This book presents the results of a unique macroscopic and radiological analysis, by X-ray and CT scan, of the bone pathologies of about 1800 subjects who lived at the time of the Roman Empire (first and second centuries A.D.) and whose remains were recovered during the excavation of a suburban necropolis of Rome. The survey, which represents a collaboration between the Italian Society of Orthopaedics and Traumatology and the Special Superintendent for the Archaeological Heritage of Rome, has yielded incredible images of different orthopaedic diseases in a period when no surgical treatment was available: there are cases of infection (osteomyelitis), metabolic disease (gout), hematologic disease (multiple myeloma), traumatic lesions and their complications and degenerative pathology (osteoarthritis, particularly secondary and overload). A multidisciplinary team including orthopaedists, paleopathologists, radiologists and medical historians has evaluated the major groups of bone disease in the population finding out incredible cases and picture of ortho-traumatologic pathologies in a pre-surgical era. The homogeneity of the sample and the number of subjects make this a study of fundamental importance.

This book focuses on the analysis and treatment of osteoporotic bone based on drug administration, tracking fatigue behavior and taking into consideration the mechanical interaction of implants with trabecular bone. Weak trabeculae are one of the most important clinical features that need to be addressed in order to prevent hip joint fractures.

The definitive multimedia resource on wide awake hand surgery from renowned experts WALANT (Wide Awake Local Anesthesia No Tourniquet) eliminates the need for preoperative testing, sedation, intravenous insertion, and monitoring in upper and lower limb surgery. Coupled with minimal pain injection techniques using pure local anesthesia with lidocaine and epinephrine, this technique has significantly improved hand surgery for patients and surgeons in many ways. Wide Awake Hand Surgery and Therapy Tips, Second Edition, provides readers with the best and latest WALANT advances from Donald H. Lalonde and an impressive group of hand surgeons from 15 countries that have incorporated this groundbreaking technique into practice to benefit their patients. Each richly illustrated chapter encompasses evidence-based benefits, step-by-step guidance, patient education tips, detailed injection directions, surgery and therapy tips and tricks, postsurgical management, and related videos. WALANT produces better outcomes in flexor and extensor tendon repair, tendon transfer, tenolysis, tendon grafts, and finger fracture surgery because unsedated patients can easily move reconstructed parts during surgery. This allows surgeons to make required adjustments and teach patients uninterrupted while they are awake. Eliminating sedation also decreases risks, increases patient safety, and reduces pain associated with intravenous insertion. Simple surgeries such as trigger finger and carpal tunnel release no longer require costly main operating rooms. Instead, they can be performed in minor procedure rooms with evidence-based sterility, resulting in lower costs and reduced waste. New Features A three times larger video library with more than 500 videos, most of which are new New chapters on upper and lower limb fracture plating of the wrist, forearm, elbow, acromion, clavicle, tibia, fibula, ankle, and fo

This book provides an up-to-date overview of the latest evidence regarding shoulder stiffness or frozen shoulder. All aspects are covered: epidemiology, etiology, anatomy and biomechanics, clinical symptoms, histology and laboratory tests, physical examinations, imaging studies and the various conservative and surgical treatment options. The book is published in cooperation with ISAKOS and reflects the conclusions of the Consensus Meeting of the ISAKOS Upper Extremity Committee in Amsterdam in May 2014, which brought together global opinion leaders in the field. Frozen shoulder itself remains shrouded in mystery. There is ongoing uncertainty over its causation and continuing relative neglect due to the belief that it is a self-limited disease despite the evidence that most patients fail to achieve complete recovery, with many experiencing persistent pain and stiffness. Shoulder Stiffness: Current Concepts and Concerns provides an excellent summary of present knowledge regarding frozen shoulder and will be of value to all who manage the condition.

This book develops and analyses computational wear simulations of the total ankle replacement for the stance phase of gait cycle. The emphasis is put on the relevant design parameters. The book presents a model consisting of three components; tibial, bearing and talar representing their physiological functions.

Selected as a Doody's Core Title for 2022! Build your Foundation of Basic Science - from Research to Clinical Application and Advancement This fifth edition is your concise and clinically relevant resource for the scientific basis of orthopaedic surgery in support of the diagnosis and treatment of musculoskeletal diseases and conditions. Reach for this title to explain the functions, advancements, and limitations of the science behind the decisions, treatments, and procedures you perform in your practice every day. Use it to build and reinforce your foundation of knowledge for applying advances in scientific discovery to your decision making in the clinic and the OR. This new edition is completely rewritten, reorganized, and refocused through a collaboration of senior scientists and clinicians with new chapters and content reflecting the many advancement in and around the science behind musculoskeletal medicine, including epigenetics, biomaterials, tissue engineering, gender differences, and metabolic bone disease, as well as the growth of registries and best-practice guidelines. Sections include: Basic Disciplines in Orthopaedic Surgery Structure and Function of Musculoskeletal Tissues Pathophysiology and Orthopaedic Medicine Repair and Regeneration Principles of Clinical Information Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone Easily convert to audiobook, powering your content with natural language text-to-speech

