CN101002687A - X rays photographic diagnostic bench for finger joints collateral ligamentum crack due to mechanical stressing - Google Patents
X rays photographic diagnostic bench for finger joints collateral ligamentum crack due to mechanical stressing Download PDFInfo
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- CN101002687A CN101002687A CN 200610001321 CN200610001321A CN101002687A CN 101002687 A CN101002687 A CN 101002687A CN 200610001321 CN200610001321 CN 200610001321 CN 200610001321 A CN200610001321 A CN 200610001321A CN 101002687 A CN101002687 A CN 101002687A
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- pressing plate
- bracing
- nut
- thumb
- horizon bar
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Abstract
A mechanical force-applying table for the X-ray photography and diagnosis apparatus to diagnose if the lateral ligamenta collateralia of the joints of thumb and/or other fingers is broken by mechanically applying force is composed of a base plate, a force applying unit with 2-3 force-applying heads and a digital force display, and two supporters with multi-angle turned press head.
Description
Technical field
The present invention relates to the instrument in a kind of medical diagnosis field, be to be used for thumb metacarpophalangeal joints and thumb/refer to the quantitative mechanical reinforcing of interphalangeal joint side struts hindering side (oar or ulnar side) joint space, relatively hinder the difference in size in side X-ray sheet and X-ray sheet gap, strong hands respective side joint, to make a definite diagnosis or to get rid of each joint side of thumb/refer to and pay the instrument of ligament rapture.
Background technology
Thumb metacarpophalangeal joints side is paid ligament, and especially the ulnar side side is paid ligament rapture, and thumb/refer to interphalangeal joint side is paid a kind of common type that ligament rapture is the non-fracture closed injury of hand.
X-ray method so far is to borrow the free-hand damage side joint space, side that struts to take the photograph sheet as X-ray, take the photograph sheet after answering the joint also to strut to strong palmistry simultaneously, the size that compares two gaps, can find to hinder the strong palmistry of support opening ratio of side joint space and answer the degree of strutting of joint space obviously to strengthen, hinder the diagnosis that the side side is paid ligament rapture thereby can make.
The medical worker is a radiation injury of avoiding x-ray bombardment, in placing oneself in the midst of the radiation exposure scope, can use leaded protective apron and contain lead gloves, but free-hand operation is especially operated often because of being subjected to the thick and heavy interference that contains lead gloves to feel inconvenience very much in the webs close gap, and have to abandon use, hand directly is exposed in the radiation exposure like this, because the repeatable operation of occupation, radiation injury is inevitable, free-hand in addition afterburning uneven, do not have quantitative criterion again, influenced the accuracy of diagnosis yet.
Summary of the invention
The object of the invention is to overcome the shortcoming of free-hand operating technology so far, for this reason the afterburning diagnostic table of a kind of mechanism of design.
The present invention achieves the above object by following structure.Basically according to the principle of " three fulcrums ", as three fulcrums, side quantitative mechanical reinforcing struts the joint space with three pressing plates in an augmentor and two bracing or strutting arrangements, in addition power statistics have shown on the display screen of " dynamometry digital display instrument ".Use this apparatus can avoid medical operator to suffer the X-ray radiation damage fully; Make comparisons with free-standing exercise and also to have got rid of subjective factors, evenly afterburning, and can be quantitative, so diagnose more accurate.
