This book is an indispensable reference for pediatric and musculoskeletal radiologists, as well as orthopedic surgeons. It offers in depth analysis of pediatric orthopedic imaging, covering normal and aberrant development as well as both common and unusual pediatric disorders. Chapters on the spine, shoulder, elbow, hand and wrist, hip and pelvis, lower extremity, and foot and ankle address site-specific congenital and acquired lesions. Subsequent chapters cover generalized orthopedic diseases such as neurofibromatosis and osteogenesis imperfecta, infectious processes, neuromuscular diseases, musculoskeletal tumors, trauma, and orthopedic procedures. The chapters review associated epidemiology, clinical presentation and evolution, treatment, and differential diagnoses, with in-depht analysis of imaging characteristics. With more than 1800 images, high-quality MRI, CT, and US examples complement the radiographs of a broad variety of musculoskeletal disorders.

Comprehensive and generously illustrated, this text highlights both general principles and specific strategies for managing the spectrum of pediatric lower limb deformities. It is divided thematically into five sections, though any chapter can stand on its own to guide the clinician in specific situations. Part I covers general principles and techniques, including etiology, clinical evaluation, imaging as well as different surgical methods. Part II, covering related concepts and management options, discusses soft tissue contractures, amputations and working in austere and resource-challenged settings. Underlying conditions comprise part III - specific metabolic, neuromuscular and tumor-related conditions, along with arthrogryposis, Osteogenesis Imperfecta and various skeletal dysplasias. Part IV presents congenital and developmental disorders, such as congenital femoral deficiency, hemimelias, tibial pseudoarthrosis and Blount disease, while part V rounds out the book with chapters on sequelae related to different etiologies and their treatment. Covering all aspects of the management of pediatric lower limb deformities and written by renowned experts in the field, this textbook will be an invaluable resource for orthopedic surgeons and trainees worldwide.

Detection and characterization of bone tumors with imaging remains a big challenge for every radiologist notwithstanding the impressive progress achieved by the introduction of several new imaging modalities. Moreover, new concepts in surgical and oncological treatment of these lesions require from the radiologist appropriate and focused answers to the specifc questions asked by the referring physicians in order to choose the best therapeutic approach for the in- vidual patient. Tis comprehensive textbook describes in detail the possibilities and limits of all moda- ties, including MRI, CT, nuclear medicine and interventional radiological procedures, employed for the modern imaging of tumoral and tumor-like lesions of bone. Teir role in the diagnosis, surgical staging, biopsy and assessment of response to therapy is discussed in detail, covering all tumor subtypes as well as their specifc anatomical location.Well selected and technically imp- cable illustrations strongly enhance the didactic value of this work. I am very much indebted and grateful to the three editors: A. Mark Davies, Murali Sundaram and Steven L. J. James, world authorities in musculoskeletal radiology, for their superb scientifc achievement in preparing and editing this wonderful volume as well as for their individual ch- ters. I would also like to thank the large international group of collaborating authors, who are also widely acknowledged for their specifc expertise in the area of bone tumors, for their outstanding contributions.

Providing a state-of-the-art account of the nature, distribution and determinants of sports injury in children and adolescents, this unique volume uses the public health model to describe the scope of the injury problem and the associated risk factors and evaluate the current research on injury prevention strategies as described in the literature. Thoughtfully divided in six sections, the nature of the young athlete and epidemiology of pediatric and adolescent sports injury are described first. Then an overview of the most common types of youth sports injuries as well as more serious injuries (e.g., concussions) and outcomes is presented, followed by a discussion of injury causation and prevention. Suggestions for future research rounds out the presentation. Each chapter is illustrated with tables which make it easy to examine injury factors between studies. Throughout, the editors and contributors have taken an evidence-based approach and adopted a uniform methodology to assess the data available. Ideal for physicians, physical therapists, athletic trainers and sports scientists alike, Injury in Pediatric and Adolescent Sports concisely and accurately presents the situation faced by clinicians treating young athletes and the challenges they face in keeping up with this growing and active population. Furthermore, the information in this book will be useful to allied health researchers and sport governing bodies as an informed basis for continued epidemiological study and implementation of injury prevention initiatives designed to reduce the incidence and severity of injuries encountered by young athletes.

