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With the method of psycholosical measuring, the indexes about kinesthesia accuracy of more joints of continuous moving of upper limbs, sensibility of wrist joint, 2-point discrimination threshold of skin, muscle forcibly sense and shoot exactness were measured in the state of different degree of fatigue.

摘 要:采用心理测量方法,对运动员在安静、中度疲劳、重度疲劳三种状态时的上肢多关节联动动觉准确性、腕关节敏感度、肤觉两点阈、肌肉用力感、投篮命中率5项指标进行测试,结果表明:四项感觉指标和投篮准确性在中度疲劳状态时较安静状态和重度疲劳状态有所提高;不同指标的变化差异不同,投篮准确性、肤觉两点阈、腕关节敏感度的变化达到显著或非常显著水平;而肌肉用力感和上肢多关节联动动觉准确性的变化差异未达到显著性水平;在三个不同疲劳状况下肤觉两点阈、腕关节敏感度与投篮准确性的变化相一致。

The disc was surgically displaced anteriorly, like the lateral pterygoid muscle traction generating human ADD, in one side joint in each of 48 rabbits.

根据翼外肌牵拉产生人类关节盘前移位的原理,应用手术方法使48只大耳白兔一侧关节盘前移位,并保留关节腔与关节盘附着的完整性。

The CNR of fat and muscle belly on T_1WI was higher than on PDWI(p = 0.000).Conclusions:1、Routine MRI can demonstrate the dependency structure of shoulder clearly.The distance of subcoracoid was 8.84±2.97mm.The distance of sub-acromion was 5.23±1.05mm. 2、The 3D-fiesta imaging with muti-angle reconstruction is better in showing the coracohumeral ligament,coracoacromial ligament,coracoclavicular ligament, capsulolabral complex and the bone of shoulder,combing with oblique coronal and oblique sagittal imaging of the fat-suppression sequence,the diseases of shoulder can be diagnosed.

1、常规MRI能够较清楚显示肩关节相关结构,喙突下距离8.84±2.97mm,肩峰下距离5.23±1.05mm.2、3D-fiesta序列图像,应用重建功能行任意角度重建,可更好地显示喙锁韧带、喙肩韧带、喙肱韧带、盂唇-关节囊复合体及肩关节骨骼,结合斜冠位、斜矢状位的压脂序列,即可达到对肩关节疾病进行诊断的目的。

MRI of 36 cases with acute cartilage injury of knee confirmed by arthroscopy and arthrostomy were retrospectively analyzed, with emphasis on articular cartilage and subchondral lesion.

分析其中36例经关节镜或手术证实关节软骨损伤患者的膝关节MRI所见,着重观察关节软骨和软骨下骨的改变,并与关节镜和手术结果对照分析。

Mri of 36 cases with acute cartilage injury of knee confirmed by arthroscopy and arthrostomy were retrospectively analyzed, with emphasis on articular cartilage and subchondral lesion.

分析其中36例经关节镜或手术证实为关节软骨损伤患者的膝关节mri所见,着重观察关节软骨和软骨下骨的改变,并与关节镜和手术结果对照分析。

Each subject performed three different PA glide techniques (PA glide with the thumb unsupported, PA glide with digital support and the PA glide with IP supported by the index) on a force plate while interphalangeal, metacarpophalangeal and carpometacarpal joints kinematics were tracked by a motion analysis system. The joint angles, maximum thumb-tip force, surface EMG activities of 8 thumb muscles and the Beighton score of each subject were recorded for analyses.

每位受试者在六轴力版上表现3 种不同的后前向滑动徒手技巧(不支撑后前向滑动,四根手指支撑之后前向滑动,大拇指指间关节支撑之后前向滑动),藉由动作分析系统同步收取IP 关节、MCP 关节及CMC 关节动力学资料,每个大拇指关节角度、指尖的力量、8 块大姆指肌肉的表面肌电图以及每位受试者的柔软度分数。

As true synovial joints,each facet joint contains a distinct joint space capable of accommodating between 1 and 1.5 ml of fluid, a synovial membrane, hyaline cartilage surfaces, and a fibrous capsule.21 The fibrous capsule of the lumbar facet joint is approximately 1 mm thick and composed mostly of collagenous tissue arranged in a more or less transversefashion to provide maximum resistance to flexion.22,23The joint capsule is thick posteriorly, supported by fibers arising from the multifidus muscle.

