CN208861562U - A kind of model for developmental dislocation of hip joint physical examination - Google Patents

A kind of model for developmental dislocation of hip joint physical examination Download PDF

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Publication number
CN208861562U
CN208861562U CN201820766615.9U CN201820766615U CN208861562U CN 208861562 U CN208861562 U CN 208861562U CN 201820766615 U CN201820766615 U CN 201820766615U CN 208861562 U CN208861562 U CN 208861562U
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hip
model
physical examination
hip joint
leg
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樊伟
高虹
易欣
李雪娇
郭峻梅
刘乔建
左琼
苏业钦
高鹏
韩文彬
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Kunming Childrens Hospital
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Kunming Childrens Hospital
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Abstract

The utility model relates to a kind of models for developmental dislocation of hip joint physical examination, including upper body, the hip being connect with upper body and and the leg that is connect with hip, hip includes Combined bone structure, the hip and knee of leg can stretch or buckling, Combined bone structure includes left side hipbone, left side pubis, left side ischium, left acetabulum, left femoral head, left femur upper section and left side greater trochanter, wherein, left acetabulum is flat shallow, left femoral head is located at outside left acetabulum, when bending 90 ° of hip, hip abduction is no more than 45 ° on the left of hip.The utility model can intuitively understand the sign of developmental dislocation of hip joint as teaching aid for student;Barlow and Ortolani test can be repeated for student, avoid the Hip injury that may cause when practicing with infant;Student can know from experience the limited feature of hip abduction;Operating handle and true case are very close;It is of simple structure and low cost.

