Die Huftendoprothetik gehoert zu den wichtigsten Entwicklungen in der Orthopadie. Gerade weil es nicht die Huftendoprothese gibt, die allen Erfordernissen des einzelnen Patienten gerecht wird, ist ein Erfahrungsaustausch und eine Bestandsaufnahme nach z.T. Jahrzehnte langer Erfahrung mit den einzelnen Prothesensystemen wichtig. Die Beitrage im Buch spiegeln den heutigen Stand des Wissens wider, wobei sich der Bogen von der voll zementierten Bogenschaftprothese bis zur computerassistierten Schaftimplantation, von der Freihandimplantation der Pfanne bis zu navigationsgestutzen Pfannenverankerung spannt. Alle Orthopaden und Unfallchirurgen, die Patienten mit Huftendoprothesen betreuen, finden in diesem Buch einen aktuellen UEberblick der gangigen Verankerungsprinzipien und deren mittel- bis langfristigen Ergebnisse - zusammengestellt von Spezialisten aus dem In- und Ausland.

Dauernde Knieinstabilitat durch traumatische ligament are oder meniskale Schaden wie auch die direkte traumatische Sch1idigung der kartilaginaren Oberflache der Gelenke und des subchondra- len Knochens sind wesentliche Faktoren in der Entstehung der sekundaren Arthrose. Eine normale Gelenkfunktion ohne intak- ten Gelenkknorpel ist nicht moglich, was umso erstaunlicher ist, als der menschliche Gelenkknorpel nur wenig Potenz zur Rege- neration besitzt. Da bisher keine wissenschaftlichen Methoden bekannt sind, die den ProzeiS der zunehmenden Knorpeldegene- ration vermeiden konnen, muiS es heute unser Ziel sein, den iso- lierten traumatischen Knorpelschaden moglichst fruhzeitig und effektiv zu behandeln und ein instabiles Knie zu stabilisieren. Ausgelost durch Meldungen in der Presse uber die erfolgreiche Transplantation von autologen Chondrozyten und Chondrozyten- zylindern und die In-vivo-Neubildung von hyalinem Knorpel wurde bei Patienten und ihren Anten viel Hoffnung geweckt. Es scheint, daiS wir an der Schwelle zu einer neuen Ara in der Be- handlung von Knorpelschaden stehen. Wenn auch Langzeitresul- tate der verschiedenen konkurrierenden Verfahren noch nicht zur Verfugung stehen konnen, sind die Resultate bisher vielver- sprechend. Wir sind jedoch noch weit davon entfernt, daiS das Problem des Knorpelschadens und des instabilen Kniegelenkes gelost ware.

In Rheumatoid Arthritis: Risk Factors, Health Effects and Treatment Options, the authors open by discussing discuss which bDMARDS and tsDMARDS might be preferred in particular situations, for example in the setting of previous malignancy or in those with an increased risk of infection. Emphasis will be placed on practical solutions for the busy clinician. Following this, they discuss the prevalence and implications of co-morbid depression in RA patients and sub-groups, focusing on ethnic minorities. The barriers to identification of depression and the reasons for low utilization of mental health care resources among specific ethnic groups are analyzed, taking into account patient perceptions of depression and its association with RA. Lastly, the current knowledge about the contribution of smoking as a risk factor for RA development and the possible mechanism of action is reviewed. In addition, the authors highlight the association of smoking habits with clinical, serological, radiographic damage statuses and comorbidities of RA. The benefits of designed smoking cessation intervention on RA outcomes will also be discussed.

