关节

Range of motion of the metacarpophalangeal joint was 61.3° on average and that of the proximal interphalangeal joint 40.3°.

结论人工关节置换术是解决手部关节僵直的好方法，但要注意手术适应证的选择。

The patients were divided into a needie-knife treatment group treated with needle-knife therapy at the upper and lower interspinal ligaments of the affected vertebral body and bilateral posterior joint capsules; and the acupuncture control group were treated with acupuncture at Laozhen, Ashi points and cervical Jiaji points, etc.

采用多中心临床随机对照试验方法，将患者分为针刀治疗组（在患椎上下棘间韧带和两侧后关节的关节囊处行针刀治疗）与针刺对照组（穴取落枕、阿是穴、颈夹脊等），在疗程结束时和治疗结束后6个月分别统计近、远期疗效。

Solves this symptom method to divide into the surgery and the non-surgery treats, the non-surgery treats for example the physical property treatment and the pharmacological treatment, the effect is not often good, the surgery treats may divide into the traditional surgery and micro creates the surgery two kinds, the traditional surgery method is in the lumbar vertebra fusion the pexia, although this method excised has created the lumbar vertebra narrow yellow ligament and the small surface joint, but the surgery time was long, the wound was big as well as although the lumbar vertebra fusion and fixed has removed the pathological change stage abnormal movement, but the neighbor stage's abnormal movement increased, between the awl in plate's pressure elevated obviously, the small articular process exceptionally drew back changes with the fixed stage bone quantityThe loss, causes the fixed stage vertical motion stage to draw back changes ASD[1], but new micro creates the surgery is opens a small wound in the back, and implants the interspinal to open, then solution lumbar vertebra narrow sickness question.

解决此种症状的方法分为手术及非手术治疗，非手术治疗例如物理性治疗和药物治疗，往往效果不佳，手术治疗又可分为传统手术和微创手术二种，传统手术方法就是腰椎融合内固定术，虽然此种方法切除了造成腰椎狭窄的黄韧带和小面关节，但手术时间长，伤口大以及腰椎的融合和固定虽去除了病变节段的异常活动，但邻近节段的异常活动增加，锥间盘内的压力明显升高，小关节突的异常退变和固定节段的骨量丢失，导致固定节段上下运动节段的退变ASD[1]，而新型的微创手术是在背部开一个小伤口，并植入棘突间撑开器，进而解决腰椎狭窄症的问题。

The characteristic of the treatment by manipulation with acupotomy in tensive position is manipulating the adhesions and contractures of capsule in direction: including the zona of intertubercular sulcus, inferior-acromial and the decocted later part of the capsule, and with hydraulic distension and manipulation. Compared with manipulation maneuver this treatment is less traumatic, short of course of treatment, easy to perform and really an effective procedure to treat the frozen shoulder.

粘连挛缩带紧张位针刀松解治疗方法特点在于针对性地松解肩前结节间沟区、肩峰下和肩关节囊后下部等三处粘连挛缩带，在此基础上配合关节腔内注液扩张和术中术后注重肩肱关系的手法松解，与推拿治疗冻结肩相比，本法明显改善了冻结肩患者的疼痛与功能障碍程度，创伤小，疗程短，见效快，疗效可靠，且中远期随访显示疗效稳定。

Methods A wet hip joint's sample from corpse was scaned by CT and all images of every cross-section hip joint's layer was obtained, and an hip joint's model was contructed with Unigraphics NX 2.0 and Solid Works 2006 SP 0.0 software. The models were assembled when simulated total hip arthroplasty after total hip joint prosthetic and ischiofemoral ligament model had been constructured. Analysis was done on von Mises stress distribution and amount of total hip component when simulated seated leg-crossing manuver. The bone and metal components were meshed as rigid bodies, composed of three-dimensional, all-quadrilateral rigid body elements, and hip joint capsule ligament was fully three-dimensional, hexahedral continuum elements representations. Results The current form of this ischiofemoral ligament's reconstruction finite element model provided for multi-body contact, large displacement interfacial sliding, large deformation capsule ligament representation, and clearly reflected the real ischiofemoral ligansent's anatomy and biomechanical behavior. The maximum on Mises stresses at the joint interface was more than that fur an otherwise identical hardware-only construct.

