{"id":33,"date":"2022-05-26T13:53:21","date_gmt":"2022-05-26T13:53:21","guid":{"rendered":"https:\/\/chubby-tiger.com\/?p=33"},"modified":"2024-02-22T07:57:14","modified_gmt":"2024-02-22T07:57:14","slug":"%e4%b8%ad%e9%86%ab%e6%80%8e%e9%ba%bc%e7%9c%8b%e5%be%85%e4%b8%89%e8%a7%92%e7%ba%96%e7%b6%ad%e8%bb%9f%e9%aa%a8%e6%90%8d%e5%82%b7%ef%bc%9f%e6%96%87%e7%8d%bb%e7%af%87","status":"publish","type":"post","link":"https:\/\/chubby-tiger.com\/?p=33","title":{"rendered":"\u4e2d\u91ab\u600e\u9ebc\u770b\u5f85\u4e09\u89d2\u7e96\u7dad\u8edf\u9aa8\u640d\u50b7\uff1f\u6587\u737b\u7bc7"},"content":{"rendered":"<p class=\"last-modified\">\u6587\u7ae0\u6700\u5f8c\u66f4\u65b0\u65bc 2024 \u5e74 2 \u6708  22 \u65e5 <\/p><p>\u8490\u5c0b\u4e86PubMed\uff0c\u8ddf \u4e2d\u570b\u671f\u520a\u7db2<br \/>\n\u767c\u73fePubMed\u5c45\u7136\u6c92\u6587\u7ae0\u662f\u8207\u300e\u4e2d\u91ab\uff0bTFCC\u300f\u7684\u76f8\u95dc\u7684<br \/>\n\u641c\u5c0b\u4e2d\u570b\u7684\u671f\u520a\uff0c\u4e5f\u5f88\u5c11\u6709\u55ae\u7d14\u53ea\u63d0\u5230\u4e09\u89d2\u7e96\u7dad\u8edf\u9aa8\u640d\u50b7\u7684\u4e2d\u91ab\u671f\u520a<br \/>\n\u53ea\u6709\u627e\u5230\u4e09\u7bc7<br \/>\n1996 \u4e0a\u6d77\u7b2c\u4e8c\u91ab\u79d1\u5927\u5b78\u5b78\u5831 \u624b\u6cd5\u6cbb\u7642\u8155\u90e8\u4e09\u89d2\u7e96\u7dad\u8edf\u9aa8\u640d\u50b7<br \/>\n1998 \u4e2d\u570b\u4e2d\u91ab\u9aa8\u50b7\u79d1\u96dc\u8a8c \u5275\u50b7\u6027\u8155\u4e09\u89d2\u7e96\u7dad\u8edf\u9aa8\u76e4\u640d\u50b726\u4f8b\u5831\u544a<br \/>\n2002 \u5be6\u7528\u4e2d\u897f\u91ab\u7d50\u5408 \u8155\u4e09\u89d2\u7e96\u7dad\u8edf\u9aa8\u640d\u50b7\u7684\u975e\u624b\u8853\u7642\u6cd5<\/p>\n<hr \/>\n<p>\u89e3\u5256\u5217\u8eca\u4e00\u66f8\u4e2d\u4e5f\u8aaa\uff0c\u6df1\u524d\u8207\u6df1\u80cc\u624b\u81c2\u7dda\u4e5f\u6703\u5f71\u97ff\u5230\u624b\u8155\uff0c\u5c24\u5176\u662f\u6df1\u80cc\u624b\u81c2\u7dda\u8207\u6211\u5011\u7684\u624b\u8098\u8207\u5c3a\u5074\u624b\u8155\u6709\u95dc\u4fc2\u3002<\/p>\n<p>\u722c\u68b3\u6587\u737b\uff0c\u5e38\u7528\u4f86\u6cbb\u7642\u5c3a\u5074\u8155\u95dc\u7bc0\u75db\u7684\u967d\u8c37\u3001\u56db\u7006\u3001\u990a\u8001\uff0c\u4e0d\u8b00\u800c\u5408\u3002\u6df1\u524d\u624b\u81c2\u7dda\u8207\u6df1\u80cc\u624b\u81c2\u7dda\u529f\u80fd\u7d50\u5408\uff0c\u505a\u51fa\u5f88\u591a\u624b\u81c2\u5167\u5916\u8f49\u7684\u52d5\u4f5c\uff0c\u56e0\u6b64\u5982\u679c\u5931\u8abf\u4e5f\u5bb9\u6613\u5f9e\u80a9\u8180\u8655\u81f3\u624b\u8098\u3001\u624b\u8155\u958b\u59cb\u7522\u751f\u554f\u984c\uff0c\u800c\u6700\u9060\u7aef\u901a\u5e38\u90fd\u662f\u4ee3\u511f\u6700\u591a\u7684\u5730\u65b9\u3002<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"\u986f\u793a\/\u96b1\u85cf\u5167\u5bb9\u76ee\u9304\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/chubby-tiger.com\/?p=33\/#%E4%B8%89%E8%A7%92%E8%BB%9F%E9%AA%A8%E6%90%8D%E5%82%B7%E6%80%8E%E9%BA%BC%E8%A8%BA%E6%96%B7%E5%87%BA%E4%BE%86%E7%9A%84%EF%BC%9F\" >\u4e09\u89d2\u8edf\u9aa8\u640d\u50b7\u600e\u9ebc\u8a3a\u65b7\u51fa\u4f86\u7684\uff1f<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/chubby-tiger.com\/?p=33\/#%E5%B0%BA%E9%AA%A8%E7%9A%84%E9%95%B7%E5%BA%A6%E8%AE%8A%E7%95%B0Ulnar_Variance%E5%91%A2%EF%BC%9F\" >\u5c3a\u9aa8\u7684\u9577\u5ea6\u8b8a\u7570(Ulnar Variance)\u5462\uff1f<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/chubby-tiger.com\/?p=33\/#%E4%B8%AD%E9%86%AB%E7%9A%84%E5%9B%BA%E5%AE%9A%E5%A6%82%E4%BD%95%E5%81%9A\" >\u4e2d\u91ab\u7684\u56fa\u5b9a\u5982\u4f55\u505a<\/a><\/li><\/ul><\/nav><\/div>\n<h3><span class=\"ez-toc-section\" id=\"%E4%B8%89%E8%A7%92%E8%BB%9F%E9%AA%A8%E6%90%8D%E5%82%B7%E6%80%8E%E9%BA%BC%E8%A8%BA%E6%96%B7%E5%87%BA%E4%BE%86%E7%9A%84%EF%BC%9F\"><\/span>\u4e09\u89d2\u8edf\u9aa8\u640d\u50b7\u600e\u9ebc\u8a3a\u65b7\u51fa\u4f86\u7684\uff1f<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>1.\u624b\u8155\u75db\uff0c\u5c3a\u5074\u7684\u624b\u8155\u75db<br \/>\n2.\u904b\u52d5\u6216\u52d5\u4f5c\uff1a\u7db2\u7403\u3001\u7fbd\u6bdb\u7403\u3001\u9ad4\u64cd\u76f8\u95dc\u6216\u985e\u4f3c\u52d5\u4f5c\uff0c\u8df3\u8857\u821e\u6642\u7528\u624b\u6490\u5730\u505a\u5730\u677f\u52d5\u4f5c\uff0c\u7528\u529b\u6293\u63e1\uff0b\u624b\u8155\u8ca0\u91cd\u3002\u8f49\u87ba\u7d72\u8d77\u5b50\u3002<br \/>\n3.\u524d\u81c2\u65cb\u8f49\u6d3b\u52d5\u53d7\u9650\uff0csupination\uff08\u65cb\u5f8c\uff0c\u638c\u5fc3\u5f9e\u671d\u4e0b\u5f80\u5916\u7ffb\u5230\u638c\u5fc3\u671d\u4e0a\uff09&#8212;pronation\uff08\u65cb\u524d\uff0c\u638c\u5fc3\u5f9e\u671d\u4e0a\u5f80\u5167\u7ffb\u5230\u638c\u5fc3\u671d\u4e0b\uff09\u6703\u75db<\/p>\n<p>\u8155\u90e8\u904e\u4f38\uff0c\u65cb\u524d\uff0c\u5c3a\u504f\u58d3\u8feb\uff0c\u9019\u4e09\u500b\u61c9\u8a72\u662f\u5f88\u91cd\u8981\u7684\u7dda\u7d22<\/p>\n<p>4.\u5c3a\u9aa8\u5c0f\u982d\u6709\u9b06\u52d5\u611f<br \/>\n\u6700\u5e38\u767c\u73fe\u7684\uff0c\u5c31\u662f\u5728\u5c3a\u5074\u8396\u7a81\u53ca\u5c3a\u5074\u5c48\u8155\u808c\u808c\u8171\u4e4b\u9593\u7684\u7a7a\u9593\u6703\u6709\u58d3\u75db\u7684\u8868\u73fe\uff0c\u5c31\u662f\u6240\u8b02\u7684\u5c3a\u9aa8\u4e2d\u592e\u7aa9\u73fe\u8c61(Ulnar fovea sign)\uff0c\u5982\u679c\u662f\u967d\u6027\uff0c\u654f\u611f\u5ea6\u8207\u7279\u7570\u6027\u90fd\u883b\u9ad8\u7684\u3002<\/p>\n<hr \/>\n<p>\u4e09\u89d2\u8edf\u9aa8\u640d\u50b7\u6700\u5e38\u7528\u7684\u5206\u578b\u662fPalmer\u5206\u578b\uff0c\u5206\u70ba I.\u5275\u50b7\u578b\u8207 II.