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ID:19459934
大小:3.23 MB
页数:56页
时间:2018-10-02
《肩关节疾病的诊断》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、肩关节疾病的诊断山东省中医院运动损伤骨科王少山肩关节的疾病你知道多少普通人医务工作者骨科医生运动医学医师肩关节疾病的特征疼痛关节僵硬AnatomyReviewShoulderGirdleAnatomyReviewBonyAnatomyScapulaClavicleAnatomyReviewBonyAnatomyHumerusRibsAnatomyReviewAnteriormusculatureoftheshouldergirdleAnatomyReviewMusculatureofposteriors
2、houldergirdleAnatomyReviewShoulderligamentsAnatomyReviewShoulderjointcapsuleandcartilageAnatomyReviewBloodSupplyandInterventionShoulderEvaluation(History)HistoryWhatisthecauseofpain?Mechanismofinjury?Previoushistory?Location,durationandintensityofpain?Cr
3、eptitus,numbness,distortionintemperatureWeaknessorfatigue?Whatprovidesrelief??ShoulderEvaluation(Observation)ElevationordepressionofshouldertipsPositionandshapeofclavicleAcromionprocessBicepsanddeltoidsymmetryPosturalassessment(kyphosis,lordosis,shoulder
4、s)PositionofheadandarmsScapularelevationandsymmetryScapularprotractionorwingingMusclesymmetryScapulohumeralrhythmShoulderEvaluation(Observation)ScapulohumeralRhythmMovementofscapularelativetothehumerusInitial30degreesofglenohumeralabductiondoesnotincorpo
5、ratescapularmotion(settingphase)30to90degreesthescapulaabductsandupwardlyrotates1degreeforevery2degreesofhumeralelevationAbove90degreesthescapulaandhumerusmovein1:1ratioShoulderEvaluation(Palpation)BonyStructuresSternoclavicularjointClavicularshaftAcromi
6、oclavicularjointCoracoidprocessAcromionprocessHumeralheadGreaterandlessertuberosityBicipitalgrooveSpineofscapulaScapularvertebralborderScapularlateralborderScapularsuperiorangleScapularinferiorangleShoulderEvaluation(Palpation)SoftTissuePalpationSternocl
7、avicular,acromioclavicularandcoracoclavicularligamentsRotatorcuffmusclesandtendonsSubacromialbursaSternocleidomastoidBicepsandtendonCoracoacromialligamentGlenohumeraljointcapsuleDeltoidRhomboidsLatissimusdorsiSerratusAnteriorLevatorscapulaeTrapeziusSupra
8、spinatusInfraspinatusTeresmajorandminorShoulderEvaluation(SpecialTests)ActiveRangeofMotion(ROM)Flexion@180oExtension@50oAbduction@180oAdduction@40oInternalRotation@90oExternalRotation@90oManualMuscleTestingFivePointgrading
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