骨关节炎高研班OA—培训课件.pptVIP

;;骨关节炎的现代概念;骨关节炎之“三高一低”;ScienceDaily (Aug. 27, 2009) — Osteoarthritis (OA) and degenerative disc disease (DDD) are common, chronic musculoskeletal disorders. Both diseases cause joint pain, loss of function, and decreased quality of life for the more than 27 million OA and 59 million DDD suffers in the US. According to a 2003 Medical Expenditure Panel Survey, arthritis such as OA costs the U.S. economy nearly $128 billion per year in medical care and indirect expenses including lost wages and productivity.;骨关节炎的分类 --按范围;骨关节炎的分类 --按病因;继发性骨关节炎 --继发先天或遗传因素;骨关节炎的分类 --按有无症状;;蛋白多糖聚合体为软骨基质的重要组成部分;;骨关节炎的病理改变 --模拟图;;;;Knee OA; ??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ;骨关节炎发病的危险因素 --肥胖;;骨关节炎发病的危险因素 --损伤和过度使用;骨关节炎发病的危险因素 --遗传;骨关节炎发病的危险因素 --软骨基质改变;骨关节炎发病的危险因素 --骨内压增高;;bony enlargement骨质增生 limitation of range of motion活动受限 crepitus on motion骨擦音 tenderness on pressure肿胀 pain on motion活动疼 joint effusion 关节渗出物 malalignment and/or joint deformity关节畸形;joint pain关节疼 morning stiffness晨僵 gel phenomenon 胶着感 buckling or instability不稳定 loss of function 功能丧失;Narrowing of the joint space关节间隙狭窄 Osteophytes 骨刺 Subchondral sclerosis 软骨下硬化 Cyst formation 囊变;最易受累的关节排序 ;骨关节炎;;骨关节炎;;Notable Knuckles;不同部位骨关节炎的临床特点 --手部;不同部位骨关节炎的临床特点 --手部;不同部位骨关节炎的临床特点 --手部;不同部位骨关节炎的临床特点 --手部;不同部位骨关节炎的临床特点 --手部;特殊类型骨关节炎的临床特点 --侵蚀