Orthopedics

Download Clinical Musculoskeletal Pathology by William F. Enneking PDF

By William F. Enneking

Stressing the significance of correlating the scientific presentation, radiologic features and staging stories with the pathologic findings and diagnostic microscopic good points of musculoskeletal afflictions and illnesses.

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Sample text

Morquio's Disease 39 D. Osteogenesis Imperfecta 42 E. Osteopetrosis 46 F. Osteopoikilosis 50 G. Congenital Pseudoarthrosis 52 H. Gigantism 55 I. Dwarfism 56 J. Epiphysiolysis 57 K. Scoliosis and Tibia Vara 64 3 . Repair of Connective Tissues A. Fracture Healing 67 B. Myositis Ossificans 77 C. Bone Grafting 83 D. Response to Surgical Implants 94 E. Repair of Cartilage 99 F. Repair of Tendons 102 4 . Infections A. Bone 1. Pyogenic Osteomyelitis 106 2. Nonpyogenic Osteomyelitis 118 Page vi B. Joints 1.

Radiographic examination is the most informative ancillary technique in the musculoskeletal system. One should regard the radiogram as a non-invasive method of gross pathologycomparable in many ways to actually handling the tissues. To achieve this acumen it is essential to verify the radiographic findings by personal observation of the gross and microscopic pathologic findings whenever the opportunity presents itself. Only in this way can the student acquire the background that will subsequently enable him to extract all of the biologic information available from radiographic examination.

As the secondary ossification centers form, vessels penetrate the cartilage and extend into the area of bone formation. The area of most rapid growth in the bone is that immediately beneath the epiphyseal plate in the region of the metaphysis. This area has a rich blood supply through a combination of the nutrient artery and the perforating periosteal vessels. While the majority of the bones develop from the described cartilaginous models, some bones form directly from the primitive mesenchyme.

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