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膝关节血友病性积液及膝关节刺激状态时股部肌肉的肌电图检查(作者译)

[Electromyographic examination of the femoral muscles in hemophilic effusion in the knee-joint and in irritated conditions of the knee-joint (author's transl)].

作者信息

Bittscheidt W, Hofmann P, Schumpe G

出版信息

Z Orthop Ihre Grenzgeb. 1978 Feb;116(1):56-60.

PMID:654446
Abstract

In ten patients with acute effusion in the knee-joint due to hemophilia, or with chronic knee-joint affection, the maximal isometric contraction of the M. vastus medialis and lateralis and of the M. rectus femoris was measured by electromyography. Measurements were taken before and after puncture of the effusion, or before and after intraarticular injection of a local anesthetic. In all examined patients, the contraction tests were performed below the pain threshold. The proportionate share of energy of the quadriceps muscle was considerably enhanced by reducing the intraarticular pressure and injecting a local anesthetic. This increase differs, depending on the state of the knee-joint affection.

摘要

对10例因血友病导致膝关节急性积液或患有慢性膝关节疾病的患者,通过肌电图测量股内侧肌、股外侧肌和股直肌的最大等长收缩。在抽取积液前后,或关节内注射局部麻醉剂前后进行测量。在所有接受检查的患者中,收缩测试均在疼痛阈值以下进行。通过降低关节内压力和注射局部麻醉剂,股四头肌的能量占比显著提高。这种增加因膝关节疾病的状态而异。

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