Ortopædisk kirurgi og knoglebrud

This vastly illustrated book offers a comprehensive survey of the role of imaging in the diagnosis of synovial tumors and tumor-like conditions. It gives an overview of the anatomy and histology of the synovium and discusses the classification, pathology, genetics and molecular biology of synovial tumors. The book presents the benefits of various imaging modalities in the diagnosis of these masses, which is important to provide appropriate treatment.Imaging of Synovial Tumors and Tumor-like Conditions will be a valuable resource not only for radiologists but also for orthopedic surgeons, oncologists, radiotherapists, and pathologists.

This comprehensive textbook, published in collaboration with ESSKA, now in a revised and updated second edition, covers all major shoulder problems and related arthroscopic treatments. Introductory sections on basic science and the principles of shoulder arthroscopy provide essential information with the aim of enhancing understanding of a wide range of key issues. Shoulder conditions and their treatments are then described according to a learning pathway that will allow readers to improve their knowledge and skills in shoulder arthroscopy, from simple, standardized techniques to more complex and advanced procedures. The new edition includes additional chapters and offers attractive recent surgical solutions to challenging shoulder conditions, such as severe bone loss in shoulder instability and massive and irreparable rotator cuff tears. All chapters are written by expert arthroscopic surgeons who present decision-making algorithms for diagnosis and treatment, provide step-by-step instructions on arthroscopic techniques, identify pitfalls, and describe their personal tips and pearls. A dedicated section on outcomes measurements and experimental models explains the principles of outcome research on the topics addressed in the book.

This book offers an updated guide to the foot and ankle, and presents them at different ages, which will allow the reader to analyze and understand how the foot develops from the early stages to adulthood. It provides a general overview of the anatomy, biomechanics, diagnosis, surgical approaches, treatment alternatives, and complications in connection with pediatric and adult foot and ankle problems, gathering in-depth information on frequent pathologies in a single source.Written by world-renowned experts, the book offers various points of view on the topics discussed. This comparative approach is generally lacking in foot and ankle literature, an oversight that the book addresses.The content consists of 59 chapters, divided into the following major sections: Basic sciences and general considerations, Pediatric orthopedics and traumatology, Adult orthopedics and Adult sports lesions and traumatology.Foot and Ankle Disorders: A Comprehensive Approach in Pediatric and Adult Populations will be of major interest for orthopedic surgery residents, for orthopedic surgeons who are starting their careers, and for experienced ones seeking updated information on the foot and ankle.

In recent decades, the advances in and consolidation of Intraoperative Neurophysiological Monitoring (IOM) in several highly complex surgical areas have been undeniable.Currently all modalities of neurophysiological tests (SSEP, MEP, EMG, PEATC, VEP, BRAIN MAPPING, ETC) are performed in the operating room, where they are used to provide trans operative information on the patient's neurological status in real time (monitoring), and to identify neural structures which are at immediate risk (mapping). With the inarguably positive impact of IOM on surgical outcomes, there is an increasing interest in reliable, technically focused literature. This volume provides cutting-edge information in the field of IOM, and highlights new neurophysiological tools being used in various surgeries.The book's initial sections cover a range of topics, including an anatomical overview, electrical safety, and detailed technical descriptions of the neurophysiological tests used in IOM. The subsequent sections address e.g. the brain, brainstem, spinal cord, vascular and peripheral nerves, epilepsy, head and neck, movement disorders and special topics.Some chapters are accompanied by videos of surgeries and IOM so that the reader will have the real sensation of having been in the operating room and will gain an overview of the key steps.Written by experts in the field of IOM, the book offers a valuable resource for both experienced and early-career neurophysiologists, neurosurgeons, vascular and orthopedic surgeons, and surgeons involved with pelvic procedures. Further, its goal is to provide a real rapport, never before attained, between neurophysiologists and surgeons with a sole focus: excellence in terms of the final outcome.

