Deng Zhi took the film, glanced at it, and said: "The diagnosis of cruciate ligament tear is very appropriate. Professor Min, look at it, from the coronal view, whether it is T1 phase or T2 phase, the patient's knee ligament

There is a break in continuity.”

"Furthermore, we can also see from MRI that there is free osteophyte in front of the tibial tubercle. Considering the patient's history of trauma, the diagnosis of avulsion fracture is relatively clear."

Deng Zhi directly took the professional knowledge of arthritis to a deeper level.

But he also admires the end of the season.

You must know that Ji Mo is only in his second year as a graduate student. Being able to sum up the key points of diagnosis so accurately is as good as Deng Zhi who has been working for more than ten years.

Naturally, Deng Zhi also knew that graduate students like Ji Mo generally have very solid basic skills, otherwise it would be difficult for them to get admitted to graduate school.

Professor Min didn't seem to be in a hurry and nodded, looking at Tong Gaobo and Fan Cheng.

"Xiaotong and Xiaofan, you are both graduate students in orthopedics. What do you think?"

Tong Gao Bo and Fan Cheng took over the film naturally.

He looked a little nervous: "Professor Min, we can only see that there are torn ligaments and osteophytes. I agree with what Senior Brother Ji Mo and Brother Deng Zhi said."

"Yes, you can see the torn ligaments and the formation of osteophytes. It seems that you read a few books before entering the department." Professor Min seemed to have a certain level of knowledge about Tong Gaobo and Fan Cheng.

A first-year graduate student can do this, which is already very good.

MRI reading of the knee joint is not covered in textbooks, and is only covered in specialist textbooks.

They have read at least a few books.

"Does Chen Guoer have any opinions?" Professor Min seemed to be interested in asking about the past one by one.

Chen Guoer shook her head in confusion and pursed her lips: "Professor Min, I can only see the bone growth."

Osteophytes are the extra parts of bone lines. Even if you are not a medical student, you can probably see it, but you may not be able to describe it professionally.

Of course, Professor Min didn't make things difficult for her. The others were from the burn department, and they came here just to mess around with medical records.

Glancing at Lu Cheng, the latter panicked slightly.

Professor Min won't ask me again, will he?

Sure enough, Professor Min still said: "Xiao Lu, what do you think of this patient?"

When they heard this question, other people didn't react at all. Professor Min asked them one by one. This is just a common practice. I guess Lu Cheng would also say that I can't see it, or that I agree with Deng Zhi and Ji Mo's ideas.

After all, he is just a newcomer.

However, Lu Cheng did not answer immediately, but took the film.

The professors of surgery are very straightforward in their ward rounds and will not be sloppy.

Then why did he continue to ask me? If he can continue to ask me, it proves that he may not be comprehensive enough. He is in the assessment period and his performance is excellent, which is always correct.

Could it be that both Ji Mo and Deng Zhi were wrong?

No, if they made a mistake, Professor Min would probably ask them directly. This would be similar to the temper of those professors when he was an intern.

Maybe it's not all right.

While Lu Cheng watched the film carefully, at the same time, the blood bar appeared in front of him.

Torn anterior cruciate ligament of right knee:lv36!26698/26698!

Apart from this, there are no other diagnostics or additional diagnostics.

No free osteophytes?

So where did these little bones come from?

Isn't it an avulsion fracture?

Lu Cheng began to unravel the cocoon. Although he was not a major in joint orthopedics or sports medicine, he had read the textbooks on orthopedics many times during his review in the past few months.

Suddenly, Lu Cheng's eyes lit up slightly. He did not answer in a hurry, but whispered: "Professor Min, I just arrived in the department today. Can I try to ask the patient's medical history before answering?"

"Of course, we are not in a hurry." Professor Min still said with an elegant smile, which seemed to have unspeakable meaning.

Zhu Lihong and Lin Hui, who were standing beside the bed, stepped away slightly and gave up their positions to Lu Cheng.

