超声波髋关节检查的测量

2020/2/29
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超声波髋关节检查的测量
解剖学辨认
Anatomical Identification
可用性检查
Usability Check
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
解剖学辨认
Anatomical Identification
可用性检查
Usability Check
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
28
超声波髋关节检查的测量
2020/2/29
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超声波髋关节检查的测量
骨性顶bony roof
软骨cartilige
盂唇labrum 关节囊joint capsule
滑膜皱褶synovial fold
股骨头femoral head 软骨交界面 chondro－osseous border
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
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超声波髋关节检查的测量
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
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超声波髋关节检查的测量
convexity
bony rim
concavity
3
髋臼骨性缘
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
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超声波髋关节检查的测量
骨顶线夹角 α 软骨顶线 夹角 β
基线 Base 骨顶线 Bony Roof Line 软骨顶线 Cartilage Roof Line
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
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超声波髋关节检查的测量
基线（Base Line） 以软骨膜顶点为支点（园心），向髂骨缘作切线
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
超声波髋关节检查的测量
超声波髋关节检查的测量
超声图像解剖点 先定软骨交界面 中间阴影股骨头 头下亮点是折痕 折痕上沿关节囊 囊的内侧有盂唇 盂唇软骨骨性顶 凹凸拐点称骨缘
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
Thanks for Your Attention
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
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2020/2/29
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超声波髋关节检查的测量
labrum joint capsule synovial fold
bony roof cartilige
femoral head chondro－osseous border
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
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超声波髋关节检查的测量
软骨顶线 （Cartilage Roof Line） 连接骨缘与盂唇中部的线
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
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可用性检查
Usability Check
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
22
超声波髋关节检查的测量
解剖学辨认
Anatomical Identification
2020/2/29
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超声波髋关节检查的测量
盂唇 LA
骨顶 BR 软骨 CA
关节囊 JC 滑膜皱褶 SF
股骨头 FH 骨-软骨交界面 COB
每一张图像是否标准，首先应进行解剖学标志检查
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
解剖学辨认
Anatomical Identification
可用性检查
Usability Check
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
27
超声波髋关节检查的测量
解剖学辨认
Anatomical Identification
可用性检查
Usability Check
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
25
超声波髋关节检查的测量
解剖学辨认
Anatomical Identification
可用性检查
Usability Check
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
26
超声波髋关节检查的测量
凹侧－凸侧－骨缘 骨顶 软骨 盂唇 关节囊
滑膜皱褶 股骨头
骨软骨交界面
可用性检查
Usability Check
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
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超声波髋关节检查的测量
2020/2/29
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超声波髋关节检查的测量
解剖学源自文库认
Anatomical Identification
concavity－convexity－ bony rim
bony roof cartilige labrum
joint capsule synovial fold femoral head chondro－osseous border
2020/2/29
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超声波髋关节检查的测量
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
13
超声波髋关节检查的测量
辅助基线
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
超声波髋关节检查的测量
3
α
β
1
2
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
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超声波髋关节检查的测量
除少数Type I,多数图像三条线的交点不在一起
A
B
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
解剖学辨认
Anatomical Identification
可用性检查
Usability Check
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
24
超声波髋关节检查的测量
2020/2/29
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超声波髋关节检查的测量
辅助基线
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
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超声波髋关节检查的测量
骨顶线（Bony Roof Line） 以髂骨最低点为支点（园心）， 向骨顶（不是骨顶缘）作切线
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
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超声波髋关节检查的测量
骨顶的形状
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
1
2
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
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超声波髋关节检查的测量
图像测量的三要素
Labrum Plane
Lower limb
盂唇 髂骨平面 髂骨最低点
bony rim
2020/2/29
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超声波髋关节检查的测量
Lower limb的解剖意义 髂骨的最低点
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University
2020/2/29
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超声波髋关节检查的测量
陈博昌 CHEN BOCHANG MD Shanghai 6th People's Hospital Shanghai Jiaotong University