A concise, insightful guide to foot and ankle surgeries from master orthopaedic foot and ankle surgeon Steven Raikin Foot and ankle problems such as injuries, arthritis, congenital and acquired deformities, tendenopathies, heel pain, and nerve damage account for a large percentage of orthopaedic conditions. A better understanding of the biomechanics of the foot and ankle and improved outcome research have led to considerable advances in foot surgery techniques, superior results, and improved functional outcomes. Foot and Ankle Surgery: Tricks of the Trade by renowned foot and ankle specialist Steven Raikin and experts from 12 countries, presents step-by-step guidance on the latest foot and ankle surgery procedures. Each succinct, consistently organized chapter takes the reader from patient assessment, diagnostic evaluations and patient selection to surgical planning and positioning, the procedure itself, how to handle complications, postoperative management, and the authors' pearls and surgical tips. The book is divided into forefoot, midfoot, hindfoot, nerve, and ankle pathologies, encompassing commonly performed reconstructive and traumatic procedures. Different techniques are discussed for similar pathologies, such as open and arthroscopic lateral ankle ligament reconstruction, and augmentation options utilizing tendon allograft or an internal brace. Key Features Discussion of six different total ankle replacement systems, many written by designers of the systems themselves, affords unique insights A full spectrum of techniques to correct plantar plate tears, hallux valgus, tarsal tunnel syndrome, drop-foot, midfoot arthritis and deformity, tibial tendon dysfunction, Achilles rupture, osteochondral lesions of the talus, ankle fractures, and more Tricks and pearls for optimizing procedural performance, managing hazards and pitfalls, and preventing or resolving intraoperative complications A mix of 500 high quality artist illustrations and intraoperative photographs delineate anatomy and procedures This highly practical book provides a robust teaching tool for orthopaedic procedures of the foot and ankle. Orthopaedic residents, foot and ankle surgeons, and podiatrists will benefit from clinical pearls and tips from top experts who made major significant contributions to this subspecialty.

The Atlas of Peripheral Regional Anesthesia: Anatomy and Techniques, Third Edition is a comprehensively revised reference that provides readers with essential anatomical knowledge along with step-by-step instructions on how to perform even the most complex regional anesthesia procedures with particular focus on ultrasound-guided techniques. This new edition is enhanced with over 700 full-color illustrations as well as an extensive selection of videos on Thieme's MediaCenter. Key Features of the Third Edition: More than 250 new and updated figures, anatomical illustrations, and cadaver dissection photos which demonstrate the techniques New section describing the general aspects of ultrasound imaging in performing peripheral nerve blocks New section on pediatric regional anesthesia Online access to more than 250 video films of the techniques This new edition is an invaluable resource for all anesthesiologists, orthopedists, and pain management physicians involved in the administration of regional anesthesia.

Pocket Atlas of Spine Surgery, 2nd Edition by Kern Singh and Alexander Vaccaro is unique in its presentation, utilizing multilayered visuals to delineate the most commonly performed spine procedures. High-definition intraoperative photographs are juxtaposed with translucent anatomic drawings. This facilitates visualization of both the entire surgical field and complex anatomy never "seen" during surgery. It also provides greater insights into the subtleties of both open and technically demanding minimally invasive spine surgery techniques. Unlike many large spine surgery atlases, this is the perfect, on-the-go, pocket-size resource for busy spine surgeons who work in any clinical setting. From the cervical to lumbar spine, 21 concise chapters reflect the collective technical expertise of internationally renowned spine surgeons. Easy-to-follow guidance is provided on fundamental open and minimally invasive techniques, including pedicle screw placement, fusion, discectomy, corpectomy, foraminotomy, laminoplasty, and laminectomy. Each procedural chapter focuses on the importance of accurate visualization, adequate homeostasis, and impacted anatomical structures. Insightful tips, pearls, and potential pitfalls throughout the book expedite acquisition of knowledge Nearly 200 detailed, clearly labeled images of common spine procedures provide invaluable anatomical and clinical guidance Expanded insights on positioning in spine surgery Added discussion of surgical challenges, including warnings and descriptions of internervous planes Orthopaedic surgeons, neurosurgeons, and surgical trainees will discover an indispensable and friendly white coat reference for everyday practice. The visually rich atlas will also benefit physician assistants, surgical nurses, and all practitioners involved in the operative care of spine surgery patients.