This book reviews current state-of-the-art knowledge on knee surgery, covering all relevant topics, ranging from meniscus repair and anterior cruciate ligament reconstruction to total knee arthroplasty.Although many of the interventions to treat meniscal, anterior cruciate ligament, patellofemoral osteoarthritis and femorotibial osteoarthritis are globally accepted, there are still many controversies as to which one is the most appropriate for each injury.Written by orthopedic surgeons from leading institutions specialized in the treatment of knee injuries, this volume critically discusses and sheds new light on these controversies.

This book provides an extensive overview of the role of imaging in the detection, diagnosis, management, and follow-up of tuberculosis. Chapters cover the disease's epidemiology and pathophysiology, microbiological diagnosis and pathology relevant to radiologists, and the distinct aspects of imaging tuberculosis at various locations and body systems. This book discusses recent advances in imaging pertaining to tuberculosis, and addresses the approach to patients with tuberculosis and HIV co-infection. The final chapter offers an algorithmic approach to the diagnosis and management steps of tuberculosis. Imaging of Tuberculosis is an updated and comprehensive reference source that covers imaging of tuberculosis in a structured fashion and is valuable for radiologists.

The book, in its second edition, is devoted to the neurosurgical management of spasticity and focal dystonia. Starting with a chapter on the anatomical and physiological bases of spasticity and a short history of its neurosurgical treatment, it describes the neurosurgical methods currently available. As management differs between adults and children, the book is also structured accordingly, including evaluation, decision-making, Intrathecal Baclofen therapy (ITB), Botulinum toxin therapy and Surgery. The large spectrum of scales for assessing hypertonia, spasticity, dystonia, contracture and joint/bone deformities, as well as the scoring systems for quantifying functional abilities are critically reviewed. Beyond ITB, the neurosurgical options covered include the microsurgical procedures focusing on the peripheral nerves, dorsal roots, Dorsal Root Entry Zone and spinal cord, and their intra-operative monitoring.In this second edition, the orthopedic surgical interventions available will take a large place, either as alternative solutions , or even better as important complements after spasticity be solved by the neurosurgical treatments.Based on surgical experience collected with more than a thousand and eight-hundred patients, the book gathers the most important aspects of our present understanding, presented using a practical, educational approach. It stresses the importance of a multidisciplinary approach, including neurologists, pediatricians and rehabilitation specialists. Close collaborations with other surgical disciplines like orthopedic surgery and neuro-urology are outlined.

This book is an entirely revised second edition of "Imaging of the Knee", published in 2003, and provides an up-to-date comprehensive review of imaging and pathologies of the knee. In the first part of the book, the various techniques employed when imaging the knee are discussed in detail. Individual chapters are devoted to radiography, arthrography, computed tomography and CT arthrography, magnetic resonance imaging and MR arthrography, and ultrasonography. The second part then documents the application of these techniques to the diverse clinical problems and diseases encountered in the knee. Among the many topics addressed are congenital and developmental abnormalities, trauma, meniscal pathology, the cruciate and collateral ligaments, the postoperative knee, infection, arthritis, osteochondritis, osteonecrosis and tumors. Each chapter is written by an acknowledged expert in the field, and a wealth of illustrative material is included. This book will be of great value to radiologists and orthopaedic surgeons.

