Arthrography - download pdf or read online

By Murray K. Dalinka M.D. (auth.)

In fresh years, arthrography of the knee, this quarter, defining for the reader the intricacies shoulder, and hip has turn into more and more of the radiologic experiences and detailing the real within the evaluate of the various nuances of method that could expedite the problems which have an effect on those significant joints. the standard of the exam and increase the radiologist has assumed the fundamental position now not diagnostic acumen of the radiologist. This in basic terms in offering for the orthopedic clinician paintings, as well as its different many priceless a correct prognosis of abnormalities of those positive factors, is actually a "how to do it" treatise for joints, but additionally in defining anatomical info within the radiologist. a way hitherto unavailable or even un­ of serious curiosity are the chapters which deal suspected. in reality, it can be said that the with arthrography in joints and components frequently now not constructing radiologic innovations in arthrog­ thought of an immense a part of the diagnostic armamentarium of the radiologist or maybe raphy have partially rewritten the anatomical texts in terms of the conventional joints. considered via the orthopedic clinician. those during this very good paintings through Murray ok. Dalinka, comprise the ankle, hindfoot, elbow, wrist, and M. D. , arthrography of a few significant joints small joints of the hand and foot. The bankruptcy is taken into account intimately. Dr. Dalinka, a recog­ on arthrotomography of the temporomandib­ nized authority in skeletal radiology and par­ ular joint via Dr.

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128) and others (66, 111) have reported that the clinical diagnosis of cruciate ligament injury, as demonstrated by excessive mobility of the tibia on the femur, is inaccurate in the acutely injured knee. If the examination is performed under anesthesia, the clinical diagnosis is much improved. Furman et al. (69), working with fresh cadaver specimens, showed that a draw sign is obtained when the anterior medial cruciate band is severed. If the posterior lateral portion of the cruciate is injured with an intact anterior medial band, the draw sign will be negative.

Same patient. Small tear identified (arrow) ; however, the medial undersurface is still not visible in profile. Knee Arthrography 39 Discoid Medial Meniscus Although discoid lateral menisci are not uncommon the discoid medial meniscus is distinctly rare. Weiner and Rosenberg (188) reported a patient with associated flattening of the medial tibial plateau. Norman believes that the large medial meniscus in Blount's deformity is discoid (personal communication, 1975). If this is accepted, then at least in some cases the discoid medial meniscus represents hypertrophy secondary to abnormal weightbearing and stress.

They are usually linear, and they occur at the meniscal capsular junction. They may extend from the tibia to the femoral surface or maintain a partial peripheral attachment. Any sharp-pointed structure at the base of the capsular attachment of the medial meniscus is thought to represent a partial peripheral separation or residual of same (Fig. 1-38). This may be the basis for longitudinal meniscal tears ( 172). Peripheral separations of the posterior medial meniscus may be associated with abnormalities of the body of the meniscus.

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