Pressure detection device for X-ray film
阅读说明:本技术 用于x光片的压力检测设备 (Pressure detection device for X-ray film ) 是由 卢载爀 于 2018-09-12 设计创作,主要内容包括:本发明涉及一种对需要检查的部位加以固定后,在对关节或韧带不造成负担的范围内,通过使用者的按压动作来进行操作,测算对所述身体部位施加的压力,并输出检查骨头或韧带损伤的合适的压力值,因无需移动检查部位,故保护了关节或韧带,同时能够更加准确地掌握需要检查的关节或韧带的撕裂情况的用于X光片的压力检测设备。包括:一对导引床、第一固定部、第二固定部、施压部以及通过使用者的按压动作来操作,以此测算出对所述身体部位施加的压力,从而输出检查骨头或韧带损伤的合适的压力值的压力输出部。(The present invention relates to a pressure detecting apparatus for X-ray film, which measures pressure applied to a body part by a pressing operation of a user within a range that does not burden a joint or a ligament after fixing the part to be inspected, and outputs a pressure value suitable for inspecting damage of the bone or the ligament, thereby protecting the joint or the ligament without moving the part to be inspected and more accurately grasping a tearing condition of the joint or the ligament to be inspected. The method comprises the following steps: a pair of guide beds, a first fixing part, a second fixing part, a pressure applying part and a pressure output part which is operated by the pressing action of a user to measure and calculate the pressure applied to the body part so as to output a proper pressure value for checking the damage of the bone or the ligament.)
1. A pressure detection device for X-ray film comprising:
a pair of guide beds parallel to each other and spaced apart from each other by a predetermined distance and coupled to the terminating member at both ends thereof, respectively;
a first fixing part movably combined with the guide beds and used for fixing one side of the examination part is respectively arranged at one end of each guide bed;
the other ends of the pair of guide beds are respectively provided with a second fixing part which is movably combined with the guide beds and is used for fixing the other side of the examination part;
a pressing part which is movably combined with the pair of guide beds and applies pressure to the body part needing to be checked for a certain time is arranged between the pair of guide beds;
and a pressure output part which is operated by the pressing action of the user, so as to measure and calculate the pressure applied to the body part, thereby outputting a proper pressure value for checking the bone or ligament injury.
2. The apparatus of claim 1, wherein the first fixing portion and the second fixing portion respectively comprise:
the upper part of the guide bed is provided with a plurality of fixing grooves, and the bracket is positioned on the outer side surface of the guide bed and movably combined with the guide bed;
and a fixing groove inserted into the holder for fixing the fixing member at one side of the examination part.
3. The pressure detection apparatus for X-ray film according to claim 2, wherein the fixing means comprises:
a cylindrical body fixed to an upper predetermined position of the support, for fixing a body, and having elasticity so as not to burden a body part to be fixed;
and a first fixing member having a first protrusion coupled to a lower portion of the cylindrical body while being inserted into an upper predetermined position of the bracket to fix the cylindrical body to the bracket.
4. The pressure detection apparatus for X-ray film according to claim 2, wherein the fixing means comprises:
the foot fixing plate is fixed at the upper part of the bracket and used for fixing one side of the foot;
a second fixing protrusion combined with an outer predetermined position of the foot fixing plate and inserted into an upper predetermined position of the bracket to fix the foot fixing plate to the bracket;
a first fixing shaft fixed and combined at a predetermined position outside the foot fixing plate;
and a second fixing member composed of a compression plate movably combined at the outer side surface of the first fixing shaft for compressing the other side of the foot to fix the foot to the foot fixing plate.
5. The pressure detection apparatus for X-ray film according to claim 2, wherein the fixing means comprises:
a fixing plate fixed on the upper part of the bracket;
a third fixing protrusion combined with the bottom surface of the fixing plate and inserted into a predetermined position of the upper part of the second bracket to fix the fixing plate to the bracket;
a pair of elastic cylindrical members combined with the side surfaces of the fixing plate to fix the bottom surface of the body;
a second fixing shaft combined with the upper surface of the fixing plate;
and a third fixing member composed of a height adjusting part movably combined with the outer side surface of the second fixing shaft and combined with the second fixing member at one side thereof for fixing the upper part of the body.