It may have once been known as Disease of Kings, but gout is a growing problem for ordinary people around the world. This book brings together multinational expertise to draw out an understanding of this disease that will be useful for the academic, the clinician and indeed the sufferer of gout. Highlighting recent understandings of the genetic background to the condition, with detailed pathophysiology and epidemiology, this book brings together and illustrates the disease mechanisms that cause gout. There follows both an academic and practical appraisal of the dietary risk factors for the development of gout, and the cardiovascular associations that heighten morbidity. With state of the art imaging modalities, the process and sequelae of the disease is captured within the human body, describing in pictures the damage and effect that gout crystals can produce. That damage can be avoided however, if simple principles of treatment and lifestyle modifications are followed. Horizon scanning for yet more drugs to address this growing and unmet need is highlighted as new options that have either recently become available or will be accessible in the near future are explored. With the increasing incidence and prevalence of this condition we are all going to have greater exposure to gout. This book is a timely resource, written by experts, yet accessibly written for all, and certainly not just for kings.

The idiopathic inflammatory myopathies (IIM) are a rare group of autoimmune diseases, negatively affecting the lives of an estimated 250,000 people worldwide. Delays in diagnosis often occur owing to a lack of recognition of disease presentation, or misdiagnosis, both of which can lead to muscle atrophy. This new addition to the Oxford Rheumatology Library series focuses on providing a summary of what is currently understood about the epidemiology of myositis, controversies in diagnosis criteria, clinical features, and the current paradigms for treatment and intervention. Designed to bring together the multi-disciplinary involvement of healthcare professionals for IMM patients, this is the first easy-to-navigate guide for the practical management of myositis. This is an essential guide for both physicians and trainees in Rheumatology, Neurology, and Dermatology specialities.

Die Fortbildungskurse richten sich an angehende Facharzte fur Orthopadie und orthopadische Chirurgie, aber auch an erfahrene Orthopaden in Praxis und Klinik, die von bestausgewiesenen Wissenschaftlern eine kompetente Ubersicht uber Neues zu aktuellen und modernen Krankheitsbildern bekommen. Strategien in moderner, invasiver und nichtinvasiver Diagnostik sowie konservativer und operativer Therapie werden didaktisch einfach erlautert und mit vielen Tabellen und Abbildungen prasentiert."

A child with Duchenne Muscular Dystrophy (DMD) faces a childhood and adolescence with a disability that develops gradually. This book intends to expose the problems of children with DMD. The authors discuss situations related to the disease in an attempt to provide some quality and improvement of life for those affected since DMD is a degenerative disease which affects muscle. This book offers a historical study of muscular dystrophy. It also shows some profiles of excellent clinicians and scientists that have contributed to this book with a description of muscular dystrophy from the clinical picture, to the latest techniques in genetics. Also included in the chapters are resolutions of several approaches to DMD, like scales, in order to anticipate how to manage the disease. This book relates some techniques of moderate exercise, like Yoga and water exercises, that are compliable with some advantages in mobility. The book concludes with some current trends and what can be done in the future. This book can be a good read to everyone that is interested in DMD, and also for the ones who know or provide care for those with this terrible disease.

Die Orthop die ist ohne die angrenzenden Fachgebiete nicht denkbar. Dieser Band gibt einen Einblick in die Geschichte der verschiedenen Nachbardisziplinen der Orthop die, wie z.B. Radiologie, Neurologie und An sthesie und enth lt dar ber hinaus biographische Aufs tze zu namhaften Pers nlichkeiten der Orthop die und Chirurgie.

Hand radiography is usually the first step in the evaluation of arthritis. With hundreds of high-quality images, this work provides a simplified but high-quality diagnostic interpretation of hand radiography, for residents in training and experienced physicians, who wish to improve their knowledge of contemporary rheumatology, according to the rapid progress of treatment using biologic agents and various new diagnostics tools, including MRI and ultrasound. Topics discussed include arthritis in Behcet's disease; adult onset Still's disease; osteonecrosis in lupus; seronegative spondyloarthropathies; gout; and systemic sclerosis.

