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Clinical Orthopaedic Examination, Fifth Edition PDF

326 Pages·2004·32.46 MB·English
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CLINICAL ORTHOPAEDIC EXAMINATION Ronald McRae ‘Working cogether 19 grow Tibsuries in developing cownsies PREFACE The cbt weak ¢ ace Tiel ean ition ca any be ese by peste, sul Fa ma hal the basi tetriges met rama he poeonamoe tnser epee, Ufo asses nreitiog to teach “BS a et interuent deat. of x yun anys of tle Stal sees se the Wea dione ean. edetoe Wry sate ens aque oases Iovotcke mile featrnes ef xin. sich ro Jivctener alo Sgro rset Ces yp tha Us Sok Pe fo BE soe te ee Bap Yael sun tice eo sep ater AMEN The text Inisteomrine rt heal wc gv tt aypecital al pesto Patents pade oi owls on an autre! cs, onthe oe hoon aang evening Th fp wt eh sects woe dhe He lr to There scrdidone eo he tol inthe zim, altho, thieapre Fweopes ociielrs aa even. te tog ll ut tobi ts te apeieaced, Cit Foye tke lie ingaoee de Semin eves a Sorvirera-leea ts gonad af womplattss may reve tele len ate, topes wane mo ind aon gine ce idence oF th weit ahve Chive pcpovely sides Soul amd wre bis is psuled guleonepsaie usebook use be rile sie mes 90 Lieve ae deliver Ti ilfnon ones Hogi of errstegy sees Ur inleyeneme armbar: soeditons at ant Sslnignsace oy spiplenalsgy 3 ivssision The ilusrations Tre Herat dealing witht pied aytet nisl exiination ays er aad ie en ‘seri lno seve llega its lintel etre nh cna Pod ts piel user won seal ye ispeieseedextting to woid ans atone Ue pelo, lene be sree to al the reat Eevtise reve be cried swe voncrtely Kans ae rerun nly ea pci sein is upto sal yeast ha wl bs nv eo he we. Iv partcd i ans ane assisnet fs towers lovoesy he ary rete alamo st Te New are high ie tl sors, Fe sre cron ad psu a.m ae evening an fin se leg cre Radiggzpic szarintinn fly san ese pat it she nerigaran sl Fie nln ona fon the noxpoiessl hs Mee somes sera sega the iss sally ena thay ns he mepited. ny ¢ haste de possisk ale ci bs ket in art work But Lave {crccated an eso i in Ha The spel ecsinens te he cp ae bare secrutign ni soe ly = ba rested rInevieeat thowajente 1 phawset onpltenct Ressitheso, shore de T ase Teal team tons lve acho enol Ist ba belie sighliates hive akon he sppecanite tat en re lich sats eoeking a te prs ain Use a da lel bere Iceeags al sy sets of 2g fea pare ase Tl ono es as hoon st aM Fooigrivad.n aces a aso na ee Five hoo inl Conventions and refaronscs Lr saci tn iaatreg tae eligi est examen, {e peer ad the exon av sv shins o* str de grey sees ‘Where bein areas he pal es ts on te ater ipl le "Wha sverl sors anise 6 tetrentative rab ay geen vee Eisecead-ier. nenioned "Won jon reverent ats beng seas sed. th pene rer ce Stl? pos le he ase te fen the Fase ask mnt ones sess ose Feeds aeae-t 3" fen Fpanoe pul ly te Draven Aeaderay 0° chp Sune! Kapenli Lise! and Ras Bonne a Ave Referantes | nek antec, Abbreviations 1A tea Le aml tn TRI see ec ey AdeP rior and posteror CONTENTS 1. General princip'es in the exemingtion of a potient with an arthoocedic problen | 2. Segmental ane peripheral nerves of the limbs 11 3. The cervical spine 33 4. The shoulde’ 49 5. the ehow 73 6. The wit 89 7. The hane 109 B. The thoracic and lumbar spine 129 9 Ihe hip 165 10, The knee 201 TI. The tira |= 245 12, The ankle 255 13. The foot 2/1 Index 307 CHAPTER General principles in the examination of a patient with an orthopaedic problem HERE CUNICAL ORTHOPAEDIC EXAMINATION te rai im ats fe es ps, a 6M aston Te vd part nd rican Sages SesoFns ee te oh aa Ao "he pom, "a the nnd alion Roe Bolen a mse msl thats scowls er anise in bes ere sf phism. joins tay as ss ws ects sbe ny ol eed ol ins posse a venarkte ferent ne Join te tsclaigas- coining iene pu ae fem Sd nFs Be Teekssmlin Hive re a vue cies i lose an ine sel ke inn saan hata elev at ty i Pe (shane snd my gertal Fpl ee naios wee) ee 2 rT ‘esarenaion ee joa is ry be bre 6070 Fr 8 teat 2 aa Baal of snes Cand con ef sel ee 5 Same fo a chur fi Men he he nests ie oc ag easy fe RS as Ho A oes orl 499 Lo thessprecone~ “The coven sl caer Wan nhs mgr ssw i ae ssynnce 90 op STEP 1: INSPECTION Lookeuruty aCe fd, paring PR ta aso © ing Is there sli? Woe se yraline illioe on Kea he sect ling, Toe dsc evi eg ear De “oy? Seng, conn hs oi Sgt sts mF ae i eso Sowoval ud ei. 2g. Oe EMP "4 PLAGE iaitzangory press sh as sewed or stoners "aot ‘fooizachnl eg oun ce acu yr oF a Bun eubon Zee ets Ingeas ie contaes fae yd aay eer re He ina ine nour, procs cf Rh cs aes Ie then nat lotta wedi Fle Ps pote ltt anes sugar stan Hi he la pe there ing? otetvioal hor suse 4 ts mee any othe diwulortion, ur uema Ths gh se asf pom 9 neg Fl “Edler nme mang? THs sly Woes irs taney This righ suggest eum, wey a Ze. pect sbwnceiog? There re sea pric cave i eal wae er ay "alding angen abel. gest ab. dba ues ef bone ‘einer aod dos tve jk Sons ei presage shadTE BE WAS find sy. mel or stig fw conse be exc GENERAL PRINCIPLES IN THE EXAMINATION EEWE SLINICAL ORTHOPAEDIC EXAMINATION 2. ts theretadernine? Ilo. note webs nic tass Toslink ee rome i ie, Us are SI Be he aim reese i hen, Whon theo ate or nome kl nea os OCH tn me flyin monn ice ts, ender ite msn ly ie STEP 3: MOVEMENES Mont (oa nt a funn tcl anos Cn pag sed vere Tetons aon jo. yao ty bl are pablo on esa a cau ene cous or Bon ee Wind sist ua lacen gute Issn Fy eksaye Ce heme toh etna le esr pewiney ming rover ete ieiese of taper te ange oF nee wea ties i tobe rai nef ned tin Pesan one! iso Es ge eevee brs tv Gov be lye eae Len te ae er sige mp wend Fast Uo pes, nln ae Tenn By I nesses ieee toes {rvoomena ie be ob en pal Hy ke somit rity teenies (eg. eH US ana te Sethoade ainsi. sommes vin ro he go aye compar wih th bal, tere Fins stra he fh siosahe!t vee a von EgSE Reto he ‘nse des cs on pol shal gare fel lata sed ence hea we maka sal ees nl pies se Fens rs rel shee ye ot 0 ns Gt fovea Ae ane Sacre pete tls pared eine canbe poral ence 3 ‘Sato leases ab ese cer ntaion 62

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