Description of drawings
Fig. 1 is a front view of the present invention;
Fig. 2 is a vertical view of the present invention;
Fig. 3 is the structural representation of the augmentor among the present invention;
Fig. 4 is a kind of structural representation of the bracing or strutting arrangement among the present invention;
Fig. 5 is second kind of structure (push unit) sketch map of the bracing or strutting arrangement among the present invention;
Fig. 6 struts the vertical view that the left hand thumb palm refers to ulnar side joint space (ulnar side is paid ligament);
Fig. 7 struts the vertical view that the hand thumb palm refers to ulnar side joint space (ulnar side is paid ligament);
Fig. 8 struts the left hand thumb palm to refer to that ulnar side joint space (the oar side is paid ligament) is to the horizontal bitmap of thumbtip;
Fig. 9 struts the left hand thumb palm to refer to oar side joint space (the oar side is paid ligament) vertical view;
Figure 10 struts the left hand thumb, refers to oar side joint space (the oar side is paid a ligament) vertical view;
Figure 11 struts left index finger proximal radial side interphalangeal joint gap (the oar side is paid ligament) vertical view;
Figure 12 struts left hand little finger of toe proximal radial side interphalangeal joint gap (the oar side is paid ligament) vertical view;
Figure 13 struts right hand forefinger near-end ulnar side interphalangeal joint gap (ulnar side is paid ligament) to the horizontal bitmap of forefinger tip;
Figure 14 is four kinds of different model pressing plates, and its rear pressing plate connecting rod genus pulls out/plug device (joining the push unit of bracing or strutting arrangement shown in Figure 5).
Shown in the figure: 1, base plate, 2, the dynamometry digital display instrument, 3, augmentor, 4, the augmentor nut, 5, the base plate chute, 6, the augmentor horizontal screw bolt, 7, a kind of pressing plate of bracing or strutting arrangement, 7a, the connecting rod of pressing plate, 8, the X-ray film magazine, 9, the augmentor pressing plate, 9a, the connecting rod of augmentor pressing plate, 10, the bracing or strutting arrangement spheric nut, 11, bracing or strutting arrangement, 12, a kind of pressing plate of bracing or strutting arrangement, 12a, the connecting rod of bracing or strutting arrangement pressing plate, 13, the base plate chute, 14, the bracing or strutting arrangement horizon bar, 15, the bracing or strutting arrangement spheric nut, 16, the bracing or strutting arrangement horizon bar, 17, bracing or strutting arrangement, 18, the dried head of bracing or strutting arrangement spiral shell, 19, the dried head of bracing or strutting arrangement spiral shell, 20, the bracing or strutting arrangement panel nut, 21, the bracing or strutting arrangement pressure head, 22, the augmentor panel nut, 23, the augmentor pressure head, 24, the bracing or strutting arrangement pressure head, 25, the bracing or strutting arrangement panel nut, 26, the bracing or strutting arrangement montant, 26a, bracing or strutting arrangement montant sleeve, 27, the augmentor montant, 27a, augmentor montant sleeve, 28, the bracing or strutting arrangement montant, 28a, bracing or strutting arrangement montant sleeve, 29, bracing or strutting arrangement montant nut, 30, augmentor montant nut, 31, bracing or strutting arrangement montant nut, 32, the bracing or strutting arrangement base plate is twisted and is decided nut, 33, the augmentor base plate is twisted and is decided nut, 34, the bracing or strutting arrangement base plate is twisted and is decided nut, 35, furring device (Fig. 8), 36, run through screw behind 37 pressing plates, 38,39 pull out/the plug device sleeve, 40,41 push unit branch head screws, 42,43 can pass pipe (in screw thread is arranged), 44,45 bracing or strutting arrangement horizon bars (screw rod), 46, the screw rod head of 47 horizon bars, 48,49 brackets, 34a, 32a montant base plate is twisted and is decided nut.
The specific embodiment
The invention will be further described below in conjunction with drawings and Examples.
