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

ISBN-10: 1461260574

ISBN-13: 9781461260578

ISBN-10: 1461260590

ISBN-13: 9781461260592

In contemporary years, arthrography of the knee, this zone, defining for the reader the intricacies shoulder, and hip has develop into more and more of the radiologic stories and detailing the real within the review of the various nuances of process which can expedite the issues which have an effect on those significant joints. the standard of the exam and improve the radiologist has assumed the basic function now not diagnostic acumen of the radiologist. This merely in offering for the orthopedic clinician paintings, as well as its different many priceless a correct prognosis of abnormalities of those good points, is actually a "how to do it" treatise for joints, but in addition 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 acknowledged that the with arthrography in joints and components usually no longer constructing radiologic innovations in arthrog­ thought of an enormous a part of the diagnostic armamentarium of the radiologist or maybe raphy have partially rewritten the anatomical texts when it comes to the traditional joints. considered through the orthopedic clinician. those during this first-class paintings by way of 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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1-83. Discoid medial meniscus. The meniscus (arrow) extends almost to the intercondylar notch. (Courtesy of Dr. D. ) higher in the lateral meniscus than the medial, which may account for the significantly lower incidence of lateral degeneration. The horizontal cleavage tear usually occurs in a previously degenerated meniscus. Noble and Hamblen (148) examined both knees of 100 randomly autopsied patients with an average age of 65. Degenerative tears were present in 60% of cases and 29% of all menisci; the tears were massive in 25% of the cadavers studied.

Density (arrowhead) within meniscus . Is this a tear? B. Slight positional change indicates displaced inner fragment of a bucket-handle tear (arrow). Knee Arthrography Lateral Tears Lateral meniscal anatomy is more complex than medial because of the separation of the meniscus from the capsule posteriorly by the popliteal hiatus and tendon sheath (Fig. 1-53). In the past, authors have commented upon the difficulty in diagnosing lateral meniscal tears; many of these studies utilized the horizontal beam or positive-contrast techniques.

This fold is considered the vestige of the inferior boundary of the once separate patellofemoral joint space. It is closely related anatomically to the anterior cruciate ligament, but its attachments are anterior and superior to it (51). When the posterior cruciate ligament is clearly visible and the anterior cruciate is not identified, the anterior cruciate ligament is torn. If the anterior cruciate ligament is irregular, bowed (Fig. 1-100) or partially visible (Fig. 1-10 1), it is abnormal. On occasion a torn cruciate ligament may become detached and appear as a loose body (Fig.

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Arthrography by Murray K. Dalinka M.D. (auth.)


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