关节外的

Afterwards, releases were carried on by the sequences: suprapatellar bursa; medial and lateral channel; medial and lateral patellar retinaculum; patella/femoral joint; condyloid socket; medial and lateral chamber; adhesion between femoral and quadriceps.

方法］釆用膝前内、前外及骸骨内上、外上4个5~10mm切口，先松解、扩张髌上囊创造出进入关节镜的空间，依照髌上囊→内、外侧沟→髌骨内、外侧支持带→髌股关节→髁间窝→膝关节内侧室→外侧室→股骨与股四头肌之间的粘连顺序进行松解。

Method］twelve cases with extremities invasion bone tumor were reviewed,including 6 male and 6 female.the average age was 37.1 years old.according to the mri,typeⅰtumor located in metaphysic and growth eccentricity,and was treated with outside tumor osteotomy with reservation of one side as integumentale,the cut line was shape of "匚".type ⅱ tumor was with invasion part articular surface,and was operated with part joint osteotomy with reservation of one side as integumentale,the cut line was shape of"l".type ⅲ was with invasion total joint surface and as integmentale,all tumor segment including joint could be cut,but the shape of cut close to the diaphysis was echelonment.

方法］12例侵袭性骨肿瘤患者男6例，女6例；平均年龄37.1岁。根据mri表现选择不同截骨方法，ⅰ型肿瘤位于干骺端偏心性生长，采用保留一侧皮质骨的肿瘤外截骨，截骨线呈&匚&形。ⅱ型病例肿瘤侵蚀部分关节面，采用保留一侧皮质的部分关节截骨，截骨线呈&l&形。ⅲ型病例肿瘤侵蚀整个关节面和骨皮质，可切除包括关节在内的整个瘤段骨，只是近骨干侧截骨呈阶梯状。

While the conentional wisdom is that the metacarpophalangeal joint should be immobilized in a position of flexion, alternatie methods for cast immobilization hae been described.

背景：大多数关节外的掌骨骨折都可以保守治疗，传统的做法使将掌指关节屈曲位固定，其它的固定方法也有描述。

The aim of the study is to improve the outcomes of shoulder abduction by accessory nerve transfer from the following two aspects:① Select the best choice of recipient nerve;②Design a dorsal-approach spinal accessory nerve transfer, more effevtively use the pinal accessory nerve.

本课题研究旨在从以下两个方面：①选择副神经移位恢复肩关节外展功能的最佳受区神经，②设计新的后入路副神经移位术式；提高副神经的利用效率，改善术后患者肩关节外展功能的恢复。

Materials and Methods 46 cases with brachial plexus injury underwent traditional spinal accessory nerve transfer to restore shoulder abduction were followed-up. Recipient nerve: suprascapular nerve in 35 cases (upper partial brachial plexus injury 21 cases and total brachial plexus injury 14 cases), axillary nerve in 11 cases(upper partial brachial plexus injury 5 cases and total brachial plexus injury 6 cases); And trapezius muscle function was measured by physical examination and electrophysiological study in 18 patients.

材料与方法臂丛神经损伤患者46例，传统锁骨上前入路副神经移位恢复肩关节外展功能；受区神经：肩胛上神经35例(上臂丛神经损伤21例，全臂丛神经损伤14例)，腋神经11例(上臂丛神经损伤5例，全臂丛神经损伤6例)；术后随访肩关节外展功能的恢复，并对来院随访患者随访检查其斜方肌各部肌力及电生理的变化。

Objective:to investigate the treatment outcome of ao/asif clavicular hook plate in the treatment of acromioclavicular joint dislocation (tossy grade ⅲ)and unstable lateral clavicular fractures (neer type 2).methods: from february 2004 to march 2007,23 patients with unstable lateral clavicular fractures (neer type 2),2 patients with no-union lateral clavicular fractures and 5 patients with acromioclavicular joint dislocation (tossy grade ⅲ) were treated with acromioclavicular hook plate.

