临床医学-osteoarthritis

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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