6. The pressure detection apparatus for X-ray film of claim 3,
a connecting member which is vertically fixed to the support, connects the support and the fixing member, and changes the position of the fixing member according to the body of the patient to be examined, is provided between the support and the fixing member;
a coupling protrusion inserted into and fixed to the fixing groove may be formed at a bottom surface of one end of the coupling member, and a coupling groove inserted and fixed by the first protrusion may be formed at an upper portion of the other end of the coupling member.
7. The pressure detection apparatus for X-ray film of claim 1,
wherein the pressure applying part can apply pressure of 15 to 25 daN.
8. The pressure detection apparatus for X-ray film according to claim 1, the pressing section comprising:
a moving member which is provided with a first hole formed in a longitudinal direction at a middle thereof, a pair of first grooves formed in an inner wall positioned at a part of the first hole, a second hole formed forward from the part of the first hole, and approaches the body part by a linear motion in a front-rear direction;
a protective member fixedly coupled to the other side of the moving member to protect the outer circular portion of the body part when the body part is pressed;
a bolt member rotatably coupled in a longitudinal direction inside the moving member according to a user's operation;
a release button which corresponds to the pair of first grooves, has a pair of second grooves formed on a back surface thereof, is provided in the pair of first grooves and the pair of second grooves, has a part of an inner side thereof screwed to the bolt member so as to be pressed against the first grooves and the second holes, fixes the moving member, and releases the fixation of the moving member by a pressing operation;
a rotating member coupled to the bolt member and rotated in a working direction by a user's operation, thereby adjusting the linear motion of the moving member by the rotation of the bolt member;
and a guide member guiding the linear motion of the moving member.
9. The pressure detection apparatus for X-ray film according to claim 1, the pressure output section comprising:
a load sensor for detecting pressure applied to the body part and generating a corresponding voltage signal;
a housing disposed over the moving member;
an input part for generating a start command signal according to the pressing action of the user;
a control part for judging whether a sensing value is input by the load sensor within a set time after the start command signal is input, and displaying the sensing value, if not, controlling the power supply part to block power supply, namely converting the voltage signal received by the load sensor into a pressure value according to the start command signal of the input part and outputting the pressure value;
a display that displays the pressure value received from the control section;
and a power supply section that supplies power to the respective components.
10. The pressure detection apparatus for X-ray film according to claim 9, wherein the input section includes:
a switch arranged in the shell and used for generating a starting command signal according to the pressing action of a user.
11. The pressure detection apparatus for X-ray film according to claim 9, wherein the input section includes:
a spring disposed inside the housing at a distance from a surface of the housing;
and a proximity sensor disposed inside the housing, combined with the spring, and outputting a start command signal according to a user's proximity to a body or object.
12. The pressure detection apparatus for an X-ray film according to claim 9, wherein the power supply section includes:
a battery or a wireless power rechargeable battery.
13. A pressure detection device for X-ray film comprising:
a pair of guide beds parallel to each other and spaced apart from each other by a predetermined distance and coupled to the terminating member at both ends thereof, respectively;
a first fixing part movably combined with the guide beds and used for fixing one side of the examination part is respectively arranged at one end of each guide bed;
the other ends of the pair of guide beds are respectively provided with a second fixing part which is movably combined with the guide beds and is used for fixing the other side of the examination part;
a pressing part which is movably combined with the pair of guide beds and applies pressure to the body part needing to be checked for a certain time is arranged between the pair of guide beds;
and a pressure output part which is operated by the pressing action of the user, so as to measure and calculate the pressure applied to the body part and output a proper pressure value for checking the bone or ligament injury;
the pressing part includes:
a moving member which is provided with a first hole formed in a longitudinal direction at a middle thereof, a pair of first grooves formed in an inner wall positioned at a part of the first hole, a second hole formed forward from the part of the first hole, and approaches the body part by a linear motion in a front-rear direction;
a protective member fixedly coupled to the other side of the moving member to protect the outer circular portion of the body part when the body part is pressed;
a bolt member rotatably coupled in a longitudinal direction inside the moving member according to a user's operation;
a release button which corresponds to the pair of first grooves, has a pair of second grooves formed on a back surface thereof, is provided in the pair of first grooves and the pair of second grooves, has a part of an inner side thereof screwed to the bolt member so as to be pressed against the first grooves and the second holes, fixes the moving member, and releases the fixation of the moving member by a pressing operation;
a rotating member coupled to the bolt member and rotated in a working direction by a user's operation, thereby adjusting the linear motion of the moving member by the rotation of the bolt member;
and a guide member that guides the linear motion of the moving member;
the pressure output portion includes:
a load sensor for detecting pressure applied to the body part and generating a corresponding voltage signal;
a housing disposed over the moving member;
an input part for generating a start command signal according to the pressing action of the user;
a control part for judging whether a sensing value is input by the load sensor within a set time after the start command signal is input, and displaying the sensing value, if not, controlling the power supply part to block power supply, namely converting the voltage signal received by the load sensor into a pressure value according to the start command signal of the input part and outputting the pressure value;
a display that displays the pressure value received from the control section;
and a power supply section that supplies power to the respective components.
Technical Field
The invention relates to a pressure detection device for X-ray films, in particular to a pressure detection device for X-ray films, which is used for fixing a part to be inspected, applying certain pressure to the inspected part and inspecting the joint or ligament tear through the X-ray films.
Background
Generally, when taking an X-ray film, it is important to confirm the posture of a patient or whether a specific part thereof is accurately located in the imaging field and then to perform X-ray imaging in order to obtain an X-ray image at an accurate position. The posture of the patient referred to herein may include a motion of moving the body or support of the patient and also include various motions that enable the position of the patient to be adjusted within the photographing range.
Bone or ligament tears are related to the force, velocity, and direction applied to the bone or ligament. In order to inspect the torn portion of the ligament, a pressure inspection method is widely used, in which a pressure is applied to the torn portion for a predetermined time and then an abnormal condition is determined according to the degree of deformation of the torn portion.
The pressure inspection method is an inspection method for judging the torn ligament by applying a certain pressure to the inspected part and grasping the ligament deformation degree through an X-ray film as described above.
In the conventional pressure examination method, since a doctor, a nurse, or a caregiver applies pressure to an examination site of a patient to be examined by grasping it with a hand during the examination, the force of applying pressure to the examination site varies from person to person, and the examination site is not yet combined, causing pain to the patient to be examined, and the examination cannot be accurately performed.
Prior art documents
Patent document
(patent document 0001) Utility model No. 20-0229320 (grant date: 2001, 04, 20)
Disclosure of Invention
Technical problem to be solved
An object of the present invention is to solve the above-mentioned problems and to provide a pressure detecting apparatus for X-ray film, which can measure a pressure applied to a body part by a pressing operation of a user within a range that does not burden a joint or a ligament after fixing the part to be inspected, and output a pressure value suitable for inspecting damage of the bone or the ligament, thereby protecting the joint or the ligament without moving the part to be inspected, and more accurately grasping a tearing state of the joint or the ligament to be inspected.
(II) technical scheme
The pressure detection device for X-ray film of the invention comprises:
a pair of guide beds parallel to each other and spaced apart from each other by a predetermined distance and coupled to the terminating member at both ends thereof, respectively;
a first fixing part movably combined with the guide beds and used for fixing one side of the examination part is respectively arranged at one end of each guide bed;
the other ends of the pair of guide beds are respectively provided with a second fixing part which is movably combined with the guide beds and is used for fixing the other side of the examination part;
the middle of the pair of guide beds is provided with a pressing part which is movably combined with the guide beds and applies pressure to the body part needing to be checked for a certain time;
and a pressure output part which is operated by the pressing action of the user, so as to measure and calculate the pressure applied to the body part and output a proper pressure value for checking the bone or ligament injury.
The first fixing portion and the second fixing portion may include:
the upper part of the guide bed is provided with a plurality of fixing grooves, and the bracket is positioned on the outer side surface of the guide bed and movably combined with the guide bed; and a fixing groove inserted into the holder for fixing the fixing member at one side of the examination part. The fixing member may include: a cylindrical body fixed to an upper predetermined position of the support, for fixing a body, and having elasticity so as not to burden a body part to be fixed; and a fixing member having a first protrusion coupled to a lower portion of the cylindrical body while being inserted into an upper predetermined position of the bracket to fix the cylindrical body to the bracket. The fixing member may include; the foot fixing plate is fixed at the upper part of the bracket and used for fixing one side of the foot; a second fixing protrusion combined with an outer predetermined position of the foot fixing plate and inserted into an upper predetermined position of the bracket to fix the foot fixing plate to the bracket; a first fixing shaft fixed and combined at a predetermined position outside the foot fixing plate; and a second fixing member composed of a compression plate movably combined at the outer side surface of the first fixing shaft for compressing the other side of the foot to fix the foot to the foot fixing plate.
