By Murray K. Dalinka M.D. (auth.)
In contemporary years, arthrography of the knee, this sector, defining for the reader the intricacies shoulder, and hip has turn into more and more of the radiologic reports and detailing the $64000 within the review of the varied nuances of approach which could expedite the issues which impact those significant joints. the standard of the exam and improve the radiologist has assumed the fundamental function now not diagnostic acumen of the radiologist. This purely in delivering for the orthopedic clinician paintings, as well as its different many necessary a correct prognosis of abnormalities of those good points, is really a "how to do it" treatise for joints, but in addition in defining anatomical info within the radiologist. a way hitherto unavailable or even un of serious curiosity are the chapters which deal suspected. actually, it can be said that the with arthrography in joints and components usually no longer constructing radiologic concepts in arthrog thought of a massive a part of the diagnostic armamentarium of the radiologist or perhaps raphy have partially rewritten the anatomical texts when it comes to the conventional joints. considered by means of the orthopedic clinician. those during this very good paintings by way of Murray okay. Dalinka, comprise the ankle, hindfoot, elbow, wrist, and M. D. , arthrography of a few significant joints small joints of the hand and foot. The bankruptcy is taken into account intimately. Dr. Dalinka, a recog on arthrotomography of the temporomandib nized authority in skeletal radiology and par ular joint by way of Dr.
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Extra resources for Arthrography
Any sharp-pointed structure at the base of the capsular attachment of the medial meniscus is thought to represent a partial peripheral separation or residual of same (Fig. 1-38). This may be the basis for longitudinal meniscal tears ( 172). Peripheral separations of the posterior medial meniscus may be associated with abnormalities of the body of the meniscus. Localized peripheral meniscal separations may not be recognized at arthrotomy or even in the resected specimen because the plane of resection might correspond to the tear (86).
This contrast agent is not yet available in the United States. With meniscal degeneration being so common in the elderly, strong clinical correlation should be present before removing a degenerated meniscus. Jones et al. (108) feel that degenerative tears should not be removed because their removal leads to degenerative ar- Fig. 1-86. Degenerated lateral meniscus with flattening of the meniscus (between arrowheads) and thinning and irregularity of the articular cartilage (wavy arrow). (Dalinka MK, Coren GS, Wershba M: Knee arthrography.
1-49. Medial meniscal tear. (Dalinka MK, Bonavita JA: Arthrography: Practice of Surgery. ) A. Contrast medium is not present beneath the tibial undersurface of the meniscus (arrowhead). B. Repeat film in same patient demonstrates an oblique tear of the posterior horn of the medial meniscus (arrowhead). Fig. 1-50. Value of fluoroscopy. (Dalinka MK, Coren GS, Wershba M: Knee arthrography. ) A. Bucket-handle tear of the posterior horn of medial meniscus (arrow head) . B. Same patient. Position slightly anterior to A with normal appearing meniscus.