Clinical Tests for the Musculoskeletal System - part 7

Kiến thức của chúng tôi đầu gối đã mở rộng đáng kể trong vài thập kỷ qua. Thông tin mới về giải phẫu học, cơ khí sinh học, và sinh lý bệnh đã được cải thiện việc phát hiện và điều trị các rối loạn đầu gối. Chấn thương đầu gối, đặc biệt kết hợp với các hoạt động thể thao | Knee Our knowledge of the knee has expanded significantly over the last few decades. New information about anatomy biomechanics and pathophysiology has improved the detection and treatment of knee disorders. Injuries to the knee particularly in conjunction with sports activities have become a major focus of interest. Noninvasive modalities such as ultrasound computed tomography and magnetic resonance imaging today allow precise assessment of diseased and injured structures in the knee. Diagnostic arthroscopy has evolved into a surgical method of treatment. Diagnostic assessment of knee symptoms begins with history taking and physical examination. Anteroposterior and lateral radiographs of the knee together with an axial view of the patella and trochlear groove are required to detect changes in bony structures right at the start. It is very important to identify the location and type of pain as well its duration or when it occurs pain with weightbearing joint blockade etc. . Inspection and evaluation of axial deviations genu valgum genu varum genu recurvatum or a flexion deformity swelling of the knee and muscle atrophy provide information about the possible causes of joint symptoms. Palpation then allows the examiner to identify diseased joint structures with greater accuracy and assess them in greater detail. Clinical tests of passive and active motion some of which entail complex motions also aid in making a diagnosis. Understanding how the accident occurred is important for diagnosing knee injuries. The type and severity of the injury are dependent on the direction duration and intensity of the trauma and on the position of the joint at the time of the injury. Sports injuries and developmental anomalies axial deviations malformation of the patella etc. are the most common causes of knee complaints in children and young adults. For example Osgood-Schlatter disease should be suspected when an adolescent engaged in a jumping sport in school athletics complains of .

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