Re: [骨關] 呂克修爭議性考古題
※ 引述《AMANBIG (囧)》之銘言:
: : 第2題 學長姐的答案是D
: : 參考 http://en.wikipedia.org/wiki/Discoid_meniscus,
: : 好像ABCDE以上皆是。
: 根據強者我室友丁丁的解釋:
: 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.
: 無症狀時應採 保守治療 及 增強肌力之運動 而非 觀察即可 ,選E。
恩 還是不知道答案 找了一碘CAMPBELL的文章幫補充
D我覺得是對的 不選 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的選項找到如下
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共筆
Discoid menisci:
除非病人的menisci有破才需手術剪成menisci正常的形狀。如果病人沒症狀但又手術
的話,可能會因為手術後menisci形狀不好而造成病人的不適。
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