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The use of ultrasound guidance to perform diagnostic and therapeutic injections is growing at a rapid rate, as is the evidence to support its use. Even with the increased popularity of ultrasound, there remains a lack of formal training or a standard reference book. Atlas of Ultrasound Guided Musculoskeletal Injections fills this void in the literature and will be useful to physiatrists, orthopedists, rheumatologists, pain medicine and sports medicine specialists alike. Broken down by anatomic structure and heavily illustrated, this book is both comprehensive and instructive. The Editors and their contributors break down the basics (both the fundamentals of ultrasound to needle visibility and the role of injections) and explore ultrasound-guided injection for structures in the shoulder, elbow, wrist and hand, hip and groin, knee, ankle and foot, and spine. Using a clear, heavily illustrated format, this book describes the relevant clinical scenarios and indications for injection, the evidence to support ultrasound use, relevant local anatomy, injection methods, and pearls and safety considerations. It will be a valuable reference for trainees and experienced clinicians alike, for experienced sonographers or those just starting out.
This updated second edition of a successful book provides essential, internationally applicable information in the area of bone and joint pathology with emphasis on practical diagnostic aspects, including many illustrations: roentgenograms, CT-scans, MRI, scintigraphies, as well as pictures of gross surgical specimens and microphotographs, immunohistochemical reactions and genomics. Information on histopathological and molecular diagnosis, and basic therapeutic guidelines are provided. This book offers generous coverage of epidemiology, clinical features, radiology, pathology, differential diagnosis, prognosis and treatment, not only for common lesions, but also for those less frequently encountered, including lesions of joints. The content is arranged based on the World Health Organization's Consensus Classification, with the addition of other lesions not included therein. Tumors and Tumor-Like Lesions of Bone provides day-to-day assistance to general and specialized surgical pathologists, radiologists, orthopedic, head and neck and dental surgeons, oncologists and rheumatologists.
In recent years, mini-invasive surgery has become increasingly important for reducing the risk of infection and minimizing blood loss and volume of implants.
Hip surgery requires small incisions, which make the use of the appropriate equipment and an extensive knowledge of the anatomy of the region essential.
Mini-invasive surgery requires the surgeon to consider the indications for surgery for each patient he treats and to know the exact loco-regional anatomy for that patient. Methods must be very precise and warrant visual explanations to help teach young surgeons.
In this book, the different surgical approaches to the hip are presented in terms of their anatomical specifications and indications. Films of these operations, performed by international specialist authors, and some of these images are used to explain the surgical techniques described in the book.
The highly didactic and visual presentation based on filmed operations is very helpful for the understanding of these methods.
This book explains how hypertension affects 20-50% of the adult population in developed countries. Heart failure is the result of the hypertension's effects on the heart and it represents a growing public health problem. In this context the international scientific community is continuously struggling to develop better strategies in screening, diagnosing and treating hypertension and its deleterious effects. Thus, this field is continuously changing, with new important information being added constantly. This volume will offer both insights into the intimate mechanisms of transition from hypertension to heart failure and clinical practice advice on the prevention and treatment of heart failure in hypertensive population. The mechanisms which explain the progression from hypertension to heart failure will be also covered exhaustively by offering two chapters referring to the diagnosis of heart failure in hypertensive population and one regarding echocardiography which is the most frequently used imaging method in clinical practice. The reader will be also provided with information on cardiovascular magnetic resonance which has the unique advantage of differentiating hypertensive heart failure from other pathologies associated with increased myocardial thickness. This book is a useful tool for clinicians but also to the research community interested in heart failure and consequences of hypertension on heart who want to be up-to-date with the new developments in the field.
