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Carpal ligament surgery : before arthritis

https://libcat.nshealth.ca/en/permalink/provcat32597
Emmanuel Camus, Luc Van Overstraeten, editors. --Paris: Springer , c2013.
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Nowadays, it is established that carpal ligamentary lesions may lead to instability and then to carpal arthritis. However, the variety of anatomopathological classifications and the multiplicity of surgical repair techniques reflect the difficulty of conceiving this ligamentary pathology. The clinical analysis and traditional investigation techniques face the complexity of the wrist. Its mechanical complexity is due to the number of synchronized bones in every movement of the hand. The clinical…
Available Online
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Other Authors
Camus, Emmanuel
Van Overstraeten, Luc
Responsibility
Emmanuel Camus, Luc Van Overstraeten, editors
Place of Publication
Paris
Publisher
Springer
Date of Publication
c2013
Physical Description
1 online resource (xxiii, 306 p. : 205 ill., 132 ill. in color)
ISBN
9782817803791
Subjects (MeSH)
Arthritis - prevention & control
Carpal Joints -- surgery
Ligaments, articular - surgery
Subjects (LCSH)
Medicine
Orthopedic surgery
Surgery
Trauma
Abstract
Nowadays, it is established that carpal ligamentary lesions may lead to instability and then to carpal arthritis. However, the variety of anatomopathological classifications and the multiplicity of surgical repair techniques reflect the difficulty of conceiving this ligamentary pathology. The clinical analysis and traditional investigation techniques face the complexity of the wrist. Its mechanical complexity is due to the number of synchronized bones in every movement of the hand. The clinical analysis of the wrist is insufficient to precisely measure the mobility of each carpal bone. Paraclinical examinations are also significant for clinical diagnosis. The tools available today range from X-rays to arthroscopy, including arthroCTscan and soon MRI. As concerns repair techniques, their diversity must not hide the fact that a biomechanical and physiological principle is involved and must be identified. This book is the result of a reflection of an expert group in the field of wrist pathology. It attempts 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 beginning synthesis inspiring to rethink a difficult and sometimes thankless surgery and to further the surgical advances of the 21st century.
Contents
PART 1: FUNDAMENTALS -- Anatomy of the carpal ligaments -- Biomechanics of the carpus. Application to the ligamentary lesions -- Clinical examination of wrist ligaments -- Imaging traumatic carpal instabilities -- MRI of Normal Anatomy and injuries of extrinsic ligaments -- Definition and classification of carpal instabilities -- Radio-carpal rotary instability -- Vertical Instability of the carpus. Axial dislocation and fracture-dislocation: Review of the literature -- Normal arthroscopy of the wrist -- Wrist arthroscopy to study intrinsic ligaments -- Arthroscopic anatomy and lesions of the extrinsic ligaments -- Dynamic arthroscopic testing: false positives and false negatives -- Arthroscopic criterions to date ligamentary trauma -- PART 2: TREATMENT OF LIGAMENTARY LESIONS -- Management of the wrist sprains by the general practitioner -- Role of the surgeon in raising the awareness of first-line general practitioners -- Management of the constitutional painful mediocarpal laxity -- Arthroscopic debridement and pinning: treatment of peri-lunate unstable recent lesions -- Scapho-lunate ligament suture with arthrotomy -- Treatment of scapho-lunate instability with Blatt's capsulodesis -- Treatment of the chronic lesions of the scapho lunate ligament before arthritis -- Berger's dorsal intercarpal capsulodesis in chronic scapho-lunate instability -- Viegas's dorsal scapho-lunate capsulodesis -- Capsulo Fibrodesis. A new therapeutic option to treat scapho-lunate lesion (Garcia-Elias type 2, 3 and 4) with reducible scaphoid and without arthritis -- Brunelli's tenodesis -- Chronic lunotriquetral ligament injuries: arthrodesis or capsulodesis -- Scapho-lunate reconstruction with a bone-tissue-bone graft -- Reduction and Association of the Scaphoid and Lunate (RASL) -- Treatment of chronic, static scapholunate dissociation with the modified Brunelli technique: preliminary results -- Scapho-capitate arthrodesis -- Medico legal aspect of the carpal ligamentary traumatisms -- Socioeconomic Aspects of Traumatic Wrist Ligament Injuries.
Format
e-Book
Location
Online
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Articular Cartilage Defects of the Knee : Diagnosis and Treatment

https://libcat.nshealth.ca/en/permalink/provcat31268
E. Carlos Rodríguez-Merchán, editor. --Milan: Springer , c2012.
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This book reviews current knowledge on the diagnosis and treatment (surgical and non-surgical) of cartilage defects at the knee joint. In the discussion of diagnosis, the focus is primarily on imaging findings, particularly those obtained with MRI. The remainder of the book is devoted to the full range of current conservative and surgical treatments, with attention to both treatment indications and results as reported in the recent literature. In reviewing non-surgical treatment, oral and intra…
Available Online
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Other Authors
Rodríguez-Merchán, E. Carlos
Responsibility
E. Carlos Rodríguez-Merchán, editor
Place of Publication
Milan
Publisher
Springer
Date of Publication
c2012
Physical Description
1 online resource (vi, 117 p. : 44 ill., 26 ill. in color)
ISBN
9788847027275
Subjects (MeSH)
Cartilage Diseases - surgery
Cartilage, Articular - surgery
Knee Injuries - surgery
Knee Joint - surgery
Orthopedic Procedures - methods
Subjects (LCSH)
Radiology, Medical
Orthopedics
Orthopedic surgery
Abstract
This book reviews current knowledge on the diagnosis and treatment (surgical and non-surgical) of cartilage defects at the knee joint. In the discussion of diagnosis, the focus is primarily on imaging findings, particularly those obtained with MRI. The remainder of the book is devoted to the full range of current conservative and surgical treatments, with attention to both treatment indications and results as reported in the recent literature. In reviewing non-surgical treatment, oral and intra-articular medical management is evaluated and rehabilitation and physical therapy are also considered. The three main types of surgical technique--microfracture surgery and similar procedures, mosaicplasty and related techniques, and autologous chondrocyte transplantation--are then extensively discussed in a series of highly informative chapters. This book will be of great practical value for clinicians, assisting in daily decision making.
Contents
Regeneration of Articular Cartilage of the Knee: Basic Concepts -- Articular Cartilage Defects of the Knee: Diagnosis and Treatment -- Imaging Techniques of Articular Cartilage -- Refixation of Detached Fragments -- Debridement, Joint Lavage and Cartilage Shaving -- Drilling, Abrasion and Microfractures -- Osteochondral Transplantation and Mosaicplasty -- Autologous Chondrocyte Implantation -- Alignment Osteotomies -- Rehabilitation of Chondral Lesions of the Knee -- Medical Treatment: Intra-articular Injections of Hyaluronic Acid.
Format
e-Book
Location
Online
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