Skeletal System - Thomas Jefferson University：骨骼系统-托马斯

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1、ProgramInformationSkeletalSystemShannonCarroll,MDSureshAgarwal,MDSlide3SkeletalSystemCommonSkeletalSystemPathologyencounteredinCriticalCareComplicationsofSkeletalInjurySlide4Skullwww.pycomall.com/images/P/skull.jpgSlide5SkullFractures4MajorTypesLinearDepresse

2、dDiastaticBasilarSlide6LinearSkullFractureMostcommontypeOverLateralConvexitiesOversquamousareaoftemporalboneDamagetomiddlemeningealarteryEpiduralHematomawww.hawaii.edu/medicine/pediatrics/pemxray/v5c09h2.jpgSlide7DepressedSkullFractureDisplacedbonefragmentspus

3、hedintothecranialvaultFrombluntforcebyobjectwithsmallsurfaceareaOftendamagesunderlyingbraintissueComplex=duramatertornContamination/InfectionOftenrequiresurgeryanatpat.unicamp.br/minDsc35446+.jpgSlide8DiastaticSkullFractureFracturecauseswideningofsutureMostcom

4、monlyseenininfantsandsmallchildrenSeeninadultsalongthelambdoidsuturePirouzmandF,MuhajarineN.CraniofacSurg.2008Jan;19(1):27-36.Definitionoftopographicorganizationofskullprofileinnormalpopulationanditsimplicationsontheroleofsuturesinskullmorphology.img.medscape.

5、com/pi/emed/ckb/radiology/336139-343764-9928.jpgSlide9BasilarSkullFractureFrombluntforcetotheforeheadorocciputUsuallyanteriorOfteninvolvescribriformplateDisruptionofolfactorynervesPosteriorThroughpetrousboneandinternalauditorycanalDisruptionofthevestibulocochl

6、earnerveandfacialnervesCSFotorrhea/rhinorrheat0.gstatic.com/images?q=tbn:TuEw6pvP4iIG5M:http://img.medscape.com/pi/emed/ckb/neurosurgery/247017-248108-4155.jpgSlide10BasilarSkullFractureRaccoonEyesimage.absoluteastronomy.com/images/encyclopediaimages/b/bl/blac

7、keye_pigmentation.jpgwww.itim.nsw.gov.au/images/Battle_Sign_s.jpgBattle’sSignSlide11VertebralInjuriesVertebralColumnformstheAxialSkeletonAmongAllTraumaPatients4.3%CervicalSpineInjury6.3%ThoracolumbarSpineInjury1.3%SpinalCordInjurywww.eorthopod.com/images/Conte

8、ntImages/spine/spine_thoracic/anatomy/thoracic_spine_anatomy01.jpgSlide12VertebralInjuries7MechanismsofInjuryFlexion–compressionAxialcompressionFlexion–distractionHyperextensionRot