This book builds upon the first edition with new and improved chapters. The book explores the rich assemblage of clinical wisdom from expert rheumatologists from a wide range of specialties including Vasculitis and Sjogren's syndrome. It examines the nuggets or 'pearls' of wisdom gained from collective clinical experience about the diagnosis or treatment of various diseases whilst also aiming to debunk myths that have influenced the practice of rheumatology by many clinicians. The second edition of A Clinician's Pearls and Myths in Rheumatology is a critical resource for both practitioners and students of rheumatology. This book provides a clear guide for those wishing to take a "deep dive" into the diagnostic and therapeutic elements of rheumatology.

Fibromyalgia syndrome is a common and chronic disorder characterised by widespread muscle pain, fatigue, and multiple tender points. The word fibromyalgia comes from the Latin term for fibrous tissue (fibro) and the Greek ones for muscle (myo) and pain (algia). Tender points are specific places on the body -- on the neck, shoulders, back, hips, and upper and lower extremities -- where people with fibromyalgia feel pain in response to slight pressure. Although fibromyalgia is often considered an arthritis-related condition, it is not truly a form of arthritis (a disease of the joints) because it does not cause inflammation or damage to the joints, muscles, or other tissues. Like arthritis, however, fibromyalgia can cause significant pain and fatigue, and it can interfere with a person's ability to carry on daily activities. Also like arthritis, fibromyalgia is considered a rheumatic condition. This new book presents the latest research in this field.

The aim of this book is to improve the management of patients with, or likely to develop, osteoporosis It is intended as a practical guide for all health professionals involved in shared patient care

Rheuma - was jetzt? Das Buch klart verstandlich auf, welche Formen es gibt, an welchen Symptomen die Krankheit zu erkennen ist und warum jemand erkrankt. Erfahren Sie, wie man Rheuma behandeln kann, was Ihnen hilft und was gut tut. Nach den ersten Anzeichen und der Diagnose des Arztes stellen sich dem Patienten viele Fragen, die dieses Buch beantwortet. Lassen Sie sich motivieren, mit der Krankheit leben zu lernen. So werden Sie sicher im Umgang mit Ihrem Koerper und im Dialog mit Ihren Behandlern. Nehmen Sie Ihre Zukunft mit Rheuma selbst in die Hand.

This book provides an introduction to the role of medical imaging in the diagnosis and management of rheumatologic diseases. It reviews basic radiographic findings of common and rare arthropathies while offering a focused and practical discussion of advanced imaging modalities such as CT, ultrasonography, and MRI. The book begins with a discussion on soft tissue changes, bone and bone density, articular surface changes, and bone alignment. Following this is an examination of the use of advanced imaging modalities including CT, ultrasound, and MRI as well as different disease categories such as inflammatory arthritis, degenerative arthritis, infectious arthritis, and crystalline arthropathy. Subsequent chapters include exercises and case examples for imaging hands and wrists, knees, hips, foot and ankle, shoulder, and the spine. Diagnostic Radiology of Rheumatic Diseases is an essential and practical resource for senior medical students, residents, fellows, and physicians in rheumatology, imaging and radiology, immunology, and internal medicine.

The new edition of Paediatric Rheumatology is an indispensable resource for the identification and management of specific rheumatological disorders. Fully revised to provide up to date knowledge on common and rare rheumatological problems, including chapters on investigations and emergencies, this practical handbook designed for quick reference is essential reading for those who treat rheumatological conditions.

The newly updated edition of the classic guide to assessing and treating pain and injury
For more than twenty-five years, "Listen to Your Pain" has been a leading resource for understanding pain and injury problems. Now revised and updated based on recent research, this comprehensive, fully illustrated guide:
* explains how to determine exactly what is causing your pain, using simple tests
* provides detailed instructions for therapists on assessing and treating each major injury
* outlines possible treatment choices, from self-therapy to medical help
* catalogs injuries by the part of the body that hurts, for easy reference
* offers exercise and rehabilitation regimens to help promote faster healing and complete recovery
"Listen to Your Pain" remains the essential reference for active people seeking an understanding of their injuries and relief from their pain.