Textbook and Atlas of Neural Therapy Neural therapy is widely used throughout Europe and is rapidly gaining worldwide acceptance in the therapeutic armamentarium. It is known to provide instant relief of pain, improved motion, and return of function and can be used for a variety of health problems unresolved by other methods. This book covers the methodology, indications, and techniques for injecting local anesthetics to specific nerve and tissue sites to restore proper biological function. With this striking visual guide at hand, even physicians without prior experience in neural therapy should be able to implement the techniques successfully in their everyday practice. Key Features: Unique "hybrid" illustrations composed of body photographs and drawings of underlying anatomy on the skin clarify the anatomic landmarks for pinpointing the best sites for injections Useful as a primary teaching tool, but also to add value to the general practitioner's or surgeon's existing practice Concise explanatory texts on facing pages support the images Barop's Textbook and Atlas of Neural Therapy will be valued by all students and practitioners involved in the treatment of patients with chronic pain syndromes.

This comprehensive book serves as a guide in the day-to-day management of patients with idiopathic inflammatory myopathies (IIM), with a particular emphasis on adult dermatomyositis (DM), polymyositis (PM), juvenile dermatomyositis, necrotizing myositis, and inclusion body myositis. Practical in nature, it presents IIM concepts in a straightforward fashion, with high-quality figures, algorithms, and flowcharts supplementing each of the expertly authored chapters. The book begins with an introduction to myositis, providing an overview of the myositis basics and what type of patient is affected. Subsequent chapters are organized by the sequence in which a physician often manages myositis, from initial presentation and workup, to diagnosis, treatment, and finally prognostic and long-term outcome factors. The key differentials in various diagnostic studies are thoroughly examined, including electromyography, muscle biopsy, and MRI. Managing Myositis: A Practical Guide is an easy to-read, indispensable resource for internists, rheumatologists, dermatologists, pulmonologists, and neurologists.

The University of Florida has an ambitious goal: to harness the power of its faculty, staff, students, and alumni to solve some of society's most pressing problems and to become a resource for the state of Florida, the nation, and the world. In the upcoming decades, an unprecedented demographic shift will take place; the eighty-five and over population is projected to climb far higher than any other age group. To keep the current elderly population healthy and help prevent future generations from experiencing poor health outcomes, researchers are studying crucial connections between skeletal muscles and whole-body health. The University of Florida is at the forefront of this research, utilizing its nationally recognized excellence in the fields of muscle biology and exercise physiology to discover unique ways to preserve muscle health in the aging and those with diseases. Find out how the proteins within muscle can be manipulated to reduce recovery times for individuals who are bedridden. Learn how older, elite athletes have resisted the inevitable degeneration that comes with aging, and how intermittent fasting may help you live longer and healthier. Step inside the lab where a researcher is uncovering the origins of cancer cachexia a wasting syndrome responsible for 20 percent of cancer deaths worldwide to improve the lives of patients. The loss of skeletal muscle through disease, disuse, or aging is associated with a host of poor health outcomes, but promising new avenues of research are being studied every day at the University of Florida to make for a healthier tomorrow.

Most patients with orthopedic or trauma conditions are treated by surgeons working in community hospitals. Even though this group of surgeons provides care to the majority of patients worldwide, very little research has been done on their continued professional development (CPD) needs. Culminating two years of study, this publication shares the discoveries of the author on the learning gaps and preferences of community hospital surgeons. It reveals the challenges these surgeons face when attempting to solve unique clinical problems and meet their medical education requirements and outlines potential solutions.

This textbook accumulates the latest global knowledge on periprosthetic fractures, including all relevant anatomical regions, surgical pitfalls, complex cases, and a brand new comprehensive Unified Classification System, (UCS) on periprosthetic fractures, combining the original Vancouver classification with the AO/OTA Fracture and Dislocation Classification. Carefully selected case studies illustrate and describe individual solutions for often problematic fracture situations, providing comprehensive information from experts globally. Orthopedic and trauma surgeons will be able to expand their knowledge regarding: Risk factors and assessment of periprosthetic fractures and the patient A new Unified Classification System (UCS) Options and choices of fracture fixations techniques as well as more complex revisions or reconstructive procedures More than 350 pages containing superb illustrations and images. Hear the authors discuss Periprosthetic Fracture Management.

