3骨骼与肌肉系统疾病诊断（3 bone and muscle system disease diagnosis）.docVIP

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3骨骼与肌肉系统疾病诊断（3 bone and muscle system disease diagnosis）.doc

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3骨骼与肌肉系统疾病诊断（3 bone and muscle system disease diagnosis）

3骨骼与肌肉系统疾病诊断（3 bone and muscle system disease diagnosis） A, bone and soft tissue trauma Objective to check 1. imaging: A. clearly has no fracture or rupture of tendon and ligament B. fracture dislocation The reduction of C. fluoroscopy After the review of fixed D. E. understand the healing process and complications F. to determine the pathological fracture reason 2. fracture: fracture for bone or cartilage structure fracture, discontinuity of bone fracture, and epiphyseal separation. A history of trauma A. clinically, and persistent pain, swelling and dysfunction. B. basic X-ray manifestations: fracture broken end X-ray transparent irregular lines called the fracture line, the bone cortex showed clear and neat. Type C. fracture: According to the degree: complete and incomplete According to the shape and direction of fracture line: linear, star, transverse, oblique and spiral According to the bone fragments into, embedded and comminuted avulsion The alignment between D. fracture: proximal to distal displacement of a benchmark to judge the direction and extent of inside and outside. Before and after the upper and lower dislocation movement. Angular displacement of side line. E. fracture: embedding embedding fractures, i.e. the two ends are mutually embedded. The characteristics of F. fracture in children: A greenstick fracture: Childrens skeletal flexibility caused by external force, cortical and trabecular bone distortion, caused by cortical fold, depression or carina, incomplete fracture, fracture line can not see. Epiphyseal fracture of the epiphyseal plate: external through metaphysis, caused by epiphyseal separation. Just as the epiphyseal line epiphyseal, widened or epiphyseal and metaphyseal abnormal alignment, can also be part of the epiphyseal and metaphyseal avulsion together. G. fracture complications: The delayed union or nonunion of bone callus: delay, rare, or not The malunion: angulation and rotation, shortening or lengthening The post-traumatic osteopo