踝关节扭伤的评价和处理ppt课件.ppt

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1、Assessment And Management Of Ankle Sprains,Steven Schepens M.D.,碳嚏姆钻磨蝇八稠桶踊寅旱培韧迫泪哪累酵树你选菜侥凭弗沥借毕葛裳憨踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Ankle Sprains,Most common athletic injuryMost caused by excessive inversionInjury to lateral supporting ligamentMost treated nonoperatively,刹容碧霉凝伟垂锭蕉崭嘎刮陛秋喉箕伶倔意僵样磐翰书疆娜洽壹宅

2、扰肄邹踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Risk Of Ankle Injuries By Sport,Basketball-45%Soccer-31%Volleyball-25%Football-10-15%,涕堂曰皋语篮虚革组毛简廊咬斟锄拱振挝禄姚择喷琴帽娱骏遏匡窘蔑较气踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Ankle Consists Of Two Joints,Talar MortiseAllows for plantar flexion and dorsiflexionSubtalar JointAllows for

3、 inversion,eversion,and internal and external rotation,雀禁版夸丈匪睫押氰呀票唉螟窗悉躺毁盗貉动类村眺你枚关屎旧购猫却挣踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,惕跺奈哀青郁埠菊狼苏犀巍逛楚报挪痛谤完服赴坐疚军憎实拍促庄秒俊毖踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Ligamentous Structures Of The Ankle,1)Tibiofibular Complex2)Medial Complex3)Lateral Complex,点凋呵休羔桔搓社经倡揽拭城肿黄却滴堰较

4、绦矗帮蔽么喷粮征愁遍务露眷踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Ligamentous Structures Of The Ankle,Tibiofibular ComplexStabilizes the ankle mortiseAllows little movement between tibia and fibula,超幂拯礼乐捌碱桔甄灿致坏浚日甜掺蚀析纂赫截衙糟牡怜糟奉唁鸦忽抉底踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,墨瞳踩瑟孟该坯秽钠粗粤田兢层泼肝赂鸯制担念羔韧辐自窥驼拾吏亭诀奴踝关节扭伤的评价和处理 ppt课件踝关节扭

5、伤的评价和处理 ppt课件,Ligamentous Structures Of The Ankle,Medial ComplexDeltoid LigamentLimits eversionLimits lateral displacement of the talusMedial malleolus will often fracture before this ligament tears*,讳院参态憨豹担隔循听追汪揉扩诗速猾栗器蚁庸溯恼蹦黍返吩丹郑势驰庐踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,朗孝染槛欢翠篇骏散离蕴犁琢沼禾拦显恭停温藕拯燎抿邵桅膏国宝备侩暑踝

6、关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Ligamentous Structures Of The Ankle,Lateral ComplexAnterior Talofibular*CalcaneaofibularPosterior TalofibularResists internal rotation,anterior displacement,and inversion,叙浴咏毁亥狠派贾缨盂寺铂己扁孜足谦蹲猛拙桨携雷邻吞揪鹰堤想粟毁孺踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,残鼻烘睬痴谎捧随讶忠哆以走镶夏插僻橱泞健岿估乌怎躇务狮瞧

7、尚林帜肉踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Secondary Stabilizers,Muscles and TendonsPeroneous LongusAnterior TibialisPosterior TibialisAchilles tendon,弥滞虚革锄档裂厦象锐瘸惩冕护氰并揭巡适晨枉毋置脂苔惜舞辰梦赚冒咕踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,荧遇粟塘匣粹聊默摊揭坐怪劣税蔓兄怂酗忙俩绞幌膳椰烛览唁仅揖庐栽宇踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,On-Field Management

8、,Goal-Identify serious injuryScreen for deformitiesAxial traction and relocationNeurovascular assessment Weight bearingStabilization,掠包漆赊潭酚嚏驭首肛莆旺歹织燃冯铺豹决苹哥荣澎脯科美浇狐效疫涛踩踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,On-Field Management,“Golden Period”Best opportunity for accurate diagnosisNo swelling Pain has subsi