When a radiological image includes unfamiliar features, how do you decide whether it is normal variation or pathological abnormality? If you decide an abnormality is present, can you make a diagnosis from the image alone? Pearls and Pitfalls in Musculoskeletal Imaging differentiates less common findings or normal variant mimickers from the more common similar appearing diseases, helping you make a quick and accurate diagnosis. Musculoskeletal disorders of the shoulder, upper extremity, pelvis, and lower extremity are described in over 90 cases, highly illustrated with over 300 radiographic, CT, MRI and ultrasound images. Each case follows a standard format: imaging description, importance, typical clinical scenario, differential diagnosis and teaching point, enabling you to locate key information quickly. Pearls and Pitfalls in Musculoskeletal Imaging will help you spot artifacts, mimics and other unusual conditions, enabling you to avoid misdiagnosis and prevent mismanagement. An essential diagnostic tool for radiologists at every level.

The definitive guide to thoracic spine pathologies and state-of-the-art surgical approaches Surgery of the Thoracic Spine: Principles and Techniques by renowned spine surgeons Ali Baaj, Kumar Kakarla, and Han Jo Kim fills a gap in the literature, with content focused solely on pathologies and surgical techniques of the thoracic spine and vertebral column. Starting with a thoughtful discussion on the uniqueness of the thoracic region as it relates to pulmonary function, the richly illustrated textbook covers a full spectrum of topics from biomechanics and anesthetic considerations to neuromonitoring and neuronavigation. With contributions from a cadre of distinguished experts, the book encompasses pathophysiology, surgical techniques, and reconstructive strategies for common degenerative, congenital, oncologic, and traumatic diseases of the thoracic spine. Dedicated chapters cover treatment options for different types of scoliosis, Scheuermann kyphosis, proximal junctional deformity, and posttraumatic deformity. Key Features Treatment of common degenerative conditions including stenosis and disc herniations Management of less common inflammatory and infectious spinal diseases such as spondylarthropathies, osteomyelitis, discitis, and fungal and tubercular infections Oncologic topics including primary, intradural extramedullary, and intramedullary spinal cord tumors and thoracic spine metastases Surgical treatment of pediatric and adult deformities including congenital, idiopathic, and degenerative scoliosis Classification of thoracic spinal fractures, discussion of complete and incomplete thoracic spinal cord injuries, posterior and ventral treatment of thoracic spine fractures, and osteoporotic compression fractures This is an invaluable evaluation and management tool for neurosurgical and orthopaedic residents and practicing spine surgeons who treat patients with common to complex thoracic spinal pathologies. This book includes complimentary access to a digital copy on https://medone.thieme.com.

The importance of the initial diagnosis and subsequent management of scoliosis is crucial as it affects the patients future. Initial diagnosis is highly important in orientating the patient and correlating available therapeutic means to the expected results. Since the 1900s, the surgical approach to scoliosis has changed as thoughts and possibilities have evolved. Nowadays, progressive spinal deformities can be managed with specific orthopedic devices or vertebral arthrodesis surgery, depending on the age of the patient. Additionally, the type and extent of scoliotic deformity as well as on the presence of comorbidities have aided in the transforming of these methods. Arthrodesis is not considered the best treatment for younger patients; however, it becomes almost inevitable to cure important deformities of the spine in older children. Surgical fusion in patients with severe scoliosis can improve the deformity, but the spine is rendered more rigid and spinal growth is subsequently affected. The information contained in this clinical book are derived from the valuable experience of over 40 authors and co-authors from all over the world, and we hope this format will help the reader at the critical junctures to which decisions must be made. All the participants provided their own analysis, and their therapeutic choices and contributions have served this project well. This book would not exist without their efforts, diligence and commitment. This clinical book is an opportunity for every physician and surgeon dealing with children and adolescents with scoliosis to obtain updates concerning actual trends and knowledge in this field of study.

