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骶髂關節 解剖結構複雜和運動 模式微動 X
線片不能明確的顯 現。 功能障礙的評估和治 療仍存在爭議。 診斷方面缺乏客觀的 診斷標準 , 主觀性太 強 介紹一些骶髂關節的 專門檢查法。
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仰坐试验 仰坐试验 SupineSupine ––Sit
TestSit Test 操作方法操作方法 取取仰臥仰臥位位,兩下肢伸直,,兩下肢伸直,身体身体 放正,检查者双手握双足,观放正,检查者双手握双足,观 察双内踝是否于同一水平位。察双内踝是否于同一水平位。 进一步让受检者坐起,再观察进一步让受检者坐起,再观察 双踝位双踝位。。 作用原理作用原理 当骶髂关节错位时,因痛保护当骶髂关节错位时,因痛保护 性反应,致长短足性反应,致长短足。。 陽性結果陽性結果 骶髂部 骶髂部痛痛及双踝不在同一水平及双踝不在同一水平。。 病變提示病變提示 骶髂关节损伤、错位骶髂关节损伤、错位。。
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Gillet TestGillet Test
操作方法操作方法 取站立位取站立位,,身体放正,检查者身体放正,检查者 双手拇置于第二骶骨棘现旁,双手拇置于第二骶骨棘现旁, 食指置于双髂后上棘,受检者食指置于双髂后上棘,受检者 分别抬起下肢,观察拇食指及分别抬起下肢,观察拇食指及 双侧大粗隆的位置的变化双侧大粗隆的位置的变化。。 作用原理作用原理 正常状态,屈髋时髂后上棘会正常状态,屈髋时髂后上棘会 向后下旋转,当骶髂关节错位向后下旋转,当骶髂关节错位 时,因痛保护性反应,则活动时,因痛保护性反应,则活动 变小变小。。 陽性結果陽性結果 骶髂部 骶髂部痛痛,大粗隆及髂后上棘位,大粗隆及髂后上棘位 置改变不对称置改变不对称。。 病變提示病變提示 骶髂关节损伤错位骶髂关节损伤错位。。
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骶髂关节前开口试验骶髂关节前开口试验 SI Joint Anterior
Gapping TestSI Joint Anterior Gapping Test 操作方法操作方法 取仰卧位取仰卧位,,检查者双手交检查者双手交 叉置于受检者髂前上棘,叉置于受检者髂前上棘, 双手向外、下交叉相互用双手向外、下交叉相互用 力力。。 作用原理作用原理 令髂骨外翻,骶髂关节前令髂骨外翻,骶髂关节前 侧开口侧开口。。 陽性結果陽性結果 骶髂部 骶髂部痛。痛。 病變提示病變提示 骶髂关节前侧韧带损伤骶髂关节前侧韧带损伤。。
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骶髂关节前开口试验骶髂关节前开口试验 SI Joint Anterior
Gapping TestSI Joint Anterior Gapping Test 操作方法操作方法 取仰卧位取仰卧位,,检查者双手交检查者双手交 叉置于受检者髂前上棘,叉置于受检者髂前上棘, 双手向外、下交叉相互用双手向外、下交叉相互用 力力。。 作用原理作用原理 令髂骨外翻,骶髂关节前令髂骨外翻,骶髂关节前 侧开口侧开口。。 陽性結果陽性結果 骶髂部 骶髂部痛。痛。 病變提示病變提示 骶髂关节前侧韧带损伤骶髂关节前侧韧带损伤。。
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骶髂关节前开口试验骶髂关节前开口试验 SI Joint Anterior
Gapping TestSI Joint Anterior Gapping Test 操作方法操作方法 取仰卧位取仰卧位,,检查者双手交检查者双手交 叉置于受检者髂前上棘,叉置于受检者髂前上棘, 双手向外、下交叉相互用双手向外、下交叉相互用 力力。。 作用原理作用原理 令髂骨外翻,骶髂关节前令髂骨外翻,骶髂关节前 侧开口侧开口。。 陽性結果陽性結果 骶髂部 骶髂部痛。痛。 病變提示病變提示 骶髂关节前侧韧带损伤骶髂关节前侧韧带损伤。。
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骶髂关节前开口试验骶髂关节前开口试验 SI Joint Anterior
Gapping TestSI Joint Anterior Gapping Test 操作方法操作方法 取仰卧位取仰卧位,,检查者双手交检查者双手交 叉置于受检者髂前上棘,叉置于受检者髂前上棘, 双手向外、下交叉相互用双手向外、下交叉相互用 力力。。 作用原理作用原理 令髂骨外翻,骶髂关节前令髂骨外翻,骶髂关节前 侧开口侧开口。。 陽性結果陽性結果 骶髂部 骶髂部痛。痛。 病變提示病變提示 骶髂关节前侧韧带损伤骶髂关节前侧韧带损伤。。