Description

A kind of model for developmental dislocation of hip joint physical examination
Technical field
The utility model relates to a kind of model, especially a kind of model for developmental dislocation of hip joint physical examination, Belong to medical instruments field.
Background technique
Developmental hip joint depauperation is the most common hip joint disease of infant, and dislocation is type the most serious, It needs to make a definite diagnosis and treated as early as possible.Diagnosis for developmental dislocation of hip joint, clinical physical examination are the inspections carried out earliest.It is right The physical examination operation of the understanding and specification of genius morbi can diagnose the most dislocation of hip joint.Barlow test and Ortolani Test is most important two tests in physical examination, and the dislocation of hip joint can be made a definite diagnosis when positive.Meanwhile it can be used as the sign of reference also There is double lower limb Length discrepancy, dermatoglyph are asymmetric, hip abduction is limited etc..Being failed to pinpoint a disease in diagnosis due to developmental dislocation of hip joint will lead to seriously Consequence, therefore just seem increasingly important to the training of beginner.The Training Methodology for this disease is mostly text explanation and figure at present Piece displaying, and since disease incidence is not high, it is difficult to it obtains sufficient case and is drilled.Therefore, it is badly in need of one for beginner's reality Observation and the teaching mode for carrying out physical examination practice.
Utility model content
In order to solve the above-mentioned technical problem, the utility model provides a kind of for developmental dislocation of hip joint physical examination Model, the technical solution of the utility model are specific as follows:
A kind of model for developmental dislocation of hip joint physical examination, including upper body, the hip being connect with upper body and and The leg connecting with hip, hip include Combined bone structure, and the knee of hip and leg can stretch or buckling, Combined bone Structure includes left side hipbone, left side pubis, left side ischium, left acetabulum, left femoral head, left femur upper section, left side broad-mouthed receptacle for holding liquid lip With left side greater trochanter, wherein left acetabulum is flat shallow, and left femoral head is located at outside left acetabulum, and left side broad-mouthed receptacle for holding liquid lip is located at left femur Between head and left acetabulum, when bending 90 ° of hip, hip abduction is no more than 45 ° on the left of hip.Examiner shows finger and middle finger at this time It is placed on the outside of baby's greater trochanter, thumb is placed in femoribus internus, gently outreach hip joint, while showing that middle finger pushes greater trochanter upward Side is lifted, can experience femoral head return receive acetabular bone snap and reset sense, i.e. Ortolani test is positive.
Further, Combined bone structure further includes right side hipbone, right side pubis, right side ischium, right side acetabular bone, right lateral thigh Bone, right side femur upper segment, right side greater trochanter and right side broad-mouthed receptacle for holding liquid lip.Right hips are natural joint.
Further, apply stress posteriorly and laterally after receiving in leg, on the inside of leg, left femoral head pops up a left side backward Side acetabular bone.The thumb of student applies stress posteriorly and laterally in femoribus internus, can experience femoral head and pop up acetabular bone backward, i.e., Barlow test is positive.
Further, when bending 90 ° of hip, hip right hips outreach is greater than 70 °.It is equivalent to Barlow and Ortolani examination Testing is feminine gender.
Further, when the extended legs with thighs of model, left leg is than right short legs.Sign as double lower limb Length discrepancy.
Further, when model hip bending knee sole in the wrong lies against bed surface, left side knee joint highest point is most compared with right side knee joint High point is low.
Further, left side femoribus internus has 2 dermatoglyphs, there is 1 dermatoglyph, left side stern line ratio right side stern on the inside of right lateral thigh Line is profound.As the asymmetric sign of dermatoglyph.
Further, hip further includes the elastic material wrapped around combined type bone structure, protects the hip joint of dislocation.It is double Elastic material is used as " soft tissue " at side hip joint, conducive to the movement in joint.
Compared with prior art, the beneficial effects of the utility model are as follows:
(1), the utility model can intuitively understand the sign of developmental dislocation of hip joint as teaching aid for student;
(2), Barlow and Ortolani test can be repeated for student, avoid to lead when practicing with infant The Hip injury of cause;Student can know from experience the limited feature of hip abduction;
(3), the utility model is designed fully according to the pathological change of disease, and operating handle and true case are very close;
(4), the utility model is of simple structure and low cost.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the model of the utility model;
Fig. 2 is the structural schematic diagram of the Combined bone structure of the utility model;
Fig. 3 is the structural schematic diagram that Ortolani test is carried out using the utility model;
Fig. 4 is the structural schematic diagram that Barlow test is carried out using the utility model.
Specific embodiment
The following will be combined with the drawings in the embodiments of the present invention, the technical solution in the present embodiment is carried out it is clear, complete Site preparation description, it is clear that described embodiment is only the example to a part of example of the utility model, rather than whole.Base In the embodiments of the present invention, those of ordinary skill in the art institute obtained under that premise of not paying creative labor There are other embodiments, fall within the protection scope of the utility model.
As shown in Figure 1, the model for developmental dislocation of hip joint physical examination of the present embodiment, including upper body 1, with it is upper Hip 2 that body 1 connects and and the left leg 3 and right leg 4 that connects with hip 2, hip 2 include Combined bone structure 5, hip 2 and leg The knee in portion can stretch or buckling.
As shown in Fig. 2, Combined bone structure 5 includes rumpbone 5.5, left side hipbone 5.1, left side pubis 5.2, left side ischium 5.3, left acetabulum 5.4, left femur upper section 5.7, left side broad-mouthed receptacle for holding liquid lip and left side greater trochanter 5.8, wherein 5.6 He of left femoral head Left side greater trochanter 5.8 is located at 5.7 top of left femur upper section, and left acetabulum 5.4 is flat shallow, and left femoral head 5.6 is located at left side hip Outside mortar 5.4, left side broad-mouthed receptacle for holding liquid lip is between left femoral head 5.6 and left acetabulum 5.4, when bending 90 ° of hip, on the left of hip outside hip joint Exhibition is no more than 45 °.
Combined bone structure further include right side hipbone 5.9, right side pubis 5.10, right side ischium 5.11, right side acetabular bone 5.12, Right side femoral head 5.13, right side femur upper segment 5.14, right side greater trochanter 5.16 and right side broad-mouthed receptacle for holding liquid lip 5.15.The hip joint on right side is positive Normal human hip.When bending 90 ° of hip, hip right hips outreach is greater than 70 °.Carry out right side carry out Barlow and Ortolani test is feminine gender.
As shown in figure 3, examiner's shows that finger and middle finger are placed in Infant model when carrying out Ortolani pilot demonstration to left side The outside of left side greater trochanter 5.8, thumb is placed in femoribus internus, gently outreach hip joint, while showing that middle finger pushes left side is big to turn Son 5.8 lifts upwards, can experience left femoral head 5.6 return receive left acetabulum 5.4 snap and reset sense, that is, be judged as Ortolani test is positive.
As shown in figure 4, when carrying out Barlow pilot demonstration to left side, apply after being received in leg, on the inside of leg backward and Outside stress, left femoral head 5.6 pop up left acetabulum 5.4 backward, that is, judge that Barlow test is positive.
When the extended legs with thighs of model, left leg 3 is shorter than right leg 4.When model hip bending knee sole in the wrong lies against bed surface, left side knee is closed It is low compared with right side knee joint highest point to save highest point.There are 2 dermatoglyphs on the inside of left side thigh 3, there is 1 dermatoglyph on the inside of right lateral thigh 4, it is left Side stern line is more profound than right side stern line.Hip 2 further includes the elastic rubber wrapped around combined type bone structure 5, protects the hip of dislocation Joint.
The above is only the preferred embodiment of the utility model only, is not intended to limit the utility model, all at this Within the spirit and principle of utility model, any modification, equivalent replacement, improvement and so on should be included in the utility model Protection scope within.