Master spine surgeons Alexander R. Vaccaro, Richard G. Fessler, and a cadre of esteemed co-editors have compiled the most comprehensive textbook to date detailing minimally invasive spine (MIS) versus open spine surgery techniques. Controversies in Spine Surgery, MIS versus OPEN: Best Evidence Recommendations features debates by renowned experts on one of the most provocative topics in spine surgery. Twenty-four chapters systematically organized into four sections - degenerative, trauma, tumor, and other issues, cover procedures and underlying pathologies, backed by a large, diverse body of literature. MIS and open approaches are thoroughly compared and contrasted in each chapter. Evidence is presented and analyzed in an objective manner with 'opposing sides' presenting differing opinions and techniques, resulting in a synchronous collection of pros and cons. Every chapter is masterfully summed up by the book's editors - each of whom have varying stances on the topics at hand. This unique 'duel' and 'duet' discussion enables readers to assimilate information, benefit from the balanced harmony between divergent opinions, and reach their own conclusions. Key Highlights Comparative risks, benefits, complications, and outcomes for a full spectrum of lumbar, thoracic and cervical procedures MIS versus open approaches for lumbar stenosis, synovial cysts, lumbar adjacent segment degeneration, degenerative scoliosis, flatback syndrome, thoracic disc herniation, and dural tears Tumor resection and stabilization, quality of life issues, and potential advantages and risks of MIS techniques Key differences in MIS versus open operations such as radiation exposure and costs Analysis of 3-D navigational imaging to improve outcomes and reduce radiation exposure and operating time This book is a tremendous, evidence-based tool to guide spine surgeons as they make important decisions on selecting the most optimal spine surgery techniques. It is a must-have resource for all resident and veteran orthopaedic surgeons and neurosurgeons who specialize in treating patients with spine conditions.

The value of MR imaging for the evaluation of musculoskeletal system disorders cannot be over-stated. It is the only imaging modality that enables visualization of all components of the joints within single examinations. Yet, given the bewildering variety of possible sequence parameters, with and without contrast medium, acquiring and interpreting MR images with confidence is a challenge, requiring experience usually only gained after examining 1000s of studies with a careful systematic approach. Like the First Edition, the Second Edition of MRI of the Musculoskeletal System assists the radiologist in acquiring the most reliable and complete imaging information, so as to achieve a high degree of diagnostic certainty quickly and efficiently. Key Features: More than 2000 MR images of reference quality, the majority new for this edition Drawings, where helpful, aid the reader in identifying and delineating normal and pathological entities Includes all the latest advanced techniques: MR neurography and myelography, diffusion imaging, quantitative MRI, mDIXON, and more All MR exams described fully, with choice of sequence, positioning, choice of coils, when/how to use contrast, protocols Discussions of possible errors in interpretation Comparison of MR imaging with other modalities Tables expand and organize information on sequence parameters and differential diagnoses More than just an authoritative reference, Vahlensieck's MRI of the Musculoskeletal System is the ideal practical helper to accompany the radiologist at the workstation on a daily basis.

Total hip replacements (THRs) are very successful procedures, but they eventually wear out and sometimes complications may develop, requiring a further operation - revision hip replacement. A revision or 're-do' total hip replacement procedure involves the removal of the existing THR and its replacement with new components (Arthritis Research UK). This book presents orthopaedic surgeons with the latest developments, current indications and critical issues in revision hip arthroplasty, providing in depth discussion on surgical reconstruction of the hip and basic hip joint deformities. Part of the successful Mastering Orthopedic Techniques series, the book is highly illustrated with surgical photographs, operative diagrams and X-Ray images. Other titles in the series include Total Hip Arthroplasty, Total Knee Arthroplasty, Spine Surgery, Intra-articular Fractures, and Knee Reconstruction. Key Points Complete guide to revision hip arthroplasty for orthopaedic surgeons Presents latest developments, current indications and critical issues Highly illustrated with surgical photographs, diagrams and X-Rays Part of the successful Mastering Orthopedic Techniques series

In this book, the effectiveness of various physical therapies in the conservative treatment of Achilles tendinopathy are reviewed. An evaluation on the length changes in the Achilles tendon in humans is explored as well. The tendon is considered to have a significant role in human movement because it can store and release elastic energy, which enhances the force-generating capability of the muscle-tendon complex. The third chapter outlines the advantages and disadvantages of the Achilles tendon and highlights some theories as to why humans may have evolved to have it. The last chapter discusses the basic biomechanical characteristics and forces acting on the ankle under static conditions and their influences on artificial total ankle replacement designs.

