In the past 60 years, corticosteroids have been used to treat various diseases are caused by acute and chronic inflammation. In twentieth Century 30, the initial cortisol (Cortisone) in animal adrenal was found and purified. 15 years later, hydrocortisone (Hydrocortisone) was synthesized from bile acid, the clinical application in twentieth Century 40 in the late 1990s glucocorticoid provides platform. Hydrocortisone injection by Mayo initial clinical center of rheumatologists and used in the treatment of rheumatoid arthritis in the acute and chronic inflammation. Shortly thereafter, the show significant effect of hydrocortisone treated patients, this novel therapies are expanding inflammation treatment applied to other arthritis, treatment later period still used in Department of orthopedics of local inflammation. After 30 years, hydrocortisone and its derivatives (triamcinolone, methylprednisolone, dexamethasone and betamethasone) was used to treat all stages of acute and chronic inflammation, from mild bone arthritis disease and local inflammation to inflammatory gout and systemic lupus erythematosus serious. PercyJulian, who was born in American Alabama black educator, in twentieth Century 50 in taking soybean as raw material to synthesis of cortisone. In the early twentieth Century, the late 40's and 50's, Mayo clinical center will be the first to cortisone used as an effective anti-inflammatory agents. Kendall, Henoch and Slocumb first to daily injections of cortisone in patients with rheumatoid arthritis. Their results (MayoC1inProc24:1811949) and Hollander, Brown, Frain, Udell and Jessar et al results subsequently published (JAMAl47:1629-16351951; JBoneJointSurgAm35A:983-9901953; AmJMed15:656-6651953) were considered together is very important to study found that when people think, cortisone is a "method can really cure arthritis". Because of its early treatment of arthritis patients success, cortisone injection has also been seen as a possible anti-inflammatory drug treatment of various local inflammation in the Department of orthopedics. Kendall, Lapidus and others proved that cortisone in preventing tendinitis, bursitis and other local muscle studies published in the late 50's and early 60'sThere is significant effect sustained inflammation meat bone disease caused by (IndustrMedSurg26:234-2441957; BMJ1:1500-15011955; AnnPhysMed6:287-2941962; BMJ1:1277-12781956). In twentieth Century 60, some publications and comments early summarizes these early studies. Hollander published his 10 years of experience in 1961. His research team conducted 100000 intra-articular injection, and quite safe, only 1/10000 of the patients have the risk of infection after injection (BullRheumDis11:239-2401961). From 1954 March to 1957 March during the 3 years, the Kendall analysis of 6700 cases after injection and reached the same conclusion. "Because it played a huge local effect, and no increase in hormone levels in any body, that local injection of hydrocortisone treatment of isolated joints and soft tissue diseases are of great value." And "topical hydrocortisone after the occurrence rate of adverse reaction and overall mortality rate is very low, cannot become the treatment contraindications" (AnnPhysMed4:170-1751961). However, the clinical application of cortisone treatment of arthritis and musculoskeletal inflammation local enthusiasm lasted only a short time. From twentieth Century 60 to twentieth Century 70 years, a series of publications on the incidence of serious adverse reactions will be given in large doses cortisone long-term after.
This book is in the previous two version based on the revised and expanded and become rich. In view of the most common disease in Department of orthopedics, 67 neck shoulder, elbow, wrist, hand, chest, waist and back, hip, knee, ankle and lower leg, foot and other parts prone, the treatment method of graphic explanation. The book contains over 300 illustrations, is how to develop a complete treatment plan, system, how to regulate and restrict the activities of patients, how to grasp the best opportunity for treatment of closed braking, and how to guide patients referral, clinical problem often encountered, the full story. Content and practical, for Tu Vin Unionmaw, the outpatient department of orthopedics, pain medicine, rehabilitation medicine read reference.
The most common first 67 outpatient department of orthopedics disease first chapter neck section of neck pain in the differential diagnosis of neck strain second section third section of nerve root type cervical spondylosis fourth occipital neuritis fifth temporomandibular arthritis in second chapter shoulder section of shoulder pain in the differential diagnosis of impingement syndrome of second day third Festival rotator cuff tendinitis the fourth section of frozen shoulder (adhesive capsulitis) fifth day sixth Festival rotator cuff torn ligament sprain acromioclavicular joint and osteoarthritis seventh biceps tendinitis eighth shoulder arsine bursitis ninth shoulder osteoarthritis tenth shoulder multidirectional instability of third chapters the elbow section elbow pain in the differential diagnosis of second day lateral epicondylitis third epicondylitis, fourth olecranon bursitis fifth humeroradial joint puncture fourth chapter first day wrist wrist pain in the differential diagnosis of styloid process of radius stenosing tendonitis in section second section third carpometacarpal osteoarthritis arthritis fourth Gamekeeper thumb fifth carpal tunnel syndrome sixth wrist joint puncture the seventh section of the dorsal carpal cyst eighth scaphoid fracture and serious wrist sprain fifth chapter hand first hand pain the differential diagnosis of the The two section snapping finger third tendon cyst in fourth day of Dupuytren's contracture fifth metacarpophalangeal joint puncture sixth interphalangeal osteoarthritis in section seventh, rheumatoid arthritis in sixth chapter chest first chest pain in the differential diagnosis of sternal cartilage of second day / rib cartilage inflammation third sternoclavicular joint swelling the seventh chapter back the first day low back pain in differential diagnosis of the second festival lumbosacral strain third lumbar radiculopathy and sciatica, lumbar disc herniation fourth sacroiliac strain fifth coccygodynia eighth chapter first festival hip hip pain in the differential diagnosis of the second quarter third section of middle gluteal muscle trochanteric bursitis bursitis / piriformis syndrome fourth hip joint osseous thigh pain fifth meralgia paresthetica sixth hip femoral pain seventh severe hip pain (hip fractures, suppurative arthritis and femur tumor transfer time) differential diagnosis of patellofemoral joint ninth chapter second section of knee joint section of knee joint pain syndrome in third joint effusion of knee joint fourth section of knee joint stem pumping injection of fifth day sixth Festival hemarthrosis of knee osteoarthritis in seventh day prepatellar bursitis...... The thirteenth chapter based treatment of second fracture of the diagnosis, treatment and rehabilitation of the twelfth chapter of common fractures imaging examination and operation method of the fourteenth chapter is the most commonly used support, support and tube type fifteenth chapter rehabilitation training center appendix fracture, drugs and laboratory test reference
The book is divided into 15 chapters, mainly on the basis of the knowledge of the outpatient department of orthopedics treatment are introduced, the concrete content includes common fractures based treatment, rehabilitation training center, knee, waist, shoulder and back. The book can be used as teaching materials for colleges and universities, is also available for researchers to use as a reference book.
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