Stress fractures are fatigue failures of bone caused by unusual or repeated stress on bone and are among the more common sports injuries encountered. Often going unreported or occasionally unnoticed, athletes run the risk of a more serious fracture if untreated. Stress Fractures in Athletes focuses on the presentation, evaluation and treatment of these injuries. Divided into two sections, the first part provides in-depth description of the pathophysiology, epidemiology and biomechanics of stress fractures, as well as a discussion of classification, imaging and some general treatment concepts. The second part expands on treatment and takes each relevant anatomical region into consideration: lumbar spine, pelvis, femur, knee, tibia, upper and lower extremities, and the ribs and shoulder girdle. A chapter on insufficiency fractures, commonly associated with osteopenia and osteoporosis, is also included. As such, Stress Fractures in Athletes are a comprehensive resource for sports medicine practitioners, orthopedic surgeons, primary care physicians and physical therapists alike.

Focusing exclusively on reverse shoulder arthroplasty (RSA) techniques and devices, this plentifully illustrated text covers all aspects of this important and innovative treatment for shoulder pain and dysfunction. The book begins with a history of RSA followed by a thorough overview of the basic science and biomechanics of the shoulder. Indications for and clinical applications of RSA in a number of surgical interventions are then described, including the revision of failed shoulder arthroplasty, setting in cases of glenoid and humeral bone loss and rotator cuff tears. A whole section is then dedicated to various commercial devices with descriptive expert analysis of the design and implementation of each. An examination of the current economic value of RSA, including cost effectiveness and expected cost outcomes, comprises the final section. Reverse Shoulder Arthroplasty can therefore be read either from start to finish, allowing orthopedic surgeons to appreciate the various perspectives offered, or by selecting specific topics of interest much like a "how-to manual" of either a particular device design or the treatment of a specific pathology.

Minimally Invasive Spine Surgery is a beautifully illustrated atlas describing the 18 most widely accepted minimally invasive procedures in spine surgery. Written by leaders in both neurologic and orthopedic spine surgery, this book offers the most up-to-date material and the broadest perspective on the subject. Procedures range from simple to complex and cover the cervical, thoracic and lumbar regions of the spine.

Recent research, which Bone- Metabolic Function and Modulators expands on, has added new support to the idea that bone not only serves as a support system, but also functions as an integrating organ, with a significant regulatory role for lipid and energy metabolism. Links between physical activity and the skeleton are also becoming increasingly clear. This fully illustrated volume contains up-to-date information on the metabolic role of the skeleton and what this can mean for the treatment of metabolic as well as skeletal and auditory diseases. Bone- Metabolic Function and Modulators is of particular interest to clinician scientists, clinical and basic bone researchers, orthopedists, endocrinologists, internists, dentists, nurse practitioners, medical and dental residents and physiotherapists as well as students of the musculoskeletal system. Bone- Metabolic Function and Modulators is the seventh volume in the series Topics in Bone Biology, edited by Felix Bronner and Mary C. Farach-Carson. Other titles in this series:- Bone Formation Bone Resorption Engineering of Functional Skeletal Tissues Bone and Osteoarthritis Bone and Cancer Bone and Development Bone- Metabolic Function and Modulators is of particular interest to clinician scientists, clinical and basic bone researchers, orthopedists, endocrinologists, internists, dentists, nurse practitioners, medical and dental residents and physiotherapists as well as students of the musculoskeletal system. Bone- Metabolic Function and Modulators is the seventh volume in the series Topics in Bone Biology, edited by Felix Bronner and Mary C. Farach-Carson. Other titles in this series:- Bone Formation Bone Resorption Engineering of Functional Skeletal Tissues Bone and Osteoarthritis Bone and Cancer Bone and Development Bone- Metabolic Function and Modulators is of particular interest to clinician scientists, clinical and basic bone researchers, orthopedists, endocrinologists, internists, dentists, nurse practitioners, medical and dental residents and physiotherapists as well as students of the musculoskeletal system. Bone- Metabolic Function and Modulators is the seventh volume in the series Topics in Bone Biology, edited by Felix Bronner and Mary C. Farach-Carson. Other titles in this series:- Bone Formation Bone Resorption Engineering of Functional Skeletal Tissues Bone and Osteoarthritis Bone and Cancer Bone and Development