An expert reference on the management of adult spinal deformities In this fourth volume of the AOSpine Masters Series experts from around the world share their strategies for managing the most common adult spinal deformities. This book gives clinicians the guidance they need to make the right treatment decisions and provide the best care for their patients. Chapter topics include osteotomies for rigid spinal deformities, postoperative coronal decompensation in adult deformity, and biomechanics and material science for deformity correction. Key Features: The issues of patient selection, outcomes, and complications along with all the essential preoperative and intraoperative factors are discussed in detail in every chapter Editors are internationally recognized authorities on the management of adult spinal deformities Each chapter includes expert tips and pearls The AOSpine Masters Series, a co-publication of Thieme and AOSpine, a Clinical Division of the AO Foundation, addresses current clinical issues whereby international masters of spine share their expertise and recommendations on a particular topic. The goal of the series is to contribute to an evolving, dynamic model of an evidence-based medicine approach to spine care. All spine surgeons, orthopaedic surgeons, and neurosurgeons, along with residents and fellows in these areas, will find this book to be an excellent reference that they will consult often.

Die Frakturen am proximalen Humerus zahlen zu den typischen osteoporotischen Frakturen bei alteren Menschen mit steigender Inzidenz. Sie sind deshalb eine Herausforderung bezuglich Diagnostik und Therapie. Profitieren Sie vom gesammelten Erfahrungsschatz des renommierten Expertenteams mit Professor Lill an der Spitze. Der Schwerpunkt des Buches ist die Praxis: Wie komme ich von der Diagnose zur richtigen Therapie? Worauf muss ich bei der Operation achten? Wann ist ein Implantat sinnvoll? Wie gehe ich mit Komplikationen um? Bewahrte und neue Verfahren sind dargestellt. Uber 500 Abbildungen veranschaulichen das operative Vorgehen und zahlreiche Tipps und Tricks erganzen dieses Buch fur die Praxis."

Wissenschaftlicher Aufsatz aus dem Jahr 2011 im Fachbereich Medizin - Orthopadie, Note: -, -, Sprache: Deutsch, Anmerkungen: Wissenschaftliche Recherche und klinische Evaluation uber die Biomechanik, Diagnostik und konservative Therapie von Wirbelsaulenkrankheiten., Abstract: Zur Behandlung von Ruckenschmerzen steht eine Reihe von nicht-operativen Therapien zur Verfugung. Will man diese Therapiemoglichkeiten gezielt anwenden, so sind die Kenntnisse uber die biomechanische Belastbarkeit der Wirbelsaule im gesunden und im erkrankten Zustand hilfreich. Dazu ist es auch notwendig, die vielfaltigen Ursachen der Ruckenschmerzen (Bandscheibendegeneration, Prolaps, Protrusion, Instabilitat, Wirbelgleiten, Skoliose, Kyphose, knocherner Kontakt, Nervenkompressionssyndrom, Gelenkblockierung, spinale Stenose u .v. a.) moglichst genau zu analysieren. Ruckenschmerzen konnen beispielweise schon durch bestimmte Lagerungstechniken gelindert werden. Bei Gefugelockerung oder Wirbelgleiten (Spondylolyse, Spondylolisthesis) kann die Stabilitat der Wirbelsegmente durch Kraftigung bestimmter Muskeln erhoht werden. Bei Haltungsschwachen oder Fehlhaltungen konnen durch Kraftigungs- und Dehnungsubungen Haltungskorrekturen erreicht werden. Bei Bandscheibenschaden wird die Druckentlastung der Bandscheiben durch ein gezieltes, ruckenschonendes Training der Bauch- und Rumpfmuskulatur bewirkt. Die Kraftigung der Rumpfmuskulatur ist eine wissenschaftlich anerkannte Methode, die vielfach therapeutische Effekte aufweisen kann, wenn sie unter biomechanischen Gesichtspunkten (ruckenschonend)durchgefuhrt wird.

Ankylosing spondylitis (AS) is a systemic inflammatory disease of unknown origin. In AS, spontaneous fusion of the sacroiliac joints and spine occurs due to chronic inflammation leading to initial back pain followed by generalised stiffness of the spine. In this book, the authors discuss the symptoms, treatment and potential complications of AS. Topics include osteoporosis and verterbral fractures in ankylosing spondylitis; efficacy of anti-IL-6 therapy for seronegative spondyloarthropathy; anterior uveitis in spondyloarthropathy; and management of spinal fractures in AS.

