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ID:5873713
大小:5.77 MB
页数:47页
时间:2017-12-14
《临床医学-osteoarthritis》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、osteoarthritisTakekneeforexampleItisneitheradiseaseNorlonelinessButastoryBrandonRoybornJuly23,1984Listedheight6ft6in(1.98m)Listedweight211lb(96kg)isaretiredAmericanprofessionalbasketballplayerwhoplayedforthePortlandTrailBlazersoftheNationalBasketballAssociation.Hewasselectedsixthinthe2006NBADraftOn
2、December10,2011Doesanyoneknowwhoisshe?ValguskneeVaruskneeAffecttheweight-bearingsurfaceMechanicalwearandtearprocessdiagnosisKneepainand;Atleastthreeofthefollowing6criteria:50yearsofageorolder,stiffnesslastinglessthan30minutes,crepitus,bonytenderness,bonyenlargement,nowarmthtothetouchLaboratoryfindi
3、ngswhichareusefultoassessingkneeosteoarthritisincludesedimentationratelessthan40mm/hour,rheumatoidfactorlessthan1:40,andsynovialfluidexaminationshowingclear,viscousfluidwithawhitebloodcellcountlessthan2,000/mm3.radiographicinspection:osteophyteformation,corticalsclerosis,andsubchondralcystsTreatmen
4、tLifestylemodification(suchasweightlossandexercise)low-impactexercisessuchasswimmingorcycling,andisometricorclosed-chainstrengtheningexercises.Aclosed-chainexerciserequiresthatthebodypartattheendofthechainstaysfixedonthegroundorothersolidobject.Theseexercisestendtomimicactivitiesperformedinreallife
5、.Closed-chainexercisesutilizemultiplemusclegroups,creatinggreaterstabilityandcoordinationaroundthejoint.Education?Kneeosteoarthritisandhigh-heeledshoesBackgroundLittleisknownabouttheeffectsofwalkinginhighheelsonjointsinthelegs.Sinceosteoarthritisofthekneeistwiceascommoninwomenasinmen,weinvestigated
6、torques(forcesappliedaboutthelegjoints)ofwomenwhoworehigh--heeledshoes.FindingsMeasurementshowedincreasedforceacrossthepatellofemoraljointandagreatercompressiveforceonthemedialcompartmentoftheknee(average23%greaterforces)duringwalkinginhighheelsthanbarefoot.InterpretationThealteredforcesatthekneeca
7、usedbywalkinginhighheelsmaypredisposetodegenerativechangesinthejoint.MedicationAnalgesicsAcetaminophenthefirstlinetreatmentforOANSAIDsformoreseveresymptomsOtherglucocorticoidsintra-articularinjectionhyaluro
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