作者CSMU27 (看不见)
看板CSMU-MED93
标题Re: [骨关] 吕克修争议性考古题
时间Fri Mar 27 01:40:03 2009
※ 引述《AMANBIG (囧)》之铭言:
: : 第2题 学长姐的答案是D
: : 参考 http://en.wikipedia.org/wiki/Discoid_meniscus,
: : 好像ABCDE以上皆是。
: 根据强者我室友丁丁的解释:
: If the patient is asymptomatic and does not complain of significant
: locking sensation in the knee or pain, treatment is conservative and
: consists of stretching and strengthening exercises for the quadriceps
: and hamstring muscles.
: 无症状时应采 保守治疗 及 增强肌力之运动 而非 观察即可 ,选E。
恩 还是不知道答案 找了一碘CAMPBELL的文章帮补充
D我觉得是对的 不选 理由如下
Radiographic evidence of discoid meniscus usually is absent, and the
diagnosis may not be made before surgery unless MRI is used.
E的选项找到如下
Treatment
An intact, complete or incomplete discoid meniscus seen as an incidental
finding at arthroscopy or arthrotomy does not necessarily require treatment.
However, it is unknown how many patients left untreated eventually develop
tears or degeneration within the meniscus. The proper treatment must be
selected for each patient, and unless a stable, complete or incomplete
discoid meniscus has caused grooving, chondromalacia changes, or other
pathological conditions within the compartment, treatment probably should be
deferred.
92共笔
Discoid menisci:
除非病人的menisci有破才需手术剪成menisci正常的形状。如果病人没症状但又手术
的话,可能会因为手术後menisci形状不好而造成病人的不适。
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1F:推 Etar:帮推阅读高手 03/27 01:45
2F:推 AMANBIG: 解题认真 03/27 01:57
3F:推 billmars:推阅读高手 03/27 09:01