Bringing together the current knowledge and evidence about the causes and management of tennis elbow, or lateral epicondylitis, the diagnosis and various treatment options for this common sports injury are presented in detail. Generally attributed to overexertion or repetitive motion of the elbow joint, tennis elbow causes pain, tenderness and stiffness in the elbow and wrist even in non-athletic, day-to-day activities, such as lifting and pulling. Beginning with its etiology, subsequent chapters explore both conservative and surgical treatments, from physical therapy, joint injections and acupuncture to arthroscopy, open surgery and denervation. Outcomes, rehabilitation and return to play are also discussed, as are techniques and indications for handling complications and revision surgery. Ideal for orthopedic surgeons and sports medicine practitioners, Tennis Elbow: Clinical Management is a practical reference for any clinician treating athletes or active patients.

This book is a practical guide to instrumented clinical gait analysis covering all aspects of routine service provision. It reinforces what is coming to be regarded as the conventional approach to clinical gait analysis. Data capture, processing and biomechanical interpretation are all described with an emphasis on ensuring high quality results. There are also chapters on how to set up and maintain clinical gait analysis services and laboratories.The book aims to describe the theoretical basis of gait analysis in conceptual terms. It then builds on this to give practical advice on how to perform the full spectrum of tasks that comprise contemporary clinical gait analysis.Readership- Professionals from either a clinical or technical background working within clinical gait analysis services.- The extensive sections on data capture and processing will also be invaluable for those using gait analysis for research purposes.- Clinicians receiving gait analysis reports and particularly those who base clinical decisions upon gait analysis results (e.g. orthopaedic surgeons) will find it useful in understanding where the data comes from and how it can be interpreted.- Physiotherapists

This is the first comprehensive book about surgery on and around the vertebral artery all along its cervical and intracranial course. This vessel has been considered for long as out of surgical reach leaving many different pathologies not or incompletely treated. The surgical exposure and control of the vertebral artery not only permit to treat lesions of the vertebral artery wall or developed in contact to it but also to improve the access to the intervertebral foramen (tumors, osteophytes), to the anterior aspect of the spinal cord (tumors, spondylotic spurs), to the foramen magnum and to the jugular foramen. This book written by leading experts includes all aspects of vertebral artery surgery from anatomy to imaging, surgical techniques and pathologies; it is illustrated by many figures especially operative views and schematic drawings so that the beginner as well as the experienced surgeon find useful information. One of the editors of this book (B. GEORGE) was recently awarded the Olivecrona award for his work on the surgery of the vertebral artery.

With hundreds of question and answer items and bite-sized chunks of information that can be read and processed easily, reviewing for the pediatric board exams - or just brushing up in your spare time - has never been easier. Pediatric Tricky Topics, Volume 1: A Practically Painless Review includes review items in pediatric orthopedics, trauma, environmental medicine, toxicology, rheumatology, and neurology topics, among others. The Q&A format allows for self-testing or study with a partner or a group and is practical and accessible enough to dip into during a few minutes of downtime at the hospital or office, and as such it is suitable for those studying for the pediatric board exam, practicing physicians brushing up their skills, and any busy clinician who wants to learn more about these topics while on the go.

Building upon the impeccable reputation of its earlier editions, Operative Hip Arthroscopy, Third Edition has been entirely reconceived, rewritten, revised and updated to address current issues and developments in hip arthroscopy. This edition includes 18 new chapters that discuss issues like loose bodies, labral management, chondroplasty and microfracture, lesions of the acetabular fossa, synovial disease, iliopsoas release, iliotibial band release, preitrochanteric space, and capsulorrhaphy, among other topics. Every chapter includes vivid color photographs and illustrations to supplement accessible, engaging text. Dr. J.W. Thomas Byrd, a pioneer in the field, has once again assembled a group of distinguished international contributors whose chapters consititute one of the most complete and comprehensive books on the subject.

Written in an accessible and instructive format, this richly illustrated text covers the analysis, planning, and treatment of lower limb deformities, with a view to teaching deformity correction. A foundation of understanding normal alignment is presented, using new nomenclature that is easy to remember and can even be derived without memorization. The work offers detailed information on deformities and malalignment, radiographic assessment, mechanical and anatomic axis planning, osteotomies, and hardware considerations. The part dealing with planning is further facilitated via an exercise workbook and an animated CD-ROM which is available separately. The methods taught are simple and intuitive.

