Clinical Diagnostic Researches For Dislocation Syndrome Of Atlanto-axial Joint

【Objective】1.lntroduce the clinical theory of the Atlanto-axial joint dislocation syndrome caused by the At]anto-axial incompleted trauma, enrich china medical bone-hurt science' s basal theoretics and diagnose the disease name;2.Use our prospective random comparison research method to prove this clinical theory should be come into existence,and make some associated researches about the related guide line aspect and disease.3.Use our prospective random comparison research method to draw up the dislocation syndrome of Atlanto-axial joint' s diagnostic criteria, at the same time,expound the differential diagnosis points about the Atlanto-axial sub]uxation.4.1nvestigate its correlative mechanism about such kind of ailment.【Methods】Choose all of thecervical vertebrae have symptoms or the symptoms initiated because of the cervical vertebrae matter' s consistent with internalize standard and exclusion standard' s patient total 375pcs who were in hospital in GuangZhou herbalist medical university's appertain hospital-ShenZhen city herbalist medical bone-hurt during March,2007 to Feb.2OO8,we called them cervical vertebrae group.Of the total X-ray about itlanto-axial joint imageology masculine,also suspect the Atlanto-axial joint' s in-completed injury, include Atlanto-axial subluxation and syndrome of Atlanto-axial joint' s patient 82pcs,and 64pcs patients carry out MRI inspection. According to the itlanto-axial joint' s MRI inspection imageology appearance divla negative group 7pcs,masculine group 57pcs.During masculine group,according to if have Atlanto-axial joint related ligaments,articular capsule partical laceration and serious relaxed state,we can divide subluxation group 13pcs,dislocation group 44pcs.Pick up the other ailment in our department of fractures and wounds endemic area,without cervical part symptom and cervical from past to now, (eg,instance lumbar spondylosis,bone fracture,soft tissue injury,bone sickness,and so on),100pcs,we called them as symptomless,as investigate object.According to laying internalize standard and exclusion standard, collect above-mentioned case and to carry out related patient history, semeiology,physical sign inspection,imaginology inspection anddiacritic,diagnose curative record(addenda form).According to different situation and demand to undertake group,and use prospective comparison research method and statistics method based on chi square test and T test to carry out correlate clinical signification research,each correlate guidline and associated research for correlate ailment, dislocation syndrome of Atlanto-axial joint' s diagnostic criteria and differential diagnosis research for Atlanto-axial joint subluxation,and some correlate mechanism research for Atlanto-axial joint' s in-completed injury.(the detailed research method,refer to text)【Results】1.Introduced the clinic hypothesis about dislocation syndrome of Atlanto-axial joint.2.Initial prove this clinic hypothesis is.come into existence, related clinic guide line which included related ill history,symptom, physical sign,imageology inspection' s each guide line did have clinic significant and also have correlation with Atlanto-axial joint' s in-completed injury.3.Initial established dislocation syndrome of Atlanto-axial joint' s diagnostic criteria,which included illness history,symptom,physical sign,auxiliary examination' s related diagnostic criteria system.4.Also can make it different from itlanto-axial joint subluxation, and issued out the main points for differential diagnosis,included illness history,symptom,physical sign,auxiliary examination' s related diagnostic criteria system,in the same time,also issued out Atlanto-axial joint subluxation 's diagnostic criteria,solved our confusion situation in current diagnose,have help in academic exchange, cut down the rate of misdiagnosis and missed diagnosis,ensure clinical curative effect.5.Summarized the pathomechanism difference between Atlanto-axial joint subluxation and dislocation syndrome of Atlanto-axial joint,made the groundwork for the furthering detailed criteria,and research each mechanism.6.1nitial make the research about dislocation syndrome of Atlanto-axial joint and Atlanto-axial joint subluxation,make out the consistent between clinic symptomatic 's deflection and X-ray imaginology odontoid bone' s,and make the foundation for therapeutic mechanism research about the traditional Chinese medicine' s manipulation.【Conclusion】Disease name "Dislocation syndrome of Atlanto-axial joint" is tenable,which have important significance in clinic application,its introduce will help us to identify clearly about the in-completed injury of Atlanto-axial joint' s different clinic manifestation to different degree injury.Have important significance for our solution to current academic confusion situation,carry out academic communication,cut down the rate of misdiagnosis and missed diagnosis,ensure clinical curative effect,which also an make different from Atlanto-axial joint subluxation, regarding this two different ailment,their nosogenesis,clinic manifestation,masc physical sign,imaginology change and prognosis of disease all have different.Our method to use respective random comparison research to prove the hypothesis is come into existence,issued out Dislocation syndrome of Atlanto-axial joint' s diagnose criteria,and explain the differential diagnosis with Atlanto-axial joint subluxation,make the foundation for each research in correlated mechanism,supply a favourable plateform for academic communication,and offer the basis to formulate full around, particularity,definite clinic therapeutic scheme.