By E. Carlos Rodríguez-Merchán (auth.), E. Carlos Rodrìguez-Merchán (eds.)
This booklet experiences present wisdom at the analysis and remedy (surgical and non-surgical) of cartilage defects on the knee joint. within the dialogue of prognosis, the point of interest is totally on imaging findings, really these bought with MRI. the rest of the ebook is dedicated to the complete diversity of present conservative and surgical remedies, with realization to either remedy symptoms and effects as said within the contemporary literature. In reviewing non-surgical therapy, oral and intra-articular clinical administration is evaluated and rehabilitation and actual remedy also are thought of. the 3 major sorts of surgical method – microfracture surgical procedure and comparable systems, mosaicplasty and similar strategies, and autologous chondrocyte transplantation – are then generally mentioned in a chain of hugely informative chapters. This ebook can be of significant sensible worth for clinicians, supporting in day-by-day determination making.
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Additional info for Articular Cartilage Defects of the Knee: Diagnosis and Treatment
The objective was to compare joint lavage with sham intervention, placebo or non-intervention. Randomised or quasirandomised controlled trials were included. Mean differences for pain and function were calculated, as well as the risk ratio for safety outcomes. Seven trials fulfilled the criteria, with 567 patients included with osteoarthritis of the knee. In the overall analysis and for knee pain, joint lavage was not more effective in pain reduction than control interventions. 3 cm on a 10 cm VAS was found, corresponding to a difference in improvement from base line of 5 %.
MRI has emerged as the premier imaging modality for the knee. It is the most sensitive, non-invasive test for the diagnosis of virtually all bone and soft-tissue disorders in and around the knee. Additionally, MRI provides information that can be used to grade pathology, guide therapy, prognosticate conditions, and evaluate treatment for a wide variety of orthopaedic conditions in the knee. MR arthrography following the direct intraarticular injection of gadolinium-based contrast agents increases the value of the examination in selected knee conditions, including evaluation of the post-operative knee, detection and staging of chondral and osteochondral infractions, and discovery of intraarticular loose bodies (Fig.
Chambers HG, Shea KG, Anderson AF et al (2011) Clinical practice guideline summary: diagnosis and treatment of osteochondritis dissecans. J Am Acad Orthop Surg 19:297–306 18. Doria AS, Lundin B (2010) Imaging modalities for assessment of hemophilic arthropaty. In: Lee CA, Berntorp EE, Hoots WK (eds) Textbook of hemophilia, 2nd edn. Wiley-Blackwell, Oxford, pp 191–199 19. Roemer FW, Crema MD, Trattnig S (2011) Advances in imaging of osteoarthritis and cartilage. Radiology 260:332–354 20. Lombardo SJ, Bradley JP (1990) Arthroscopic diagnosis and treatment of patellofemoral disorders.
Articular Cartilage Defects of the Knee: Diagnosis and Treatment by E. Carlos Rodríguez-Merchán (auth.), E. Carlos Rodrìguez-Merchán (eds.)