Now 1-4 illustrates that frame for movement of the present invention: Fig. 1 and Fig. 2 show that the present invention is by an augmentor 3 being housed on the base plate 1 and two bracing or strutting arrangements 11,17 are formed in conjunction with the accompanying drawings, augmentor 3 is made of horizontal screw bolt 6 and montant 27 again, one end of horizontal screw bolt 6 is equipped with pressure head 23, it is by can loading and unloading pressing plate 9 and nut 22 is constituted, the other end be equipped with regulate horizon bar move after afterburning nut 4 and the reinforcing can display digit " dynamometry digital display instrument ".During operation, the screw thread transmission is to the pressurization of hand region of interest on horizon bar to turn nut 4 strength, and quantitatively reinforcing is shown on " dynamometry digital display instrument ".The principle of " dynamometry digital display instrument " is with institute's power in addition, makes the resistance strain gage distortion, thereby changes its resistance value, and output voltage, through amplifying, after the A/D conversion, changing value just is shown on the liquid crystal panel of " dynamometry digital display instrument ".The montant 27 of augmentor 3 connects 6 one-tenth T shapes of horizon bar, and is installed in the chute 5 of base plate 1, can move in groove, after moving to correct position, tightens its nut 33 location.Two bracing or strutting arrangements 11,17 respectively are made up of horizon bar 14,16 and 26,28 of montants.One end of horizon bar is also by pressure head the 24, the 21st, by loading and unloading pressing plate 7,12, X and connecting rod 7a, 12a, Xa and nut 25,20 and regulating the spherical nut 10,15 that pressing plate 7,12, X turn to and form, mat horizon bar 14,16 screw threads when other end tool screw rod head 18,19 turns, pressing plate 7,12, X are moved, the inside of spherical nut 10,15 is spherical structure, pressing plate 7,12, X can have 30 ° of left-right rotation when unscrewing, make pressing plate and hands/refer to the side is appropriate and contact, when tightening, then above-mentioned rotating function forfeiture.The montant structure 26,28 of two bracing or strutting arrangements is identical with the montant 27 of augmentor 3, but the above two are mounted in another groove 13, when moving to correct position, can tighten it and twist and decide nut 32,34 and locate.
Fig. 5 shows that the horizon bar of above-mentioned bracing or strutting arrangement still can have second kind of organization plan---be push unit.Movably pipe 42,43 and bracket 48,49 are formed by one for it.Pipe can move in the tunnel of bracket 48,49 in horizontal displacement.Branch head screw 40,41 pipes 42,43 of loosening can freely be passed, and the then pipe of tightening maintains static.Wall has the nut stricture of vagina within the pipe, and it and horizon bar (screw rod 44,45) mesh, and turns the moving fine setting of screw rod head 46,47 regulation and control pressure head horizontal displacements.
34a shown in Figure 5,32a are that the bracing or strutting arrangement base plate twists the another kind of pattern of deciding nut, and it is in the side, and are being enclosed within on the montant sleeve.Montant sleeve 26a, 28a can move in the base plate chute when unscrewing this nut, and the montant sleeve then maintains static when tightening.This nut also is suitable for augmentor.
The perpendicular lifting/lowering of doing after the rotation, except that borrowing Fig. 1, hold-down nut shown in Figure 2 29,30,31, also can be borrowed among Fig. 5 roughly the same 40,41 branch head screw regulation and control.
The pressing plate of pressure head in above-mentioned augmentor and two bracing or strutting arrangements (among Figure 14 9,7,12, X) has elasticity, and it is by finger that four kinds of different models are arranged, and actual each position anatomical features is made.Mat helicitic texture or the pull out/plug device loading and unloading on demand of each pressing plate, change or exchange.Helicitic texture is by helicoid pressure head connecting rod and ut socket 9a, 7a, 12a, and the structure that constitutes the most small-sized pressing plate Xa is identical with Xb among Figure 14.
Pull out/inserting structure then is made of pressing plate connecting rod (7b, 9b, 12b, Xb among Figure 14) and sleeve 38,39.Figure 5 shows that bracing or strutting arrangement.The pull-plug device of augmentor is identical therewith.Pull out/pressing plate of plug device inserts rotatable 360 ° of back.
The pressing plate of pull-plug device runs through hold-down screw 36,37 with its rear, also has the back of the body to stretch/abdomen movable possibility in the wrong.
