Filling a gap in the literature, this is the first book to comprehensively present fracture sonography as a diagnostic tool that can complement and in some cases even replace conventional radiological imaging. Guiding readers step by step through a patient examination, it is an invaluable guide to implementing this technique in clinical practice. It also presents algorithms, tips, tricks and pitfalls shared by experienced authors, making it a useful reference resource for all those practicing in the field. This book is of interest to a wide readership, including orthopedic, pediatric and trauma surgeons, emergency physicians, pediatric radiologists and general practitioners.

Over the past decade, there has been rapid growth in bioengineering applications in the field of spine implants. This book explains the technical foundation for understanding and expanding the field of spine implants, reviews the major established technologies related to spine implants, and provides reference material for developing and commercializing new spine implants. The editors, who have a track record of collaboration and editing technical books, provide a unified approach to this topic in the most comprehensive and useful book to date.
-Related website provides the latest information on spine technology including articles and research papers on the latest technology and development.
-Major technologies reviewed include devices used for fusion (screws, plates, rods, and cages), disc repair and augmentation, total disc replacement, and vertebral body repair and augmentation.
-Technology landscape, review of published/public domain data currently available, and safety and efficacy of technology discussed in detail.

This book provides detailed guidance on knee arthroscopy that reflects the very latest advances in this ever-changing field. Among the techniques covered are reconstruction of the anterior and posterior cruciate ligaments, meniscal repair and transplantation, cartilage repair by means of osteochondral allograft transplantation and autogenous osteochondral transfer, medial patellofemoral ligament reconstruction, and high tibial osteotomy. In each case, clear descriptions of technique are supported by a wealth of high-quality illustrations, with identification of potential pitfalls and how to avoid them. In addition, the latest knowledge is presented on anatomy and biomechanics. The book is written by recognized experts in sports injuries and knee disorders. It will serve as an up-to-date reference for the experienced knee surgeon and an ideal source of information for all who wish to broaden their knowledge of and improve their skills in knee arthroscopy, whether general orthopaedists, orthopaedic trainees, or sports medicine physicians.

Authored by an acknowledged expert on muscle and movement imbalances, this well illustrated book presents a classification system of mechanical pain syndromes that is designed to direct the exercise prescription and the correction of faulty movement patterns. The diagnostic categories, associated muscle and movement imbalances, recommendations for treatment, examination, exercise principles, specific corrective exercises, and modification of functionalactivities for case management are described in detail. This book is designed to give practitioners an organized and structured method of analyzing the mechanical cause of movement impairment syndrome, the contributing factors and a strategy for management. * Provides the tools for the physical therapist to identify movement imbalances, establish the relevant diagnosis, develop the corrective exercise prescription and carefully instruct the patient about how to carry out the exercise program. * Authored by the acknowledged expert on movement system imbalances. * Covers both the evaluation process and therapeutic treatment. * Detailed descriptions of exercises for the student or practitioner. * Includes handouts to be photocopied and given to the patient for future reference.