目的：探讨ao/asif锁骨钩钢板治疗锁骨骨折和肩锁关节脱位的疗效。方法：对2004年2月～2007年3月我科收治的30例得到完整随访资料的锁骨骨折和肩锁关节脱位的患者进行回顾性分析，其中，应用锁骨钩钢板治疗的新鲜锁骨外端不稳定骨折23例，陈旧性锁骨外端骨折骨不连患者2例，tossy grade ⅲ度肩锁关节脱位5例。

The reasons for false-positive facet blocks are multifactorial and include placebo response (18–32%) to diagnostic facet interventions, use of sedation, the liberal use of superficial LA, and the spread of injectate to paingenerating structures other than those targeted.166 Although some investigators have disputed this assertion,167,168 it is our belief that not only opioids, but sedatives such as midazolam, can lead to false-positive blocks by interfering with the interpretation of analgesic response (i.e., preventing a patient from engaging in normal activities) and virtue of their muscle relaxant properties.169 In a recent survey conducted in 500 patients receiving facet blocks or epidurals at an outpatient spine center, only 17% requested sedation.170

小关节阻滞性诊断的假阳性结果的原因是多种多样的，包括安慰剂反应(18–32%)，如利用镇静剂，浅表大量应用LA以及注射液外渗到目标外的其他疼痛发生阻滞。虽然有些学者对这种论断持怀疑态度，但是我们认为不论类罂粟碱，咪达唑仑等镇静剂，都可因具有麻醉反应（如可阻止患者从事正常活动）及肌松特点而导致假阳性率。在最近一项500人的研究中，这些门诊患者接受了小关节阻滞或硬膜外阻滞，只有17%患者需要镇静剂。

METHODS: The presence and number of recently developed extra-articular manifestations and a weighted EAM score, as well as the levels of serological markers, were compared between 31 patients with RA with histologically proven vasculitis and 50 patients with RA in whom vasculitis could not be documented histologically. The following markers were evaluated: circulating immune complexes, complement components C3 and C4, class-specific rheumatoid factors, antineutrophil cytoplasmic antibodies, antinuclear antibodies, antiendothelial antibodies, circulating intercellular adhesion molecule-1 and -3, circulating vascular cell adhesion molecule and E-selectin, cellular fibronectin, von Willebrand factor antigen, and C reactive protein.

对比组织学上已证实有血管炎的31例 RA 例和组织学上无血管炎的50例 RA 患者间的临床及血清学标记物，这些资料包括最近发生的关节外表现数量、关节外表现加权得分、循环免疫复合物、补体 C3和 C4、类风湿因子（ IgM-RF，IgG-RF，IgA-RF ）、抗中性粒细胞胞浆抗体、抗内皮细胞抗体、循环细胞间粘附分子-1和-3、循环血管内皮粘附分子和 E-选择素、细胞纤连蛋白、假性血友病因子抗原（ von Willebrand factor antigen ）及 C-反应蛋白。

Methods : The defect of bone, skin and vessel in the bone and joint of limbs was treated by microsurgical method and the bone and joint injury was repaired by the external fixation supporter of odjustment cross joint with three Kirschner wires, keeping the free motion of every joint.

在四肢关节部位有骨缺损或骨折伴有血管损伤、皮肤缺损等病例，应用带血管的骨关节块移植、游离血管移植或各种皮瓣移植等显微外科方法修复后的同时，用三针可调外固定器跨关节外固定治疗骨关节损伤，保持各关节的自由活动。

Preface: The shoulder play an important role in developing the function of the upper limb. Which makes the restoration of shoulder function in brachial plexus injury is vital for the functional restoration of the whole upper limb, and has been considered as one of the function which should be restored firstly;The spinal accessory nerve is one of the most effectively and usually used donor nerves for restoration of shoulder abduction.

引言：肩关节显著扩大了人手在三维空间中的活动范围，并为手部承担负荷提供坚实的支座，是整个上肢活动的基础，肩关节功能对于发挥上肢的作用至关重要，所以臂丛神经损伤后如何恢复肩关节功能是臂丛神经损伤患者整个上肢功能恢复的基础和关键，一直受到广泛的重视与关注，被认为是应优先恢复的关节功能之一；副神经是神经移位治疗臂丛神经损伤恢复肩关节外展功能最常应用的移位动力神经之一。

It has been put forward that there exists single Ball point and double Ball points on the symmetrical connecting-rod curves of equilateral mechanisms.

从鲍尔点的形成原理出发，分析对称连杆曲线上鲍尔点的产生条件，提出等边机构的对称连杆曲线上有单鲍尔点和双鲍尔点。

The factory affiliated to the Group primarily manufactures multiple-purpose pincers, baking kits, knives, scissors, kitchenware, gardening tools and beauty care kits as well as other hardware tools, the annual production value of which reaches US$ 30 million dollars.

集团所属工厂主要生产多用钳、烤具、刀具、剪刀、厨具、花园工具、美容套等五金产品，年生产总值3000万美元，产品价廉物美、选料上乘、质量保证，深受国内外客户的青睐