By Daniel J. Berry MD, Scott P. Steinmann MD, Paul Tornetta III MD, Thomas A. Einhorn MD
Written by means of prime specialists from the Mayo health center, this quantity of our Orthopaedic surgical procedure necessities Series offers all of the details citizens desire on hip, knee, shoulder, and elbow reconstruction in adults. it may possibly simply be learn disguise to hide in the course of a rotation or used for fast reference ahead of a sufferer workup or operation. The effortless, visually stimulating structure positive aspects abundant illustrations, algorithms, bulleted lists, charts, and tables.
Coverage of every zone contains actual overview and imaging, review and therapy of problems, and operative remedy equipment. The wide assurance of operative remedy contains fundamental and revision arthroplasty and choices to arthroplasty.
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Extra info for Adult Reconstruction
Magnetic Resonance Imaging. Magnetic resonance imaging (MRI) has become the standard in diagnosing ON and should be obtained in all suspected cases in which the plain radiographs are normal. In such cases, examination of both hips should be performed because more than half of all cases are bilateral. The changes noted on T1-weighted images typically include subchondral signal changes located in the anterior superior quadrant of the femoral head with a single-density line demarcating the normal-ischemic bone interface (Fig.
One area where this technology may prove particularly useful is in the early detection and assessment of periprosthetic osteolysis. Preliminary data suggests that metal suppression MRI techniques may be more sensitive and specific than plain radiographs in determining the presence and volume of periprosthetic osteolysis. NUCLEAR IMAGING Nuclear imaging studies (bone scintigraphy) remain useful tools for detecting areas for abnormal metabolic activity in Figure 2-20 MRI arthrography of the hip demonstrating anterior labral tear.
Both cam and pincer types of impingement may coexist. cls Printer: Edwards Brothers March 19, 2007 Section I / Hip TABLE 3-1 ARTHRITIDES AFFECTING THE HIP Noninflammatory arthritis Osteoarthritis Primary (idiopathic) Secondary Dysplasia Femoroacetabular impingement Cam type Pincer type Slipped capital femoral epiphysis Legg-Perthes Traumatic Osteonecrosis of the femoral head Neuropathic Multiple epiphyseal dysplasia Paget disease Pigmented villonodular synovitis Chondrocalcinosis Hemophilic arthropathy Inflammatory Rheumatoid arthritis Systemic lupus erythematosus Spondyloarthropathies Psoriatic arthritis Ankylosing spondylitis Reactive arthritis (Reiter syndrome) Enteric spondyloarthropathy Table 3-1 summarizes various types of inflammatory arthritides.
Adult Reconstruction by Daniel J. Berry MD, Scott P. Steinmann MD, Paul Tornetta III MD, Thomas A. Einhorn MD