing joint of human bodyvideo Anatomy of hip jointMaximum Joint motion degree examination Joint motion degree examinati髖關(guān)節(jié)正?；顒?dòng)度髖關(guān)節(jié)正?；顒?dòng)度髖關(guān)節(jié)正常活動(dòng)度髖關(guān)節(jié)正?；?/p>

14、動(dòng)度 Anatomy of knee joint前交叉韌帶后交叉韌帶半月板韌帶半月板脛骨髕骨股骨 Anatomy of knee joint前交叉韌帶后交叉膝關(guān)節(jié)正?；顒?dòng)度膝關(guān)節(jié)正?；顒?dòng)度 Knee joint force line examnationUnder normal circumstances the knee can be togetherNormal double ankle distanceThe knee can not be togetherThe ankle joint distance is too largebow legcross-knee4-6cm Knee j

15、oint force line examna Knee joint force line In the knee with medial pain, the knee is accompanied by lateral pain, suggesting that the medial or lateral tibial femoral joint is osteoarthritis of the knee. The pain of the knee joint outside the knee joint is often indicated by the injury of the late

16、ral meniscus of the knee joint and vice versa.Severe knee joint force line abnormalities under arthroscopic debridement and cartilage treatment can relieve pain, but the main treatment is high tibial osteotomy Knee joint force line In the Patella related examination浮髕試驗(yàn)( floating patella test)Check the joint effusion, general