Arthrography by Murray K. Dalinka M.D. (auth.)

By Murray K. Dalinka M.D. (auth.)

In contemporary years, arthrography of the knee, this quarter, defining for the reader the intricacies shoulder, and hip has turn into more and more of the radiologic stories and detailing the $64000 within the review of the various nuances of strategy that may expedite the problems which have an effect on those significant joints. the standard of the exam and improve the radiologist has assumed the basic position now not diagnostic acumen of the radiologist. This basically in supplying for the orthopedic clinician paintings, as well as its different many priceless a correct analysis of abnormalities of those positive aspects, is really a "how to do it" treatise for joints, but additionally in defining anatomical info within the radiologist. a way hitherto unavailable or even un­ of significant curiosity are the chapters which deal suspected. actually, it can be said that the with arthrography in joints and parts frequently no longer constructing radiologic concepts in arthrog­ thought of a massive a part of the diagnostic armamentarium of the radiologist or maybe raphy have partially rewritten the anatomical texts with regards to the traditional joints. considered through the orthopedic clinician. those during this very good paintings by means of Murray ok. Dalinka, contain the ankle, hindfoot, elbow, wrist, and M. D. , arthrography of a couple of 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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Fig. i-SO. Very irregular, torn anterior horn of the lateral meniscus (arrow). The normal anatomy is difficult to discern. (Dalinka MK, Coren GS, Wershba M: Knee arthrography. ) Fig. 1-61. Torn anterior horn of lateral meniscus, which is irregular and increased in density (arrowhead) . Knee Arthrography 31 normal meniscus (Figs. 1-59-1-61). Buckethandle tears of the lateral meniscus are considerably less common than on the medial side but they may certainly occur (Figs. 1-62 and 1-63). Peripheral lateral tears may be difficult to diagnose because of the complex posterior anatomy (Figs.

Longitudinal section demonstrating lateral meniscus (black arrowhead) separated from the capsule by the popliteal hiatus (white arrowhead) and the popliteus muscle (arrow). 29 The lateral meniscus, like the medial, is a solid structure with regular margins; gas (Figs. 1-54-1-56) or positive contrast medium (Figs. 1-57 and 1-58) within the meniscus or irregularity of the undersurface is abnormal. Lateral tears are frequently complex with multiple fragments, marked irregularity and little remaining Fig.

1-65. A peripheral separation of the lateral meniscus is present with loss of attachments. Note the abnormal shape of the periphery (arrow), which is related to the central retraction of the superior attachment. Fig. 1-66. Peripheral tear with irregularity of the superior attachment (arrow) and periphery of the meniscus (arrowhead) . Fig. 1-67. Peripheral detachment with central displacement of posterior horn of the lateral meniscus (arrow). (Dalinka MK, Lally JF, Gonel VK: Arthrography of the lateral meniscus.

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