Like my first book of exercises in radiological diagnosis con- cerning the vertebrae in adults, the first part of this book consists of an atlas of images ready for immanent reading. The images are numbered, each number corresponding to a case. The second part comprises the corresponding comments, critical interpretations, and drawings (using the same num- bers as the corresponding radiographs in the first part). I hope that this second booklet will be as appreciated as was the first, which was published in four languages (Radio- diagnosis of the Vertebrae in Adults. Springer, Berlin Hei- delberg New York 1983). My own documentation having proved deficient in some fields, I had recourse to the didactic collections oimy collea- gues, friends, and students. Special thanks are due to Prof. J. F. Bonneville, and to Drs. J. L. Dietemann, Y. Dirheimer, J. C. Dosch, and J. Vignaud. AUGUSTE WACKENHEIM VII Contents Introduction ...1 Part One: Iconography 5 Part Two: Commentary with Corresponding Schemata. 107 References . . 189 Subject Index 191 IX Introduction The analysis or the reading of an X-ray picture proceeds from struc- turalistic rules, such as the immanence, the synchronism, the significa- tion (signifiant and signifie of a sign), first from the semeiologic and then from the semantic point of view. In a simpler way, one can say that it is necessary to distinguish the signifiant, the signiGBPie, the comment, the interpretation, and the radiobioclinical confrontation. The signifiant or character is a normal or pathological "characteris- tic" part of the image.

In this issue, guest editors bring their considerable expertise to this important topic. Provides in-depth reviews on the latest updates in the field, providing 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 these timely topic-based reviews.

Aus dem wissenschaftlichen Interesse einzelner sportbegeisterter Arzte verschiedenster Fachrichtungen hat sich die Sportmedizin in den letz- ten Jahrzehnten zu einem Forschungsbereich entwickelt, dessen Eigen- standigkeit durch die Errichtung von sportmedizinischen Institutionen an den meisten Universitaten der Bundesrepublik Rechnung getragen wur- de. Die Inbetriebnahme des neuen Institutsgebaudes flir Sportmedizin an der Universitat Tlibingen war 1983 der AnlaB flir das 2. Symposion der Sektion "Sportmedizinische Forschung und Lehre an den Hochschulen" des Deutschen Sportarztebundes e.V., das sich die Aufgabe stellte, den heutigen Stellenwert des Fachgebiets zu erarbeiten. Anerkennung und Wertschatzung durch die offentlichkeit gingen aus den GruBadressen des Ministerprasidenten des Landes Baden-Wlirttemberg Lothar Spath, des Ministers flir Wissenschaft und Kunst Prof. Dr. Helmut Engler, des Ministers flir Kultus und Sport Gerhard Mayer-Vorfelder, des Oberblirgermeisters der Universitatsstadt Tlibingen Dr. Eugen Schmid und aus der Eroffnungsrede des Staatssekretars des Ministeriums flir Wissenschaft und Kunst Norbert Schneider hervor. Auf die zunehmende Bedeutung einer effektiven sportmedizinischen Forschung und Lehre zur Bewaltigung anstehender gesundheits- und auch gesellschaftspolitischer Probleme wiesen der Prasident der Eberhard-Karls-Universitat Tlibingen Dr. Adolf Theis und der Dekan der Medizinischen Fakultat (Klinische Medizin) Prof. Dr. Dr. Walter Frommhold in der BegrliBung hin. Der derzeitige Erkenntnisstand mit theoretischen, besonders aber prak- tischen Konsequenzen flir viele Gebiete der Medizin, der Sportwissen- schaft und des Sports wurde in tibersichtsreferaten und zahlreichen Einzelbeitragen des Symposions dokumentiert. Das breite Spektrum der Referate vom Hochleistungssport bis zum Behindertensport, von der Grundlagenforschung bis zur Therapie zeigte aber auch Problemfelder, Richtungen und Ansatze zuklinftiger wissenschaftlicher Arbeit auf.

