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and tendonitis滑囊炎和肌腱炎.ppt


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文档列表 文档介绍
Bursitis, Tendonitis, Fibromyalgia, and RSD
Joe Lex, MD, FAAEM
Temple University School of Medicine
Philadelphia, PA
joe@
Objectives
Explain how bursitis and tendonitis are similar
Explain how bursitis and tendonitis differ from from another
List phases in development and healing of bursitis and tendonitis
Objectives
mon types of bursitis and tendonitis found at the:
Shoulder
Elbow
Wrist
5. List indications / contraindications for injection therapy of bursitis and tendonitis
Hip
Knee
Ankle
Objectives
Describe typical findings in a patient with fibromyalgia
Describe typical findings in a patient with reflex sympathetic dystrophy
Sports
Society more athletic
Physical activity  health benefits
Overuse syndromes increase
25% to 50% of participants will experience tendonitis or bursitis
Intro
Workplace
Musculoskeletal disorders from…
…repetitive motions
…localized contact stress
…awkward positions
…vibrations
…forceful exertions
Ergonomic design  incidence
Intro
Bursae
Closed, round, flat sacs
Lined by synovium
May or may municate with synovial cavity
Occur at areas of friction between skin and underlying ligaments / bone
Intro
Bursae
Permit lubricated movement over areas of potential impingement
Many are nameless
~78 on each side of body
New bursae may form anywhere from frequent irritation
Intro
Bursitis
Inflamed by…
…chronic friction
…trauma
…crystal deposition
…infection
…systemic disease: rheumatoid arthritis, psoriatic arthritis, gout ankylosing spondylitis
Intro
Bursitis
Inflammation causes bursal synovial cells to thicken
Excess fluid accumulates inside and around affected bursae
Intro

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  • 时间2018-08-04