The earliest human known to have the capability of walking erect on two legs is Sahelanphropus, who lived 6 million years ago. The ability to stand erect led to required extensive changes in the human skeleton, including significant changes in the cervical spine. In modern humans, the cervical spine holds the head upright and gives it great mobility. The combination of great mobility in this spinal segment combined with the requirement that it carry significant weight makes the cervical spine susceptible to a wide variety of pathologies. The cervical spine not only supports the head upright, but acts as a channel for the full set of neural elements connecting the brain with all near and distant parts of the body; thus, pathologies involving the spinal column in this segment directly affect the cervical spinal cord and exiting nerve roots. Today, excellence in spine surgery requires a thorough understanding of spinal anatomy, relevant neurology, and biomechanics, as well as skilled use of a variety of surgical techniques. The surgeon must master the ability to effectively select from a wide and constantly changing variety of alternative instrumentations and surgical approaches. In addition, the trend towards reducing the invasiveness of surgical procedures has led to the use of smaller and smaller tools and smaller surgical incisions with more limited views of the relevant anatomy. As a result of the rapid pace of change, the choice of an optimal technique in any given situation is increasingly complex. In this book, we begin with a basic review of anatomy, neurology, neurophysiology, and biomechanics. We also discuss clinical and radiological assessment required for a differential diagnosis, and present a thorough discussion of the importance of sagittal alignment of the spine and the utility of gait analysis. We proceed with a thorough discussion of nontraumatic pathologies causing cervical myelopathy, beginning with the craniocervical junction down through the subaxial spine, in pediatric and adult populations. This discussion includes steps in the differential diagnosis for specific pathologies, surgical techniques and nuances, radiation-based treatment alternatives, and special topics ranging from the use of stem cells to robotics and endoscopic surgery. We have attempted to provide both fundamental and state-of-the-art knowledge and to share the rich experience of some of the leading spine surgeons worldwide, with the aim of enabling surgeons at all levels to advance their own capabilities for performing safe and successful procedures in this area of complex anatomy.

This comprehensive office guide will provide up-to-date diagnostic and management information for various tendinopathies seen in the clinic. Opening chapters discuss the basic science of tendons: physiology, pathophysiology and biomechanics, including mechano-transduction. Subsequent chapters focus anatomically on both the upper and lower extremities, from the rotator cuff to the wrist and hand, and from the groin and gluteus down to the foot and ankle. Each of these chapters follows a concise, easy-to-use format, consisting of an introduction followed by clinical presentation, physical examination, imaging and radiographic grading, and treatment strategies both surgical and non-surgical, including indications for surgical referral. The concluding chapters present emerging mechanical, orthobiologic and chemical in-office procedures as well as emerging operative techniques. Practical and user-friendly, Tendinopathy will be an excellent resource for sports medicine specialists, orthopedic surgeons, physical therapy and rehabilitation specialists, and any other clinicians treating these common athletic injuries.

This book offers a summary of research on the biomechanics of fracture fixation and mechanobiology of fracture healing. The author, a known expert, provides an overview of the state of art, his own research together with that of his co-workers and collaborators; he describes the ideas and findings from the beginning of this research field in the 1960s up to the clinical consequences and applications of today. The book discusses the mechanobiology of fracture healing, illustrates the numerical methods that simulate fracture healing processes, and depicts specific research methods of experimental studies. Finally, it provides conclusions for the improvement of fracture treatment that will be of use in clinical applications nowadays. This book will be a valuable resource of knowledge for students and scientists in the field of bioengineering, experimental biology, and biomechanics, helping them to identify the correct conditions and analysis for their respective research and receive an understanding of the research field from its beginning until today. For experimental and clinical surgeons active in the field of fracture healing, this book will provide a useful historical overview over this translational research field.

The quintessential guide to state-of-the-art instrumentation in minimally invasive spine surgery In recent decades, technological innovations in minimally invasive surgery (MIS) have revolutionized spine surgery. The integration of devices tailored to MIS spine techniques has allowed spine surgeons to tackle more complex spinal pathologies and generate new ways to improve clinical outcomes. Instrumentation for Minimally Invasive Spine Surgery by renowned orthopaedic surgeon Kern Singh and esteemed collaborators, provides practical, evidence-based insights into important surgical decisions spine surgeons face every day. The primary goal of this book is to help spine surgeons navigate a daunting number of available devices and leverage the optimal ones to achieve improved patient outcomes. Organized in 3 parts and 16 chapters, the text starts with the past, present, and future of MIS spinal instrumentation. The first two parts detail cutting-edge posterior and lateral approaches with discussion of required devices. The final part covers percutaneous cement augmentation, biologics, and navigation systems. The text combines a thorough review of empirical literature with expert experience and manufacturer specifications to elucidate the advantages and capabilities of currently available instrumentation. Key Highlights Discussion of commonly used MIS spinal instrumentation including retractors; percutaneous pedicle, cortical, and facet screw systems; interbody cages; and fixation systems Concise, yet in-depth technical descriptions include an introduction and potential complications, followed by design features, modular aspects, applicable procedures, and compatible devices for each type High-quality detailed images provide greater understanding of techniques This unique book is an essential surgical companion for orthopaedic and neurosurgical residents and fellows, as well as spine surgeons who wish to incorporate MIS techniques into clinical practice. This book includes complimentary access to a digital copy on https://medone.thieme.com.

