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«Ü¦h¯f¤H¦b¨ü¶Ë«á¬Ýª«²zªvÀø®vµ¥ÂåÅ@¤Hû®É³£·|³Q§iª¾¶Ë±w³¡¤À¡A¦ý«o¥¼¥²¯à§¹¥þ»â·|¡C©Ò¥H³Å¨ô©úª«²zªvÀø³Õ¤h¯S·N©ó¥»Ä椺¤¶²Ð¶^¥´µh¯g±`¥Îµü·J¡A¤è«K±wªÌ§ó¥[²`¤J¤F¸Ñ¦Û¤vªº¯f±¡¡C¤W©P¥»Äæ¤w¤¶²Ð¹L³n²Õ´¨ü¶Ëªºµü·J¡A¤µ´Á¥»Äæ·|¶°¤¤¤¶²Ðµw²Õ´¨ü¶Ë¡C
µw²Õ´¨ü¶Ë(Hard Tissue Injury)¡G¥Dn¥i°Ï¤À¬°°©§é(Bone fracture)¤Î²æ¦Ý(Joint dislocation)¨âºØ¡C
1.°©§é¥ç§Y°©Àf²Õ´¦]¥~¨Óªº½ÄÀ»¤O©Î¤º¦bªºÀ£¤O¦ÓÂ_µõ¡C½ÄÀ»¤O(Impact)¥i·½©óª½±µ¡B¶¡±µ©Îªø´Á©Ó¨üÀ£¤O(Repetitive stress)©Ò³y¦¨¡C¦]ªø´Á©Ó¨üÀ£¤O©Ò³y¦¨ªº°©§é³QºÙ¬°À£¤O©Ê°©§é(Stress fracture)¡C°©§é¥i®Ú¾ÚÂ_°©¦ì¸m¹º¤À¬°°©µõ(Undisplaced fracture)¤ÎÂ_°©(Displaced fracture)¡C°©§é¤S¥i¤À¬°¨S¦³ªí±¶Ë¤fªº³¬¦X©Ê°©§é(Closed/Simple fracture) ¡BÂ_°©¬ï³z¨Åéªí±ªº¶}©ñ©Ê°©§é(Open/Compound fracture) ¡BÂ_°©¶Ë¤Îªþªñ¯«¸g½u¡B¤ºÂéΦåºÞªº½Æ¦X©Ê°©§é(Complicated fracture)¡C°©§éªºªí±Äpª¬(Signs and symptoms)¥]¬Aµh·¡(Pain)¡B¨ü¶Ë³¡¤À§á¦±ÅܧÎ(Deformity)¡B¸~µÈ(Swelling)¤Î¨ü¶Ë®É´¿Å¥¨ì°©ÀfÂ_µõÁn(Sound of cracking)¡C®Ú¾Ú¦w¬Ùªk¨Ò©ú½T³W©w¡A¥u¦³µù¥U¦èÂå¤ÎÅ@¤h¦³Åv¬°¯f¤H¶i¦æ°©§é´_¦ì¤Î¥´¥Û»I©T©w(Setting or casting a bone fracture)¡A¥ô¦ó¥¼Àòªk«ß±ÂÅv¦æ·~¤H¤h¾Õ¦Û¬°¯f¤H¶i¦æ°©§é´_¦ì¤Î©T©w§¡ÄݹHªk¨Ã¦³¾÷·|¨ü¨ì¦D¨ÆÀ˱±¡C³q±`°©§é¯f¤H¸g´_¦ì¤Î©T©w«á·|Âश±µ¨üª«²zªvÀø¡A«ì´_¶Ë³Bªº¬¡°Ê¯à¤O(Range of motion)¤Î¥\¯à(Functional restoration)¡C
2.¥t¤@±`¨£µw²Õ´¨ü¶Ë¬°²æ¦Ý¡C²æ¦Ý¬O«ü°©Àf¥½ºÝ¦]¶^˩Ψü¼²À»µ¥¥~¤O¼vÅT¦Ó²æÂ÷Ãö¸`ªºì¨Ó¦ì¸m¡A±`‰Y¥Í¦bÁv³¡¡BªÓ»H¡B¨y³¡¡B«üÀY©M½¥»\¡C²æ¦Ýªºªí±Äpª¬¥]¬Aµh·¡¡B¨ü¶Ë³¡¤À§á¦±ÅܧΡB¸~µÈ¤ÎÃö¸`¥\¯à»Ùê(Loss of function)¡C²æ¦Ý¨ü¶Ë®É»Ý±N±w³B¥H¥~ª«©T©w¡A¤£¥i¶TµM¦Û¦æ²¾°Ê²æ²æ¦Ý³B¡A¨ÃºÉ§Ö±µ¨ü´_¦ìªvÀø¡C
ÂåÅ@¤Hû¤@¯ë·|®Ú¾Ú²æ¦Ýªº¤è¦V¹º¤À¬°©¹«e²æ¦Ý(Anterior dislocation)¤Î©¹«á²æ¦Ý(Posterior dislocation)¡C
®Ú¾Ú¦w¬Ùªk¨Ò©ú½T³W©w¡A²æ¦Ý¦³§O©ó¤@¯ëÃö¸`¿ù¦ì(Joint subluxation)¡A¥u¦³µù¥U¦èÂå¤ÎÅ@¤h¦³Åv¬°¯f¤H¶i¦æ²æ¦Ý´_¦ì¤Î©T©w(Setting or casting a joint dislocation)¡A¥ô¦ó¥¼Àòªk«ß±ÂÅv¦æ·~¤H¤h¾Õ¦Û¬°¯f¤H¶i¦æ²æ¦Ý´_¦ì¤Î©T©w§¡ÄݹHªk¨Ã¦³¾÷·|¨ü¨ì¦D¨ÆÀ˱±¡C
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