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膝关节评估_9-17教材课程.ppt
;*;后十字轫带损伤;前十字轫带(ACL) ; 后十字轫带(PCL);抽屉试验的盲点; Lachman test;前十字轫带旋转轴移动测试(ACL Pivot shift test);膝部 Knee Unhappy Triad;小的撕脱性骨哲折 在胫骨近端和前十字轫带有关? 扭转伤害
? Segond Fx
;A Fat-Suppressed Proton-Density weighted Sagittal image ;T1-weighted MRI;在应当出现前十字轫带的位置却看不到代表就是有损伤
Sagittal image shows complete (or near-complete) nonvisualization of the ACL with ill-defined edema and hemorrhage in the usual location of the ACL in the intercondylar notch. ;Proton-density weighted fat-
suppressed sagittal image
轫带边缘不规则?部份断裂;半月軟骨损伤;meniscus 半月軟骨;臏骨痛(Patellofemeral Pain);宾骨股骨疼痛综合征; Hamsting strain
Quadriceps strain
;宾骨股骨疼痛综合征;宾骨股骨疼痛综合征;宾骨肌腱炎(Patellar tendonitis)
近端 : 跳跃膝(Jumper’s knee)
远端 : Osgood-Schlatter Dz
;Infrapatellar bursitis
Popliteal bursitis (Baker’s cyst)
;;Osteoarthritis: gradingDepartment of Rheumatology and Medical Illustration,University of Manchester;髂胫束综合症 (Iliotibial band syndrome );Open and Closed-kinetic Chain Exercise;Open and Closed-kinetic Chain Exercise;反覆宾骨不稳定的治疗;Therapeutic Exercises
Heel slides / Wall slides(?)
Patellar mobilization
;Therapeutic Exercises
Quadriceps sets
Straight leg raises(SLR) all planes with brace in full extension until quadriceps strength is sufficient to prevent extension lag.
Slowly raise it 6 to 10 inches off the floor.
Hold this position for 5 seconds and then relax.
Perform 3 sets of 20 repetitions, 4 to 5 days a week.
;Nonioerative treatment of Recurrent Patellar Instability (Lateral);General Guidelines for Nonioerative treatment of Recurrent Patellar Instability (Lateral);General Guidelines for Nonioerative treatment of Recurrent Patellar Instability (Lateral);Therapeutic Exercises
Hamstring Curls
Hold this position for 5 seconds and then relax.
Perform 3 sets of 20 repetitions, 4 to 5 days a week, continuing for 3 to 4 weeks.
Straight –Leg Raises(Prone)
Tighten the hamstrings of the injured leg and raise the leg toward the ceiling as far as you can.
Hold the position for 5 seconds.
Perform 3 sets of 20
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