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1、骨科查體英文課件骨科查體英文課件order:visual examination palpationpercussdynamic diagnosisspecial test ; 體格檢查最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 order:體格檢查最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 principles of Physical examination Full exposureBilateral contrastuninjured side first, uninjured side secondActive first, passive secondcomprehensive、repeatedly、soft最

2、全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 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, there

3、 is no foreign body residual and active bleedingabnormalities, such as scoliosis, limb shortening and so on.最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 visual examinationgait and ges最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 palpation tenderness:position、depth、scope、level and quality abnormal activity and bone

4、rub feeling, play ringLocal temperature and sensation, bilateral contrast最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 palpation tenderness:posit percussionpercussion painpercussion pain of Limb axial Indirect spinal painTinel最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 percussionpercussion pain最dynamic diagnosisCheck the range of motion of the joint and the

5、contraction of the muscle.active movementpassive exercise最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 dynamic diagnosisCheck the ran量 診Limb length measurementMeasurement of limb circumferenceactive movement; free exercise最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 量 診Limb length measurement最 Three planes of human joint motion最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 Three planes of h

6、uman joint 關(guān)節(jié)測(cè)量方法中立位零度法最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 關(guān)節(jié)測(cè)量方法中立位零度法最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 Related nervous system examination Muscle volume, muscle tension, muscle strength, ataxia Muscle strength rating criteria 0:Muscle strength completely disappeared, no muscle contraction I:Mild muscle contraction, joints can not be acti

7、ve 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 resist the resistance IV:Resistance to external resistance, but weak muscle strength V:Normal muscle strength最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 Related nervous s

8、ystem examiV:Normal muscle strengthAnatomy of knee joint最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享Square shoulder deformityNormal double ankle distance最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享Scar, wound, sinus secretions, and its propertiesLocal temperature and sensation, bilateral contrast最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享wrist drop浮髕試驗(yàn)( float

9、ing patella test)Shoulder joint examinationpercussion pain of Limb axialMuscle contraction or muscle fiber fibrillationactive movement; free exercise匙狀甲(koilonych) upper limb joint Shoulder joint examinationElbow joint inspectionWrist and hand最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 V:Normal muscle strength upperShoulder joi

10、nt examinationVisual examination winged scapula :costoscapularis paralysation Square shoulder deformity最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 Shoulder joint examinationVisuShoulder joint examinationpalpation Emptiness of the shoulderDugas征最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 Shoulder joint examinationpalp Special inspection 杜加斯(Dugas)征: When a

11、ormal person put his/her hands on the side of the shoulder,his/her elbow can 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最全骨科查體 來(lái)自互聯(lián)網(wǎng)分

12、享 Special inspection 杜加斯(Du Elbow joint inspectionVisual examinationposterior cubital triangle最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 Elbow joint inspectionVisual 肘關(guān)節(jié)檢查視 診最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 肘關(guān)節(jié)檢查視 診最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 肘關(guān)節(jié)檢查網(wǎng)球肘肱骨外上髁炎最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 肘關(guān)節(jié)檢查網(wǎng)球肘最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 肘關(guān)節(jié)檢查Mills sign:when extent the elbow,flex the wrist,pronate the

13、 forearm ,if there is pain on the external condyle of humerus ,there is positive sign of Millsvideo最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 肘關(guān)節(jié)檢查Mills sign:video最全骨科查體 來(lái) Wrist and handwrist drop ape handClaw hand最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 Wrist and handwrist drop 最全骨最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享Severe knee joint force line abnormalities under arthrosc

14、opic debridement and cartilage treatment can relieve pain, but the main treatment is high tibial osteotomy最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享tenderness:position、depth、scope、level and qualityuninjured side first, uninjured side secondAnatomy of knee jointactive movement; free exercisevisual examinationpercussion pain of

15、Limb axial匙狀甲(koilonych)關(guān)節(jié)測(cè)量方法中立位零度法最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享active movement; free exercisecomprehensive、repeatedly、soft最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享杵狀指(acropachy)respiratory disease heart diseaseNutritional disorders最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享杵狀指(acropachy)最匙狀甲(koilonych) iron-deficiency anemia ; High altitude disease rhe

16、umatic fever 最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 匙狀甲(koilonych)最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 wrist and hand最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 wrist and hand最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享crushing test of wrist triangular cartilageWrist joint in neutral position,And then make the wrist joint passive to the ulnar deviation and longitudinal extrusion,If there is pain in the

17、 lower ulnar joint,it shows the positive signinjury of triangular fibrocartilaginous disc、 fracture of processus styloideus ulnaevideo最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 crushing test of wrist trianguJoint of lower extremityJoint of lower extremityKnee joint examinationExamination of ankle joint and foot 最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享

18、Joint of lower extremityJoint Anatomy of hip jointMaximum weight bearing joint of human bodyvideo最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 Anatomy of hip jointMaximum Joint motion degree examination最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 Joint motion degree examinati髖關(guān)節(jié)正?;顒?dòng)度最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 髖關(guān)節(jié)正常活動(dòng)度最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 髖關(guān)節(jié)正?;顒?dòng)度最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 髖關(guān)節(jié)正常活動(dòng)度最全骨科查體 來(lái)

19、自互聯(lián)網(wǎng)分享 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最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 Anatomy of knee joint前交叉韌帶后交叉膝關(guān)節(jié)正常活動(dòng)度最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 膝關(guān)節(jié)正?;顒?dòng)度最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 Knee joint force line examnationUnder normal circumstances the knee can be togetherNormal double ankle distanceThe knee can not be togetherThe ankle joint dis

20、tance is too largebow legcross-knee4-6cm最全骨科查體 來(lái)自互聯(lián)網(wǎng)分享 Knee joint 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 in

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