This book provides detailed information on functional anatomy, physical examination, and clinical radiology of the knee with a view to enabling the clinician to identify the most suitable treatment approach to different knee joint pathologies. In addition, the arthroscopic treatment techniques most frequently employed in patients with these conditions are described, with presentation of numerous arthroscopic images detailing characteristic findings. Knee joint pathologies today represent a significant challenge owing to the complexity of the injuries suffered, rising activity levels, and high patient expectations. A proper physical examination plays an important role in diagnosis. The surgeon who has the opportunity to conduct a clinical evaluation must fully understand the role of radiological evaluations, and assessment by a radiology expert is also necessary. In all cases, knowledge of the normal anatomy and its correlation with clinical and radiological findings is fundamental to correct diagnosis and treatment selection. Surgeons and trainees with an interest in knee joint pathologies will find this book to be an excellent, richly illustrated educational guide to the subject.

In this issue of Orthopedic Clinics, guest editors from the Campbell Clinic bring their considerable expertise to the topic of Technological Advances. In a technology-driven world, cutting-edge advancements in orthopedic surgery such as the ROSA knee system, 3D-CT, mixed reality devices, and augmented reality devices help patients and surgeons alike. In this issue, top experts bring you fully up to date with today's technological functions and limitations, all while considering patient safety and optimal outcomes. Contains 12 practice-oriented topics including remote patient monitoring following total joint arthroplasty; artificial intelligence in orthopaedics; technological advances in managing bone defects; emerging technologies in shoulder arthroplasty: navigation, mixed reality, and preoperative planning; spine navigation; and more. Provides in-depth clinical reviews on technological advances in orthopedic surgery, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Now in a fully revised and updated second edition, this definitive text provides comprehensive coverage of all aspects of total ankle replacement (TAR), written by authors who are recognized experts in the field. Though the main focus is on total ankle replacement prostheses available for use in North America, the lessons learned and presented here are applicable to the growing volume of cases worldwide. Divided into five thematic sections, each chapter is a purposeful mix of theory, data, and tips/pearls with detailed illustrations, tables, and references. Appropriately evidence-based, they include bullet points for quick reference and rely heavily on step-by-step intraoperative photographs and radiology. Part I presents the history of TAR, implant considerations (mobile-bearing vs. fixed-bearing), and indications/contraindications for the procedure. The subsequent three sections discuss all aspects of primary TAR, procedures secondary to primary TAR, and revision TAR, respectively, bringing together the most recent evidence, implant options and surgical techniques. The final section covers topics related to limb salvage after failed TAR, including preventive measures, wound healing, and infection management. Generously illustrated and well-referenced, Primary and Revision Total Ankle Replacement remains the gold standard text on this topic for orthopedic surgeons, podiatrists and foot and ankle clinicians at all levels.

This book gives important details of how surgery of the hip joint has evolved around the world. The 22 original chapters are written by experienced consultants, including Drs. John O'Donnell (Melbourne, Australia), Manfred Krieger and Ilan Elias (Frankfurt, Germany), and Nicholas Goddard (London, U.K.). Each chapter is accompanied by excellent, unique figures and references at the end for further reading. The book focuses on several important topics such as the direct anterior approach to the hip joint, setup of a total hip in a day, early experiences in outpatient hip surgery, advances in short-stem total hip arthroplasty (which is becoming increasingly popular in Europe and also worldwide), advances in hemophilic hip joint arthropathy, mesenchymal stem cell treatment of cartilage lesions in the hip over the next few decades, and minimally invasive surgery of the hip joint. This book is a must-have and invaluable reference for any student interested in the progress in hip joint surgery