The fixing member may include:
a fixing plate fixed on the upper part of the bracket;
a third fixing protrusion combined with the bottom surface of the fixing plate and inserted into a predetermined position of the upper part of the second bracket to fix the fixing plate to the bracket;
a pair of elastic cylindrical members combined with the side surfaces of the fixing plate to fix the bottom surface of the body;
a second fixing shaft combined with the upper surface of the fixing plate;
and a third fixing component which is movably combined with the outer side surface of the second fixing shaft, is combined with the second fixing component at one side of the second fixing component and is used for fixing the adjustment part on the body.
A connection member vertically fixed to the support and connecting the support and the fixing member to change the position of the fixing member according to the body of the patient to be examined is provided between the support and the fixing member, a connection protrusion inserted into and fixed to the fixing groove is formed on the bottom surface of one end of the connection member, and a connection groove inserted into and fixed by the first protrusion may be formed on the upper portion of the other end of the connection member.
The pressure applying part can apply pressure of 15 to 25 daN. The pressing part may include: a moving member which is provided with a first hole formed in a longitudinal direction at a middle portion thereof, a pair of first grooves formed in an inner wall of a portion of the first hole, a second hole formed forward from the portion of the first hole, and approaches the body part by a linear motion in a front-rear direction;
a protective member fixedly coupled to the other side of the moving member to protect the outer circular treatment of the body part when the body part is pressed;
a bolt member rotatably coupled in a longitudinal direction inside the moving member according to a user's operation;
a release button which corresponds to the pair of first grooves, has a pair of second grooves formed on a back surface thereof, is provided on the pair of first grooves and the pair of second grooves, has a part of an inner side thereof screwed to the bolt member so as to be pressed against the first grooves and the second holes, fixes the moving member, and releases the fixation of the moving member by a pressing operation;
a rotating member coupled to the bolt member and rotated in a working direction by a user's operation, thereby adjusting the linear motion of the moving member by the rotation of the bolt member;
and a guide member guiding the linear motion of the moving member.
The pressure output portion may include:
a load cell that measures pressure applied to the body part and generates a corresponding voltage signal;
a housing disposed over the moving member;
an input part for generating a start command signal according to the pressing action of the user;
a control part for judging whether a sensing value is input by the load sensor within a set time after the start command signal is input, and displaying the sensing value, if not, controlling the power supply part to block power supply, namely converting the voltage signal received by the load sensor into a pressure value according to the start command signal of the input part and outputting the pressure value;
a display that displays the pressure value received from the control section;
and a power supply section that supplies power to the respective components.
The pressure part may include:
and a switch arranged on the shell and used for generating a starting command signal according to the pressing action of the user. The input part may include a spring disposed inside the housing at a distance from a surface of the housing; and a proximity sensor disposed inside the housing, combined with the spring, and outputting a start command signal according to a user's proximity to a body or object. The power supply may include a battery or a wirelessly-powered battery.
ADVANTAGEOUS EFFECTS OF INVENTION
The examination apparatus of the present invention is used in an orthopaedic sports clinic to confirm abnormal conditions of bones and ligaments, thereby making early diagnosis and treatment and helping to decide whether to perform a further Magnetic Resonance Imaging (MRI) examination.
The invention is to fix the part to be checked and prevent it from moving, and then to operate the joint or ligament within the range of not bearing burden by the pressing action of the user, so as to calculate the pressure applied to the body part, and output the pressure value suitable for checking the bone or ligament damage, thereby the part to be checked does not need to be moved, therefore, the joint or ligament is protected, and the tearing condition of the joint or ligament to be checked can be accurately grasped. This examination apparatus of the present invention is used not only for confirmation of bone abnormality but also for confirmation of ligament abnormality, joint meniscal tear which may be caused due to long-term incursion, degenerative arthritis due to abnormal wear, and the like, by which early diagnosis and treatment can be made, thus having the effect of reducing the burden of cost.
