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

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

In fresh years, arthrography of the knee, this sector, defining for the reader the intricacies shoulder, and hip has develop into more and more of the radiologic experiences and detailing the $64000 within the evaluate of the various nuances of strategy that could expedite the problems which impact those significant joints. the standard of the exam and increase the radiologist has assumed the fundamental function no longer diagnostic acumen of the radiologist. This purely in delivering for the orthopedic clinician paintings, as well as its different many helpful 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 information within the radiologist. a fashion hitherto unavailable or even un­ of serious curiosity are the chapters which deal suspected. in truth, it can be acknowledged that the with arthrography in joints and parts usually no longer constructing radiologic recommendations in arthrog­ thought of a massive a part of the diagnostic armamentarium of the radiologist or maybe raphy have partially rewritten the anatomical texts in relation to the conventional joints. considered via the orthopedic clinician. those during this first-class paintings through Murray okay. Dalinka, contain 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 through Dr.

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Dalinka MK, Coren GS, Wershba M: Knee arthrography. ) A. Narrowing of lateral joint compartment with normal medial compartment. B. Arthrogram in same patient reveals a torn meniscus (arrowhead) and slight narrowing of articular cartilage (arrow). 34 Arthrography Meniscal Cysts Meniscal cysts are not true cysts because they are not lined by synovial epithelium. They are frequently small and mayor may not communicate with the joint. The origin of meniscal cysts is unknown but there are traumatic, developmental and degenerative theories.

The normal synovial cavity is smooth or slightly lobulated although small septations may be present within it. The synovial cavity usually extends posterior to the knee and approximately 7 cm proximal to the patella. Its inferior aspect is slightly below the meniscal insertions. An infrapatella synovial fold and its lateral extensions help separate the medial from the lateral joint compartments. Sy'novial lesions are best demonstrated on erect and extension lateral films. With extension the suprapatella bursa is distended and the lesions are well demonstrated.

On lateral views in 60-90° flexion the normal cruciate ligaments are tent shaped. The normal anterior cruciate ligament is visible in the same plane as the posterior cruciate ligament (153) (Fig. 1-23). Joint Cavity The joint cavity is smooth and regular. The suprapatella bursa is continuous with the joint and extends superiorly for approximately 7 cm above the patella. It may contain septations within it. The posterior aspect of the joint is also smooth and regular and is best seen on flexion views because it collapses on extension.

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