Providing the most up-to-date research and current clinical knowledge of diabetic bone disease and the challenges still facing the research and clinical care communities, this book unites insights from endocrinology and orthopedics to create a truly unique text. The first part covers clinical and pre-clinical applications and research. The first two chapters present the clinical and epidemiological data about diabetic bone disease, evaluated and reviewed for type 1 and type 2, respectively. This is followed by discussions of how the propensity to fracture in diabetic bone disease can impact fracture risk assessments and how it can be adjusted for using current clinically relevant fracture risk models. A comprehensive overview of orthopedic complications observed in diabetes is next, as well as a focus on the consequences of diabetes on periodontal disease. Other topics include the utility of skeletal biomarkers in assessing diabetic bone disease, how drugs used to treat diabetes may also have skeletal consequences, and the possibility that diabetes may fundamentally impact early progenitor cells of various bone lineages and thus globally impact bone. The second part covers biomechanics and bone quality in diabetes: how diabetes ultimately may impact the architecture, integrity, and quality of bone. Utilizing the expertise of top researcher and clinicians in diabetic bone disease in one comprehensive text, this volume will be a useful and thought-provoking resource for endocrinologists and orthopedic surgeons alike.

Recent years have witnessed a trend toward the use of minimally invasive techniques in all areas of orthopedic surgery, including hip replacement. This book aims to provide a comprehensive guide to the use of minimally invasive surgery in total hip arthroplasty. The four commonly employed approaches - anterior, anterolateral OCM, anterolateral supine, and posterior - are described in detail with the aid of high-quality illustrations. For each approach, clear guidance is offered on patient selection, patient positioning, surgical procedure, postsurgical care, and rehabilitation. Potential complications and the advantages and disadvantages of each option are carefully weighed up, and experts also present their personal experiences, outcomes, and success rates with the different approaches. The book concludes by discussing future trends in hip arthroplasty.

This concise digest offers a practically oriented and up-to-date overview of all subjects in pediatric surgery according to the European surgical curriculum. Additionally, interdisciplinary aspects concerning pediatrics, adult surgery, obstetrics and other disciplines working with children are considered. The tables enable quick access to indications for the operative and conservative therapy with schematic step-by-step illustrations for nearly all surgical procedures.

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.

The reader will find in this book a new approach to improving health. The author has called this approach "sanomechanics," combining the Latin sanus (healthy, sound) and mechanicus (science of the motion of bodies subjected to forces). The focus of sanomechanics is on exercising with an understanding of the biomechanical consequences of the actions. This understanding is based on the author's theory of the floating skeleton, which postulates a hydraulic connection of synovial joints. The theory explains the greater or lesser success of any exercise utilizing the ability of the human skeleton to absorb and transform forces and moments from the body segments and the environment. This ability vanishes with age and illnesses, and the deeper our understanding of the nature of skeletal functioning is, the better we shall be able to improve, protect, and prolong the skeleton's health.