Drawings
Fig. 1 is a perspective view of a pressure detecting apparatus for X-ray film according to an embodiment of the present invention.
Fig. 2 is a perspective view of one embodiment of a fixing member and a connecting member separated from the bracket shown in fig. 1.
Fig. 3 is a perspective view of another embodiment of a fixation member detached from the bracket shown in fig. 1.
Fig. 4 is an enlarged view of a moving member moving along with a guide member of the pressing part shown in fig. 1.
Fig. 5 is a front view of the interior of the moving member shown in fig. 4.
Fig. 6 is an exploded view of the bolt member, the release member and the spring coupled inside the moving member shown in fig. 4.
Fig. 7 is a block diagram of the internal circuit of the pressure output portion shown in fig. 1.
Fig. 8 is a block diagram illustrating an operation of the pressure output unit shown in fig. 1.
Fig. 9 is a diagram of sensing value setting and battery state of charge according to an embodiment of the present invention.
Fig. 10 and 11 are views of anatomical structures according to embodiments of the present invention.
Fig. 12 to 34 are diagrams illustrating an inspection method according to an embodiment of the present invention.
Description of reference numerals:
100 guide bed
200 first fixing part
220 bracket
240 fixed slot
250 first fixing member
252 first projection
260 connecting member
261 connecting protrusion
262 connecting groove
300 second fixed part
310 support
320 second fixing member
321 foot fixing plate
322 second fixing protrusion
323 first fixed shaft
324 compression plate
340 third fixing member
345 fixing plate
346 third fixing protrusion
347 cylindrical member
348 second fixed axis
349 height adjustment part
400 pressing part
410 moving member
412 first hole
414 inner wall
416 first groove
420 casing
430 release key
440 bolt component
441 rotating member
450 protective member
600 pressure output part
610 load sensor
615 input unit
620 switch
630 spring
640 proximity sensor
650 control part
660 display unit
670 power supply unit
Detailed Description
A pressure detecting apparatus for X-ray film of an embodiment of the present invention will be described in detail with reference to the accompanying drawings.
Fig. 1 is a perspective view of a pressure detecting apparatus for X-ray film according to an embodiment of the present invention.
The pressure detecting apparatus for X-ray film according to an embodiment of the present invention includes a pair of
A pair of
The
The
Fig. 2 is a perspective view of one embodiment of a fixing member and a connecting member separated from the bracket shown in fig. 1. Referring to fig. 2, the fixing member includes: a cylindrical body 251 fixed to an upper predetermined position of the holder, for fixing a body, and having elasticity so as not to burden a fixed body part; and a fixing
Referring to fig. 1, the fixing
Fig. 3 is a perspective view of another embodiment of a fixation member detached from the bracket shown in fig. 1.
Referring to fig. 3, the fixing member includes: a fixing
A coupling protrusion 261 inserted and fixed to the fixing
The
Fig. 4 is an enlarged view of the moving
The pressure part 400 includes: a moving member 410 which is provided with a first hole 412 formed in a longitudinal direction at a middle thereof, a pair of first grooves 416 formed in an inner wall 414 positioned at a part of the first hole 412, a second hole formed forward from the part of the first hole 412, and linearly moved in a front-rear direction to approach the body part; a protective member 450 fixedly coupled to the moving member 410 at the other side thereof, for protecting the body part from being circularly processed at the outer side thereof when the body part is pressed; a bolt member 440 rotatably coupled in a longitudinal direction inside the moving member 410 according to a user's operation; a pair of second grooves 432 formed on the back surfaces thereof corresponding to the pair of first grooves 416, a pair of springs 434 provided on the pair of first grooves 416 and the pair of second grooves 432, and having inner portions thereof screwed to the bolt member 440 so as to be pressed against the first grooves 416 and the second holes 418, and a release button 430 for fixing the movable member 410 and releasing the movable member 410 by a pressing operation; a rotating member 441 coupled to the bolt member 440 and rotated in a working direction by a user's operation, thereby adjusting the linear motion of the moving member by the rotation of the bolt member 440; and a guide member 413 guiding the linear motion of the moving member 410.
