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

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

It is a smart excitement to introduce this ebook and its author to the reader. Dr. Thijn has been drawn to double distinction reports on the grounds that he wrote his thesis at the double distinction examina­ tion of the colon. it can sound facetious to kingdom that when he exhausted this box, he used to be wanting another sector the place an analogous approach will be used. in spite of the fact that, within the related distinctive and thorough manner as in his colon reports, he has tested the knee joint. seeing that the knee is among the so much seriously taxed joints in guy, with a large number of afflictions, lots of them heavily hooked up with the age of the person, radiological investiga­ tion has proven only a few techniques 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 actual patellar projections have been used by the way. simply sooner than global struggle II the arrival of arthrography as a double distinction research, as promoted by means of Oberholzer, was once a true breakthrough.

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Figure 40 illustrates a similar case; there was a small separation between medial posterior horn and capsule; the arthroscopist found no lesions. 32 Fig. 33. I Tangential incisure. IIa, band c: Longitudinal rupture (without and with luxation of the detached central part). III Fish mouth rupture. IV Transverse rupture. V Combined rupture Fig. 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.

P. 138). Unless a separate incision is made behind the medial collateral ligament in excision of a medial meniscus, it is rarely possible to remove the entire meniscus through a more ventral incision. In these cases the medial posterior horn remains in situ. This meniscal remnant can already have ruptured, or it can become ruptured in second instance (Fig. 76). If only the centrally luxated part of the meniscus is removed, the peripheral fragment with its irregular central margin remains in situ.

The usually reversed, partly separated portion of the meniscus is often visible above the peripheral part of the meniscus (Figs. 15 and 47). In some cases it may be necessary to differentiate from synovial hypertrophy or a mobile flocculus of Hoffa's body (Fig. 150). Longitudinal ruptures of types II a, II b, and II c were found in 33 % of meniscallesions (Table 1). As expected, the medial meniscus was involved in the majority of cases (41 %). 3 Fish Mouth Ruptures In these cases a horizontal rupture of the meniscus causes the central margin to assume the shape of an open fish mouth by arthrography (Figs.

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