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骶髂关节前开口试验骶髂关节前开口试验 SI Joint Anterior
Gapping TestSI Joint Anterior Gapping Test 操作方法操作方法 取仰卧位取仰卧位,,检查者双手交检查者双手交 叉置于受检者髂前上棘,叉置于受检者髂前上棘, 双手向外、下交叉相互用双手向外、下交叉相互用 力力。。 作用原理作用原理 令髂骨外翻,骶髂关节前令髂骨外翻,骶髂关节前 侧开口侧开口。。 陽性結果陽性結果 骶髂部 骶髂部痛。痛。 病變提示病變提示 骶髂关节前侧韧带损伤骶髂关节前侧韧带损伤。。
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骶髂关节前开口试验骶髂关节前开口试验 SI Joint Anterior
Gapping TestSI Joint Anterior Gapping Test 操作方法操作方法 取仰卧位取仰卧位,,检查者双手交检查者双手交 叉置于受检者髂前上棘,叉置于受检者髂前上棘, 双手向外、下交叉相互用双手向外、下交叉相互用 力力。。 作用原理作用原理 令髂骨外翻,骶髂关节前令髂骨外翻,骶髂关节前 侧开口侧开口。。 陽性結果陽性結果 骶髂部 骶髂部痛。痛。 病變提示病變提示 骶髂关节前侧韧带损伤骶髂关节前侧韧带损伤。。
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骶髂关节后开口试验骶髂关节后开口试验 SI Joint Posterior
Gapping TestSI Joint Posterior Gapping Test 操作方法操作方法 取侧卧位取侧卧位,,检查者双手置检查者双手置 于受检者髂前上棘外侧,于受检者髂前上棘外侧, 双手向内、前相互用力双手向内、前相互用力。。 作用原理作用原理 令髂骨前旋,骶髂关节后令髂骨前旋,骶髂关节后 侧开口侧开口。。 陽性結果陽性結果 骶髂部 骶髂部痛。痛。 病變提示病變提示 骶髂关节后侧韧带损伤骶髂关节后侧韧带损伤。。
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骨盆挤压试验 骨盆挤压试验 Squish TestSquish
Test 操作方法操作方法 取仰卧取仰卧,,检查者双手置于检查者双手置于 髂骨嵴,向下内 髂骨嵴,向下内 4545 度挤度挤 压压。。 作用原理作用原理 骶髂关节受间接挤压骶髂关节受间接挤压。。 陽性結果陽性結果 骶髂部 骶髂部痛。痛。 病變提示病變提示 骶髂关节损伤骶髂关节损伤。。
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Yeoman's TestYeoman's Test
操作方法操作方法 取俯卧位取俯卧位,,健侧可置于床健侧可置于床 边。检查者一手扶托于膝边。检查者一手扶托于膝 前,过伸髋关节,另一手前,过伸髋关节,另一手 向下 按压骶骨以固定向下 按压骶骨以固定。。 作用原理作用原理 骶髂关节发生旋转骶髂关节发生旋转。。 陽性結果陽性結果 骶髂部 骶髂部痛。痛。 病變提示病變提示 骶髂关节损伤骶髂关节损伤。。
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Gaenslen's TestGaenslen's Test
操作方法操作方法 取仰卧取仰卧,,一侧下肢置于床一侧下肢置于床 边,检查者双手置于双膝边,检查者双手置于双膝 前,双手同时下按,令床前,双手同时下按,令床 边侧髋过伸,另一侧髋屈边侧髋过伸,另一侧髋屈 曲曲。。 作用原理作用原理 骨盆发生旋转,骶髂关节骨盆发生旋转,骶髂关节 有明显扭转活动有明显扭转活动。。 陽性結果陽性結果 骶髂部 骶髂部痛。痛。 病變提示病變提示 骶髂关节损伤骶髂关节损伤。。
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““44”” 字(帕曲克)试验字(帕曲克)试验 Figure-FourFigure-Four ((
PatrickPatrick )) TestTest 操作方法操作方法 取仰卧取仰卧,,患侧踝置于对侧患侧踝置于对侧 膝上如膝上如 44 字,检查者一手字,检查者一手 按膝,另一手按健侧髂骨按膝,另一手按健侧髂骨 。。 作用原理作用原理 骨盆发生旋转,骶髂关节骨盆发生旋转,骶髂关节 也有扭转活动也有扭转活动。。 陽性結果陽性結果 骶髂部 骶髂部痛。痛。 病變提示病變提示 骶髂关节损伤骶髂关节损伤。。
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