Pediatric musculoskeletal infections are common globally and represent about 1-2% of all pediatric hospital admissions in the developed world and about 10-20% of admissions in the developing countries. If untreated or treated inadequately, pediatric bone and joint infections can cause significant mortality and morbidity. The functional and economic burden to the family and community at large also presents a significant public health problem.This book serves as an evidence-based, comprehensive review of the current concepts for the early diagnosis and management of pediatric musculoskeletal infections. Currently, there are no comprehensive, easily accessible books on this topic. This first of its kind book also uses a multidisciplinary and global approach by including contributions from editors and authors worldwide. The long-term goal of this text is to help improve the quality of care provided to children with musculoskeletal infections improve patient safety, reduce the cost of care, and add value to the care provided to these children and thus reduce the economic burden.Broken up into five sections, the first part of this text covers the epidemiology, microbiology, pathological consequences, antibiotic therapies, systemic effects, and imaging modalities of pediatric musculoskeletal infections. Section two takes a detailed look at acute pediatric musculoskeletal infections.  Infections discussed in this section include acute hematogenous osteomyelitis, septic arthritis, pyomyositis, complex musculoskeletal infections, musculoskeletal infections in the neonate and acute surgical site infection after pediatric orthopedic surgery. Section three focuses on chronic osteomyelitis and its sequelae. Section four examines anatomic region-specific considerations in musculoskeletal infections. The topics that are expanded upon are epiphyseal osteomyelitis, Pediatric hand and foot infections, tuberculosis of the axial and the appendicular skeleton, and non-tuberculous infections of the spine. Finally, the fifth section includes an overview of less common musculoskeletal conditions such as, fungal infections, brucellosis, hydatid disease, gas gangrene, viral musculoskeletal infection and meningococcal infections.Written by experts in the field, Pediatric Musculoskeletal Infections: Principles and Practice serves as an easily accessible resource for a global audience of healthcare providers from multiple disciplines to aid them in making informed decisions while managing pediatric bone and joint infections. Paediatricians, orthopedic surgeons, infectious disease physicians, radiologists, pathologists, family physicians and any other healthcare providers involved in the care of children with musculoskeletal infections will find immense value in this reference as will medical students, residents and fellows.

Total Knee Arthroplasty: Medical and Biomedical Engineering and Science Concepts provides an extensive overview of the most recent advancements in total knee arthroplasty (TKA) through a thorough review of the literature in medicine, engineering, and technology. Coverage includes the most recent engineering and computing techniques, such as robotics, biomechanics, artificial intelligence (AI), deep learning (DL), machine learning (ML), and optimization, as well as the medical and surgical aspects of pre-existing conditions, surgical procedure types, surgical complications, patient care, and psychological factors. This book will be a valuable introduction to TKA concepts and advances for academics, students, and researchers.

This book presents multiple aspects of spine care from the perspective of different disciplines. It's organized by sections focused on non-operative care, spine injections and procedures, perioperative care, operative care, pediatric care, and special topics. Each chapter has been written by a clinician whose active practice involves the topic of their chapter. Practical and clinically relevant, this book educates any practitioner who cares for patients with back and neck pain and other spine conditions about implementing a multidisciplinary team to treat the spine. 

Now in a fully revised and expanded second edition, this comprehensive text remains the definitive source for information related to the care of adult and pediatric patients with spondylolisthesis. It presents a complete analysis of this common yet intricate spinal condition, including basic science, diagnosis, non-surgical management, surgical techniques (including minimally invasive options and biologics) and outcomes. The management of the various types of spondylolisthesis requires a thorough understanding of both fundamental principles and subtle nuances, which are highlighted here in three sections. Part I details the basic principles, diagnosis and non-surgical management of spondylolisthesis, including anatomy and biomechanics, clinical evaluation of both adult and pediatric patients, and imaging and classification. Part II covers surgical management with a step-by-step discussion of strategies, techniques and tips that are necessary to apply standard proceduresto this specific disorder. Procedures that are covered here include decompression, spinal fusion from various approaches, and the latest minimally invasive and endoscopic techniques. Part III discusses the outcomes and complications of surgical treatment, as well as interoperative neuro-monitoring and value considerations. Written and edited by top clinicians in the field, Spondylolisthesis remains an invaluable resource for orthopedic and neurological spine surgeons, rehabilitation physicians, residents, fellows, and any caregiver who treats the spine.

In this book recognized world-renowned expert authors expose the state of the art on musculoskeletal ultrasound elastography.Low cost, wide dissemination and accuracy in the evaluation of the musculoskeletal structures, nerves, periosseous soft parts, vascular structures, together with the possibility of performing real time dynamic studies, made the ultrasound technique widely spread among sonographers and musculoskeletal radiologists.Each chapter presents a description of the elastographic semiotics of the main pathologies of the musculoskeletal system and soft tissue, images that represent both routine and more complex clinical cases in a practical and schematic way and summary tables on the characteristics in terms of elasticity found in the main pathologies.A wealth of color images as well as dynamic images and tables complete the book, that will be a useful tool for sonographers , radiologists, orthopedists, sports medicine specialists wishing to expand their knowledge on ultrasound elastography.