Now in a revised and updated second edition, this book encompasses the current knowledge of genetic and molecular causes of, and surgical and non-surgical treatment for, congenital deformities of the hand. Divided into five sections, this comprehensive text presents the many variations of congenital anomaly encountered in the clinical setting. Part I discusses general considerations for congenital deformity, including embryology and classification, incidence and prevalence, genetics, anesthesia, prosthetics and rehabilitation principles, hand therapy and even psychological considerations for children living with these conditions. The second and third sections present deformities based on failures of formation and/or differentiation of the axis and hand plate respectively: radial and ulnar longitudinal deficiencies, symbrachydactyly, syndactyly (including Apert Syndrome), clinodactyly and captodactyly, and synostosis and coalitions are described in detail, among others. Duplication deformities, such as radial and ulnar polydactyly, are covered in part IV. The final section discussed overgrowth (macrodactyly), amniotic band syndrome, arthrogryposis, Madelung deformity, epidermolysis bullosa and additional generalized skeletal anomalies. All chapters are generously referenced and illustrated with radiography and full-color photographs. Bringing together the latest clinical evidence and surgical interventions, this second edition of Congenital Anomalies of the Upper Extremity will continue to be an excellent resource for orthopedic, hand and plastic surgeons treating young patients with these challenging deformities of the hand.

Authored by experienced surgeons and key innovators in the fast-moving field of LIF surgery, Lumbar Interbody Fusions provides an in-depth, focused approach to recent advances in surgical techniques and technology. Covering both minimally invasive and open procedures, this comprehensive reference provides step-by-step details for proven techniques, including extreme lateral, oblique lateral, and direct lateral approaches; intertransverse approaches; axial approaches; and endoscopic approaches. Focuses on the technical nuances, pearls and pitfalls of each procedure, as well as complication avoidance and management. Features high-quality radiographs and intraoperative images for superb visual guidance throughout. Covers topics that have as-yet unsettled surgical management, such as thoracolumbar and lumbosacral overlap diseases. Includes a concise review of evidence-based spine literature at the end of each procedural chapter. Features chapters on adjunct instrumentation such as pedicle screw and facet fixation, as well as graft selection and revision surgeries. Provides real-time guidance in video: Open Transforaminal Lumbar Interbody Fusion, MIDLIF Operative Technique, L5-S1 OLIF, Aspen Surgical Technique, and many more. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

The biceps tendon is one of the most challenging anatomic structures to completely understand. Its precise role for shoulder function has yet to be completely defined, and pathologic conditions exist at both its proximal and distal ends. In recent years, the biceps labral complex has been recognized as a common cause of shoulder pain among patients. Accurate diagnosis, utilizing both physical examination and imaging, is crucial to decision-making regarding the most effective treatment. Many controversies exist surrounding the management of biceps pathology with a myriad of potential solutions to consider. This practical text breaks down the biceps into succinct, digestible portions with expert tips and tricks to help manage bicipital problems in a wide array of patients. Sensibly divided into three thematic sections, it encompasses all aspects of the biceps tendon, including relevant anatomy, diagnosis, imaging, and non-operative management (including rehabilitation and biologic treatments). Surgical management strategies as they pertain to both proximal and distal biceps tendon pathologies will be covered, including both arthroscopic and open tenodesis, transfer, and inlay and onlay fixation methods. A review of associated complications and how to avoid them is likewise described in detail, along with post-surgical rehabilitation techniques to maximize return to play. Ideal for orthopedic surgeons and sports medicine specialists at all levels, The Management of Biceps Pathology will be a unique resource for all clinicians facing challenges treating the active patient with shoulder and elbow pain.