It has by now been established that carpal ligamentary lesions may lead to instability and ultimately to carpal arthritis. However, the variety of anatomopathological classifications and the multiplicity of surgical repair techniques reflect the difficulty of grasping this ligamentary pathology. Clinical analysis and traditional investigation techniques must successfully address the complexity of the wrist, which is largely due to the number of synchronized bones involved in every movement of the hand. The clinical analysis of the wrist is insufficient to precisely measure the mobility of each carpal bone, making paraclinical examinations also significant for clinical diagnosis. The tools available today range from X-rays to arthroscopy, including arthroCTscans and soon MRI. As for repair techniques, their diversity must not hide the fact that a biomechanical and physiological principle is involved and must be identified. This book presents the findings of an expert group in the field of wrist pathology. It seeks to analyze, understand, explain and make comprehensible, if not obvious, the reflections that each practitioner should employ during the diagnosis and treatment of carpal ligamentary lesions. The focus is consciously not on degenerative carpal pathology, which usually enjoys more visibility. We hope that readers will benefit from the fact that fragmented pieces of knowledge are gathered in a single work, that they will find in this initial synthesis an inspiration to rethink a difficult and sometimes thankless surgery and to further the surgical advances of the 21st century.

The purpose of this book is to define the basis of telemicrosurgery, a new discipline at the border of robotics and microsurgery. After the history of robotics and microsurgery, the robots and their instrumentation will be described. The chapters will explain the training in telemicrosurgery and then propose some experimental paradigms. The first clinical applications for various specialties will be explored. In closing, potential future applications will be discussed.

This series provides a clearly structured and comprehensive overview of fracture treatments based on the most recent scientific data. Each book in the series is organized anatomically, so the surgeon can quickly access practical aspects, examples, pearls and pitfalls. In this first volume in the series, fractures of the proximal humerus are examined with an overview of fracture morphology, injury pattern, preoperative considerations, conservative treatment, surgical management and postoperative care. Fractures of the Proximal Humerus is written by a group of experts from the Association for the Rationale Treatment of Fractures (ARTOF) who aim to provide an independent, unbiased summary of fracture treatments to improve clinical outcomes. Trauma and orthopaedic surgeons worldwide who are searching for current knowledge of new implants, therapeutic strategies and advancements will be able to quickly and accurately apply the information from this book to provide the best possible care for their patients.

Orthopedic experts in their field have carefully chosen what they consider to be the key papers in their respective domains. Every paper is carefully described and evaluated by its strengths, weaknesses and its contribution to the field. Papers have been chosen by number of citations, academic importance, articles that have changed our whole way of thinking or that have simply stood the test of time.

A definitive summary of novel techniques, this volume details the most current and multidisciplinary approach to new technologies used in general plastic surgery, hand surgery, peripheral nerve surgery, microsurgery, breast surgery, esthetic surgery, and trauma surgery. It also gives an overview of the most important and clinically relevant plastic surgery research. The aim is to stimulate the reader to look at future advances and applications of research and their relevance to daily clinical practice in plastic surgery. Appropriate for different sub-specialties not only in plastic surgery (breast, face, esthetic, hand, microsurgery chapters) but also in orthopedics (hand, microsurgery, nerve chapters) and neurosurgery (peripheral nerve chapter), this book will also be of great interest to trainee surgeons.

The book provides an authoritative source of knowledge about these problematic disorders. It bridges the gap between clinical recognition and the new molecular medicine. The editors, distinguished clinicians and geneticists, assembled an internationally renowned group of collaborators, many of them the experts who first described a particular disorder or established its present accepted definition. They have written a practical, comprehensive guide to the recognition, investigation and management of more than 60 recognised phakomatoses.

This book, a selection of the papers presented at the 32nd Japanese Hip Society (JHS) Congress, includes the latest knowledge on preservation and regeneration treatments of hip disease as well as arthroplasty. It is an invaluable source of reference for all who work in the field of orthopedic surgery.