Above-mentioned augmentor and vertical part in two bracing or strutting arrangements be by montant 27,26,28 and trocar sheath 27a, 26a, 28a constitutes and regulated and control its height and turned to by nut 30,29,31 or branch head screw.Thereby horizon bar that is connected with montant 26,27,28 and pressing plate 9,7,12 thereof, X can move up and down and rotate obtain correct position.
Because above-mentioned every architectural feature, the suitable reinforcing of each pressing plate of mat effectively struts each associated joint of hand and carries out shadowgraph, can avoid medical operator to be subjected to the injury that X-ray radiates thereby pay ligament rapture, and diagnosis is more more accurate than free-hand method, has reached the intended purposes of design with the diagnosis side.
Above-mentioned each component materials is rustless steel, aluminium alloy, nylon, rubber, duroplasts, elastoplast etc.
Now just use the present invention and diagnose thumb/refer to variant joint side to pay the clinical manipulation schema instance of ligament rapture, be described further by Fig. 6-13:
1, diagnosis thumb, support articulations digitorum manus side are paid ligament rapture:
Fig. 6 is for being the vertical view of example with the left hand, the pressure head 23 of augmentor 3 places joint ulnar side between thumb, the place ahead contact site can be used pressing plate 9, the pressure head 21 of bracing or strutting arrangement 17 places thenar (side of first metacarpal bone), its contact site pressing plate 7, bracing or strutting arrangement 11 can put other need not (referring to Fig. 2, Fig. 6), for making thumb be in fingernail parallel with base plate (level) position, raise thumb, the finger palmar is tried one's best smooth in the X-ray film magazine, augmentor 3 nuts 4 are twisted with the fixing back of pressure head 21 mats by thenar portion, take the photograph sheet after making pressure head 23 maximum possible strut thumb metacarpophalangeal joints ulnar side gap.
Fig. 7 is a right hand corresponding joint vertical view, can bracing or strutting arrangement 17 is idle, use the pressing plate 7 of bracing or strutting arrangement 11, and by roughly the same Fig. 6 operation, take the photograph sheet after the pressurization of location.The side clearance size in two X-ray sheets relatively can be made the diagnosis that hand thumb, metacarpophalangeal joints ulnar side are paid ligament rapture, in like manner also can make the diagnosis that left hand thumb, metacarpophalangeal joints ulnar side are paid ligament rapture.
Fig. 8 is that left hand is seen the thumbtip level, and X-ray film magazine 8 places on the furring device 35 among the figure.
2, thumb, metacarpophalangeal joints oar side are paid ligament rapture, and be comparatively rare.
Fig. 9 is for strutting the left hand thumb, slapping the vertical view that refers to oar side joint space (the oar side is paid ligament).Illustrate the position of three pressure heads 23,24,21, regulate and to take the photograph sheet after the reinforcing: Fig. 9 is as putting into the right hand again, and then the pressing plate with the pressure head portion of two bracing or strutting arrangements will exchange, and takes the photograph sheet after regulating reinforcing; Two contrasts can be made the diagnosis that right-hand man's thumb, metacarpophalangeal joints oar side are paid ligament rapture.
3, thumb, the interphalangeal joint side diagnosis of paying ligament rapture.
Figure 10 refers to oar side joint space (the oar side is paid a ligament) vertical view for strutting the left hand thumb.Illustrate three pressure head 23,24,21 placement patterns, the pressing plate of its contact site is ting model 9 and 12, takes the photograph sheet after the adjusting reinforcing; In like manner put into the right hand, strut corresponding oar side interphalangeal joint gap, take the photograph sheet after the adjusting reinforcing, Dui Zhao a diagnosis left side/right hand thumb oar side interphalangeal joint is paid ligament rapture each other.
With 180 ° of this diagnostic table horizontal position transfers, successively put into right-hand man's thumb, with the thumb ulnar side interphalangeal joint gap that demonstration struts, compare bilateral X-ray sheet, a diagnosable left side/hand thumb ulnar side is paid ligament rapture.