This book is an invaluable resource for all those seeking to enhance their proficiency in physical examination. Emphasizing its importance for thorough assessments and accurate diagnoses, it equips practitioners with comprehensive theoretical and practical knowledge. With seven sections devoted to different orthopedic structures, the book meticulously examines their underlying anatomy, pathological conditions, and diagnostic methodologies. Each author presents joint-specific tests, and detailed anatomical insights, enabling accurate assessments and identification of underlying conditions.Written and edited by members of ISAKOS, this collaboration draws upon the expertise of leading international experts. Appealing to a broad readership, it is an invaluable tool for orthopedists, sports medicine physicians, physical therapists, athletic trainers and students.

This book is a reference source containing all the relevant information about Developmental Dysplasia of the Hip (DDH), for people who practice or utilize hip sonography for the early detection and treatment of DDH. It aims at improving the population screening for DDH, thus contributing to the elimination of the disorder and its devastating consequences.What makes this book different from existing literature is the fact that, apart from the (updated) information about the disorder (including development, pathophysiology, etiology, pathogenesis, risk factors etc.) and a short technical guidance, the reader will find all relevant knowledge to organize training and set up screening.  This includes analysis of the rationale behind universal sonographic screening, a comparative presentation of the sonographic techniques, teaching course structure / management and setting up a screening service, including audit, quality control of the scans etc.Special chapters about radiological diagnosis, imaging the consequences of non-diagnosis or maltreatment of the disorder, clinical management of DDH cases and shaping the future of hip sonography, are also provided.The book will be of interest to any medical doctor, but in particular to those working in the fields of radiology, pediatrics, orthopedics or general medicine, sonographers performing hip scans, or specialist nurses dealing with DDH.

Back pain is the one of the world's greatest public health challenges. It is the leading reason we visit the doctor, the leading reason we take time off work, the biggest cause of disability worldwide. One in 10 people will develop chronic back pain. And rates are growing. A multi-billion dollar industry exists that claims it can fix back pain, by shrinking discs, melting nerves, cutting spines up and putting them back together. Yet leading experts say that more often than not, all this expensive medicine is making things worse. Liam Mannix is one of the many who experience back pain, and he takes this as a starting point for this compelling and urgent work of investigative journalism. A theory has emerged, born from cutting-edge neuroscience, that claims back pain often has little to do with the back or the discs or the spine. Instead, back pain is all about the brain. This new science offers new solutions, including, remarkably, evidence that just by teaching people this theory of pain we can reduce it.

¿Der ulnokarpale Schmerz entspringt aus einer funktionell äußerst wichtigen Region am Handgelenk. Aufgrund der Komplexität der Strukturen ist einerseits die Kenntnis der Anatomie und andererseits das Verständnis der Biomechanik dieser Gelenkregion essentiell für eine zielgerichtete Untersuchung und Diagnostik. Nach Darlegung dieser Grundlagen werden die häufigsten Differentialdiagnosen, von traumatisch bedingten Läsionen über degenerative Alterationen bis zu angeborene Pathologien vorgestellt und die möglichen konservativen bzw. operativen Therapiemöglichkeiten präsentiert.

