Arthrography of the Knee Joint - download pdf or read online

By Prof. Dr. Cornelis Jacob Pieter Thijn (auth.)

ISBN-10: 3642463983

ISBN-13: 9783642463983

ISBN-10: 3642464009

ISBN-13: 9783642464003

It is a brilliant excitement to introduce this publication and its author to the reader. Dr. Thijn has been drawn to double distinction stories in view that he wrote his thesis at the double distinction examina­ tion of the colon. it should sound facetious to kingdom that when he exhausted this box, he was once short of another sector the place a similar approach can be used. even though, within the similar detailed and thorough means as in his colon reports, he has tested the knee joint. on account that the knee is among the such a lot seriously taxed joints in guy, with a mess of afflictions, a lot of them heavily attached with the age of the person, radiological investiga­ tion has proven only a few suggestions over the many years. the genuine anteroposterior and lateral projections have been ~ and nonetheless are ~ the mainstay of the research. Projections of the intercondylar fossa, and real patellar projections have been used by the way. simply sooner than global warfare II the appearance of arthrography as a double distinction research, as promoted by means of Oberholzer, was once a true breakthrough.

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The anterior horn far centrally In particular extends Fig. 60. Male, age 10. Projections of the lateral meniscus. Ruptured discoid lateral meniscus. Arthroscopy: corroboration Fig. 61. Female, age 10. Projections of the lateral meniscus. discoid lateral meniscus. Arthroscopy: corroboration luxated 45 Fig. 62. Male, age 51. Projections of the lateral meniscus. Ruptured and degenerated discoid lateral meniscus. Degenerative cavities in the meniscus communicate with the articular cavity (arrows) A discoid meniscus can give rise to symptoms of incarceration and ruptures.

The changes are initially found especially in the superficial parts of the meniscus, but later also in deeper parts. Gradual progression of the degenerative process leads to the formation of larger foci of fatty degeneration and circumscribed necrosis of cartilage. In such cases the regular, smooth meniscal surface assumes a spotted yellowish aspect, while at the same time small incisures and fissures are visible. Apart from this more diffuse degeneration of meniscal cartilage, there is localized cystic degeneration which usually affects the lateral meniscus.

Arthroscopic examination of this patient revealed no lesions. Incomplete separation between medial posterior horn and capsule is nearly always based on partial detachment of the medial meniscus (Fig. 38). Figure 39 shows a flaccid medial collateral ligament and a narrow fissure between the superior aspect of the medial meniscus and the capsule. Arthroscopic examination disclosed slight synovial proliferation at this site, and consequently some slight detachment of the medial meniscus is involved (which may have been more marked).

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Arthrography of the Knee Joint by Prof. Dr. Cornelis Jacob Pieter Thijn (auth.)


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