4, point the diagnosis that the interphalangeal joint side is paid ligament rapture:
Figure 11 illustrates three pressure head 23,24,21 placement patterns for strutting left index finger proximal radial side interphalangeal joint gap (the oar side is paid ligament) vertical view: take the photograph sheet after regulating reinforcing.With this sheet and right hand supinator position forefinger sheet or right hand pronator position, but with diagnostic table level position Rotate 180 °, take the photograph sheet after regulating reinforcing, two are compared, and diagnosable oar side interphalangeal joint side is paid ligament rapture.In like manner diagnosable forefinger near-end ulnar side interphalangeal joint side is paid ligament rapture, and is diagnosable as reinforcing and bracing or strutting arrangement are moved to finger tip, other fingers of right-hand man, and the DIPJ side is paid ligament rapture.
Figure 12 is for strutting left hand little finger of toe oar side proximal interphalangeal joint gap (the oar side is paid ligament) vertical view, and the pressing plate that illustrates on three pressure heads, 23,24, the 21 placement pattern near-end bracing or strutting arrangement pressure heads is selected for use than ting model, especially points the near-end bracing or strutting arrangement and should select the X type.
Figure 13 is for strutting the sketch map that right hand forefinger near-end ulnar side interphalangeal joint gap (ulnar side is paid ligament) is seen the forefinger tip level.
Claims (9)
1. a machinery is afterburning pays the shadowgraph diagnostic table of ligament rapture to each joint side of thumb/refer to, it is by an augmentor (3) and two bracing or strutting arrangements (11 are housed on the base plate (1), 17) form, it is characterized in that augmentor (3) is made of horizon bar (6) and montant (27) again, horizon bar (6) one ends are equipped with pressure head (23), be to constitute with a nut (22) by loading and unloading pressing plate (9) and connecting rod (9a) thereof, the other end is equipped with regulates " the dynamometry digital display instrument " that horizon bar moves energy display digit after afterburning nut (4) and the reinforcing, montant (27) connects horizon bar (6) and becomes T shape, and is installed on the base plate (1); Each is made of two bracing or strutting arrangements (11,17) horizon bar (14,16) and montant (26,28), one end of horizon bar (14,16) has pressure head (24,21), it is by loading and unloading pressing plate (7,12, X) and connecting rod (7a, 12a, Xa) thereof and nut (25,20) and regulating the spherical nut (10,15) that pressing plate (7,12, X) turns to and form, the other end has the screw rod head (19,18) of adjusting pressure head (24,21) displacement, and montant (26,28) connects horizon bar (14,16) one-tenth T shape and is installed on the base plate (1).
2. machinery according to claim 1 is afterburning pays the shadowgraph diagnostic table of ligament rapture to each joint side of thumb/refer to, the montant (26,27,28) that it is characterized in that above-mentioned augmentor and two bracing or strutting arrangements, it is outer be can go up therein/descend move and the trocar sheath (27a, 26a, 28a) of rotation, mat nut (30,29,31) or branch head screw (40,41) are regulated and control the height of montant and are turned to.
3. machinery according to claim 1 is afterburning pays the shadowgraph diagnostic table of ligament rapture to each joint side of thumb/refer to, it is characterized in that above-mentioned base plate (1) is provided with two chutes (5,13), wherein a groove (5) is equipped with the montant (27) of augmentor (3), the mode that it can move in groove (a): be that the mat base plate is twisted and to be decided nut (33) and regulate and control its running fix in groove (5); Two montants (26,28) that another groove (13) is equipped with two bracing or strutting arrangements also mat base plate are twisted and are decided nut (34,32) and regulate and control its running fix in groove.
4. machinery according to claim 3 is afterburning pays the shadowgraph diagnostic table of ligament rapture to each joint side of thumb/refer to, it is characterized in that montant (26,27,28) running fix in groove of above-mentioned augmentor and two bracing or strutting arrangements, is to decide the nut location to overlap telescopic the twisting of montant.
