( last updated : August 02, 2021 )
橈尺遠側關節脫位
Distal radioulnar joint dislocation
手腕痛
正骨
Bone-setting
橈尺遠側關節脫位·Distal radioulnar joint dislocation
- 橈尺遠側關節,由橈骨的尺骨切跡與尺骨頭環狀關節面和尺骨頭與三角纖維軟骨兩部分組成。
- 橈尺遠側關節脫位青壯年較為常見。
症狀及診查要點
- 腕部腫脹,疼痛,尤其是轉動腕部時疼痛加重,有時伴隨有彈響聲。
- 自覺腕部無力,或者握力下降。
- 通常有明顯的外
復位方法為:
- 患者取坐位,曲肘90°,助手牽引前臂上段,醫者站在患者對面,一手握住患者腕部,與助手做對抗牽引,另一手拇指置於尺骨小頭處。
- 如果尺骨小頭向背側脫位,逐漸將前臂旋後,拇指由背外側向掌內側推擠尺骨小頭歐既可以復位;
- 如果尺骨小頭想掌側脫位,在牽引力下,前臂逐漸旋前,拇指由掌側向背側擠壓尺骨小頭。
跌打·正骨·針灸·推拿·中醫方脈
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地址: 加拿大溫哥華Regent Medical Building: Suite 450 - 2184 West Broadway, Vancouver.
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August 02, 2021
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