\u9000\u5316\u578b<\/p>\n<p>\u67d0\u4e9b\u8ad6\u6587\u4e5f\u767c\u73fe\uff1a\u4f7f\u7528\u95dc\u7bc0\u93e1\u6cbb\u7642\u5275\u50b7\u578b\u7684\u4e09\u89d2\u8edf\u9aa8\u640d\u50b7\u5f8c\uff0c\u4f7f\u7528\u77f3\u818f\u5916\u56fa\u5b9a\u6642\uff0c\u524d\u81c2\u65cb\u5f8c\u4f4d\u56fa\u5b9a\u7684\u6548\u679c\u4e5f\u6709\u8f03\u597d\u7642\u6548\u3002<\/p>\n<p>\u70ba\u4ec0\u9ebc\u4f7f\u7528\u65cb\u5f8c\u4f4d\u7684\u56fa\u5b9a\u6548\u679c\u6703\u8f03\u597d\u5462\uff1f<br \/>\n\u56de\u60f3\u4e00\u4e0b\uff0c\u4e09\u89d2\u8edf\u9aa8\u7684\u4e09\u500b\u91cd\u8981\u7684\u7dda\u7d22\uff1a\u8155\u90e8\u904e\u4f38\u3001\u65cb\u524d\uff0c\u8207\u5c3a\u504f\u58d3\u8feb\u3002<\/p>\n<p>\u9019\u6642\u5019\u6211\u5011\u5c31\u5f97\u63d0\u5230\u4e00\u500b\u9060\u7aef\u6a48\u9aa8\u9aa8\u6298\u624b\u8853\u5f8c\u5e38\u898b\u5230\u7684\u554f\u984c\uff1a\u5c3a\u5074\u624b\u8155\u75bc\u75db\u3002<br \/>\n\u56e0\u70ba\u51fa\u554f\u984c\u7684\u5730\u65b9\u53ef\u80fd\u5f88\u591a\uff0c\u4e7e\u8106\u53eb\u5b83\u5c3a\u9aa8\u649e\u64ca\u75c7\u5019\u7fa4(Ulnar impaction syndrome)\u3002\u9019\u662f\u500b\u6bd4\u60f3\u50cf\u4e2d\u8981\u8907\u96dc\u5f88\u591a\u7684\u554f\u984c\uff0c\u4e5f\u6c92\u6709\u6240\u8b02\u7684\u9ec3\u91d1\u6cbb\u7642\u3002\u8981\u6ce8\u610f\u7684\u5730\u65b9\u5927\u6982\u662f\u9060\u7aef\u6a48\u5c3a\u95dc\u7bc0\u7684\u7a69\u5b9a\u6027\uff0c\u5c3a\u9aa8\u7684\u9577\u5ea6\u8b8a\u7570\u3002<\/p>\n<p>\u9060\u7aef\u6a48\u5c3a\u95dc\u7bc0\u7684\u7a69\u5b9a\u6027\u5927\u6982\u53ef\u4ee5\u76f4\u63a5\u60f3\u5230\u4e09\u89d2\u8edf\u9aa8\u7684\u529f\u80fd\u3002<\/p>\n<h3><span class=\"ez-toc-section\" id=\"%E5%B0%BA%E9%AA%A8%E7%9A%84%E9%95%B7%E5%BA%A6%E8%AE%8A%E7%95%B0Ulnar_Variance%E5%91%A2%EF%BC%9F\"><\/span>\u5c3a\u9aa8\u7684\u9577\u5ea6\u8b8a\u7570(Ulnar Variance)\u5462\uff1f<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>\u6b63\u5e38\u72c0\u6cc1\u4e0b\uff0c\u5c3a\u9aa8\u90fd\u662fNegative variance\uff0c\u610f\u601d\u662f\u5c3a\u9aa8\u7684\u76f8\u5c0d\u9577\u5ea6\u8f03\u6a48\u9aa8\u77ed\uff0c\u6240\u4ee5\u662f\u300e\u8ca0\u6578\u8b8a\u7570\u300f\u3002<\/p>\n<p>\u5982\u679c\u6a48\u9aa8\u76f8\u5c0d\u8b8a\u77ed\uff0c\u5c3a\u9aa8\u76f8\u5c0d\u8f03\u9577\uff0c\u8b8a\u6210\u300e\u6b63\u6578\u8b8a\u7570\u300f(Positive Variance)\u7684\u6642\u5019\uff0c\u5c3a\u9aa8\u982d\u5c31\u6703\u649e\u64ca\u5230\u8155\u9aa8\u3002<br \/>\n\u90a3\u4ec0\u9ebc\u6a23\u7684\u64fa\u4f4d\uff0c\u6703\u8b93\u5c3a\u9aa8\u7684\u9577\u77ed\u7522\u751f\u8b8a\u7570\u5462\uff1f<br \/>\n\u524d\u81c2\u5728\u65cb\u524d\u4f4d\u6642\u6a48\u9aa8\u8b8a\u77ed\uff0c\u5c3a\u9aa8\u76f8\u5c0d\u8b8a\u9577\u3002<br 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\/>\n<h3><span class=\"ez-toc-section\" id=\"%E4%B8%AD%E9%86%AB%E7%9A%84%E5%9B%BA%E5%AE%9A%E5%A6%82%E4%BD%95%E5%81%9A\"><\/span>\u4e2d\u91ab\u7684\u56fa\u5b9a\u5982\u4f55\u505a<span 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