5. machinery according to claim 1 is afterburning pays the shadowgraph diagnostic table of ligament rapture to each joint side of thumb/refer to, an end that it is characterized in that two above-mentioned bracing or strutting arrangement horizon bars is pressure head and can loads and unloads pressing plate (7,12, X), pressing plate and horizon bar are to be connected with the screw rod of mat helicitic texture and the threaded sleeve of inwall (7a, 12a, Xa), its rear is for regulating the spherical nut (10,15) that turns to, pressing plate can 30 ° of left rotation and right rotation when nut was unscrewed, and then can not rotate when tightening; Turn the advance and retreat of the screw rod head department horizon bar (screw rod) of tail end.
6. machinery according to claim 1 is afterburning pays the shadowgraph diagnostic table of ligament rapture to each joint side of thumb/refer to, the horizon bar that it is characterized in that above-mentioned two bracing or strutting arrangements is a push unit, it is by a pipe (42 movably, 43) with bracket (48,49) form, pipe can be at bracket (48,49) horizontal displacement is moving in the tunnel, the branch head screw (40 of loosening, 41) pipe (42,43) can freely pass, the then pipe of tightening maintains static, wall has the nut stricture of vagina within the pipe, it and horizon bar (44,45) engagement turns screw rod head (46,47) the moving fine setting of regulation and control pressure head horizontal displacement.
7. machinery according to claim 1 is afterburning pays the shadowgraph diagnostic table of ligament rapture to each joint side of thumb/refer to, it is characterized in that pressing plate and being connected of horizon bar are the screw thread construct for handlings, constitute by helicoid pressure head connecting rod and ut socket (9a, 7a, 12a, Xa).
8. machinery according to claim 1 is afterburning pays the shadowgraph diagnostic table of ligament rapture to each joint side of thumb/refer to, it is characterized in that pressing plate and being connected of horizon bar are to pull out/inserting structure, constitute by pressing plate connecting rod (7b, 9b, 12b, Xb) and sleeve (38,39), the pressing plate of pull-plug device inserts rotatable 360 ° of back, pull out/pressing plate of plug device, with its rear run through hold-down screw (36,37) be rotating shaft also can carry on the back stretch/that abdomen is bent is movable.
9. machinery according to claim 1 is afterburning pays the shadowgraph diagnostic table of ligament rapture to each joint side of thumb/refer to, the pressing plate that it is characterized in that pressure head in a described augmentor and two bracing or strutting arrangements has elasticity, and it has been suitable for the screw thread construct for handling and has pulled out/the plug-in mounting handler; It both had been applicable to bracing or strutting arrangement, also was applicable to augmentor; It is by finger, actual each position anatomical features built in, have four kinds of different models (among Figure 14 9,7,12, X), each pressing plate can need loading and unloading, change, exchange by the part.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CNB2006100013219A CN100560027C (en) | 2006-01-19 | 2006-01-19 | Machinery is afterburning pays the shadowgraph diagnostic table that ligament rapture is diagnosed to each joint side of thumb/refer to |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CNB2006100013219A CN100560027C (en) | 2006-01-19 | 2006-01-19 | Machinery is afterburning pays the shadowgraph diagnostic table that ligament rapture is diagnosed to each joint side of thumb/refer to |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN101002687A true CN101002687A (en) | 2007-07-25 |
| CN100560027C CN100560027C (en) | 2009-11-18 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CNB2006100013219A Expired - Fee Related CN100560027C (en) | 2006-01-19 | 2006-01-19 | Machinery is afterburning pays the shadowgraph diagnostic table that ligament rapture is diagnosed to each joint side of thumb/refer to |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN100560027C (en) |
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2006
- 2006-01-19 CN CNB2006100013219A patent/CN100560027C/en not_active Expired - Fee Related
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| Publication number | Publication date |
|---|---|
| CN100560027C (en) | 2009-11-18 |
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Granted publication date: 20091118 Termination date: 20120119 |