The Royal College of Surgeons' of England two-day "definitive surgical trauma skills course" is run by the authors. The course began in 1997 but a new syllabus has recently been put in place.The focus is on thoracic ,abdominal and vascular injuries, caused by both penetrating trauma, such as a knife, and ballistic trauma caused by guns.This Manual accompanies the course and it's aim is to "demystify the body" and show how to control massive blood loss. Interventions, whether they be military or civilian, are descrbed in full, and techniques derived from the battlefield and world-wide hotspots in trauma -are exemplified within this book.

Manipulation as a treatment modality dates at least to the time of Hippocrates, (Schiotz and Cyriax, 1975). It has continued to be used intermittantly thereaft- er. In the late nineteenth century manipulation became a fundamental part of a new school of medicine founded by Andrew Taylor Still, M. D. (Northup, 1966). Osteopathy was presented to the medical world in 1874, and the first for- mal education began in 1892 in Kirksville, Missouri. Another school of prac- tice, chiropractic, was founded in 1896 by D. D. Palmer in Davenport, Iowa (Janse, 1975). While both of these new professions utilized structural diagnosis and manipulative therapy, osteopathic medicine sought to incorporate these di- agnostic and therapeutic tools within the practice of medicine and surgery, while chiropractic limited its practice to spinal analysis and adjustment. Orthodox medicine has also had its advocates for the use of manipulation (Mennell, James, 1948; Mennell, John, 1964; Cyriax, 1978; Maigne, 1972; Bourdillon, 1973). In the mid 20th century formalized organizations of individ- uals interested in manipulation were formed throughout the world. The Inter- national Federation of Manual Medicine, a confederation of associations of manual medicine from 20 countries, holds an international congress every three years. The North American Academy of Manipulative Medicine was founded in the early 1960s and sponsors conferences and conventions through- out the United States and Canada.

Regenerative medicine offers physicians new tools to help repair damaged tissue, alleviate pain, accelerate healing, and improve function for patients with degenerative conditions or sports injuries. Regenerative Treatments in Sports and Orthopedic Medicine is the first comprehensive book devoted to orthobiologic treatments for orthopedic conditions. Authored by experts in regenerative medicine, this evidence- and experience-based guide is written for clinicians looking to understand and effectively implement these treatments in their practices. Broad yet focused coverage of the scientific underpinnings, regulatory issues, staffing and equipment, nutritional and rehabilitation concerns, and orthobiologic interventions for specific clinical problems make this the ideal procedural reference for anyone working to restore function to athletes or other patients with musculoskeletal pathologies. Key Features Unparallelled coverage of clinical science and practical applications Written by pioneering leaders at the forefront of an emerging standard of care Evidence-based indications for initiating orthobiologic therapies Includes a review of important nomenclature for the novice Covers both Platelet Rich Plasma (PRP) and stem cell procedures A must-read guide for practitioners in academic and private practice settings

Functional morphology seeks to establish the relationship between form and function: the description of anatomic phenomena is used as a basis for defining functional factors which themselves, long term, affect the development of the form. This kind of basic study is essential for our understanding of quadruped and human motion and has been discussed by Pauwels (1948,1955, 1960) and Kummer (1956, 1959, 1962, 1978). Biomechanical analysis of human upper and lower limb joints has resulted in causal therapy in cases of joint disease (Pauwels 1935, 1961, 1976; Maquet 1976). Studies of the functional strain on the shoulder joint socket and the elbow joint have been carried out by Pauwels (1955, 1959, 1963) and Tillmann (1971, 1978). Joints of the human hand and wrist have been discussed from a phylogenetic, onto genetic, anatomic-descriptive, and clinical point of view (Thilenius 1895; Corner 1898; Zrubecky 1960; Lewis 1970; Blauth and Schneider-Sickert 1976; et al.), but so far no studies of these joints have been undertaken with a view to investigating the functional connection between morphology and specific strain. This study aims to establish the relationship between the form and the normal or disturbed functioning of three important joints of the human hand: the proximal wrist joint, the saddle joint of the thumb, and the metacarpophalangeal joints, and to evaluate the findings biomechanically and clinically."

