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American journal of orthopedics最新文献

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Reflex sympathetic dystrophy. 反射性交感神经营养不良。
Pub Date : 1995-03-01 DOI: 10.1007/978-3-642-28753-4_101984
C. Ad
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引用次数: 0
Not just the bottom line. 不仅仅是底线。
Pub Date : 1995-01-01 DOI: 10.1108/sd-12-2020-0222
R. Greer
Purpose This paper aims to review the latest management developments across the globe and pinpoint practical implications from cutting-edge research and case studies. Design/methodology/approach This briefing is prepared by an independent writer who adds their own impartial comments and places the articles in context. Findings Combining a balanced scorecard strategy with strategy maps can provide a better method for an organization to both communicate strategies as well as identify areas where performance is subpar. Originality/value The briefing saves busy executives, strategists and researchers hours of reading time by selecting only the very best, most pertinent information and presenting it in a condensed and easy-to-digest format.
本文旨在回顾全球管理的最新发展,并从前沿研究和案例研究中找出实际意义。设计/方法/方法本简报由独立作者编写,作者将添加自己的公正评论,并将文章置于上下文中。将平衡计分卡战略与战略地图相结合,可以为组织提供一种更好的方法,既可以沟通战略,也可以识别绩效低于标准的领域。该简报通过选择最好、最相关的信息,并以简明易懂的形式呈现,为忙碌的高管、策略师和研究人员节省了数小时的阅读时间。
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引用次数: 0
The joy of teaching. 教学的乐趣。
Pub Date : 1995-01-01 DOI: 10.1201/b13059-10
R. Greer
A solution to get the problem off, have you found it? Really? What kind of solution do you resolve the problem? From what sources? Well, there are so many questions that we utter every day. No matter how you will get the solution, it will mean better. You can take the reference from some books. And the joy of teaching is one book that we really recommend you to read, to get more solutions in solving this problem.
解决问题的方法,你找到了吗?真的吗?你用什么方法来解决这个问题?来源是什么?我们每天都会问很多问题。无论你如何得到解决方案,它都意味着更好。你可以从一些书中找到参考资料。教学的乐趣是我们推荐你们去读的一本书,在解决这个问题的过程中得到更多的答案。
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引用次数: 18
Wrist arthroscopy. 手腕关节镜检查。
Pub Date : 1995-01-01 DOI: 10.2106/00004623-199501000-00026
B. Boden, S. Kozin, A. Berlet
Miniaturization of arthroscopic equipment has allowed wrist arthroscopy to emerge as a powerful surgical tool in orthopedic surgery. The magnified view of the arthroscope has provided a new understanding of carpal anatomy and disease. Arthroscopy improves surgeons' ability to diagnose wrist disorders and enables them to perform operative procedures with less morbidity than would occur in open procedures.
关节镜设备的小型化使得腕关节镜在骨科手术中成为一种强大的手术工具。关节镜的放大视图为腕解剖和疾病提供了新的认识。关节镜检查提高了外科医生诊断手腕疾病的能力,并使他们能够以比开放手术更低的发病率进行手术。
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引用次数: 1
Heterotopic ossification after total knee arthroplasty. 全膝关节置换术后异位骨化。
Pub Date : 1994-09-01 DOI: 10.5555/uri:pii:0003999394908184
Raji Kumar, Joseph Pham
Heterotopic ossification (HO) is a rare complication following total knee arthroplasty (TKA). In the case report presented, a 52-year-old man who had previously undergone TKA for osteoarthritis noticed painful limitation of range of motion (ROM) in spite of active participation in physical therapy and the use of a continuous passive motion machine. A plain radiograph 1 month after surgery revealed HO anterior to the distal femoral shaft in the quadriceps expansion. Ambulation for this patient was limited to short distances because of severe pain and limitation in ROM. The patient underwent manipulation under general anesthesia 2 months after the TKA. Range of motion in flexion improved from 50 degrees to 110 degrees, and the patient became ambulatory without assistive devices. However, the flexion range deteriorated to 50 degrees over a period of 4 months, and ambulation again became significantly limited. The patient underwent resection of HO 6 months after manipulation and regained his ROM to 110 degrees in flexion. He was prescribed indomethacin after surgery for 2 months to prevent recurrence of HO. Follow-up radiographs 3 months after surgery revealed minimal recurrence of HO. The patient's ROM did not deteriorate, and he remained ambulatory. Heterotopic ossification should be suspected in post-TKA patients if ROM does not improve. Physical therapy including ROM exercises remains an essential component in the treatment of HO. Manipulation under general anesthesia or surgical resection of HO may be inevitable in certain patients whose ambulation is significantly limited.