Newly updated, this full-color resource offers a systematic approach to performing a neuromusculoskeletal assessment with rationales for various aspects of the assessment. This comprehensive text covers every joint of the body, head and face, gait, posture, emergency care, the principles of assessment, and preparticipation evaluation. The latest edition of this core text is the essential cornerstone in the new four-volume musculoskeletal rehabilitation series. Thorough, evidence-based review of orthopedic physical assessment covers everything from basic science through clinical applications and special tests. 2,400 illustrations include full-color clinical photographs and drawings as well as radiographs, depicting key concepts along with assessment techniques and special tests. The use of icons to show the clinical utility of special tests supplemented by evidence - based reliability & validity tables for tests & techniques on the Evolve site The latest research and most current practices keep you up to date on accepted practices. Evidence-based reliability and validity tables for tests and techniques on the EVOLVE site provide information on the diagnostic strength of each test and help you in selecting proven assessment tests. A Summary (Precis) of Assessment at the end of each chapter serves as a quick review of assessment steps for the structure or joint being assessed. Quick-reference data includes hundreds of at-a-glance summary boxes, red-flag and yellow-flag boxes, differential diagnosis tables, muscle and nerve tables, and classification, normal values, and grading tables. Case studies use real-world scenarios to help you develop assessment and diagnostic skills. Combined with other books in the Musculoskeletal Rehabilitation series - Pathology and Intervention, Scientific Foundations and Principles of Practice, and Athletic and Sport Issues - this book provides the clinician with the knowledge and background necessary to assess and treat musculoskeletal conditions. NEW! Online resources include video clips, assessment forms, text references with links to MEDLINE (R) abstracts, and more. NEW! Video clips demonstrate selected movements and the performance of tests used in musculoskeletal assessment. NEW! Text references linked to MEDLINE abstracts provide easy access to abstracts of journal articles for further review. NEW! Forms from the text with printable patient assessment forms can be downloaded for ease of use. NEW! Updated information in all chapters includes new photos, line drawings, boxes, and tables. NEW! The use of icons to show the clinical utility of special tests supplemented by evidence - based reliability & validity tables for tests & techniques on the Evolve site.
Spinal disorders are among the most common medical conditions with significant impact on health related quality of life, use of health care resources and socio-economic costs. Spinal surgery is still one of the fastest growing areas in clinical medicine. The increasing age of the population will require an increased need for the treatment of degenerative spinal disorders particularly spinal stenosis. Basic knowledge on the state of the art in diagnosis and treatment of spinal disorders is required not only for spine specialists but also for general orthopedic surgeons, rheumatologists, neurologists, psychiatrists, chiropractors, physiotherapists, basic scientists and health care executives to choose and/or evaluate appropriate diagnostic and therapeutic approaches. "Spinal Disorders" is an easily readable teaching tool focusing on fundamentals and basic principles. It provides a homogeneous syllabus with a consistent didactic strategy teaching fundamentals and general principles. The chosen didactic concept highlights and repeats core messages throughout the chapters. This modern, up-to-date and easy to read textbook on spinal disorders with its appealing layout will inspire and stimulate the reader for the study of spinal disorders.
Minimally invasive surgery has become the standard treatment for many diseases and conditions. In the last decade, numerous studies have demonstrated that laparoscopic approaches have improved patients' quality of life if compared with standard open procedures. Atlas of Single-Port, Laparoscopic, and Robotic Surgery serves as a guide in single-port, standard laparoscopy, and robotic surgery and shows how novel techniques, such as single-port laparoscopy and robotics, have recently evolved. The atlas illustrates the unique challenges that the new single-port surgery modality presents, including instruments crowding and articulation, and the advanced laparoscopic skills required to perform these procedures, such as the ability to move and control a flexible camera. It also illustrates how to efficiently and safely utilize the robot to perform most gynecologic procedures. This exceptional resource provides students, residents, fellows, operating room personnel, and practicing gynecologic surgeons with invaluable information about instrumentation, surgical technique, port systems, and the current research and development in robotics.
This fourteenth volume in the EUROPEAN INSTRUCTIONAL LECTURES series continues the format of educational chapters from across Orthopaedics and Traumatology contributed by distinguished Orthopaedic Educators in Europe. It provides current material and major advances covering a range of topics including: General Orthopaedics, Basic Science and Technology, Musculo-skeletal Tumours, Infections, Paediatric Orthopaedics, Trauma, Spine, Upper Limb, Hip, Knee, Leg, Ankle and Foot. All the chapters are based on lectures presented at the 15th EFORT Congress in London, England. The lectures are an authoritative source of information illustrated by radiographs, MRI, CT and PET Scans, operative photographs, tables and line drawings as appropriate. They are an invaluable source of instruction for Surgeons and Trainees alike. This book was edited by Professor George Bentley, Chairman, Scientific Publications Committee of EFORT.