This book is intended for beginners and for those who want to refresh their knowledge of the elementary radioanatomy of the vertebrae, particularly their pathological radioanatomy. I do not pretend, as does Roger Martin du Gard's hero, that one always must begin with a radiographic examination, but I do believe that a student, especially one interested in radiology, must be able to apprehend an image isolated from its clinical context. To optimize memorization of the image I have selected unmistakable cases with marked, well-evolved lesions. This will enable the studentlater to recognize less distinct images of the same kind. The first section of the book is exclusively iconographic. After studying an image, the reader will find in the second section, under the appropriate reference number, a commen tary illustrated with a realistic drawing by my friend Dr. Csaba Hethalmi. Attention to the following points will assist a fruitful reading: 1. Cases 1-5 involve normal subjects; all other cases are pathological. 2. The reader must imagine that he is conducting a routine examination and draw on his resources to make a practical analysis of an image. As a matter of fact, all the films (except that in case 46, which is the radiograph of a specimen) were -indeed taken under routine conditions using standard pro jections. 3. The cases are in no systematic or nosological order. Each case is illustrated with one, two, or (rarely) three images.

Der kA1/4nstliche HA1/4ftgelenkersatz zAhlt zu den erfolgreichsten Behandlungen im orthopAdisch-unfallchirurgischen Fachgebiet. Nach 10-15 Jahren Prothesenstandzeit kommt es jedoch in 3-8% zu VersagensfAllen, die eine Wechseloperation notwendig machen. Da weltweit hunderttausende HA1/4ftprothesen in den letzten 30 Jahren implantiert wurden und die Lebenserwartung der BevAlkerung stetig wAchst, ist ein erhAhter Bedarf an Wechselendoprothetik, insbesondere der Pfanne, zu verzeichnen. Die Revisionsoperationen benAtigen viel handwerkliche und wissenschaftliche Erfahrung, eine gute Logistik, ein hohes MaA an Prozesskoordination und nicht zuletzt einen hohen finanziellen Aufwand, um ein optimales Ergebnis fA1/4r den Patienten zu erreichen.

Dieses Buch gibt eine Antwort auf die Herausforderung a žPfannenrevision." Dabei wurde darauf geachtet, nicht erneut einen Kongressband mit punktuellen Ergebnissen darzustellen. Stattdessen ist es den Herausgebern gelungen, einen umfassenden Aoeberblick aus der Praxis der Pfannenrevisionen vorzulegen: Wissen zu bA1/4ndeln, echte Behandlungsalternativen zu prAsentieren und dem Operateur das RA1/4stzeug fA1/4r den zielsicheren und bestmAglichen Operationsablauf mitzugeben.

Operation on fractures of shafts and joints is chiefly indicated in the upper arm, forearm, femur and tibia. Injuries in these areas can almost always be successfully treated by the techniques described in the "AS IF Manual of Internal Fixation," followed by early exercises. The fixation of small fragments which are of such biomechanical importance, has hitherto given indifferent results, especially when the distal parts of the hand and foot are involved. The implants and instruments developed by Dr. Heim and tried out by AS IF members during recent years have now been assembled into a "small fragment set," which is now available. These implants have significantly expanded the scope of AS IF instrumentation for internal fixation. Pannike first compared the application of the small fragment set with the conventional methods used in hand surgery. Heim and Pfeiffer in cooperation with Meuli, illustrate in this Volume the small fragment set, elucidating in a didactic manner the composition of the set, the indications for its use, and its method of application to all suitable fractures. Enough good results have been secured to establish the usefulness of this development. The following volume may therefore be regarded as an important supplement to the ASIF Manual. It makes it clear again that every internal fixation requires a high level of technical skill, a sense of responsibility, and very gentle handling of the soft tissues.