异位骨化(HO)是全膝关节置换术(TKA)后罕见的并发症。在该病例报告中,一名52岁的男性患者曾因骨关节炎接受TKA治疗,尽管他积极参与了物理治疗并使用了连续的被动运动机,但他仍然注意到活动范围(ROM)的疼痛限制。术后1个月平片显示股四头肌扩张时股骨远端轴前有HO。由于剧烈疼痛和活动受限,该患者的活动仅限于短距离。TKA术后2个月,患者在全身麻醉下进行了操作。屈曲活动范围从50度改善到110度,患者无需辅助装置即可走动。然而,在4个月的时间里,屈曲范围恶化到50度,活动再次明显受限。患者在操作6个月后切除了HO,并恢复了屈曲110度的ROM。术后2个月开吲哚美辛以预防HO复发。术后3个月的随访x线片显示HO复发极小。患者的ROM没有恶化,他仍然可以走动。如果ROM没有改善,tka后患者应怀疑异位骨化。包括ROM练习在内的物理治疗仍然是骨性关节炎治疗的重要组成部分。对于某些行动能力明显受限的患者,全麻下操作或手术切除HO可能是不可避免的。
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引用次数: 30
Conflict of interest. 利益冲突。
Pub Date : 1900-01-01 DOI: 10.1037/e506392011-001
J. Gould
WHAT IS A CONFLICT OF INTEREST? A conflict of interest is described in the university policy as a situation in which a person serves or represents two distinct entities or persons and must choose between two conflicting interests or loyalties. A university employee has a conflict when their outside activity or financial interest could potentially interfere with the employee’s professional obligations to the university.
什么是利益冲突?在大学政策中,利益冲突被描述为一种情况,即一个人服务或代表两个不同的实体或个人,必须在两个相互冲突的利益或忠诚之间做出选择。当大学员工的外部活动或经济利益可能潜在地干扰员工对大学的专业义务时,就会发生冲突。
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引用次数: 1
Caveat emptor.
Pub Date : 1900-01-01 DOI: 10.4135/9781452206905.n129
J. Gould
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引用次数: 0
Osteochondritis dissecans. 分离性肱骨小头骨软骨炎。
Pub Date : 1900-01-01 DOI: 10.1055/b-0034-51111
Wilfred C G Peh
Osteochondritis dissecans (OCD) is a pathological process affecting the subchondral bone (most often in the knee joint) of children and adolescents with open growth plates (juvenile OCD) and young adults with closed growth plates (adult OCD). It may lead to secondary effects on joint cartilage, such as pain, oedema, possible formation of free bodies and mechanical symptoms, including joint locking. OCD may lead to degenerative changes if left untreated. [1]
剥脱性骨软骨炎(OCD)是一种影响软骨下骨(最常见于膝关节)的病理过程,主要发生在患有开放式生长板的儿童和青少年(青少年强迫症)和患有封闭式生长板的年轻人(成人强迫症)。它可能导致关节软骨的继发性影响,如疼痛、水肿、可能形成游离体和机械症状,包括关节锁定。如果不及时治疗,强迫症可能会导致退行性变化。[1]
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引用次数: 0
Septic arthritis. 脓毒性关节炎。
Pub Date : 1900-01-01 DOI: 10.3109/9780203450352-82
C. Perry
Hematogenous septic arthritis causes pain and effusion and begins with inoculation of the joint with bacteria from the intravascular space. The degradation of ground substance by enzymes released and activated by the acute inflammatory response, toxins and enzymes produced by the bacteria, and T lymphocytes stimulated during the delayed immune response, leads to destruction of the articular cartilage. Whether a given patient will develop a septic joint or a less severe form of infection is dependent upon characteristics of the bacterial strain and of the individual's host defenses. Management consists of systemic antibiotic therapy and decompression of the joint. Synovectomy, salicylate administration, and continuous passive motion are adjuvant therapies that have not as yet not been proved to be of benefit.
血液性化脓性关节炎引起疼痛和积液,并开始与接种关节与细菌从血管内的空间。急性炎症反应释放和激活的酶、细菌产生的毒素和酶以及延迟免疫反应中刺激的T淋巴细胞对基质物质的降解导致关节软骨的破坏。患者是否会发展为脓毒性关节或较轻形式的感染取决于细菌菌株的特征和个体的宿主防御能力。治疗包括全身抗生素治疗和关节减压。滑膜切除术,给药水杨酸和持续被动运动是辅助治疗,尚未被证明是有益的。
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引用次数: 0
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American journal of orthopedics
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