Warum wieder Schleudertrauma? Es gibt eine sehr groBe Anzahl von Publi- kationen (allein zwischen 1980 und 1994 haben Spitzer et al. 10036 VerOf- fentlichungen geziihlt), so daB ein wei teres Buch einer Rechtfertigung be- darf. Es ist erstaunlich, daB sich Mediziner weltweit seit nunmehr 42 Jahren mit dem "Riitsel Schleudertrauma" beschiiftigen. Viele Merkwiirdigkeiten sind zu beobachten: Wiihrend die SicherheitsmaBnahmen zunehmen, steigt die Zahl der Diagnosen Schleudertrauma. Dennoch scheinen die Patienten un- zufrieden zu sein, so daB Patientenvertretungen gegriindet werden. Der Streit zwischen den Experten eskaliert und nimmt zumal in Gutachten wiir- delose Formen an. Gleichzeitig fallt auf, daB mittlerweile eine Vielzahl von altemativen Be- zeichnungen angeboten wird. Bine allgemein anerkannte Definition, was ein Schleudertrauma nun eigentlich sein solI, existiert nicht. Der Begriff be- schreibt einen vagen Mechanismus (Schleudem) und ordnet ihn einem Un- fall zu, mehr nicht. Ein Korperschaden wird mit diesem Begriff nicht be- schrieben. Betrachtet man nun die Praxis der Diagnosestellung, so fiillt auf, daB "Schleudertrauma" als Verdachtsdiagnose angenommen wird, ein mit kon- ventionellem pathophysiologischem Denken iiber eine Distorsion nur noch schwer zu vereinbarendes freies Intervall von mehreren Tagen ohne Begriin- dung hingenommen wird. Die Plazierung der Liision in die Kopfgelenke wird aus einer wirksamen Probebehandlung gefolgert, und schlieBlich wer- den typische Befindlichkeitsstorungen im Sinne der Neurasthenie als Him- stammliision gewertet (zervikoenzephales Syndrom).

Diagnose und Therapie von Huftreifungsstoerungen gehoeren zu den wesentlichen Aufgaben des Orthopaden. Die Entwicklung der Sonographie erlaubt mittlerweile eine so fruhzeitige Diagnosestellung, dass eine entsprechende Behandlung sofort eingeleitet werden kann. Konservative und operative Therapiemoeglichkeiten werden ausfuhrlich beschrieben, Behandlungskonzepte fur verschiedene Altersstufen vorgestellt. Eine aktuelle Darstellung des Themenkomplexes - gleichermassen geeignet fur die Arbeit in Klinik und Praxis.

Crash Course - your effective every-day study companion PLUS the perfect antidote for exam stress! Save time and be assured you have the essential information you need in one place to excel on your course and achieve exam success. A winning formula now for over 20 years, each series volume has been fine-tuned and fully updated - with an improved full-colour layout tailored to make your life easier. Especially written by senior students or junior doctors - those who understand what is essential for exam success - with all information thoroughly checked and quality assured by expert Faculty Advisers, the result are books which exactly meet your needs and you know you can trust. Each chapter guides you succinctly through the full range of curriculum topics, integrating clinical considerations with the relevant basic science and avoiding unnecessary or confusing detail. A range of text boxes help you get to the hints, tips and key points you need fast! A fully revised self-assessment section matching the latest exam formats is included to check your understanding and aid exam preparation. The accompanying enhanced, downloadable eBook completes this invaluable learning package. Series volumes have been honed to meet the requirements of today's medical students, although the range of other health students and professionals who need rapid access to the essentials of rheumatology and orthopaedics will also love the unique approach of Crash Course. Whether you need to get out of a fix or aim for a distinction Crash Course is for you! Provides the exam syllabus in one place - saves valuable revision time Written by senior students and recent graduates - those closest to what is essential for exam success Quality assured by leading Faculty Advisors - ensures complete accuracy of information Features the ever popular 'Hints and Tips' boxes and other useful aide-memoires - distilled wisdom from those in the know Updated self-assessment section matching the latest exam formats - confirm your understanding and improve exam technique fast