作为真正的滑膜关节,每个小关节包含明显的关节间隙,容纳1到1.5ml关节液。小关节由滑膜,透明软骨表面,和纤维囊组成。纤维囊厚约1mm,大部分有白色纤维组成,横向排列,以在屈曲时提供最大的张力。囊的后部很厚,纤维来源与多裂肌。

Change of joint space could be found in 13 CT cases(the expanding in 8 cases,the stenochoria in 5 cases) and 9 MRI cases(the expanding in 5 cases,the stenochoria in 4 cases) respectively.

关节间隙改变:CT和MRI显示关节间隙改变分别为13例(8例为关节间隙扩大,5例为狭窄)、9例(5例为关节间隙的扩大,4例为狭窄)。

METHODS: Oblique sagittal T1 weighted MR imaging at closed mouth was obtained from 88 joints of 44 patients who complained of unilateral TMJ pain. On MRI view, a straight line AE was drawn through the lowest point of articular eminence and the highest point of external auditory meatus, and then the perpendicular lines were dropped from condylar head and the most poterior band of the disc to AE on which the cross points were marked as C′ and D′.

关节盘移位程度的测量方法:MR成像层面上关节结节最下点到外耳道最上点的连线为直线AE,髁突顶点及关节盘最后点与直线AE垂直相交点分别为C′、D′,分别求得AD′距离、C′D′距离,代表关节盘在关节窝前后方向的位置。

Results 1、 Generally, we can see the original blue and white, shiny, no cracks in the articular surface of the cartilage after the stress increases gradually yellow, surface roughness, cracks appear; when the pressure decreases, the yellowing, rough, the color of the fracture restore gradually and become shiny.2、the shiny smooth surface can be seen under a light microscope, formation, cell distribution, tidy, clear the level of cartilage at the articular surface stress increases, the surface roughness changes, defects, disordered cells, uneven dyeing ; when the articular surface of the pressure gradually decreased, the cartilage gradually repair and the surface of cells at the surface appear only disorder.3、immunohistochemical observation can be seen throughout the observation period, cartilage cells are type Ⅱ collagen expression and expression after 3 weeks gradually weakening, when the seventh week begin to strong gradually.4、 electron microscopy shows that when stress increases the articular surface, the cartilage cells became flat, the cytoplasm in the endoplasmic reticulum, Golgi apparatus decreased with collagen disorders; and when stress decreases the articular surface, cartilage cells gradually returned normal, cytoplasm in the endoplasmic reticulum, Golgi body gradually restore quantity; collagen fibers with a gradual rules.

结果:①大体观察可见到原本蓝白色、有光泽、无裂纹的软骨在关节面压力增大后,逐渐呈灰黄色,表面粗糙,出现裂隙;当压力逐渐减小后,变黄、粗糙、有裂隙的软骨颜色逐渐恢复,变得有光泽②光镜下可见表面光滑、平整,细胞分布均匀、整齐,层次清楚的软骨在关节面压力增大后,表面变粗糙、缺损,细胞排列紊乱、染色不均;当关节面压力逐渐减小后,软骨表面逐渐修复,细胞仅在表层排列紊乱③免疫组织化学观察可见整个观察期内软骨细胞胞浆内均有Ⅱ型胶原表达,术后3周内表达逐渐变弱,从第7周时开始逐渐变强。④电镜下可见当关节面压力增大后,软骨细胞逐渐变扁,胞质中内质网膜、高尔基体减少,胶原排列紊乱;当关节面压力减小,软骨细胞形态逐渐恢复正常,胞质中内质网膜、高尔基体数量逐渐恢复;胶原纤维排列逐渐有规则。

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