By James R D Murray; Erskine J Holmes; Rakesh R Misra
Useful, easy-to-use reference for examining musculoskeletal problems, with top of the range photos and multidisciplinary writer team.
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Extra resources for A-Z of Musculoskeletal and Trauma Radiology
19 I A–Z of Musculoskeletal and Trauma Radiology Kienbo¨ck’s disease. Note the sclerosis and early collapse of the lunate, secondary to avascular necrosis. 20 Back pain – including spondylolisthesis/ spondylolysis Clinical features Usually lower lumbar vertebrae affected. Never forget the sacro-iliac joint – 15%–20% lower back pain. May have ‘sciatic’ component (pain from the buttock down the posterior aspect of the thigh and leg) which is exacerbated by stretching of the sciatic nerve. Middle-aged disease.
Dynamic assessment of hip stability is also well assessed by USS. Radiographs are therefore difficult to interpret; this can be helped by constructing the following lines on a pelvic radiograph. Perkins’ line is a vertical line from the lateral edge of the acetabulum – the femoral epiphysis should lie medial to this line. Hilgenreiner’s line is a horizontal line passing through the triradiate cartilage – the femoral head should lie below this. Acetabular index angle should be less than 30 degrees.
Pseudo-gout is subdivided, according to the crystal type, into calcium pyrophosphate dihydrate deposition disease (CPPD) and calcium hydroxyapatite (HA) otherwise known as basic calcium phosphate (BCP) deposition. In contrast to gout, CPPD and BCP are usually found around large joints, most commonly the knee and the shoulder. g. hyperparathyroidism, haemachromatosis) in which there is a critical change in calcium equilibrium in cartilage. Clinical features Predominantly females over 60 years of age.