As a senior doctor in a teaching hospital, he will give corresponding guidance and learning opportunities to junior doctors without any reason.

In Lin Hui's eyes, Lu Cheng was just a student in joint surgery and sports medicine.

Lu Cheng thought for a while and then asked slowly: "Hello, was your foot injured three months ago? When did it start hurting? Did you have any pain before the injury?"

"Yes, I was injured while playing basketball in three months. I heard a popping sound at that time. It became more and more painful from then on. Before the injury?" The patient touched his head.

"Before the injury, there was a little pain in my knee here, but it was not serious or severe. It only hurts when I put pressure on it occasionally."

The young man pointed in front of his knees.

"I also took a picture at the small hospital over there, and they said it was fine."

"Is there any problem?"

The patient is not a professional and will tell a lot of irrelevant things when asking about medical history.

Of course, many of these things are nonsense, but...

Sometimes, you can also extract many different things from these nonsense and combine it with your own knowledge.

The pain started before the injury.

This means that he may have had symptoms in the front of the knee joint before, and the presence of symptoms indicates that there may be damage.

But the patient did not say that he had been injured before.

The panel in front of Lu Cheng immediately changed, because he had already found the reason from the book he remembered.

To be sure, Lu Cheng asked again.

"How old are you? Have you been injured before this injury?"

"It seems like I haven't been injured, right? I'm 19 years old this year, and I've just entered freshman year. In the last basketball game, everyone in the class called me names, and I couldn't help it." He smiled bitterly, feeling a little regretful.

If I had known this, I wouldn't have played basketball.

Lu Cheng pursed his lips, then turned his head, looked at Professor Min, Zhu Lihong and others and replied:

"Professor Min, let's take a look at this film again. We can see that there is edema in front of the tibial tubercle, and the osteophytes are below the tibial plateau, which is outside the joint."

"Moreover, there are obvious calcification lines on the edges of these free osteophytes. This proves that these osteophytes may not be newly free and avulsed from the front of the tibial plateau. Because avulsion fractures generally lack blood supply, they will not

There is such a strong calcified edge.”

"If it is an avulsion fracture, the swelling will definitely be extensive and the fracture line will be particularly bright. Of course, it may have been eliminated now."

"The most important thing is that the patient's epiphysis has changed, the density is inconsistent, some parts have high-density calcification points, and the edges of the epiphysis are irregular."

"Our tibial epiphysis can not close until the age of 20 at the latest in men."

"Let's take another look at the MRI. We can see that the tibial tubercle is enlarged and the patellar ligament is thickened. So I thought it might be tibial tuberosity chondritis caused by heterotopic ossification."

Everyone turned their heads involuntarily.

In the meantime, at the end of the season, he even patted himself on the head, probably secretly scolding himself for being careless and not watching the movie properly.

At the same time, he looked at Lu Cheng with some suspicion, "Are you really a graduate student who just entered this year?"

Or from previous years?

Is he the kind of academic who accidentally stumbled last year?

When Lu Cheng mentioned the words self-limiting disease, Professor Min raised his eyebrows. He thought about it carefully and asked tentatively: "If you continue, what do you think should be done?"

Lu Cheng knew the diagnosis, and of course he knew that the disease was a self-limiting disease, so he said: "Tibial nodule chondritis is a self-limiting disease. It usually occurs during the growth period and often has a history of sports. It is because of the pain in front of the tibial tubercle.

Ligament, periosteal reaction caused by repeated traction.”

"Because it is outside the joint and will heal itself after the epiphysis is closed, that is, after the growth period, there is generally no need for special treatment."

As soon as he said these words, Lu Cheng handed over the film in his hand.

Professor Min seemed to be very satisfied with Lu Cheng's answer. When he wanted to ask more questions, Chang Weilong seemed to know Professor Min's temperament of teaching and asking questions, and quickly reminded: "Professor Min, you have to leave the operating room early today."

Professor Min glanced at Lu Cheng again and said, "Let's do this first. We'll see the patient first."
Chapter completed!