Accurate interpretation of indications for treatment is the cornerstone of success in medicine. This book carefully examines the relation between clinical features, diagnosis, and choice of minimally invasive technique for a range of spine pathologies. It explains how selection of technique is intimately related to clinical and diagnostic aspects and how recognition of this relation forms the foundation for an optimal outcome. In addition to examining the various minimally invasive options, including the latest techniques, careful attention is paid to the role of medical treatment in avoiding recurrence after initial therapy. Nerve blocks, epidural injections, and intradiscal procedures are among the many options available in the armamentarium of the interventionalist, and advice is given on their use in different contexts. This volume will be of great value for neuroradiologists and others responsible for treating patients with spine disorders.

This book addresses the need for improved diagnostic and treatment guidelines for patients in whom total knee arthroplasty (TKA) has had an unsatisfactory outcome. It opens by discussing the basics of TKA and the various causes of failure and pain. Diagnostic aspects are considered in detail, with attention to advances in clinical investigation, laboratory analysis and in particular, imaging techniques. In addition, helpful state of the art diagnostic algorithms are presented. Specific pathology-related treatment options, including conservative approaches and salvage and revision TKA strategies, are then explained, with identification of pitfalls and key points. A series of illustrative cases cover clinical scenarios frequently encountered in daily clinical practice. The evidence-based, clinically focused guidance provided in this book, written by internationally renowned experts, will assist surgeons in achieving the most effective management of these challenging cases.

Reoperative Hand Surgery is a major contribution to the literature, offering a wide range of reoperative options for challenging problems that face the reconstructive hand surgeon after failed primary surgery. Concise and discussing all of the more common issues that hand surgeons often face in performing revision surgery, this invaluable title is unique in that it looks specifically at the problem of what to do when the original index procedure did not go as planned. Topics covered include the hand, wrist, forearm and elbow, and several sections of the book discuss some of the psychological and social factors that also go into the decision process to reoperate or not. The chapters are tightly focused so that the important aspects to consider for reoperation can be quickly reviewed. There is also a component that discusses how to avoid other pitfalls and to minimize as well as manage any complications that may occur with reoperative procedures. Importantly, the book is replete with original art work to help describe and demonstrate how to perform many reoperative procedures. The artwork is simple and straightforward but yet detailed enough to convey the important steps and aspects for the surgical intervention it is outlining. Developed by renowned experts in the hand surgery field, Reoperative Hand Surgery is an indispensable, state-of-the-art reference, offering the busy hand and upper extremity surgeon easily accessible information relating to the evaluation, diagnosis, and possible surgical interventions for the diagnoses discussed.

This book provides a detailed and comprehensive overview of the role of diagnostic imaging in the assessment and management of trauma and polytrauma in children. The coverage includes imaging of injuries to the head, thorax, abdomen, bone and musculoskeletal system, with careful attention to the newest imaging techniques, imaging during the course of recovery and imaging of complications. A series of illustrative cases underline the prognostic value of imaging. In addition, an individual chapter is devoted to diagnostic imaging in cases of child abuse. The book concludes by discussing informed consent and medicolegal issues related to the imaging of pediatric traumatic emergencies. Imaging Trauma and Polytrauma in Pediatric Patients will be invaluable in enabling radiologists and clinicians to identify the main features and signs of injuries on a wide range of imaging techniques, including X-ray, ultrasonography, computed tomography and magnetic resonance imaging.

The second edition of The Growing Spine has been extensively revised to cover recent advances in knowledge and management. The book is intended as a comprehensive, one-stop reference for specialists and health professionals who care for young children with spinal deformities. In addition, it will effectively help to standardize the care of these patients. Depending on the etiology, children with spinal deformities are often cared for by multiple specialists, including pediatricians, pediatric orthopaedists or orthopaedic spine surgeons, neurologists, pediatric surgeons, pediatric neurosurgeons, oncologists, and pulmonologists. The multidisciplinary nature of care is reflected in The Growing Spine, which will be of value for all involved practitioners rather than just orthopaedic specialists. It will also be an ideal reference for nurses, physical therapists, and healthcare professionals in training, who are usually unfamiliar with spinal deformities in children.