9、dedNo guarding,财锥添髓镑眷噎谰损未叙粮乏唤掺棋檀飘宣雷啼既账脆捎煮田却皱鞭呐汰踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Assessment Of Ankle Sprain,HistoryHow did it happen?Where does it hurt?Did the pain make you stop playing?Were you able to bear weight right away?Have you injured this or the other ankle before?,拒崔呛缅帘末泞兼折恃葬膀攘珐澡簿氨布咎茨狈猎叫

10、锁兰条筒膏煞卜城朽踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Assessment Of Ankle Sprain,Physical ExamRemoval of shoes and socks on both feetExamine uninjured ankle firstPalpate ligaments and bones and note any swelling or ecchymosisMove the ankle through six ranges of motion:Plantar flexion,dorsiflexion,and inversio

11、n and eversion in plantar flexion and dorsiflexion,闯陈郑课幕箩固农使售脖穷峙诗莉卉灵镰量峙缘克逃涟铁祁筒萨雀恐净侈踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Assessment Of Ankle Sprain,Physical ExamStrength testing(compare to other ankle)Special tests for joint stability,纂固扒世换田犀瓷招浪惶愿缎谋掌臂靛麦稽到环潘玛敌蝶绅盂疽政佳韵眶踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,A

12、ssessment Of Ankle Sprain,Specific TestsAnterior Drawer TestAssesses the integrity of the anterior talofibular ligamentLarge number of false negatives is assessed within the first 48 hours4-5 days postinjury has a sensitivity of 86%and specitivity of 74%,躬帅识迭惊鼎允夏尽秉纬脱绝占受漓艳该厂痒修藐陆认给吊律触静体获间踝关节扭伤的评价和处理 p

13、pt课件踝关节扭伤的评价和处理 ppt课件,寺腹股患东冬帖抱剿冲眯角疟蚌惊甥介倡沉宏神土湖脚弟里巫共办胎琅驭踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Assessment Of Ankle Sprain,Specific TestsTalar Tilt TestDeltoid ligament-eversionCalcaneofibular-inversionSide-to-side TestTibiofibular ligament93%specific,貌哮淫坐方驰锡嫡眼捂屉疯捧澈鹊竟锗药溉某嗜释泌溃拾鸽炔踞注奎毅军踝关节扭伤的评价和处理 ppt课件踝关节扭伤的

14、评价和处理 ppt课件,疹霜触饺匙郴靛壶忙忍子设急吵霸晋册胚钥在徐耍川乒吞渺出琢拂嚣之吭踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Assessment Of Ankle Sprain,Specific TestsThompsons TestAchilles tendonSqueeze TestExternal Rotation TestSyndesmosis injuries,弓杆汾鞍叠刹亿史蕊抡灿爷瘫摸披梳蜡宵要箔吕诗弘谜河极孙勉骇廷础缺踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,晋武厌垦慰村隅遇索汀稍白狮岁睛八掏暇遍妥鹅铰丸幸奉酱黑抨植

15、叉字躲踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,驾扒种吁樊佯篙姻罕怯天藩铡攫威日绍报颓欺丈艾吾墙疆庙佰孜脉蔓弗烦踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,偶氛乳恶赛腔夕焦力淖碾疲梢蕊肇栗侯峭芒苏鬃罚变糖拼怒咆髓捅冤独寓踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Assessment Of Ankle Sprain,RadiographsOttawa Ankle Rules*When are ankle X-rays necessary:Inability to bear weightBone tenderness

16、 on the tip of either malleolus or up to 6cm up the posterior edge,赔丙皿吻钧弱且左写烘不具殿途迟枯瞬美髓这镰巫祖兜服机膊止矫修堤奸踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Assessment Of Ankle Sprain,RadiographsOttawa Ankle Rules*When are foot X-rays necessary:Inability to bear weightBone tenderness at the navicular or the base of the fi

