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
THIOATE