By Daniel J. Berry MD, Scott P. Steinmann MD, Paul Tornetta III MD, Thomas A. Einhorn MD
Written through best specialists from the Mayo health facility, this quantity of our Orthopaedic surgical procedure necessities Series offers the entire details citizens want on hip, knee, shoulder, and elbow reconstruction in adults. it might probably simply be learn hide to hide in the course of a rotation or used for fast reference sooner than a sufferer workup or operation. The basic, visually stimulating structure gains considerable illustrations, algorithms, bulleted lists, charts, and tables.
Coverage of every quarter contains actual evaluate and imaging, overview and therapy of problems, and operative therapy equipment. The wide assurance of operative remedy contains fundamental and revision arthroplasty and possible choices to arthroplasty.
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Additional info for Adult Reconstruction
Figure 3-5 outlines a diagnostic algorithm for patients presenting with hip pain. , spinal pathology, bursitis, hernia) Figure 3-5 Diagnostic algorithm for patients presenting with hip pain. TREATMENT The most common surgical procedure for hip arthritis is total hip replacement. However, various other procedures are indicated for certain conditions. A more detailed discussion of specific management will be presented in subsequent chapters. For an overview, see Table 3-3. Surgical Indications Persistent hip pain, despite nonoperative management, is the usual indication for surgery.
2003;114:93–98. Klippel JH, ed. Primer on the Rheumatic Diseases. 12th ed. The Arthritis Foundation, Altanta, Georgia; 2001. Li PLS, Ganz R. Morphologic features of congenital acetabular dysplasia. One in six is retroverted. Clin Orthop. 2003;416:245–253. MacGregor AJ, Antoniades L, Matson M, et al. The genetic contribution to radiographic hip osteoarthritis in women. Arthritis Rheum. 2000;43:2410–2416. Radin EL. Who gets osteoarthritis and why? J Rheumatol. 2004;31(suppl 70):10–15. Reynolds D, Lucas J, Klaue K.
Progressive microfractures may result in a pathognomonic crescent sign, most readily visible on frog-leg lateral views (Fig. 4-1A). This represents precollapse of the weakened necrotic subchondral bone. The necrotic angle (measured referencing the center of the femoral head) can be calculated from plain films to stage the size of the necrotic region. This value is the sum of the angle of the necrotic segment as measured on both the anteroposterior and lateral radiographs. cls March 19, 2007 Chapter 4 / Osteonecrosis of the Femoral Head A 27 B Figure 4-1 Plain radiograph of the hip demonstrating adjacent sclerosis and lucency along with subchondral collapse or crescent sign (A).
Adult Reconstruction by Daniel J. Berry MD, Scott P. Steinmann MD, Paul Tornetta III MD, Thomas A. Einhorn MD