最近审阅: 24 十月 2020
最近更新: 02 七月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 关节脱位的特征性姿势
  • 疼痛
  • 关节无法移动
  • 触痛
  • 肿胀
  • 肩肘神经功能正常
  • 髋关节脱位合并坐骨神经损伤
  • 髋关节脱位合并股动脉、静脉或神经损伤
  • 髋关节脱位并发损伤
  • 髌骨脱位合并交叉韧带损伤
  • 髌骨脱位合并半月板撕裂
  • 髌骨脱位合并膝关节韧带损伤
  • 髌骨脱位合并髌腱或股四头肌腱断裂

其他诊断因素

  • 手指脱位周围瘀伤形成
  • 髌骨脱位导致血肿形成

危险因素

  • 运动伤
  • 机动车辆事故
  • 韧带松弛
  • Ehlers-Danlos 综合征
  • 青少年至 30 岁男性
  • 61-80岁女性
  • 原有关节不稳定病史
  • 骨骼和肌肉发育不全
  • Q角增大
  • 胫骨扭转角过大
  • 高位髌骨

诊断性检查

首要检查

  • 肩关节X线平片
  • 手指X线平片
  • 膝关节X线平片
  • 肘关节X线平片
  • 骨盆X线平片
更多 首要检查

需考虑的检查

  • 膝关节核磁扫描
  • 肩关节核磁扫描
  • 肘部 CT 扫描
  • 骨盆CT扫描
  • 膝关节或肩关节动脉造影
更多 需考虑的检查

治疗流程

撰稿人

The San Antonio Orthopaedic Group

San Antonio

TX

利益声明

TMD is a paid consultant and receives royalties from Arthrex, Inc. He serves on the Data Management Committee for Aesculap and is a paid consultant for MTF. TMD declares that none of these relationships relate to this topic.

Dr Thomas M. DeBerardino would like to gratefully acknowledge Dr Paul Novakovich and Dr Brent Ponce, previous contributors to this topic. PN and BP declare that they have no competing interests.

同行评议者展开全部内容

Co-director of Orthopedic Sports and Shoulder Service

Department of Orthopedic Surgery

Naval Medical Center San Diego

San Diego

CA

利益声明

DJS declares that he has no competing interests.

Assistant Director

Orthopaedic Shoulder and Sports Surgery

Naval Medical Center San Diego

San Diego

CA

利益声明

MTP declares that he has no competing interests.

Head of Orthopaedic Surgery

Women's & Children's Hospital

Adelaide

South Australia

Australia

利益声明

PC declares that he has no competing interests.

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