Cartilage Injury in the Athlete

Front Cover
Raffy Mirzayan
Thieme, 2006 - Medical - 330 pages
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Nearly 350 illustrations of examination and treatment techniques


This book presents a complete guide to treating patients with cartilage damage who are not yet candidates for joint arthroplasty.


Cartilage Injury in the Athlete opens with review of anatomy and describes the response of articular cartilage to injury, followed by the clinical assessment of the injury. It covers nonoperative and operative approaches as well as the adjunctive procedures that often supplement cartilage restorative and repair surgery. Nearly 350 illustrations facilitate the understanding of examination and operative techniques. The text also addresses joint specific injuries in the shoulder, elbow, and ankle that are often neglected in other literature.


Highlights:



  • Provides a thorough overview of normal cartilage
    anatomy and cartilage response to injury that helps illuminate treatment
    techniques and healing processes

  • Demonstrates surgical treatments using step-by-step
    illustrations

  • Covers nonoperative techniques including analgesics,
    oral anti-inflammatory medications, neutraceuticals, and hyaluronic acid
    injections/viscosupplementation

  • Describes adjunctive procedures, such as meniscal
    transplant and corrective osteotomy

  • Discusses future directions in the detection and treatment of cartilage injuries


Both comprehensive and unique in its scope, this book is an invaluable resource for all orthopedic surgeons, sports medicine and primary care physicians, physical therapists, and fellows and residents in training.

 

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Contents

Structure and Function of Cartilage Biology
3
Biomechanics of Synovial Joints
10
Response of Articular Cartilage to Injury
24
Effects of Electrothermal Energy on Cartilage
31
Assessment
46
Clinical Evaluation of the Patient with a Chondral Injury
47
Imaging Techniques of Cartilage Injury
50
Classification of Articular Cartilage Injury and Repair
60
Osteochondral Allograft Transplantation
158
JointSpecific Treatment
169
Osteochondral Lesions of the Talus
171
Acute Osteochondral Defects in the Knee
187
Osteochondral Defects in the Elbow
202
Cartilage Injuries in the Shoulder
217
Cartilage Injury in the Skeletally Immature
232
Adjunctive Treatments with Cartilage Restoration
247

Nonoperative Treatment
71
Analgesics and Antiinflammatory Medications
73
Glucosamine and Chondroitin Sulfate
86
Hyaluronic Acid Injections Viscosupplementation
92
Operative Treatment
97
Arthroscopic Management of the Early Arthritic Joint
99
Electrothermal Chondroplasty
109
Microfracture Technique
116
Osteochondral Autograft Transfer OATSMosaicplasty
124
Autologous Chondrocyte Implantation
141
Corrective Osteotomies Around the Knee
249
Meniscal Transplantation
263
Surgical Management of Patellofemoral Disease
273
Future Directions
287
Future Directions in the Treatment of Cartilage Injury in the Athlete
289
Gene Therapy in the Treatment of Cartilage Injury
297
HyaluronanBased Autologous Chondrocyte Implantation
309
Index
317
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About the author (2006)

Clinical Associate Professor, Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

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