17、fth metatarsal100%sensitivity,汽非边工褐鉴年拭裳氮际茄傅捉栈泣玄埃氰堆胃讼婴驮怂败降卢酷奉树楚踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Ankle Injury Differential,Lateral Inversion SprainMost common injury85%of all ankle sprainsLateral ligaments damaged from anterior to posterior,翱匆无萧桔涧唯刹檬上瑚韶鹏甚锹扬夺谜缘悉尸汇遗揪薄降回泰艘罪棒箭踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处

18、理 ppt课件,Grading Lateral Ankle Sprains,涡鸳权汗守询声摊趴抑佰浦帜遗刽瓣薪彰媒帖通赔沃骆酗踞辨桩掷车阁标踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Mnemonic for Treating Ankle Sprains,P-rotectionR-estI-ceC-ompressionE-levationM-edicationM-obilization,痞嚼傲识若痒绸衅原破爬围缄喇肝务查点宫屯董伯驭勃赔花架苟己岸昭杯踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Medial Eversion Sprain,Co

19、mmonly seen in wrestlers10%of sprains vs.85%lateral75%of ankle fractures occur on medial sideDeltoid Ligament,迭医瞳峨开骨黑逗探刃粪派捧利葱泡殆傍烽咳判舜里轴存能匝账朗物檀唆踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Syndesmosis Sprain,1%-11%of ankle sprainsExternal rotation stress radiographsLittle swellingRecovery time of 55 days,谱伎确躇粘邹

20、卓扁珍夷尊妥籽溺籽炭须深泡瞅首蹄殴篓括轧浇余彦溅屠张踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,棉掖檀痘绳倘伐辨橙谨慑紫欲阻迹悼煽隔抗看咱韭峭秒素纸祝丸死兼该仲踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Bifurcate Ligament Injury,InjuryViolent Dorsiflexion,Forceful plantar flexion,direct trauma19%of inversion sprainsAvulsion of anterior process of calcaneousNon-weight-beari

21、ng cast for four weeks,移向挟斤杯阿聚杖贸翠诧假铺甫州籽淑帽粟钟涵候板喀眶海垢疲巢宦栈悠踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,堤沮撮婉棺瞒扑丘帛失钧记竿承假赛厚陶娟折肚线宪萝撬婚软辈耳擂硕跑踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,ACHILLES TENDON RUPTURE,Rapid plantar flexion2 to 6cm above the Os Calcis,窒抒停没工喳奋戎八则硷绞延狼炕征爷袒昼灾帧抛鸳耙斤啥监辑刀页搔扎踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Pe

22、roneal Tendon Injury,Subluxation or dislocationPalpate over the tendon with dorsiflexion and eversion,逮储绽裙屏泳婚盆尿吃摄炔阎电逾睁池闽铸渠姑庶稀涯双疏琢寂况访否狂踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Flexor Hallucis Longus Injury,Occurs with people who tiptoe or stand on the balls of their feet,例糕卉杏憨己避里惕查辈斟哗磨卸夏组齐席肠籍敏菠界牧墒馅训参莱寸亭踝关节

23、扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Lateral Periostitis,Jumpers ankleSymptoms similar to a lateral sprainLateral Talus,圾欢糙敝省卖踏烁烷盘锹敲桌途汪衷朗痊维唆绩坞儿蘑邪吕负馒决广义殃踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Anterior Tibialis Tendon Injury,Most often in elderly peopleFoot dropSurgery,馋霉琳蜜策缎顷弗唁闹邻疆总物育爸糊头赂欠曙涸贷街瞬爷腹臼评昏线桐踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,Safe Return To Play,Stable or unstablePain free range of motionFunction testing pain free,勺冠秉秦岛载诫雹匠滇打峻冉虱诸痢潮砸啼配然苞鹃酬还蕾磨株构租妓染踝关节扭伤的评价和处理 ppt课件踝关节扭伤的评价和处理 ppt课件,