This book describes current and emerging techniques in hip surgery, providing the essential, up-to-date knowledge that will be required by the orthopaedic surgeon who plans to become a specialist hip surgeon. The opening chapter offers a concise overview of the surgical anatomy, with particular attention to details relevant to the surgical techniques outlined in the book. The increasingly popular anterior minimally invasive approach to the hip and a microinvasive variation of this approach are then described. Subsequent chapters present surgical approaches to developmental disorders of the hip, including dysplasia and femoroacetabular impingement, and promising hip preservation techniques for avascular necrosis of the hip - an often neglected but internationally relevant disease that can mutilate the hip in young patients. Finally, the latest techniques and implants for primary and revision hip arthroplasty are discussed in depth. The international author team consists of recognized leaders in the field, many of whom have developed the described classifications and new surgical techniques.

The Ilizarov device has revolutionized the treatment of non-healing fractures and the correction of deformities. This book supplies all the information required in order to use the Ilizarov and other external fixation devices optimally; it will serve as an indispensable manual for both trainee and experienced orthopedic surgeons. Biomechanical principles, preoperative preparation, and the use of a system of coordinates to allow safer insertion of K-wires and half pins are thoroughly discussed. External fixation of a variety of fractures in different pathologic settings is then clearly explained in a series of detailed chapters with the aid of high-quality illustrations. Numerous case reports are included to illustrate the results of different treatment methods. In addition, postoperative management and treatment of complications are described. Since the first edition the text has been thoroughly updated, with inclusion of contributions from leading world experts.

Metabolic bone degeneration (osteoporosis) affects millions of people--primarily postmenopausal women--and is directly responsible for debilitating hip, vertebral, and limb fractures in the elderly. Incorporating advances made within just the past five years, The Osteoporotic Syndrome: Detection, Prevention, and Treatment serves as an up-to-date, practical guide to the major clinical aspects of osteoporosis. The text is liberally illustrated with detailed figures.
As a resource for the clinician dealing with metabolic bone degeneration, this book represents an excellent source of information on the diagnosis and day-to-day management of osteoporosis.
Topics covered include
* Therapy with Vitamin D metabolites, sodium fluoride, thiazides, and isoflavones
* Biochemical markers of bone turnover
* Calcium, Vitamin D, and bone metabolism
* Estrogens and tissue selective estrogens for prevention and treatment of osteoporosis
* The effects of osteoporosis on orthopaedic surgery
* The therapy of glucocorticoid bone disease
* Effects of aging on bone structure and metabolism
* Management of osteoporotic patients in our health care delivery system
* The genetics of osteoporosis
* Bisphosphonate therapy for osteoporosis
* Calcitonin
* Bone mass measurement techniques in clinical practice
* Osteoporosis and the bone biopsy

This book is an essential handbook on bisphosphonates, the most widely used new class of drugs for osteoporosis therapy. It reviews basic physiology in addition to the indications and adverse reactions of these drugs. Bisphosphonates in Bone Disease, 4E, discusses the compounds' chemistry, mechanisms of action, and animal toxicology before presenting a clinical picture of the diseases treated by bisphosphonates. The book provides a table listing the trade names of the commercially available bisphosphonates, registered indications, and the available forms for various countries. The revised Fourth Edition contains approximately 50% new material, including information on all of the latest drugs.
* The revised fourth edition contains approximately 50% new material
* Includes information on all the latest drugs

This book is an introductory text to spinal disorders. Based on the highly successful forerunner to this volume, Practical Orthopaedic Medicine, the book still retains the original philosophy of this text which is to systematically cover all the joints discussing examination, diagnosis and treatment. The full spectrum of therapies is covered with particular emphasis on Maitland's widely practised spinal manipulation techniques - how they are assessed clinically and their role in the management of spinal problems. A complete review of the current literature has been undertaken and a valuable new chapter on the spine in sport has been added. This book will be essential reading for students and practitioners involved in sports medicine, orthopaedic medicine and physiotherapy.

