Download PDF by Prof. Dr. Cornelis Jacob Pieter Thijn (auth.): Arthrography of the Knee Joint

Nonfiction 10

By Prof. Dr. Cornelis Jacob Pieter Thijn (auth.)

ISBN-10: 3642463983

ISBN-13: 9783642463983

ISBN-10: 3642464009

ISBN-13: 9783642464003

It is a smart excitement to introduce this booklet and its author to the reader. Dr. Thijn has been attracted to double distinction stories due to the fact he wrote his thesis at the double distinction examina­ tion of the colon. it is going to sound facetious to nation that when he exhausted this box, he was once wanting another region the place a similar process can be used. although, within the related particular and thorough approach as in his colon stories, he has tested the knee joint. in view that the knee is likely one of the so much seriously taxed joints in guy, with a mess of afflictions, a lot of them heavily hooked up with the age of the person, radiological investiga­ tion has proven only a few options over the a long time. the genuine anteroposterior and lateral projections have been ~ and nonetheless are ~ the mainstay of the research. Projections of the intercondylar fossa, and real patellar projections have been used by the way. simply ahead of international warfare II the appearance of arthrography as a double distinction research, as promoted via Oberholzer, was once a true breakthrough.

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Combined ruptures account for 8% of all meniscallesions listed in Table 1; in most cases the medial meniscus was involved. 41 Fig. 52. Projections of the medial meniscus. Combined rupture. Several rupture types are distinguishable: incisure, fish mouth rupture and longitudinal rupture. Luxation of a detached part of the meniscus Fig. 53. Posterior horn of medial meniscus. 2. Types of Discoid Meniscus In embryos of 30-35 mm length, the tibial plateau is separated from the femoral condyles by plates of mesenchymal tissue that, at an embryo length of 38-45 mm, become detached from femur and tibial head.

34. Posterior horn of medial meniscus. Incisure of the tibial meniscal contour 33 Fig. 35. Projections of the posterior horn of medial meniscus. Deep lllclsure on the underside of the meniscus Fig. 36. Posterior horn of lateral meniscus. Incisure on the superior side of the meniscus 34 Fig. 37. Posterior horn of medial meniscus. Discontinuity between meniscus and capsule on the superior as well as on the inferior side. The former discontinuity is probably a normal recess. The latter can be either a recess or a rupture.

Medial meniscus. Bucket-handle rupture. Clearly visible detached part of meniscus and frayed delimitation of peripheral stump Fig. 47. Medial meniscus. Rupture type lIe. Part of the central margin of the meniscus is detached. The detached part remains in contact with the anterior or the posterior horn and is projected obliquely above the peripheral meniscal remnant (arrows) Fig. 48. Medial meniscus. Rupture type IIc. Partly detached central meniscal margin (arrow). Verification by arthroscopy 39 margin, the detached part remaining in contact with the anterior or the posterior horn of the meniscus (Figs.

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Arthrography of the Knee Joint by Prof. Dr. Cornelis Jacob Pieter Thijn (auth.)


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