Miklós Szendrői Franklin H. Sim (Eds.) Color Atlas of Clinical Orthopedics

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1 Miklós Szendrői Franklin H. Sim (Eds.) Color Atlas of Clinical Orthopedics

2 Miklós Szendrői Franklin H. Sim (Eds.) Color Atlas of Clinical Orthopedics

3 Miklós Szendrői 1113 Budapest Franklin Sim Mayo Clinic 200 First Street SW Rochester, MN USA ISBN e-isbn DOI / Springer Dordrecht Heidelberg London New York Library of Congress Control Number: Springer-Verlag Berlin Heidelberg 2009 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the German Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: Frido Steinen-Broo, estudio Calamar, Spain Printed on acid-free paper Springer is part of Springer Science+Business Media (

All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on

4 Preface The evaluation of musculoskeletal disorders is often problematic because of the variety of diseases and diagnostic complexity. This is compounded by the increasing specialization in this field. While a variety of recent textbooks give comprehensive coverage of these disorders, this color atlas is intended to provide a succinct guide to evaluation and treatment. The atlas is organized into sections according to diagnosis. The text is brief and gives concise information on the clinical features, radiographic characteristics and pathological features that are important for the diagnosis. The reader will appreciate the many illustrations demonstrating the characteristic features of musculoskeletal disorders. The atlas includes more than 600 clinical photographs of patients, 710 radiographs, 272 MRI and CT illustrations, 128 intra-operative and surgical photographs, and 73 microphotographs which help to understand the basic characteristics of more than 250 orthopedic disorders. This atlas offers a starting point for orthopedic, radiology, and pathology residents. Furthermore, it emphasizes a team approach and should be attractive to the clinician, the rheumatologist, the radiologist, and pathologist and offer them the opportunity to familiarize themselves with and enhance their diagnostic acumen of these musculoskeletal conditions. This atlas of clinical orthopedics is a joint effort from two large institutions, the Orthopedic Department of Semmelweis University () and the musculoskeletal tumor center of Mayo Clinic (USA), both of which have extensive experience in the different areas of musculoskeletal diseases. It is the hope of the authors that this atlas will prove educational and be a resource that will assist doctors in the care of their patients. Miklós Szendrői Franklin H. Sim

While a variety of recent textbooks give comprehensive coverage of these disorders, this color atlas is intended to provide a succinct guide to evaluation and treatment.

5 Acknowledgments I wish to express my gratitude to the colleagues and medical staff of the Orthopaedic Department of the Semmelweis University who contributed to the material of this Atlas with their own case presentations, excellent photographs and radiographs. My debt of gratitude goes to Dr. András Vajda for the translation of the text from Hungarian to English. My special thanks for the efforts and skillful help of our medical photographer Mr. Péter Kovács, who made the great majority of the excellent gross photographs and reproduced the radiographs and photomicrographs. The final preparation of the manuscript was made possible by the invaluable work of Mrs J. Daróczi and Miss M. Alexa. I owe a special acknowledgment to the editors of the Semmelweis and Medicina publisher companies for granting permission to reproduce some illustrative material from my books published by them earlier. I am also greatly indebted to the staff members and publishers of Springer for their careful attention to this Atlas, especially to Mrs G. Schröder, Mrs I. Bohn, Mr. C.-D. Bachem and Mr. T. Reichenthaler for their untiring efforts. Miklós Szendrői

My special thanks for the efforts and skillful help of our medical photographer Mr.

6 Contents Chapter 1 Common Bone Dysplasias and Malformations S. Kiss, T. Vízkelety, K. Köllő, T. Terebessy, G. Holnapy, G. Szőke Chapter 2 Infection Á. Zahár and K. Köllő Chapter 3 Rheumatoid Arthritis and Related Diseases I. Böröcz and M. Szendrői Chapter 4 Neurogenic Osteoarthropathy (Charcot s Joint ) A. Deli and M. Szendrői Chapter 5 Stress Fractures (Fatigue Fractures, Marsh-Fractures) M. Szendrői Chapter 6 Hemophilia L. Bartha Chapter 7 Metabolic and Endocrine Diseases P. Somogyi, A. Deli, and M. Szendrői Chapter 8 Bone Tumors F. Sim, R. Esther, and D.E. Wenger Chapter 9 Soft Tissue Tumors F. Sim, R. Esther, and D. E. Wenger Chapter 10 Synovial Neoformation and Tumors F. Sim, R. Esther, and D.E. Wenger Chapter 11 Tumor-like Lesions of Bone F. Sim, R. Esther, and D.E. Wenger Chapter 12 Connective Tissue Disorders G. Holnapy and M. Szendrői Chapter 13 Pediatric Orthopedicss G. Szőke, S. Kiss, T. Terebessy, and G. Holnapy Chapter 14 Neck, Chest, Spine and Pelvis J. Lakatos, K. Köllő, G. Skaliczki, and G. Holnapy Chapter 15 Shoulder, Upper Arm J. Kiss, G. Skaliczki Chapter 16 Elbow, Forearm G. Skaliczki and J. Kiss Chapter 17 Wrist and Hand Zs. Süth and J. Rupnik

Deli and M. Szendrői Chapter 5 Stress Fractures (Fatigue Fractures, Marsh-Fractures).............................. 111 M. Szendrői Chapter 6 Hemophilia................................... 115 L.

7 X Contents Chapter 18 Hip Z. Bejek, L. Sólyom and M. Szendrői Chapter 19 Knee M. Szendrői, G. Skaliczki and L. Bartha Chapter 20 Ankle and Foot F. Mády, G. Holnapy and M. Szendrői Suggested Reading Subject Index

Bartha Chapter 20 Ankle and Foot............................... 439 F. Mády, G. Holnapy and M.

8 List of Contributors Lajos Bartha Jenő Kiss St. John Hospital Budapest 1125 Budapest, Diós árok 1 3 Zoltán Bejek Sándor Kiss Semmelweis University, Budapest 1113 Budapest Karolina út 27 István Böröcz Katalin Köllő Anikó Deli József Lakatos Robert Esther University of North Carolina 100 Mason Farm Road 3155 Bioinformatics Building CB# 7055 Chapel Hill, NC USA Gergely Holnapy Ferenc Mády János Rupnik

Budapest 1113 Budapest Karolina út 27 István Böröcz Katalin Köllő Anikó Deli József Lakatos Robert

9 XII List of Contributors Franklin Sim Mayo Clinic 200 First Street SW Rochester, MN USA György Szőke Gábor Skaliczki Tamás Terebessy László Sólyom Tibor Vízkelety Péter Somogyi Doris E. Wenger Mayo Clinic 200 First Street SW Rochester, MN USA Zsuzsa Süth Ákos Zahár Miklós Szendrői Head of Orthopaedic Department

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