Tissue engineering and regenerative medicine uses a combination of cells, scaffolding and bioreactive factors to treat a variety of pathological conditions and has become a treatment option for many adult diseases. In this book, the authors present current research from across the globe, in the study of the fundamentals, techniques and applications of tissue engineering. Topics discussed in this compilation include the characterization of liver organogenesis and foetal and adult stem/progenitor cells; in vitro biological activity of double and triple component system scaffolds in bone tissue engineering; stretching bioreactors for dynamic engineering of muscle tissues; adipose-derived stem cells and their application in tissue engineering; regenerative medicine and tissue engineering for congenital birth defects.

Osteoclasts are highly specialised cells, derived from the hematopoietic lineage, that resorb mineralised bone matrix. Osteoclast precursors can be recruited to the bone remodelling sites by specific cytokines in the microcellular environment, including some secreted by osteoblasts, fibroblasts, and osteocytes. In this book, the authors present current research in the study of the morphology, functions and clinical implications of osteoclasts. Topics include osteoclast formation and function and its risk in skeletal bone disease; the high osteoclastogenic potential of human osteosarcoma cells; osteoclast biology regarding Paget's disease and p62 mutations; the role of immuno-skeletal interface in the regulation of osteoclast formation; and osteoclasts in patients with neurofibromatosis 1.

Masterarbeit aus dem Jahr 2012 im Fachbereich Medizin - Orthopadie, Note: 1,0, Donau-Universitat Krems - Universitat fur Weiterbildung (Zentrum fur Medizinische Spezialisierung der Donau-Universitat Krems), Veranstaltung: Universitatslehrgang- 1.Neuroorthopadie-Disability Management, Sprache: Deutsch, Abstract: Bei der vorliegenden Arbeit handelt es sich um eine soziologisch ausgerichtete Arbeit, die sich mit der neuroorthopadischen Rehabilitationssituation in Albanien beschaftigt. Die in der Arbeit verwendete Methodik basiert auf textanalytischer Arbeit in der die teilnehmende Beobachtung und Einzelfallanalyse mit einbezogen wurden. Es galt herauszufinden, in welchem Zustand sich das albanische Rehabilitationssystem bezogen auf die Behandlungsmoglichkeiten von Menschen mit neuroorthopadischen Krankheitsbildern befindet. In diesem Zusammenhang wurde ein Modellprojekt, das sich mit der Rehabilitation von Menschen mit einer Behinderung befasst, als Baustein genauer untersucht. Um die Strukturen dieses Bausteins besser einordnen zu konnen, wird zunachst ein Uberblick uber die medizinische Rehabilitation im Land gegeben. Erweitert durch Informationen zur politischen, geographischen, wirtschaftlichen und religiosen Situation des kleinen Mittelmeeranrainerstaates wird das Gesundheitssystem der Republik Albanien skizziert. Im weiteren Verlauf der Arbeit wird der Blick wieder auf die Situation der neuroorthopadischen Rehabilitation verengt und ein Hilfsprojekt der Nichtregierungsorganisation Medizinische Nothilfe Albanien genauer untersucht. Die dadurch entstandenen Erkenntnisse sollen als Basis fur einen systematischen Aufbau eines Rehabilitationssystems in der Republik Albanien und der nachhaltigen Weiterentwicklung des Projektes dienen.

Sufficient levels of muscle strength, defined as the maximal force an individual is capable of exerting during a voluntary contraction, is a critical component to overall physical health and well-being. Muscle strength generally increases with age throughout childhood and adolescence. This book discusses specific methods of assessment and factors affecting muscle strength in children. In addition, many other factors including gender and physical activity levels have previously been reported to affect the structure or metabolic characteristics of skeletal muscle. This book reviews the literature describing the maladaptations that occur in skeletal muscle in response to the most common lifestyle associated chronic diseases and discusses the mechanisms behind the maladaptations, as well as potential therapies to halt or reverse the changes. This book also examines the impact of ageing on muscle strength, as well as reviews the physiological and mechanical properties of muscle architecture essential to the production of muscle force under different loading conditions.