The
Referring to fig. 7, the
The
Referring to fig. 7 to 9, after power is input from a normal power supply (AC 220V,60Hz), DC 5V (max, 1A) is supplied to the host through a
Referring to fig. 9, the power-on state by the touch button is displayed
After thatThe right side of (a) blinks. After the power is turned on, if the sensing value is not inputted within 60 seconds, the power is automatically stopped. Alternatively, if the sensed value is input within 60 seconds after the power is turned on, for example, asLikewise, the sensed values are displayed. In the sensed value display, theWhen the LED is changed into red and flickers in use, the LED needs to be charged by a charger and then used. When the adapter is connected, the LED is red, indicating that it is charging. After the adapter is connected, the LED turns green, indicating that charging is complete.
Fig. 10 and 11 are drawings of an anatomical structure according to an embodiment of the present invention.
Referring to fig. 10 and 11, an anatomical structure according to an embodiment of the present invention will be described.
(A) Knee
Referring to fig. 10, the Medial Collateral Ligament (MCL) has a repulsive force against an external force, an eversion force of an external force, etc. The outer collateral ligament (LCL) has a repulsive force against the inward force such as the internal force and the internal electricity. The Anterior Cruciate Ligament (ACL) is the Anterior complete site that protects the joint. The Posterior Cruciate Ligament (PCL) is the Posterior position that protects the joint.
(B) Ankle
Referring to fig. 11, the lateral ligament (fibalcanear ligament) has a rebound force against the inversion of the ankle, and is composed of a talofular and a tibiocanar ligament. The medial ligament (deltoidlication) has a recoil force against eversion of the ankle and consists of the tibial navicula (tibioonasal) and the tibial ligament (tibiocanasal ligament). The tibiofibular external ligament (tibiofibular ligament) is responsible for plantar flexion (plantar flexion).
Next, a method of examining a human body using the examination apparatus will be described with reference to a patient-selectable shape and structure capable of determining a Magnetic Resonance Imaging (MRI) diagnosis according to an embodiment of the present invention.
1) Parallel ligaments of knee, maintaining lateral posture for examination
(1) Examining the medial collateral ligament of the knee joint (MCL)
(2) Examining the lateral accessory ligament of the knee (LCL)
A. Knee Abduction Stress/Abduction (Knee Stress Abduction/Abduction)
Fig. 12 to 33 are diagrams illustrating an inspection method according to an embodiment of the present invention.
Referring to fig. 11 to 14, the
B. Knee Varus/Varus (15 °) Stress test in Varus and Valgus joints
Referring to fig. 16 and 17 (Knee Varus Stress test, Knee Stress Valgus (MCL), and fig. 18 and 19 (Knee Varus Stress test, LCL)), a
C. Diagnostic Instructions (Instructions for diagnostics)
Measuring the width of the Articular space (Articular space)
More than-15 mm, clearly visible
More than-10 mm, necessary for comparison with X-ray (X-ray)
Above-3 mm, pathological lesions are present
2) Examination of the anterior cruciate ligament-Lahman test (Lachman test)
Examination of the anterior cruciate ligament (interpretation of the organ crystalline ligament, ACL)
A. Stress before Knee (Knee Stress Lachman Anderior)
Referring to fig. 20 and 21, the patient bends the knee by 15 ° to 20 ° while the lateral side of one knee joint (joint) is detected to be close to the pressure device and the two side condyles (continuations) are overlapped (true laterals). The femoral joint (femur continulus) and the front of the ankle part were fixed by an instrument, and a pressure pad was used to apply a pressure of about 15kp to a 7cm part from the knee fossa (posterior to tibial tubercle level, posterior to knee). In the case of a simple muscle injury, the applied pressure is about 20 kp. Measurements were performed with the tibial plateau (media) and lateral parallel to each other) around the posterior aspect and near the femoral joint (femurodynamic).
B. Diagnostic Instructions (Instructions for diagnostics)
When the rear drawer value (Back drawer values) exceeds 10mm, ACL is broken
3) Examination of the posterior cruciate ligament-Lahman test (Lachman test)
Examination of the posterior cruciate ligament (Examination of the spatial crystalline ligament, PCL)
Knee joint Stress (Knee Stress Lachman Posterion, FIG. 21)
Referring to fig. 22 and 23, the patient bends the knee by 15 ° to 20 ° while the lateral side of the knee joint is detected to be in close contact with the pressure device (stress device) and the two side condyles (continuations) are overlapped (true laterals). The femoral joint (femur continulus) and the rear of the ankle part were fixed by an instrument, and a pressure pad (pressure pad) was used to apply a pressure of about 15kp to a 7cm part from the popliteal fossa (behind the tibial tubercle level, the rear of the knee). In the case of a simple muscle injury, the applied pressure is about 20 kp. The tibial plateau (medial) and lateral (lateral) posterior circumference (rear) and the femoral joint (femur dylars) were measured after approaching the tibial plateau (Tibia plateau, in a state where medial and lateral are parallel) as close as possible.