Rheumatoid arthritis is a common disease, an estimated 1. 5% of the population being under medical treatment for it in European countries and elsewhere. However, to date the origin of this chronic inflammatory disorder has not been elucidated. Evidence for the involvement of microbial agents is still tenuous, the rea- son for the defective control of inflammation is still unknown, and the disease all too of- ten progresses to crippling stages despite long-term treatment. As T. McKeown recently stated with regard to rheumatoid arthritis, "not enough is even known to indicate which is the more promising approach, and the pru- dent course is to investigate both origins and mechanisms". While working on animal model diseases as well as on aspects of rheumatoid arthritis and related disorders in man, the members of the Special Research Area on patho- physiology of rheumatoid inflammation in man and. animals (Sonderforschungsbereich 54 "Pa- thomechanismen der rheumatoiden Entztindung bei Mensch und Tier"; maintained by the Deut- sche Forschungsgemeinschaft) at the Veterinary and Medical Schools, Hannover, have been guided by the concept that by studying clinically and morphologically similar diseases in several species, mutually stimulating results might lead to improved knowledge of the pathophysio- logy of rheumatoid arthritis. In particular, from working with model diseases in animals new approaches to the etiology of rheumatoid arthritis might be derived, while detailed knowledge of pathogenetic processes in rheu- matoid arthritis could further research in chronic stages of pertinent animal diseases.

L'intervento di artroprotesi d'anca, che si esegue ormai dagli anni '60, vive una grande evoluzione soprattutto dopo l'introduzione di nuovi disegni protesici e la sperimentazione di nuovi materiali. Un costante aggiornamento si rende quindi necessario. Quello previsto in questo corso, grazie al contributo di illustri collaboratori, esamina in dettaglio i principali aspetti, anche quelli piA innovativi, relativi alla sostituzione protesica dell'anca. Ampio spazio A] stato dedicato ai risultati di grandi casistiche, relative sia a modelli protesici di tipo tradizionale che ai modelli piA recenti impiantati senza cemento. Il volume si porpone come utile strumento di approfondimento di questa tematica cosA¬ attuale.

Many, if not most, of the recent improvements in trauma care in civilian practice have developed from military experience. The British Defence Medical Services have been recognised as providers of exemplary health care. Although there will is an emphasis on trauma, this book also captures lessons from internal medicine and infectious disease, ethics (for example dealing with detainees - a particularly controversial subject), human factors, mental health issues and rehabilitation.Military Medicine provides the evidence and context for these innovations, and its unique and important account will be of interest to both military and civilian practitioners alike.

This popular and practical book is a comprehensive guide to diagnosing joint conditions and the benefits, and potential pitfalls, of steroid injections, an important tool in managing these problems used by an increasing range of practitioners. It considers all the practical aspects of injection as well as providing general information, discussing medico-legal issues and highlighting clinical errors to avoid. This sixth edition has been completely revised and expanded. Key features include: two new chapters on the evidence base and inflammatory arthropathy updated physiotherapy assessment and treatment options now incorporated within the chapters on joint injections full-colour photographs and additional explanatory illustrations The book describes, step-by-step, the required skills for each procedure, providing every practitioner with the knowledge needed to inject with confidence.

The effects of the bone morphogenetic proteins (BMPs) family on bone formation are well documented, but the transforming growth factor (TGF)-beta ( ) isoforms are much less studied. The product of 20 years of study, Induction of Bone Formation in Primates: The Transforming Growth Factor- 3 sums up editor Ugo Ripamonti's research into the osteogenic activity of the three mammalian TGF- isoforms, particularly in primates. It explores how the mammalian TGF- isoforms have the potential to shed light on the apparent redundancy of bone induction signaling. The book unearths the profound and important bone inductive activity of the TGF- 3 isoform. It includes accounts of extensive research in non-human primates from craniofacial tissue regeneration, heterotopic tissue induction, and chapters on periodontal tissue regeneration and synergistic induction of bone formation. It also discusses the future clinical role of the TGF- isoform, including in human studies. This book contributes to the fascinating history of BMP and TGF- research at the intersection of molecular biology, tissue induction, bone regeneration, and craniofacial surgery. It provides a revolutionary awakening to new possibilities in skeletal reconstruction, tissue engineering, and molecular and cellular biology.