Anterior cruciate ligament reconstruction is one of the most common procedures performed in sports medicine centers. However, these procedures can carry a long-term failure rate as high as 5-15%%, and when these procedures fail, revision is significantly more complex. Considerable factors need to be assessed in patients that are indicated for surgery, as revisions carry a higher failure rate and potentially less optimal outcomes and return to sport and activity. These factors include, but are not limited to, the status of the meniscus, overall alignment, graft options, placement of prior implants or tunnels, collateral ligament quality, and whether or not the revision must be staged into two procedures.  This text provides a comprehensive, case-based presentation of the most efficient and practical treatment algorithms for patients in need of revision ACL repair and reconstruction. Opening chapters discuss the initial patient work-up, radiography, surgical indications, graft options, and pre-operative considerations and preparations. The main portion of the book then describes both common factors leading to revision surgery as well as the surgical techniques themselves, illustrated via plentiful operative photos and vivid clinical case material. The management of osteolysis, ligamentous laxity, extra-articular tenodesis, plane correction, and meniscus deficiency, among others, are discussed in detail. Special populations, such as the pediatric patient, the elite athlete and the female athlete, are discussed as well. Shedding light on this challenging surgical repair, Revision Anterior Cruciate Ligament Reconstruction is the go-to resource for sports medicine and orthopedic surgeons, knee specialists and residents and fellows in these areas. 

In recent years, the direct anterior approach (DAA) has become a fundamental component of hip reconstruction in modern orthopaedic surgical practice. The Direct Anterior Approach to Hip Reconstruction, Second Edition is a comprehensive and highly practical guide that addresses patient anatomy, surgical techniques, and emphasizes risk avoidance when using the DAA. Continuing the pioneering work of Dr. Kristaps J. Keggi, this entirely new and expanded edition, offers the world’s most definitive single reference for surgeons aiming to improve patient care and enhance outcomes by expanding their technical capabilities for hip reconstructive surgery with the DAA.

Dieser Ratgeber hilft allen Menschen, die unter Hüftproblemen leiden. Hier erfahren sie mehr über Ihre Krankheit, verstehen damit die Zusammenhänge besser und können empfohlene Behandlungen nachvollziehen. Darüber hinaus lernen Betroffene, was sie selbst gegen die Beschwerden tun können, denn gerade bei Hüfterkrankungen kann und sollte der Patient vieles selbst tun, um die Belastbarkeit zu verbessern und Beschwerden entgegenzuwirken. Ein Video-gestütztes Trainingsprogramm dient als Information und Schulung; die enthaltenen Videos zeigen Übungen und geben Tipps für richtige Verhaltensmaßnahmen und ein gezieltes Training. Patienten sprechen immer wieder Fragen und Probleme an - auch darauf geht dieser Ratgeber gezielt ein. Mittels der Prinzipien der Hüftschule ist es heute möglich, mit Verhaltensmaßnahmen und gezielten Übungen eine Vielzahl von Beschwerden ohne Operation erfolgreich zu behandeln. Der Autor und seine Arbeitsgruppe sind mit dem höchst dotierten Preis für Prävention in Deutschland ausgezeichnet worden. Empfohlen vom Berufsverband für Orthopädie und Unfallchirurgie, vom VDB-Physiotherapieverband ¿ Berufs- und Wirtschaftsverband der Selbständigen in der Physiotherapie und dem Deutschen Verband für Physiotherapie (ZVK) e.V.

Dieses essential ist konzipiert, Ärzte aller Disziplinen bei der Beratung und Führung von Patienten mit Osteoporose zu ¿leiten¿, die richtigen diagnostischen und therapeutischen Entscheidungen in der Praxis zu treffen und die notwendige interdisziplinäre Zusammenarbeit einzuleiten ¿¿und nicht erst warten, bis der Knochen bricht.¿

This book comprehensively discusses the medical aspects of sports climbing, a still young but emerging sport, which will be one of the disciplines at the Tokyo Olympics.  Its rapid development from niche to popular sport has been accompanied by an increase in the number of climbing-sports-specific injuries and has attracted growing interest within the sports medicine community.Gathering expertise from around the globe, the book covers all aspects related to this discipline - from physiology, biomechanics and anatomy through upper and lower extremity injuries to cardiology, gynecology, pediatric and adolescent conditions. Following a coherent structure, each chapter equips readers with evidence-based diagnostic and therapeutic guidelines.Enriched by a wealth of pictures, this manual offers a timely and up-to-date resource for sports physicians, orthopedic surgeons and traumatologists, as well as trainers, physiotherapists and other health professionals involved in climbing.

