Sports Medicine

Cartilage injury in the athlete by Raffy Mirzayan

By Raffy Mirzayan

Nearly 350 illustrations of exam and remedy techniques

This e-book provides an entire advisor to treating sufferers with cartilage harm who're now not but applicants for joint arthroplasty.

Cartilage harm within the Athlete opens with evaluation of anatomy and describes the reaction of articular cartilage to harm, through the medical evaluate of the harm. It covers nonoperative and operative techniques in addition to the adjunctive strategies that regularly complement cartilage restorative and service surgical procedure. approximately 350 illustrations facilitate the certainty of exam and operative thoughts. The textual content additionally addresses joint particular accidents within the shoulder, elbow, and ankle which are usually overlooked in different literature.

Highlights:

  • Provides a radical evaluation of ordinary cartilage
    anatomy and cartilage reaction to damage that is helping remove darkness from remedy
    thoughts and therapeutic strategies
  • Demonstrates surgical remedies utilizing step by step
    illustrations
  • Covers nonoperative recommendations together with analgesics,
    oral anti inflammatory drugs, neutraceuticals, and hyaluronic acid
    injections/viscosupplementation
  • Describes adjunctive methods, resembling meniscal
    transplant and corrective osteotomy
  • Discusses destiny instructions within the detection and therapy of cartilage injuries

Both entire and special in its scope, this e-book is a useful source for all orthopedic surgeons, activities drugs and first care physicians, actual therapists, and fellows and citizens in training.

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Extra resources for Cartilage injury in the athlete

Sample text

Cartilage thickness at different donor sites was determined. 5 mm. Topography showed the curvature of the lateral and medial trochlea donor sites to best match the curvature of recipient sites on the femoral condyle. 29 These data may assist surgeons in reconstructing the most optimal femoral articular surface. Duchow et al30 biomechanically evaluated the primary strength of press fit implanted osteochondral grafts with respect to graft size, harvesting conditions of graft, and repeated insertion after pullout.

In degenerative joint disease, joint surface congruity is decreased, producing decreased contact area, increased stress on articular cartilage, and in turn the predisposition for degenerative changes. Compressive and tensile stresses refer to the stresses that are perpendicular to the surface, whereas shear stress refers to the stresses that are parallel to the surface. Strain is a relative measure of deformation. It is equal to the change in length of an object divided by the original length of the object.

These negative charges require positive counter-ions such as calcium and sodium ions (positive ions in solution). These free ions give rise to an osmotic pressure also known as the Donnan effect. In addition, the negative GAG charges result in charge-tocharge repulsive forces. 5,10,11,14,15 The majority of proteoglycans in articular cartilage are of the aggrecan type. These are composed of a long protein core molecule with up to 100 GAGs covalently bound to the protein core (Fig. 1,5 Hyaluronate is an unusual GAG that is very large in size, not bound to a protein core, and without sulfate groups.

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