Download Articular Cartilage Defects of the Knee: Diagnosis and by E. Carlos Rodríguez-Merchán (auth.), E. Carlos PDF

By E. Carlos Rodríguez-Merchán (auth.), E. Carlos Rodrìguez-Merchán (eds.)

This publication stories present wisdom at the analysis and therapy (surgical and non-surgical) of cartilage defects on the knee joint. within the dialogue of prognosis, the focal point is totally on imaging findings, rather these received with MRI. the rest of the booklet is dedicated to the complete variety of present conservative and surgical remedies, with awareness to either remedy symptoms and effects as stated within the contemporary literature. In reviewing non-surgical remedy, oral and intra-articular clinical administration is evaluated and rehabilitation and actual remedy also are thought of. the 3 major different types of surgical strategy – microfracture surgical procedure and related strategies, mosaicplasty and similar options, and autologous chondrocyte transplantation – are then broadly mentioned in a chain of hugely informative chapters. This publication could be of serious sensible price for clinicians, supporting in day-by-day choice making.

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A joint space difference of 2 mm side-to-side correlates with grade III and higher chondrosis [12]. In patients with anterior knee symptoms, an axial projection of the patellofemoral joint, such as a Merchant view, can evaluate the patellofemoral joint space and alignment [13] (Fig. 3). Chondrosis refers to degeneration of articular cartilage. With progressive cartilage erosion, radiographs show the typical findings of osteoarthritis, namely, non-uniform joint space narrowing and osteophyte formation [14].

Patella alta, an increased valgus angle, and femoral condyle hypoplasia may predispose the patient to cartilage changes involving both the medial and lateral facets. Sclerosis or hyperaemia of the subchondral bone may be associated with articular cartilage changes, including softening, oedema, and fissuring (Fig. 6). Outerbridge [20] has classified chondromalacia into arthroscopic grades that have been correlated with findings on MR imaging: Grade 1 chondromalacia with softening of articular cartilage, represents closed chondromalacia, which includes softening and blistering.

Clin Orthop 160: 118–123 Kirkley A, Birmingham TB, Litchfield RB, Giffin JR, Willits KR, Wong CJ, Feagan BG, Donner A, Griffin SH, D’Ascanio LM, Pope JE, Fowler PJ (2008) A randomized trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med 359(11):1097–1107 Laupattarakasem W, Laopaiboon M, Laupattarakasem P, Sumananont C (2008) Arthroscopic debridement for knee osteoarthritis. Cochrane Database Syst Rev 23(1): CD005118 Merchan EC, Galindo E (1993) Arthroscope-guided surgery versus nonoperative treatment for limited degenerative osteoarthritis of the femorotibial joint in patients over 50 years of age: a prospective comparative study.

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