By Daniel J. Berry MD, Scott P. Steinmann MD, Paul Tornetta III MD, Thomas A. Einhorn MD

Written through top specialists from the Mayo health facility, this quantity of our Orthopaedic surgical procedure necessities Series offers all of the info citizens desire on hip, knee, shoulder, and elbow reconstruction in adults. it may simply be learn disguise to hide in the course of a rotation or used for fast reference ahead of a sufferer workup or operation. The hassle-free, visually stimulating layout good points abundant illustrations, algorithms, bulleted lists, charts, and tables.

Coverage of every zone contains actual assessment and imaging, review and remedy of problems, and operative remedy equipment. The broad insurance of operative remedy contains basic and revision arthroplasty and possible choices to arthroplasty.

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Radiographic Grading of Osteoarthritis Various grading systems of osteoarthritis have been described. It must be remembered that approximately 40% to 50% of patients with radiographic changes of osteoarthritis are asymptomatic. Joint space narrowing has been shown to correlate most strongly with clinical symptoms. A number of grading systems are presented in Table 3-2. Diagnostic Workup Algorithm The most important investigation for patients presenting with hip pain is to obtain good quality, properly exposed and oriented radiographs with the appropriate views.

A cause for osteoarthritis of the hip. Clin Orthop. 2003;417:112–120. cls Printer: Edwards Brothers March 19, 2007 Section I / Hip Gelber AC. Obesity and hip osteoarthritis: the weight of the evidence is increasing. Am J Med. 2003;114:158–159. Giori NJ, Trousdale RT. Acetabular retroversion is associated with osteoarthritis of the hip. Clin Orthop. 2003;417:263–269. Harris WH, Bourne RB, Oh I. Intra-articular acetabular labrum: a possible etiological factor in certain cases of osteoarthritis of the hip.

Management. However, when considering surgery, certain considerations must be addressed; these are discussed below. When total hip replacement is being considered, there is rarely a disadvantage in delaying surgery as long as the patient is able to maintain function. , femoroacetabular impingement, dysplasia without arthritic changes) there may be some merit in recommending joint-sparing surgery when symptoms initially begin or are relatively mild, rather than have the patient undergo a protracted coarse of nonoperative treatment.

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