Owing to the alterations in visceral anatomy, many endoscopists, and especially trainees, experience difficulties when performing endoscopic surveys or procedures in patients who have previously undergone surgery to the digestive tract. In this richly illustrated book, an expert in the field provides a detailed overview of endoscopic follow-up of gastrointestinal (esophageal, gastric, and colorectal) anastomosis. Both normal appearances and pathological conditions involving complications are fully covered. The methodology, timing, protocols, and role of diagnostic endoscopy are first discussed. Endoscopic treatments for the resolution of different clinical problems related to recurrences, stenoses, dehiscences, and fistulas are then evaluated step by step with the aid of high-quality images. Regardless of level of experience, endoscopists and gastroenterologists will find Endoscopic Follow-up of Digestive Anastomosis to be an invaluable source of information and aid to treatment in this important area, which too often receives insufficiently detailed attention. "
This book provides an update on a wide variety of hot topics in the field of knee surgery, sports trauma, and arthroscopy, covering the latest developments in basic science and clinical and surgical methods. It comprises the Instructional Course Lectures delivered at the 16th ESSKA Congress, which was held in Amsterdam during May 2014 and brought together the world's leading orthopaedic and sports physicians. The contributions are all written by European and international experts in their field. Each lecture has a practical focus and provides an up-to-date synthesis of core knowledge on the subject in question with the aid of high-quality illustrations. Take home messages and key recommendations are highlighted. This book will be of value to practitioners and researchers alike.
Knife in the Fast Lane charts the history of care for sportspeople from the expert view of a doctor and orthopaedic surgeon with over 40 years' experience. Bill Ribbans gives you the inside track on the life of a surgeon operating on some of sport's biggest names. From looking after world champions from eight different sports and Olympians with 27 medals between them, to having his actions scrutinised by millions at Twickenham, Bill's experiences are interwoven with fascinating, surprising and controversial subjects from the annals of sports medicine. The book explores the legal minefields and ethical dilemmas faced by medics in sport. It deals with current issues like concussion, depression, drug-taking and the dangers of sporting academies. It also asks whether the enormous resources poured into elite medical care have really reduced harm to athletes or made them so fit, fast and strong that it threatens their long-term health.
This text provides a comprehensive, state-of-the art review of complex endovascular aortic techniques. It will serve as a valuable resource for vascular and cardiovascular surgeons, interventionalists, cardiologists, clinicians, bioengineers and researchers with an interest in complex aortic diseases. The book reviews imaging modalities, diagnostic work up and novel endovascular approaches. Technical aspects are provided by experts in the field, with over 600 illustrations and photographs of key steps for each type of procedure. Results of epidemiologic studies and national databases are summarized, as well as large institutional experiences. An evidence-based approach is used for recommendations regarding best therapies. Other highlights of this unique text include: A new, state-of-the-art review on fenestrated, branched and parallel stent-graft techniques from procedure planning to stent design and implantation. A text dedicated to a topic that has been increasingly recognized by vascular specialists as a priority area in aortic management. An updated overview of current designs and future developments. Special attention to technical details of the procedures with use of illustrations. Technical tips on how to get out of problems during these challenging procedures. Endovascular Aortic Repair: Current Techniques with Fenestrated, Branched and Parallel Stent-Grafts will serve as a very useful resource for physicians and researchers dealing with and interested in complex aortic diseases. It will provide a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. All chapters are written by experts in their fields and include the most up to date scientific and clinical information.
The comprehensive approach to anatomy is a new attempt to understand the organization of anatomical structures instead of only memorizing details, which is both time-consuming and prone to error. The basic principle is that man did not design man, a truth which presents the solution and not the problem. This kind of approach requires first observing a function and identifying, in engineering terms, the technical problems that need to be solved in order to achieve that function. In a second step the anatomical solution is examined in terms of validation and should always be an intelligent solution that puts the characteristics of specific living tissues to optimal use. Anatomy is obviously the mandatory basis of all types of medical practice. For centuries, its rigorous methodology has relied on dissection, which is the only means to precisely identify the morphology of organs and for surgeons to learn how to directly and safely reach the structures they need to operate on. Accordingly, this book includes illustrations of many dissections and anatomical sections in order to provide a realistic view of the complex organization of the human body. This book addresses the needs of a broad range of medical and paramedical practitioners interested in movements and their disorders: MDs and surgeons of all specialties, physiotherapists, occupational therapists, speech therapists, X-ray manipulators, osteopathic specialists, etc. Its goal is to demonstrate the amazing intelligence and complexity of human motor functions and to better grasp the how and why of their construction.