Claims (8)

1. a kind of model for developmental dislocation of hip joint physical examination, it is characterised in that: connect including upper body, with upper body Hip and the leg connecting with hip, hip include Combined bone structure, and the knee of hip and leg can stretch or buckling, group Box-like bone structure includes left side hipbone, left side pubis, left side ischium, left acetabulum, left femoral head, left femur upper section and a left side Side greater trochanter, wherein left acetabulum is flat shallow, and left femoral head is located at outside left acetabulum, and left side broad-mouthed receptacle for holding liquid lip is located at left femoral head (5.6) between left acetabulum (5.4), when bending 90 ° of hip, hip abduction is no more than 45 ° on the left of hip.
2. the model according to claim 1 for developmental dislocation of hip joint physical examination, it is characterised in that: combined type Bone structure further includes right side hipbone, right side pubis, right side ischium, right side acetabular bone, right side femoral head, right side femur upper segment, right side Greater trochanter and right side broad-mouthed receptacle for holding liquid lip.
3. the model according to claim 1 for developmental dislocation of hip joint physical examination, it is characterised in that: in leg Apply stress posteriorly and laterally after receipts, on the inside of leg, left femoral head pops up left acetabulum backward.
4. the model according to claim 1 for developmental dislocation of hip joint physical examination, it is characterised in that: bend hip At 90 °, hip right hips outreach is greater than 70 °.
5. the model according to claim 1 for developmental dislocation of hip joint physical examination, it is characterised in that: model When extended legs with thighs, left leg is than right short legs.
6. the model according to claim 1 for developmental dislocation of hip joint physical examination, it is characterised in that: model is bent When hip bending knee sole lies against bed surface, left side knee joint highest point is low compared with right side knee joint highest point.
7. the model according to claim 1 for developmental dislocation of hip joint physical examination, it is characterised in that: left side is big Inboard leg has 2 dermatoglyphs, there is 1 dermatoglyph on the inside of right lateral thigh, and left side stern line is more profound than right side stern line.
8. the model according to claim 1 for developmental dislocation of hip joint physical examination, it is characterised in that: hip is also Including the elastic material around wrapping combined type bone structure, the hip joint of dislocation is protected.
CN201820766615.9U 2018-05-22 2018-05-22 A kind of model for developmental dislocation of hip joint physical examination Active CN208861562U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108648590A (en) * 2018-05-22 2018-10-12 昆明市儿童医院 A kind of model for developmental dislocation of hip joint physical examination
CN110338953A (en) * 2019-07-24 2019-10-18 浙江工业大学 A kind of auxiliary hip joint orthopedic system and straightening method

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108648590A (en) * 2018-05-22 2018-10-12 昆明市儿童医院 A kind of model for developmental dislocation of hip joint physical examination
CN110338953A (en) * 2019-07-24 2019-10-18 浙江工业大学 A kind of auxiliary hip joint orthopedic system and straightening method
CN110338953B (en) * 2019-07-24 2022-01-25 浙江工业大学 Auxiliary hip joint orthopedic system and orthopedic method

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