In this issue, guest editors bring their considerable expertise to this important topic. Provides in-depth reviews on the latest updates in the field, providing 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 these timely topic-based reviews.

The first European Symposium on Electric Stimulation of Bone Growth and Repair was held in Brussels on May 20, 1976. The meeting was sponsored by the Parliamentary Assembly of the Council of Europe, the Interdisciplinary Bone Biomechanics Unit of the University of Brussels, and the Department of Applied Electronics, Chalmers University of Technology, Goteborg. The aims of the Symposium were to create and organize communica tion between European laboratories in the field of electric stimulation of healing processes and generally to promote international collaboration in this field. The Organizing Committee Spring 1978 F. BURNY, Brussels E. HERBST, Goteborg M. HINSENKAMP, Brussels Contents Electric Stimulation of Bone Growth and Repair: A Review of Different Stimulation Methods E. HERBST. With 5 Figures . . . . *. **. . *. . . . . . . . . . . *. . . . . . . . . . . Four-Point Measurement of the Impedance of Bone in Vivo W. SANSEN, F. De DIJCKER, S. STAN, and J. C. MULIER t"Jith 4 Figures . . . . . . . . . . . . . . . . . . . *. . . . . . . . . . . . . . . *. . . . . . . . . 15 In Vitro Study of Electric Impedance of Bone B. DURAND, P. CHRISTEL, and J. ASSAILLY. With 5 Figures . . . . 19 Achievements and Discrepancies in Understanding Bone Electric Phenomena T. CIESZYNSKI. With 2 Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Physicochemical Effect of an Electric Potential on Bone Growth R. WOLLAST, M. HINSENKAMP, and F. BURNY. With 4 Figures . . . * 29 Influence of Magnetic Fields on Growth and Regeneration in Organ Culture H. GERBER, J. CORDEY, and S. M. PERREN. With 2 Figures . . . . . .

Focused on the rapidly expanding field of reverse shoulder arthroplasty, Reverse Shoulder Arthroplasty: A Comprehensive Case-Based Approach is a detailed guide for shoulder surgeons. As this type of arthroplasty continues to grow globally, this text fills the need for a comprehensive and current book on this topic. This text is edited by Dr. Joseph Abboud, alongside co-editors Drs. Frankle, Romeo, Sanchez-Sotelo, Neyton, and Tashjian. With dozens of leading orthopedic shoulder surgeons as contributors, Reverse Shoulder Arthroplasty: A Comprehensive Case-Based Approach serves the needs of a broad audience of surgeons. This includes fellowship-trained shoulder surgeons, sports surgeons, generalists, traumatologists, hand surgeons, and orthopedic oncologists. The unique, case-based approach highlights the current and historic principles of reverse shoulder arthroplasty. Important featured topics in Reverse Shoulder Arthroplasty include: Relevant anatomy, indications, and surgical approaches Theory of design and its practical applications: materials used, base plate design, glenospheres, and humeral stems Primary reverse shoulder arthroplasty: RSA for several different indications, how experts perform the operation, and techniques utilized in certain cases Revision reverse shoulder arthroplasty: step-by-step approach, evaluation of infection, instability, managing bone loss, and more Miscellaneous topics: various approaches to rehabilitation, salvage options, and non-arthroplasty options for the rotator cuff deficient shoulder Video website access is included with purchase, providing additional audio-visual support to theories and principles discussed in each chapter by the world's leading experts. Reverse Shoulder Arthroplasty: A Comprehensive Case-Based Approach is a comprehensive and current guide intended to assist all levels of shoulder surgeons. This go-to resource will be a foundational asset to any surgeon in this expanding field.