This book comprehensively discusses both the history and the current concepts of modern hip preservation surgery. Offering an overview of the game-changing studies on the hip and pelvis vascular anatomy it thoroughly describes the evolution of a new and comprehensive pathophysiology of the hip joint degeneration. Moreover, in the first part, particular emphasis is devoted to the history and current knowledge of femoroacetabular impingement and hip dysplasia.The second part examines the main surgical procedures that have evolved and matured since the 1980s, culminating in a new class of open surgical approaches, such as hip surgical dislocation, periacetabular osteotomies, proximal femoral osteotomies and corrections, and widening the door for hip-arthroscopy. Based on over 40 years of practical and pioneering experience by the editor and 15 years of collaboration with the GICCA Study Group, this book offers a valuable resource to residents, researchers and practicing orthopedic surgeon wishing to gain insights into hip preservation surgery.

Integrating MRI findings associated with the spectrum of problems seen in the most commonly treated joints in sports medicine with the diagnostic findings seen during arthroscopy of the same joint in the same patient, this unique text correlates this pathology and applies these findings to the clinic, the radiology reading room and the operating suite. Representing a microcosm of daily patient care, this atlas of interactive correlation is an exceedingly effective tool for education and continued learning, an impetus for interdisciplinary research collaboration, and a critical part of an approach to optimum patient care. Furthermore, this case-based correlation between MRI imaging and arthroscopic findings and treatment has been a well-received and effective method for teaching and discussion at meetings and instructional courses.The second edition of this popular case atlas is organized into five sections highlighting the major joints in which MRI and arthroscopy are most commonly used in sports medicine: knee, shoulder, elbow, hip, and a brand new section on the ankle. Chapters have been reformatted to a consistent presentation, beginning with an overview of the specific disease entity and followed by selected cases chosen by the chapter authors that best illustrate common or noteworthy disease entities or pathology, with an emphasis on the parallel MRI imaging and arthroscopic findings. Throughout the text, updated arthroscopy images reflect current surgical techniques, many of which have changed significantly since the original edition was published. Authors and section editors, many new to this edition, are nationally recognized experts, teachers and pioneers in their respective areas of sports medicine and have covered the gamut of topics in each of their sections.Taken together, this will be an invaluable resource for sports medicine specialists, orthopedic surgeons and musculoskeletal radiologists alike, promoting increasingly accurate diagnoses of pathology and advanced treatment options to aid in the optimization of patient care and recovery.

Anterior hip replacement is a surgical approach that has dramatically changed the landscape of modern hip replacement. The approach is common to orthopedic trauma surgery, but it has been rapidly adopted in recent years for hip replacement as well. Its proposed benefits as a muscle-sparing surgery include less tissue trauma, faster recovery, and fewer hip precautions. While the technique can be challenging during initial learning and early adoption, the approach continues to increase in utilization in the U.S. every year because of these benefits. Understanding the initial development of the anterior surgical approach for hip replacement creates the foundation to better understand its modern clinical benefits and possibilities with advanced techniques. Furthermore, a detailed description of the reasoning behind the continued developments of the anterior approach helps in understanding the key elements needed to obtain the most successful outcomes.With the continued adoption of this technically challenging technique, there is a need for a comprehensive resource for newly adopting surgeons and surgeons in training, but also for experienced surgeons looking to enhance their skill sets. Written by experts in the field, this book presents the tips and tricks learned after years of experience by a wide spectrum of surgeons. Parts 1 and 2 describe the origin and background of the anterior approach for hip replacement, with early lessons learned, important tips when training others, and how to master the operating table and c-arm. Parts 3 and 4 cover hip biomechanics and variations on techniques and technologies, respectively, while part 5 is a unique compilation of surgeons' perspectives on managing common aspects of the approach. Revision surgery is described in part 6, and future directions for the technique are discussed in part 7, along with emerging navigation and technologies.Every year, there is an increasing number of orthopedic surgeons learning and adopting the anterior hip approach who would benefit from the resources in this book, which will serve as a critical learning tool for training surgeons and also as the go-to reference for optimizing current use and advancing future possibilities of the approach.