Download Articular Cartilage Defects of the Knee: Diagnosis and by E. Carlos Rodríguez-Merchán (auth.), E. Carlos PDF

By E. Carlos Rodríguez-Merchán (auth.), E. Carlos Rodrìguez-Merchán (eds.)

This e-book studies present wisdom at the analysis and therapy (surgical and non-surgical) of cartilage defects on the knee joint. within the dialogue of analysis, the point of interest is totally on imaging findings, rather these acquired with MRI. the rest of the ebook is dedicated to the complete variety of present conservative and surgical remedies, with realization to either remedy symptoms and effects as stated within the fresh literature. In reviewing non-surgical remedy, oral and intra-articular scientific administration is evaluated and rehabilitation and actual remedy also are thought of. the 3 major varieties of surgical process – microfracture surgical procedure and comparable methods, mosaicplasty and comparable recommendations, and autologous chondrocyte transplantation – are then broadly mentioned in a sequence of hugely informative chapters. This booklet may be of significant useful price for clinicians, aiding in day-by-day choice making.

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Extra info for Articular Cartilage Defects of the Knee: Diagnosis and Treatment

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2 Radiography Conventional radiographs (X-ray) are the initial radiologic study in most suspected knee disorders [11]. Radiographs demonstrate joint spaces and bones, but are relatively insensitive to softtissue conditions (except those composed largely of calcium or fat), destruction of medullary bone, and early loss of cartilage. A minimum examination consists of an anteroposterior (AP) and lateral projection (Fig. 1). For the early detection of articular cartilage loss, a posteroanterior (PA) radiograph of both knees with the patient standing and knees mildly flexed is a useful adjunct projection (Fig.

Watanabe A, Wada Y, Obata T et al (2006) Delayed gadolinium-enhanced MR to determine glycosaminoglycan concentration in reparative cartilage after autologous chondrocyte implantation: preliminary results. Radiology 239:201–208 25. Welsch GM, Mamisch T, Domayer S et al (2008) Cartilage T2 assessment at 3-T MR imaging: in vivo differentiation of normal hyaline cartilage from reparative tissue after two cartilage repair proceduresinitial experience. 1 Introduction The complexity of movement of the knee is possible due to the excellent properties of articular cartilage.

MRI has been shown to more accurately assess an arthropathy than radiography. MRI has obvious advantages, including the increased level of detail of soft-tissue and cartilage C. Martı´n-Herva´s 28 Fig. 5 T2 weighting fatsuppression coronal (a) and sagittal (b) the patient with osteochondritis dissecans lesion (arrow) and intraarticular loose bodies (arrowhead) changes and lack of ionising radiation, but it is more costly, less accessible, more time consuming and requires sedation in younger children.

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