有word檔在骨科myTMU~ 期末考資料夾裡面~
放這裡給不想去myTMU的同學.
1. Brodies abscess --vol 8, p 16
X-ray finding上面有點修正
"Typically, a localized destructive lesion of bone is present,
with surrounding sclerosis in the metaphysis"
見http://www.emedicine.com/orthoped/topic27.htm
注意: 中間是round lytic (more radiolucent),
旁邊border才是sclerotic (radiodense).
謝謝lmtseng提出疑問和解答.
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2. "Union", "non-union", "delay union" and "mal-union". Vol 12, p 6.
Vol 14, p 22
Union of the fracture --- 指正常的癒合
Malunion of the fracture --- 未按照解剖位置癒合，癒合後角度超過15度
Delayed union of the fracture --- 超過一般癒合所需時間而尚未癒合
Nonunion of the fracture --- 超過6 or 8個月而沒有癒合
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3. Principle of management of fracture. Vol 12, p 4. Vol 14, p 22
Anatomical reduction, Rigid fixation, Rehabilitation.
無論是保守的治療, 或是手術, 最終都是要是骨頭能恢復原有的功能.
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4. Treatment of Femoral Neck Fracture (881必考) Vol 12, p 8.
Vol 14, p 22
A. 60歲以下的病人必須馬上復位，最慢需在24小時以前；
60 ~ 80歲的病人則是換一半的人工關節；
80歲以上的則是換Moore prosthesis。
B. Methods of Internal Fixation of Femoral Neck Fractures:
a. Multiple pins
b. Crossed screw-nails
c. Compression with dynamic screw and plate
C. Hip Prosthesis for fracture of Femoral Neck:
a. Thompson prosthesis secured with cement
b. Austin-Moore prosthesis with no cement.
D. 要注意Non-union及AVN的問題。
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5. Classification of osteomyelitis. Vol 8, p 11.
把那個圖表畫出來吧~
可以在"acute osteomyelitis"下面補上 "經常是staphyloccoccus引起"
注意: 圖是對的; 下面文字部分第六行有改: 有在之前的勘誤裡面了
hematogenous form可能會轉變成 primary chronic form (非secondary)
exogenous form 可能會轉變成 secondary chronic form (非primary)
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6. D/D of Colles' fracture, Smith's fracture, Barton's fracture.
(弄了比較表, 在word檔-->骨科myTMU 都在期末考訊的資料裡頭喔)
這裡請大家注意英文拼字: Colles'是正確的--逗點在小s後面~~
以下給大家參考:
Colles' fracture, Smith's fracture, Barton's Fracture are all
fractures of the distal radius. "Colles' Fracture" is used as a
generic term for distal radius fracture. The names of Smith's
fracture and Barton's Fracture are applied to specific patterns of
distal radius fracture.
A Colles' fracture is a fracture of the distal radius, most commonly
caused by people falling forward onto a hard surface and breaking
their fall with extended, outstretched hands with posterior and
lateral displacement (dorsal side displacement) of the distal
fragment resulting in the characteristic dinner fork like deformity/
silver-fork deformity.
Falling with wrists flexed would lead to a Smith's fracture, also
sometimes known as a reverse Colles' fracture. It is caused by
falling onto flexed wrists, as opposed to a Colles' fracture which
occurs as a result of falling onto wrists in extension. Smith's
fractures are usually less common than Colles' fractures. The
fracture fragments are displaced anteriorly (volar side
displacement), as opposed to a Colles' fracture.
A Barton's fracture is a dislocation fracture of the radiocarpal
joint/ a fracture involved in the wrist joint/ an intraarticulart
fracture of the wrist. 再分dorsal和volar.
http://encyclopedia.thefreedictionary.com/distal+radius+fracture
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※ 來源:‧杏林綠意 passion.tmu.edu.tw‧[FROM: 10.30.16.2]
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