In keeping with the aims of other books in this Series the Editors have concentrated on the practical aspects of management -in this case of the urinary tract in patients with spinal cord injury. It is well accepted that the management of such patients is best done by those with special experience in this field. Nevertheless, it is essential that urologists should be well informed on matters relating to the neuropathic urinary tract since not all patients will be managed in special centres and, whether their problems are acute or chronic, the wrong clinical decision can lead them into a lifetime of problems. The plan of this book is directed towards examining particular problems and providing definitive answers. Even in this enlightened age of medical progress there are many clinical situations where there is often a choice of treatment. Readers of this Series will be aware that, despite an apparent abundance of information on a topic, it is sometimes not possible to reach a firm conclusion on a management problem. Keith Parsons and John Fitzpatrick are to be congratulated on ensuring that for this subject there are good clear guidelines. The data in the book are up to date and the excellent approach to the subject makes it a valuable addition to Clinical Practice in Urology.

Hypermobility of Joints 4th Edition follows the same format as its successful predecessors. The aim of which was to provide an overview of hyperlaxity of joints and this edition follows that aim by describing the most recent research and new developments in biochemistry, as well as providing practical advice on clinical features and management.

Hypermobility of Joints 4th Edition provides illustrative case histories, a review of hypermobility in the performing arts and sports and an outline of heritable hypermobility syndromes. This book is a valuable reference tool for a wide number of specialties, although it will particularly be of interest to rheumatologists, orthopedic surgeons and medical geneticists.

This book presents the essential anatomic and radiological data, discussing new and refined techniques of imaging such that readers may rely on their interpretation. The chapters on pathology are approached in a clinical context, accompanied by numerous diagrams and photographs, while the references, both classical and recent, are profuse. The result is a complete review of the subject, of interest to both the specialist and the non-specialist.

Classification of the carpal injuries helps us to understand the relationship between them. The growing interest in this field has been advanced by recent imaging techniques. Therapeutic advice and treatment are still not completely defined, even by the most renowned specialists. There is still room for new concepts.

Operative Dictations in Orthopedic Surgery is a valuable resource for teaching orthopedic surgical trainees and practicing orthopedic surgeons how to document their operative procedures. The book includes the majority of the commonly performed orthopedic procedures. For each procedure, a list of common indications is given, covering 95% of the situations in which particular procedures will be used, as well as a list of essential steps. This is then followed by a list intended to prompt the surgeon for particular details to note and dictate within the template, a list of possible complications that are typically associated with a particular surgical procedure, and templates of operative dictation that allow the surgeon to individualize their dictations. Ample space is also provided to allow each surgeon to add notes. Concise and easy to use, Operative Dictations in Orthopedic Surgery is a unique tool for orthopedics surgical residents and residents in practice that better prepares them to participate actively and learn as much as possible in the operating room.

"Bone Sarcoma "is a succinct volume within the M.D. Anderson Cancer Care Series that summarizes the key elements of different specialties as they pertain to these cancers. It is a vital resource for physicians working with these uncommon yet fascinating bone sarcomas and uses a multidisciplinary team approach that is essential to maximizing a patient s chances of a successful outcome. Written for physicians who have an interest in how the entire treatment process works and how their efforts are intertwined with those of their colleagues, "Bone Sarcoma "covers topics such as diagnostic techniques, treatment modalities, reconstruction and function, and a more globally oriented chapter geared towards algorithms for perioperative management and follow-up of patients.
Designed for the busy practitioner, the esteemed M.D. Anderson Cancer Care Series offers an in-depth view of the current standard of care at M. D. Anderson, without extensive literature review or discussion of approaches not yet incorporated into routine clinical practice. Each chapter ends with an up-to-date list of suggested readings and a list of key practice points highlighting the most important principles presented. These books offer a clear picture of how M. D. Anderson is successfully treating patients today.

This booklet is intended as an insighful update on the surgery of Shoulder Instability closely based on the content of closed consensus meetings of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) Upper Extremity Committee (UEC).

Fractures in the Elderly: A Guide to Practical Management provides geriatricians and other medical specialists who provide care for older adults with the vital guidance and most current data and opinions regarding the treatment of elderly patients who sustain a variety of fractures. It also provides orthopedic surgeons with the necessary information and most current data and opinions regarding assessment and management of geriatric conditions that predispose the elderly to fracture, perioperative complications and subsequent functional decline. Each chapter is both readable and appealing not only to geriatricians and orthopedic surgeons but to all clinicians that have contact with elderly patients who have sustained or are at high risk of sustaining a fracture. Emphasis is placed on the fact that although in some cases pre- and post-operative care in elderly fracture patient may proceed as it does in younger individuals, often there are considerations owing to functional status, pre-existing conditions, and age-related physiological declines that require specialized knowledge and alternative approaches. Developed by a group of renowned experts, Fractures in the Elderly: A Guide to Practical Management is a major addition to the literature and provides a wealth of specialized knowledge and approaches to care. It is an essential reference for all clinicians who care for older adults as well as fellows and residents in training.

