By Michael A. Bruno MD, Gary E. Gold, Timothy J. Mosher
Arthritis in colour is helping you recognize the new advances within the use of magnetic resonance imaging and ultrasound for the analysis and therapy of arthritis. Written by way of 3 experts within the field―Michael A. Bruno, MD; Gary E. Gold, MD; and Timothy J. Mosher, MD―and together with greater than six hundred photographs, three hundred in complete colour, this e-book provides entry to the present figuring out and destiny instructions during this dynamic box. With assurance of every little thing from the elemental to the complicated, you’ll have the suggestions you must take advantage of exact diagnoses.
- Provides correlation photos that depict the ailment procedure on ultrasound, MRI, and simple radiographs to permit you to substantiate a analysis fast and simply.
- Explores MRI and ultrasound as more suitable methods to diagnosing rheumatoid arthritis and osteoarthritis because of their more advantageous review of soppy tissues, marrow, and cartilage.
- Features greater than six hundred electronic caliber images―300 in complete color―that essentially illustrate the fabric being offered.
- Includes examples of pathology with colour illustrations that can assist you arrive at extra actual diagnoses.
- Covers either simple and complicated suggestions for a well-rounded, well-balanced procedure appropriate for the beginner or the professional.
- Presents the specialist information of Michael A. Bruno, Gary E. Gold, and Timothy J. Mosher―instructors of the preferred annual path on the American Roentgen Ray Society on complex Imaging in Arthritis―for a constant, obtainable style.
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Extra info for Arthritis in Color: Advanced Imaging of Arthritis
J Orthop Res 1985; 3:17-29. 14. Thompson AM, Stockwell RA. An ultrastructural study of the marginal transitional zone in the rabbit knee joint. J Anat 1983; 136:701-713. 15. Jeffery AK, Blunn GW, Archer CW, Bentley G. Three-dimensional collagen architecture in bovine articular cartilage. J Bone Joint Surg Br 1991; 73:795-801. 16. Jay GD, Torres JR, Warman ML, et al. The role of lubricin in the mechanical behavior of synovial fluid. Proc Natl Acad Sci U S A 2007; 104:6194-6199. 17. Schmidt TA, Gastelum NS, Nguyen QT, et al.
Chapter 2 Functional Anatomy and Structure of the “Osteochondral Unit” Timothy J. Mosher The primary function of articular cartilage is to provide a smooth transfer of force across joints. As such it is useful to consider the cartilage and the underlying subchondral bone as a functional osteochondral unit that must withstand a combination of compressive, tensile, and shear stresses. The stresses are not trivial. 1 With certain athletic activities such as running, jumping, or weight lifting the forces applied to the joints can reach 10 to 20 times body weight.
An early manifestation of OA is failure of the type II collagen matrix. This may occur as a result of a single traumatic insult in which tensile strain in the collagen network exceeds the biomaterial properties or through repetitive stress that can lead to fatigue fracture. Age is an important factor in modifying the material properties of the collagen matrix. 45,46 These age-related factors increase the stiffness and friability of collagen, making it more brittle and prone to fracture. 47 As illustrated in Figure 3-3, fractures in the collagen network prevent constraint on the hydrated aggrecan, allowing the tissue to swell.
Arthritis in Color: Advanced Imaging of Arthritis by Michael A. Bruno MD, Gary E. Gold, Timothy J. Mosher