选择成人尸体髋关节行CT成像得到髋关节每层横截面图像，提取边界坐标，利用有限元分析软件Unigraphics NX 2.0和Solid-Works 2006 SP0.0构建出髋关节三维有限元模型及人工髋关节假体，并模拟全髋置换术进行装配，将坐股韧带按其术中重建位置进行构建骨骼与金属模型采用三维十节点四面体实体单元进行网格划分，关节囊六面体连接单元划分，模拟坐位腿交叉动作载荷获取假体撞击过程的角活动度和相应的von Mises应力分布情况结果所构建的多体连接、大界面划移、大变形的坐股韧带重建有限元模型，客观反映坐股韧带真实解剖形态及生物力学行为，增加坐股韧带重建的模型其关节面的最大主应力值大于仅有金属的模型。

For some, slight stiffness is all they will experience, but others go on to have grating joints, knobbly bone growths, and joints that go out of alignment.

对一些轻微的刚度，是他们将所有的经验，但其他人去上有光栅关节， knobbly骨生长，和关节认为，走出去的路线。

The results were expressed in mean±1SD. Pearson X~2 test and One-way ANOVA test were used. The data analyzed using the SPSS (version 11.5). Results: The sensitivity, specificity, positive and negative value of US for the LPEH model on the children cadaver were 88%, 84%, 79%, 91%, respectively. With regard to the thickness of femora head cartilage, the thickness of the anterior layer or posterior layer, there were no significant differences among three groups. However, the anterior layer was thicker than the posterior layer in three groups. The fluid in hip joint was detected in all of 21 symptomatic hips, which was clear commonly (90%) in early procedure. The amount of fluid in anterior recess showed a positive correlation with age (p .05). No fluid was detected in the asymptomatic and normal hips (2mm). The mean maximum width of inferomedial recess was significantly larger than that of anterior recess (12.50±4.04mm vs.4.35±0.8mm, p 0.05) in the symptomatic hip joints. The echogenic entrapped labral plicaes were demonstrated in the inferomedial recess in all of 21 children with LPEH, whose length and width ranged from 5.3mm-25.0mm (mean,15.6±5.6mm) and from 4.0mm-17.0mm (mean,8.9±7.8mm).

结果1，尸体LPEH髋关节模型的超声诊断敏感性、特异性分别为88％、84％，阳性预测值、阴性预测值分别为79％、91％。2，21例患儿的LPEH患髋(21侧)、健髋(21侧)，以及21例正常儿童健髋(42侧)的超声检查显示：髋关节周围软组织及股骨头无形态结构差别；股骨头软骨厚度无统计学差异(3.5±0.5mm vs.3.6±0.4mm vs.3.6±0.5mm，p＞0.05)；关节囊前层及后层厚度无统计学差异(前层厚度2.79±0.74 mm vs.2.56±0.40mm vs.2.56±0.72mm；后层厚度2.70±0.82mm vs.2.48±0.54mm vs.2.44±0.58mm，p＞0.05)，但LPEH患髋关节囊前、后层均较后二组有增厚趋势。3，LPEH患髋均存在关节腔内积液，且早期较为清晰；积液以髋关节内下间隙明显，内下间隙较前间隙明显增宽(12.50±4.04mm vs.4.35±0.8mm，p＜0.05)，其内见嵌顿滑膜唇皱襞呈稍强回声的占位性团块，长约15.6±5.6mm，宽约8.9±7.8mm，90.5％(19／21)嵌顿皱襞内未见血流信号。4，所有LPEH患髋治疗后超声复诊均显示正常。

Results: The scaphoid and lunate primarily flexed or extended in all directions of wrist motion, and their rotation aried linearly with the direction of wrist motion (R2 = 0.90 and 0.82, respectiely).

结果：舟状骨和月骨在腕关节各个方向上原始的屈曲和背伸及旋转运动与腕关节运动呈线性关系（分别为R2 = 0.90 和0.82）。

The major manifestations of MR imaging included synovial hyperplasia and pannus formation, joint effusion, bone marrow oedma, adnormality of signal and shape of meniscus, soft tissue swelling, cartilage destruction,popliteal lymphagogue, et al.

结果42例JIA患者的42个膝关节可见不同程度的MR异常改变（100%），主要影像学表现包括滑膜增生及血管翳形成、关节腔渗出积液、骨髓水肿、半月板形态及信号异常改变、关节软骨破坏、腘窝淋巴结肿大等。

Methods The treatment which included joint clearance and lateral retinacular release of knee osteoarthritis with malalignment in patellofemoral joint was evaluated in 34 patients.

对34例伴有膑股关节对线不良的膝关节骨关节炎患者进行关节清理术结合外侧支持带松解。

What would he tell Judith and the children?

他将怎样告诉朱迪丝和孩子们呢？

I this is at that time, the opinion with peacockish true girl is full of in a heart.

这就是当时的我，一个心中布满虚荣的女孩子真实的想法。