Now in its revised and significantly expanded third edition, this comprehensive, authoritative text reinforces its standing as the gold standard on arthroscopic techniques for the wrist and elbow, now including selected open surgical techniques as well. Fundamental topics, such as anatomy, operative set-up, assessment, and lasers and electrothermal devices open the book. Generously illustrated with intraoperative photographs and full-color figures, chapters covering arthroscopic techniques are full-length and in detail. Topics include the management of TFCC tears, joint instability, arthritis, fractures and nonunions, dorsal and volar ganglions, and many more conditions and injuries of the wrist and elbow. While chapters on open techniques could present an extensive history and background of the subject as compared to the arthroscopic chapters, they will be focused approaches discussing why the author thinks it is the best open technique, including tips, tricks, pearls and how to perform the operation. Open management of ulnar impaction, scapholunate instability, total wrist arthroplasty, and elbow contractures are discussed, among others. Selected chapters include video supplements for additional, real-world demonstrations of techniques. Bringing together a truly international cross-section of experts and thought leaders in orthopedics and hand surgery, Wrist and Elbow Arthroscopy with Selected Open Procedures, Third Edition remains the premier resource for all clinicians working in this field.

Total hip arthroplasty has steadily evolved to improve patient outcomes and safety. One innovation has been to incorporate less invasive surgical methods, such as the direct anterior surgical approach. The Direct Anterior Approach to Hip Reconstruction is a comprehensive reference text that addresses contemporary surgeon interest in innovation and less invasive surgery. This resource will help with introductory learning, intermediate technical development, and advanced revision total hip skills using the direct anterior technique. Accordingly, the text is structured into three sections as follows: Basic concepts: Surgical hip anatomy, patient selection, and placement of single, multiple, and extensile incisions for primary total hip arthroplasty Intermediate concepts: Adoption of imaging and navigation technologies, use of traction tables to enhance positioning, and presentation of unique instruments and custom devices that have evolved specifically for the direct anterior approach Advanced concepts: Using the direct anterior approach for bearing and liner exchanges, acetabular revisions, femoral component revisions, and both component revisions. Drs. B. Sonny Bal, Lee E. Rubin, and Kristaps J. Keggi have combined their unique perspectives, along with those of a renowned group of North American and European experts in the anterior hip reconstruction surgery to create this reference. Dr. Keggi was among the first to recognize the benefits of the direct anterior approach in hip reconstruction; this text is based on his 50-plus years of experience as a clinician and pioneer surgeon. The Direct Anterior Approach to Hip Reconstruction provides a stepwise learning process for surgeons interested in mastering total hip arthroplasty using the direct anterior approach, with detailed chapters and video instruction, contributed by a distinguished group of international experts in the field. The chapters focus on using the direct anterior approach to address a variety of hip problems well beyond performing total hip arthroplasty for osteoarthritis. The unique applications of the direct anterior approach within the orthopedic sub-specialties are addressed in chapters covering the fields of pediatrics, sports medicine, trauma, and tumor surgery. Other chapters address subjects like femoroacetabular impingement, hip preservation surgery, and postoperative rehabilitation protocols designed to improve patient outcomes. The final section of the text reviews the evidence-based outcomes related to direct anterior total hip arthroplasty, addressing evolving implant design concepts specific to this approach, and outlining directions for educating the next generation of surgeons who will continue to develop and refine these techniques. Complementing the written text is a website with educational videos to further enhance the learning experience. To date, no other reference has addressed the need for comprehensive education for the orthopedic resident, fellow, or surgeon seeking to learn about the direct anterior approach for hip reconstruction. This resource should be invaluable to orthopedic surgeons worldwide and will contribute to improving patient safety, reducing complications, and better surgical outcomes. Indeed, this landmark publication is truly the world's first comprehensive text on anterior hip surgery.