The Aging Skeleton is a comprehensive and timely book on all aspects of the skeleton as it ages, including basic mechanisms and pathways as well as pathobiology. Chapters cover general aspects and models of aging, determinants and maintenance of peak bone mass, mechanisms of age-related bone loss, quantifiable manifestations of age-related bone loss, fractures, and therapeutics.
Key Features
* Covers all aspects of the aging skeleton in one comprehensive volume
* Looks at the influence of genetics, nutrition, environment, hormones, and other factors on bone mass
* Provides a thorough discussion of fractures, one of the major consequences of the aging skeleton
* Reviews current therapeutic approaches and methods
* Written by internationally renowned authors and edited by leaders in the field
* Is the only book available on this subject

This text highlights the value of a team approach to appreciating the commplexity of spinal pain and a range of treatment approaches. Contributions from epidemiology, anatomy, pathology, biomechanics, clinical medicine orthopaedics, chiropractic, osteopathy and physiotherapy are presented. Each section is written by an experienced practitioner and provides a summary of pertinent material, seeking to improve the reader's understanding of the causes of cervical spine pain The volume is part of a series of three books bringing together a multidisciplinary approach to the management of mechanical spinal pain.

This detailed second edition provides key updates on well-established methods as well as coverage of recently emerging sophisticated techniques and methods that are essential for an in-depth and state-of-the-art understanding of skeletal development and homeostasis and the pathological mechanisms that cause skeletal degeneration. The first half of the book examines cell and molecular biological aspects of osteoarthritis and osteoporosis, while the remainder of the collection focuses on in vivo models of skeletal tissue injury, degeneration, and repair. Written for the highly successful Methods in Molecular Biology series, chapters include introductions to their respective topics, lists of the necessary materials and reagents, step-by-step, readily reproducible laboratory protocols, and tips on troubleshooting and avoiding known pitfalls. Authoritative and up-to-date, Osteoporosis and Osteoarthritis, Second Edition aims to assist investigators concerned with research topics broadly related to osteoporosis, osteoarthritis, intervertebral disc degeneration, as well as other musculoskeletal disorders.

Die vordere Kreuzbandlasion gehort zu den haufigsten (Sport-) Verletzungen. Mit ca. 28.000 Operationen im Jahr steht sie mit an der Spitze der operativen Eingriffe am Knie. Dieses Buch befasst sich ausschliesslich mit dieser Thematik und erlautert in komplexer und strukturierter Form die anatomischen, physiologischen, pathophysiologischen und biomechanischen Grundlagen des gesunden und verletzten vorderen Kreuzbands. Der Weg zur Diagnose sowie die therapeutischen Moglichkeiten - sowohl konservativ als auch operativ - werden, erganzt durch instruktive Abbildungen, dargestellt.

Ein weiterer Schwerpunkt des Buches: Fruhfunktionelle Rehabilitation, Auswirkung von Immobilisation und Training auf die Stutz- und Bewegungs-organe, Grundlagen des Kraft- und Muskelaufbautrainings - ein Exkurs in die allgemeine Trainingslehre."

Systematisch, detailgenau und ubersichtliche fuhrt das Buch in die wichtigsten Methoden der physikalischen Medizin ein.
- Durchfuhrung, Wirkmechanismen und Anwendungsmoglichkeiten
- Therapie-Plane fur den Einsatz physikalischer Therapie bei besonders haufigen Indikationen
- Konkrete Therapie-Empfehlungen, die Sie direkt in der Praxis umsetzen konnen
- Didaktisch klare und einheitliche Struktur zum raschen Nachschlagen
- Ansprechendes zweifarbiges Layout mit anschaulichen Farb-Zeichnungen
Als Lehrbuch und Nachschlagewerk konzipiert, bietet Ihnen das Buch die sichere Basis sowohl fur den praktischen Einsatz physikalischer Methoden als auch fur Ihre qualifizierte Fort- und Weiterbildung.