Sports participation at both amateur and professional levels has increased enormously in recent decades, impacting positively on all aspects of health except musculoskeletal injuries. Acute muscle injuries account for approximately 20% of all injuries in sports and pose an increasing challenge for athletes and medical practitioners. This book documents current knowledge and standards of care for acute muscle injuries. The full range of injuries is covered, including those to the hamstring, hip adductor, quadriceps, calf, pectoralis major, biceps brachii, latissimus dorsi, and rectus abdominis muscles. Evidence-based content is combined with experience from medical experts from around the globe in order to provide the reader with a full picture of the latest insights into terminology, trauma mechanisms, basic principles of healing, diagnosis, and treatment. Helpful diagnostic and treatment algorithms are included, and clear guidance provided on ensuring optimal rehabilitation and rapid return to sports. Acute Muscle Injuries is structured in such a way that it will serve as an ideal reference manual for orthopaedic surgeons, sports medicine physicians, physiotherapists, general practitioners, paramedics, sports managers, athletes, and coaches. The authors are all scientifically active in the field of sports medicine and also well known for their great clinical experience in the care of acute muscle injuries.
Pituitary apoplexy is a rare and life-threatening complication that occurs in 0.6-10.5% of all patients with pituitary adenomas. Unfortunately, pituitary apoplexy is often misdiagnosed before surgery. Furthermore, in spite of all the advances in imaging techniques and therapeutic methods, its optimal management is still controversial owing to the limited individual experience and the very variable clinical course of the condition, which ranges from asymptomatic to critical illness with visual loss and subarachnoid hemorrhage. The management of visual dysfunction in particular remains a subject of debate. This book provides an in-depth review of knowledge of the management of pituitary apoplexy, with an emphasis on clinical and neuroradiological findings and treatment modalities, medical and surgical. In addition, it supplies clinicians and investigators with detailed information on current evidence and considers future areas of investigation and innovative therapeutic philosophies. Both the editors and the authors are leading international authorities in the field.
During the past decade, neuroendoscopy has undergone a variety of technological improvements, and both indications and techniques have been significantly refined. As a result, neuroendoscopy is now used in the treatment of many more patients, enabling the performance of previously unavailable operations with low complication rates and rapid patient recovery. This book presents the distilled experience of world experts in this evolving field. Current applications are explained in detail and likely future developments are identified. Among the topics discussed are the neuroendoscopic management of hydrocephalus, a wide variety of tumors, colloid and suprasellar arachnoid cysts, Chiari malformation, and craniosynostosis; the use of neuroendoscopic techniques in improving altered CSF physiology; and the status of neuroendoscopically assisted neurosurgery. In addition, the available neuroendoscopic instruments are reviewed and the results of international trials and collaborative studies, presented. This book will fully acquaint the reader with the breadth and depth of available neuroendoscopy techniques and their impressive therapeutic potential. It should serve as the reference bok on neuroendoscopy for the next 10 years.
This textbook is intended as a comprehensive reference that will provide easy-to-follow and well-organized guidance on the management of lip cancer, from diagnosis to treatment and reconstruction. After discussion of anatomy and premalignant conditions, detailed attention is paid to squamous cell carcinoma of the lip. Surgical management is explained, and the roles of radiation therapy and chemotherapy, discussed. Reconstruction techniques following ablative surgery are then described in depth, with reference to defect size and complexity. In addition, the potential complications of treatment and reconstruction are presented, with advice on their management. The closing chapter considers other malignant lesions of the lip. The informative text is complemented by high-quality illustrations and clinical and radiographic material. The contributors all have extensive experience and in-depth knowledge of the topics they address. "
Robotic Surgery of the Bladder is a dedicated resource to understanding and mastering the concepts and practical aspects of robotic bladder surgery. The volume provides an introduction to urologists interested in initiating robotic radical cystectomy by providing them background, concepts, steps, and tools and tricks to introduce robotic radical cystectomy into their clinical practice, all in a safe, stepwise, and organized manner. For the more experienced robotic surgeon, the text serves as a resource for more advanced applications and techniques. The volume is also accompanied by many still images and a DVD of video clips. Written by experts in the field, Robotic Surgery of the Bladder is a comprehensive resource that maintains the time-tested oncologic principles of bladder cancer surgery, while introducing the advantages that exist with robotic-assisted approaches.
