中型关节问题:肘部疾病
Calli Fry1, Elizabeth T Nguyen2, Stephen Line2
1Texas A&M University School of Medicine - Primary Care Sports Medicine Fellowship.
FP essentials
|December 18, 2023
概括
肘部疼痛诊断包括病史,体检和像X射线,超声波或MRI这样的成像. 对于常见的儿科和成人肘部损伤,治疗方法各不相同,对于严重骨折或持续性脑膜炎,可以考虑进行手术.
科学领域:
- 整形外科和运动医学
- 在肌肉骨疾病的诊断成像.
背景情况:
- 肘部疼痛是儿童和成人群体中各种病因的常见投诉.
- 准确的诊断对于有效管理肘部损伤和疾病至关重要.
研究的目的:
- 概述肘部疼痛的诊断方法,包括临床评估和成像方法.
- 审查儿童和成人常见的肘部疾病及其各自的管理策略.
主要方法:
- 综合患者病史和体检,以确定损伤机制和病理.
- 使用X射线作为最初的成像模式,与超声波用于动态和静态可视化.
- 使用磁共振成像 (MRI) 评估慢性肘部疼痛,检测,肌病和神经陷.
主要成果:
- 常见的儿科肘部损伤包括由生长板影响的超骨折,脱位和形炎.
- 成年人经常出现放射性头部骨折 (修改后的梅森分类),脑膜炎和部神经压缩.
- 针对特定的辐射头部骨折类型 (III和IV) 和耐火性脑膜炎,有必要进行手术.
结论:
- 结合临床评估和适当的成像技术的系统方法是诊断肘部疼痛的关键.
- 对于儿科和成人肘部疾病的管理策略必须考虑特定年龄因素和损伤严重程度.
- 保守治疗是过度使用伤害的第一线治疗方法,如脑膜炎,手术只适用于没有反应的患者.
相关概念视频
Bones of the Upper Limb: Humerus
3.2K
The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
3.2K
Bones of the Upper Limb: Radius
2.2K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
2.2K
Bones of the Upper Limb: Ulna
2.2K
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
2.2K
Muscles that Move the Forearm
1.5K
The muscles that move the forearms can be divided into four groups: forearm flexors, forearm extensors, forearm pronators, and forearm supinators. The flexors and extensors act on the elbow joint, while the pronators and supinators act on the radioulnar joints.
Forearm Flexors
The biceps brachii, brachialis, and brachioradialis are forearm flexors. The biceps brachii is made up of two heads. Its long head originates at the supraglenoid tubercle of the scapula, whereas that of the short head is...
Forearm Flexors
The biceps brachii, brachialis, and brachioradialis are forearm flexors. The biceps brachii is made up of two heads. Its long head originates at the supraglenoid tubercle of the scapula, whereas that of the short head is...
1.5K
Ankle Joint
1.6K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
1.6K
Development of the Limb Synovial Joints
1.4K
Joints form during embryonic development in conjunction with the formation and growth of the associated bones. The embryonic tissue that gives rise to all bones, cartilage, and connective tissues of the body is called mesenchyme.
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
1.4K


