骨科诊断标准（Department of orthopedics diagnostic criteria）.docVIP

骨科诊断标准（Department of orthopedics diagnostic criteria） Department of orthopedics diagnostic criteria Department of orthopedics diagnostic criteria I. diagnostic criteria for rheumatoid arthritis: Rheumatoid arthritis diagnostic criteria revised in 1987 Standard definition Morning: near the joint and the morning continued for at least 1 hours before reaching the maximum improvement. Three or more physicians found at least three joints with swelling or effusion of the soft tissue (not merely Osteoarthritis: excessive bone growth. The 14 possible joints include the proximal side of the left or right The joints (PIP), metacarpophalangeal joints (MCP), wrists, elbows, ankles, and metatarsophalangeal joints. Hand arthritis: there is at least one swelling in the wrist, proximal interphalangeal joint and metacarpophalangeal joints. Symmetrical arthritis: both sides of the same joint occur simultaneously (bilateral interphalangeal joint, metacarpophalangeal joint, metatarsophalangeal joint, hair) Disease can no longer require absolute symmetry Rheumatoid nodules: the doctor observed subcutaneous nodules on the surface of the bone, the extensor tendon surface, or the joint. Serum rheumatoid factor: abnormal serum RF levels were confirmed by either method, and this method was used in the normal control group The positive rate of RF was less than 5% X-ray findings: typical rheumatoid arthritis changes were found in the anterior and posterior radiographs of the hand and wrist, Bone involvement or definite bone decalcification (pure bone) must be included in affected joints or joints Arthritis changes are not counted. The American Association for the following classification of patients with rheumatoid function: Grade I, can complete all daily activities, there are no obstacles; II, although there are one or more joint discomfort and activity limitation, but still able to complete normal activities; III, only few work or self-care activities; IV, basically or completely disabled,