B. Diagnostic Instructions (Instructions for diagnostics)
When the rear drawer value (Back drawer values) exceeds 10mm or more, the ACL tears. The knee joint (Both knee joint) is further examined if necessary.
4) Examination of anterior cruciate ligament (90 degree)
Examination of the anterior cruciate ligament (90 degree) -evolution of the antigen construct (90 degree)
A. Stress before Knee (Knee Stress Lachman Anterior, FIGS. 24 and 25)
Referring to fig. 24 and 25, the patient is allowed to bend his/her knee 90 ° and await examination, with the pressure device positioned exactly above the Patella (Patella). When the basic diagnosis is performed, the scale of the pressure equipment is adjusted to about 15Kp for use. Place sandbags under the ankles, with the tibia (tibia) parallel to the surface. (use of true lateral (true lateral) to avoid double imaging of femoral condyles)
B. Diagnostic Instructions (Instructions for diagnostics)
This is a diagnosis of vertical displacement of the tibia (tibia head) by X-ray imaging, and if it exceeds 3mm, it is considered abnormal. If it is about 2mm, it is clinically regarded as a tear (rupture).
5) Examination of the posterior cruciate ligament (90 degrees) (Special Access administration of the spatial relationship (90 degree position))
A. Lahman Knee test (Knee Stress Lachman Posterior, FIGS. 26 and 27)
Referring to fig. 26 and 27, the knee is bent 90 °. The fitting is placed over the femoral condyle (femur condylus). The protection member 450 of the
6) Checking anterior talofibular ligament lateral posture:
x-ray photograph transverse Anterior ankle joint (antioxidant and joint inner position for X-ray)
Examination of ligament fiber anterior (Examination of ligament umbibulo tarius)
A. Ankle joint Stress front (Ankle Stress Anterior, FIGS. 28 and 29)
Referring to fig. 28 and 29, the second fixing
B. Diagnostic Instructions (Instructions for diagnostics, FIG. 29)
Referring to fig. 29, if the distance from the bone surface to the tibia surface is greater than 10mm, it is considered as a half-detachment symptom 7) that the trigonal ligament and the heel fibular ligament need to be inspected.
A.X photo A.P. positional Anterior ankle joint (antioxidant and joint in A.P. position for x-ray)
Examining the triangular ligament (Examination of the ligament)
B.X photo A.P. positional Anterior ankle joint (antioxidant and joint in A.P. position for x-ray)
Examination of the tibiofibular ligament (Examination of bone formation of cancer care)
A. Ankle pressure eversion (Ankle Stress Valgus (fig. 30))
B. Ankle pressure eversion (Ankle Stress Valgus (fig. 32))
Referring to fig. 30 and 32, the second fixing
C. Diagnostic Instructions (Instructions for diagnostics)
Referring to fig. 31 and 33, the angle between the tibia and the talus is measured. When the degree is 10 degrees or more, it is considered as abnormal, and when the degree is 5 degrees or more and 10 degrees or less, it is necessary to perform X-ray (X-ray) comparison.
8) Examination of dorsal heel cubital ligament
A. Examination of the Shore calcaneal hamate ligament (Examination of the cervical Chop art' jojoint-ligamentum calceneo-cuboideum dorsale)
Referring to fig. 34, the pedicure bony prominence is placed on the pressure device. The patient bends the knee 90 ° while maintaining the sitting position. A pressure of 25kp of the press equipment is usually applied.
B. Diagnostic Instructions (Instructions for diagnostics, FIG. 33)
The width of the subluxal space (articular space) was measured. When the opening degree reaches more than 2.5mm, the display screen can be clearly checked. When the distance is more than 2mm, the pathological lesion is determined by comparing with the X-ray photograph (X-ray).
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