浙江大学医学院：运动系统检查（PPT讲稿）Musculoskeletal Examination

运动系统检查 Musculoskeletal Examination 浙江大学医学院附属第一医院骨科 徐三中

运动系统检查 Musculoskeletal Examination 浙江大学医学院附属第一医院骨科 徐三中

REVIEW Anatomy: bone ligament muscle nerve Bone numbers of the bones numbers of the vertebras Ligament Joint Muscle muscle force 0-V * Nerve: upper extremity: axillary(腋神 经), musculocutaneous(肌皮神经), radial(桡神 经), median(正中神经),unar(尺神经) lower extremity: femoral(股神经) sciatic (坐骨神经)

REVIEW  Anatomy: bone ligament muscle nerve  Bone numbers of the bones  numbers of the vertebras  Ligament ,joint  Muscle muscle force 0-V  Nerve: upper extremity : axillary（腋神 经）,musculocutaneous（肌皮神经）,radial（桡神 经）,median（正中神经）,ulnar（尺神经）  lower extremity : femoral（股神经） sciatic （坐骨神经）

28 Principles of Examination x Approach patient with Kindness ( cause no pain)(亲切、和蔼) Precision(observe patients face and record findings)(精确) *Syle(方式)( be cheerful and timely)及时

Principles of Examination  Approach patient with Kindness (cause no pain)（亲切、和蔼）  Precision (observe patient‘s face and record findings)（精确）  Style(方式 )(be cheerful and timely)及时

Principles of EXamination Always Look(望) Feel(触) Move(动) * Measure(量)

Principles of Examination Always  Look（望）  Feel （触）  Move（动）  Measure(量）

运动系统 *脊柱: Cervical spine-7 Thoracic spine-12 L umbar spine S acral spine Cocco Ine *四肢和关节: Upper extremities: shoulder joint, elbow Joint, wrist Joint ower extremities: hip joint, knee joint, ankle joint

运动系统 脊柱：Cervical spine -7 Thoracic spine -12 Lumbar spine -5 Sacral spine -5 Coccyx spine -4 四肢和关节:Upper extremities: shoulder joint, elbow joint,wrist joint Lower extremities: hip joint, knee joint,ankle joint

sequence of Examination (检查版序) *1. observe the patient as a whole *2 Neck-- Back-- Shoulder--Elbow Wrist&hand---Hip---Knee--- Ankle& foot

sequence of Examination （检查顺序） 1. Observe the patient as a whole. 2 . Neck--- Back--- Shoulder---Elbow--- Wrist&Hand---Hip---Knee--- Ankle&Foot

whole *Wak( carriage);跛行(神经,血管,关节,骨 骼等) Morphous( shape形态) abnormity * Tenderness(压痛) (Superficial or deep) an percussion pair(扣痛) direct or indirect扣 痛)

whole Walk (carriage): 跛行(神经,血管,关节, 骨 骼等) Morphous(shape形态): abnormity Tenderness(压痛)(superficial or deep) and percussion pain(扣痛)(direct or indirect扣 痛)

whole * Skin(vein edema * muscle( hypertrophy肥大 and atroph 萎缩) *Always bilateral Contrast

whole Skin (vein edema )  muscle (hypertrophy 肥大 and atrophy 萎缩) Always bilateral Contrast

spine 2望 脊柱弯曲异常 A. Scoliosis(侧凸) 姿势性的侧凸;器质性侧凸。 特发性的脊柱侧凸( idiopathic scoliosis 原发性、继发性和先天性的脊柱侧凸

spine望 脊柱弯曲异常 A . Scoliosis（侧凸） 姿势性的侧凸；器质性侧凸。 特发性的脊柱侧凸(idiopathic scoliosis) 原发性、继发性和先天性的脊柱侧凸

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