The Seventh Edition of this highly regarded title for surgical trainees gives clear, concise guidance on all aspects of acquiring surgical techniques to ensure operative success. The full range of surgical skills is comprehensively reviewed in a clear 'how-to-do-it' style, which consolidates those learnt both in theatre and on training courses. This new edition has been thoroughly revised by a new author based on the much praised editions by its original author Mr R M Kirk. Key Points boxes throughout the text summarise the important aspects of each technique. Provides guidance on the full range of surgical techniques required by all trainee surgeons. Concentrates on the main principles behind the use of the surgical techniques Key Points boxes provide hints and tips to reinforce the main aspects of each technique. Now renamed Kirk's Basic Surgical Techniques a new author has comprehensively revised the text taking full account of new developments in surgical techniques and equipment. A new final chapter on the handling the patient.
As the number of patients undergoing hematotopoietic or solid organ transplantation increases, a deep understanding of the field of transplant infectious diseases grows increasingly vital. With its extensively revised and updated review of surgical infections, treatment, prevention, and practice, this book is the ultimate guide to advances in the field of transplant infections that are rapidly implemented into practice both in diagnostic technologies, new therapies, new transplant practices, and challenges such as the threat of multiresistant bacteria and the increasing use of transplantation in the developing parts of the world. Written by experts in their fields, this book is the only comprehensive source of cutting-edge information on transplant infections and has been a trusted guide to medical professionals worldwide for nearly two decades. Transplant Infections is of paramount value to infectious disease specialists, transplant physicians, medical students, fellows, residents, and all medical professionals working with surgical patients.
This edition of the SAGES Manual of Hernia Surgery aligns with the current version of the new SAGES University MASTERS Program Hernia Surgery pathway. This manual serves as a curriculum for participants in the MASTERS Program as well as a modern text on hernia surgery for all learners. Hernia surgery is one of the fastest developing fields in general surgery today. There have been rapid advancements in hernia techniques in recent years, making most prior texts on the subject obsolete. These advancements involve significant evolution in both the techniques and strategies for hernia repairs, as well as the tools used to achieve these means. This text thoroughly addresses the multiple component separation techniques and options for locations of mesh repairs. It also discusses the revolution of hernia repair being facilitated by robotic surgery, which allows increased access to minimally invasive techniques for surgeons and thus increased access to minimally invasive surgical repairs for patients. This manual will be a valuable resource for interested surgeons to understand the variety of potential approaches to individual hernias, and to individually tailor the care of the hernia patient.
This is a multi-specialty book on the diagnosis, evaluation, and treatment of CNS metastases of the brain and spine. Written by renowned experts in their fields, the book covers essential contemporary topics in CNS metastases care. The book is divided into seven parts that begin with chapters that cover the fundamental biology of disease so that subsequent chapters on imaging, diagnosis, treatment, and palliation can be properly contextualized. This text also provides a framework for understanding the biology of radiation therapy so that radiation treatment options of the brain and spine can be more fully understood. New medications and technologies are reviewed from the perspective of maximizing efficacy and minimizing toxicity, independently and as combinatorial therapy. Central Nervous System Metastases: Diagnosis and Treatment serves as a practical reference for health care providers and trainees. It provides the comprehensive, detailed perspective required to provide holistic care to patients with metastatic disease to the brain and spine.
This book offers an essential guide to treating trismus due to oral submucous fibrosis (OSMF) - a specific condition involving the mouth that is common in geographical areas where chewing of betel nut and tobacco is prevalent, particularly in Central India. Based on the editors' more than two decades of experience employing techniques such as platysma flap and mandibular mucoperiosteal flaps to treat trismus of OSMF, the book will help surgeons who encounter these disorders to create their own management protocols. The initial chapters detail how the authors themselves have dealt with this disorder; the following chapters consist of separate entries, each of which contains clinical photographs and a brief description. Readers can either read the atlas as a textbook, or as a reference work. The book will benefit practitioners of ENT, head and neck, maxillofacial, dental and plastic surgeries, as well as general surgeons and postgraduate students.
Thoracic surgery is a high-risk speciality and requires attention to detail. This book, compiled by expert surgeons from around the world, offers pearls of wisdom on how to improve the surgical outcome and how to reduce unnecessary complications. The book is designed so that it covers all common thoracic operations in both adults and children as well as dealing with much rarer indications. It includes a discussion on the complications of surgery and provides specific tips on how to avoid intra-operative and postoperative complications. Tips and Tricks in Thoracic Surgery is a fully illustrated, comprehensive text aimed at qualified and trainee thoracic surgeons.
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