Hip replacement operations have become commonplace during the past ten years, but none the less it is well to remember the struggle to overcome the initial difficulties before the achievement of the successful results which are confidently expected today. Certainly, in the 1950s attempts to relieve pain and restore movement to an arthritic hip frequently failed. Such operations which were practised often involved a prolonged period of immobilisation which would now not be tolerated. For progress to be made orthopaedic surgeons had to rely on the loyalty and stoicism of their patients who allowed untried procedures to be carried out on themselves, often without appreciating the possible outcome. These surgical experiments resulted in progress being made, and the failures led to a greater understanding of the problems involved. The importance of collaboration with bio-engineers was also recognised, and the search began for suitable materials with which to make an artificial joint. Progress was made in many centres throughout the world, and surgeons in the United Kingdom were at the forefront in devising original techniques. Although others also produced new models, John Charnley was a pioneer and an innovator who influenced the development of hip relacement more than any other individual. In telling the story of his life this book is inevitably also the story of the operation, but it is not intended to be a scientific evaluation of his work.

LA WRENCE G. RAISZ, MD Division of Endocrinology and Metabolism, University of Connecticut Health Center. Farmington. CT The rapid transfer of new knowledge concerning the pathogenesis, diagnosis, preven tion, and treatment of disease into clinical practice has always been a major challenge in medicine. This challenge is particularly difficult to meet in osteoporosis, not only because has been so much new knowledge generated in recent years, but also because this there disorder has not caught the attention of many practicing physicians. The goal of this volume is to help primary care physicians develop a better understanding of osteoporosis and a more effective approach to diagnosis, prevention, and treatment. As primary care physicians become more and more responsible for the maintenance of health and the prevention of disease, osteoporosis must become one of their important concerns. The magnitude of the problem of osteoporosis has been widely publicized. Within the next 30 years, the cost of hip fractures alone is expected to exceed $40 billion a year in the United States and will be a major cause ofincreased mortality. In addition, vertebral crush fractures will cripple more and more of our elderly population, both men and women. This enormous toll is not inevitable. Current methods of identifying individuals at risk and applying preventive programs could reduce the incidence offractures by 50% or more. This should be the minimum goal of clinicians."

With the technical advances made in MRI technology and the wider availability of MRI units, this diagnostic modality has by now - doubtedly gained a crucial role in joint imaging.The excellent detail recognition of MRI provides views of the various joint structures once only available through direct arthroscopic and surgical pro- dures. The acceptance, usefulness, and role of any diagnostic modality, however, critically relies on the experience, clinical expertise, and dedication of those who use it.With this in mind, a renowned int- disciplinary team of authors have brought together expert kno- edge from their respective fields in compiling this MRI atlas. Peter Teller and Hermann Konig are two highly experienced MRI radiologists with backgrounds in both clinical work and research. Ulrich Weber and Peter Hertel are two leading orthopedic surgeons and traumatologists in the fields of joint surgery/microsurgery and sports injuries. It is the vast radiologic experience in the interpretation of c- plex image information - an experience that takes into account the clinical requirements from the perspective of orthopedic surgeons and traumatologists - as well as the authors'didactic approach that make for the singular character of this book. Berlin, November 2001 Bernd Hamm, MD Professor and Chairman Department of Radiology Charite Medical School Humboldt-Universitat zu Berlin Preface MRI of diseases and injuries of the head, neck, and spinal column has become firmly established as a diagnostic tool since examiners could easily apply their previous experience gained in CT to MRI in these areas."

It is widely recognized that numerical analysis is a useful ta al common ta the fields of engineering, applied mathematics and mechanics, and medical science. Computer simulation and modeling have contributed much ta the understanding of a wide variety of biomedical phenomena. In particular the use of numerical techniques is essential for solving problems involving extremely complex geom- etry and physical properties that arise in a wide range of biomechanics. The increased speed and expanded storage capacity of modern computers, together with newly advanced numerical and programming techniques, have greatly im- proved the potential for studying complicated biomedical processes. Computer modeling techniques and their applications in the field of biome- chanics have shown remarkable development in J apan in the past few years. This book focuses an these advances and shows how computer modeling and simula- tion are being utilized ta aid and assist researchers, scientists, and clinicians in their understanding of biomedical systems from the biomechanical point of view. The papers included in this book falI within three main areas of interest: orthopedic, orthodontic, and skeletal mechanics; circulatory mechanics; and bio- logical and living systems. This book contains highly original papers that have been carefulIy selected from the studies financialIy supported by a 3-year Grant- in-Aid for Scientific Research an Priority Areas (Biomechanics, Nas.