骨科专业知识备用（Department of Orthopedics; specialized knowledge; Reserve）.docVIP

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骨科专业知识备用（Department of Orthopedics; specialized knowledge; Reserve）.doc

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骨科专业知识备用（Department of Orthopedics; specialized knowledge; Reserve）

骨科专业知识备用（Department of Orthopedics; specialized knowledge; Reserve） The second chapter is the examination method of bone and joint disease -1 The range of bone and joint disease is very extensive and can be caused by many reasons. Therefore, it is important for the diagnosis to have a comprehensive examination of the patient in detail. ? Section 1 clinical examination methods ? First, the whole body examination ? Although bone and joint diseases can be referred to as specialist diseases, the diagnosis must not be neglected in the diagnosis of such patients. Take lumbago, both from lumbar lesions, joint lesions, but also from the abdominal cavity or pelvic organ disease. Even spinal lesions can be a local manifestation of systemic diseases, such as metabolic diseases, osteoporosis, etc.. As for most spinal tumors, metastatic tumor, the primary tumor mostly from liver, lungs, digestive tract and prostate. In women, it can also be caused by pelvic and genital lesions. If you do not pay attention to the whole body examination, you may have missed diagnosis or misdiagnosis. Two. Joint motion test To do the examination of joint movement, we must first be familiar with the movement characteristics and functional range of normal joints, in order to understand what abnormal joint occurs and what changes in the range of functional activities have occurred. If the hip is a ball joint, for flexion and extension, adduction, abduction and internal and external rotation. The interphalangeal joint is ginglymus, only for flexion and extension. (1) the functional range of each joint of the human body (neutral position is 0 degrees) 1. cervical Neutral, front facing, eye up. Neck mobility: flexion extension 35 ~45 degrees, 35 degrees ~45 degrees, left and right bending 45 degrees, left and right rotation of 60 DEG ~80 DEG (2 / 1). ? ? Figure 2-1 range of neck motion 2. waist ? Neutral position is not easy to determine, usually upright, Be Nobunao, natural position. The range of motion