Download e-book for kindle: Adult Reconstruction by Daniel J. Berry MD, Scott P. Steinmann MD, Paul Tornetta III

By Daniel J. Berry MD, Scott P. Steinmann MD, Paul Tornetta III MD, Thomas A. Einhorn MD

ISBN-10: 0781796385

ISBN-13: 9780781796385

Written by way of major specialists from the Mayo sanatorium, this quantity of our Orthopaedic surgical procedure necessities Series provides the entire info citizens desire on hip, knee, shoulder, and elbow reconstruction in adults. it could actually simply be learn hide to hide in the course of a rotation or used for fast reference ahead of a sufferer workup or operation. The easy, visually stimulating structure good points plentiful illustrations, algorithms, bulleted lists, charts, and tables.

Coverage of every zone comprises actual review and imaging, evaluate and remedy of issues, and operative therapy equipment. The broad assurance of operative therapy comprises fundamental and revision arthroplasty and choices to arthroplasty.

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Central line of the femoral neck and shaft. Normal 125 degrees with a range of 120 to 140 degrees. Shenton line: Observed as a confluent arch between the inferior border of the superior pubic ramus and the medial border of the femoral neck. Helpful in evaluating the relationship of the femoral head to the acetabulum. A break in the Shenton line indicates migration of the femoral head. B A D A E Figure 2-6 The anterior oblique or obturator oblique Judet view of the pelvis. A, anterior column of pelvis; B, posterior wall of acetabulum.

Accordingly, early diagnosis and treatment are crucial to limit the progression of ON and the subsequent need for total hip arthroplasty. In many cases, however, diagnosis is made in later stages of the disease, when femoral head–preserving treatments are no longer effective. This chapter discusses the natural history of ON, the current diagnostic and treatment options for both early and late stages of the disease, and the limitations of these existing therapies. 5 The disease affects men four times more frequently than women and generally presents in the third to fifth decades of life.

9 Figure 4-3 presents a diagnostic workup algorithm. cls March 19, 2007 Section I / Hip TABLE 4-2 RADIOGRAPHIC CLASSIFICATIONS OF OSTEONECROSIS OF THE FEMORAL HEAD Ficat and Arlet Stage I Normal Stage II Sclerotic or cystic lesions Stage III Subchondral collapse Stage IV Osteoarthritis with articular collapse University of Pennsylvania Stage 0 Normal or nondiagnostic radiograph, bone scan, and MRI Stage I Normal radiograph; abnormal bone scan and/or MRI A: Mild (<15% of head affected) B: Moderate (15% to 30% of head affected) C: Severe (>30% of head affected) Stage II Lucent and sclerotic changes in the femoral head A: Mild (<15% of head affected) B: Moderate (15% to 30% of head affected) C: Severe (>30% of head affected) Stage III Subchondral collapse (crescent sign) without flattening A: Mild (<15% of head affected) B: Moderate (15% to 30% of head affected) C: Severe (>30% of head affected) Stage IV Flattening of the femoral head A: Mild (<15% of head affected) B: Moderate (15% to 30% of head affected) C: Severe (>30% of head affected) Stage V Joint narrowing and/or acetabular changes A: Mild B: Moderate C: Severe Stage VI Advanced degenerative changes (Modified from Ficat P, Arlet J.

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Adult Reconstruction by Daniel J. Berry MD, Scott P. Steinmann MD, Paul Tornetta III MD, Thomas A. Einhorn MD


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