Zombie
Introduction
Introduction to zombie It is osteoarthritis of the first metatarsophalangeal joint. Very common, often due to the variation of the position of the first metatarsal, due to excessive internal rotation (pre-spin), toe outward deviation ( valgus), first humeral dorsiflexion (high tibia), or first tibia length increase or Due to internal deviation, occasional trauma is also a cause. basic knowledge The proportion of sickness: 0.01% Susceptible people: no specific population Mode of infection: non-infectious Complications:
Cause
Zombie cause
It is very common in the metatarsophalangeal joint osteoarthritis, often caused by the variation of the position of the metatarsal bone, due to excessive internal rotation (pre-spin), toe outward deviation ( valgus), temporomandibular dorsiflexion (high tibia), Or the length of the tibia is increased or inwardly biased, and occasional trauma is also a cause.
Prevention
Zombie prevention
The patient takes the sitting position and presses the Kunlun point with the fingertip of the ipsilateral or contralateral thumb or middle finger to lightly press it for a minute to make the local soreness.
The patient's position is as shown in the front of the Kunlun hole with the thumb of the thumb.
If the patient's position is as used before, use the ipsilateral thumb and other fingers to pinch the affected area and repeatedly squeeze it to make it feel comfortable.
Complication
Stale complications Complications
The formation of exogenous osteophytes, joint activity begins to be limited, the patient can not bend the ankle joint can secondary damage to the secondary synovial membrane when walking.
Symptom
Symptoms of the common symptoms Common symptoms Joint pain Joint swelling First metatarsophalangeal joint pain...
According to the enlargement of the first metatarsophalangeal joint, the movement is limited, the joint capsule has tenderness (especially the lateral side), and the distal phalanx dorsiflexion can be diagnosed. The X-ray examination of the advanced diseased lateral sacral position shows lateral spur, lateral X-ray. Examination revealed that exogenous osteophytes protruded from the humeral head on the dorsal side. The medical history should include information on the onset of acute gout arthritis, as chronic diseases can cause pain and swelling of the first metatarsophalangeal joint.
Examine
Stiff test
According to the enlargement of the metatarsophalangeal joint, the movement is limited, the joint capsule has tenderness (especially the lateral side), and the increase of the dorsiflexion of the distal phalanx can confirm the lateral sacral position of the advanced diseased side. The X-ray examination shows the lateral spur, and the lateral X-ray examination can be seen. Exogenous epiphysis protrudes from the humeral head on the dorsal side.
Diagnosis
Zombie diagnosis
diagnosis
Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.
Differential diagnosis
Need to be differentiated from gout arthritis. It is difficult to be painful for paroxysmal soreness. For X-ray manifestations of paroxysmal gout arthritis: soft tissue swelling near the joints in the acute phase, worm-like appearance at the edge of the joint or the increase in bone density around the perforation-like defect. A typical arthritis image with severe bone destruction can cause a few deformities to be stiff.
