骨科英文书籍精读（209）｜髋臼骨折临床表现
中国十大名师之一赖世雄老师说过，学习英语没有捷径，少就是多，快就是慢。不要以量取胜，把一个音标、一个单词、一段对话、一篇文章彻底搞透，慢慢积累，你会发现，你并不比每天走马观花的输入大量英文学的差。
Clinical features
There has usually been a severe injury; either a traffic accident or a fall from a height. Associated fractures are not uncommon and, because they may be more obvious, are liable to divert attention from the more
urgent pelvic injuries. Whenever a fractured femur, a severe knee injury or a fractured calcaneum is diagnosed, the hips also should be x-rayed.
The patient may be severely shocked, and the complications associated with all pelvic fractures should be excluded. Rectal examination is essential. There may be bruising around the hip and the limb may lie in internal rotation (if the hip is dislocated). No attempt should be made to move the hip.
Careful neurological examination is important, testing the function of the sciatic, femoral, obturator and pudendal nerves.
---from 《Apley’s System of Orthopaedics and Fractures》
重点词汇整理：
divert /daɪˈvɜːrt/vt. 转移；使…欢娱；使…转向vi. 转移
Rectal examination is essential.直肠检查是必要的。
Rectal /ˈrektəl/adj. 直肠的
bruising /ˈbruːzɪŋ/n. 挫伤adj. 殊死的；十分激烈的v. 擦伤（bruise的ing形式）
sciatic /saɪˈætɪk/adj. 坐骨的；坐骨神经的；髋部的;n.坐骨神经
sciatic, femoral, obturator and pudendal nerves坐骨神经，股神经，闭孔神经和阴部神经
百度翻译：
临床特征
通常有严重的伤害；不是交通事故就是从高处摔下来。相关骨折并不少见，因为它们可能更明显，容易转移注意力紧急骨盆损伤。当诊断出股骨骨折、严重的膝关节损伤或跟骨骨折时，也应该对髋部进行x光检查。
患者可能严重休克，应排除与所有骨盆骨折相关的并发症。直肠检查是必要的。髋关节周围可能有瘀伤，肢体可能处于内旋状态（如果髋关节脱位）。不应试图移动臀部。
仔细的神经系统检查很重要，测试坐骨神经、股神经、闭孔神经和阴部神经的功能。