The Netter Collection of Medical Illustrations: by Joseph P Iannotti M.D. Ph.D., Richard Parker M.D.

By Joseph P Iannotti M.D. Ph.D., Richard Parker M.D.

The decrease Limb and Spine, Part 2 of The Netter selection of clinical Illustrations: Musculoskeletal approach, 2d Edition, provides a hugely visible advisor to the backbone and reduce extremity, from easy technological know-how and anatomy to orthopaedics and rheumatology. This spectacularly illustrated quantity within the masterwork referred to as the (CIBA) "Green Books" has been multiplied and revised by means of Dr. Joseph Iannotti, Dr. Richard Parker, and different specialists from the Cleveland health center to reflect the numerous interesting advances in musculoskeletal drugs and imaging - delivering rich insights into the anatomy, body structure, and medical stipulations of the backbone; pelvis, hip, and thigh; knee; decrease leg; and ankle and foot.

  • Get whole, built-in visible information at the reduce extremity and spine with thorough, richly illustrated coverage.
  • Quickly comprehend complicated topics due to a concise text-atlas structure that offers a context bridge among basic and really expert medicine.
  • Clearly visualize how middle suggestions of anatomy, body structure, and different simple sciences correlate throughout disciplines.
  • Benefit from matchless Netter illustrations that supply precision, readability, aspect and realism as they supply a visible method of the medical presentation and care of the patient.

  • Gain a wealthy medical view of all points of the backbone; pelvis, hip, and thigh; knee; reduce leg; and ankle and foot in a single finished quantity, conveyed via appealing illustrations in addition to up to date radiologic and laparoscopic images.
  • Benefit from the services of Drs. Joseph Iannotti, Richard Parker, and esteemed colleagues from the Cleveland Clinic, who make clear and extend at the illustrated concepts.
  • Clearly see the relationship among simple technology and medical practice with an built-in evaluate of ordinary constitution and serve as because it pertains to pathologic conditions.
  • See present scientific recommendations in orthopaedics and rheumatology captured in vintage Netter illustrations, in addition to new illustrations created particularly for this quantity through artist-physician Carlos Machado, MD, and others operating within the Netter style.

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Extra resources for The Netter Collection of Medical Illustrations: Musculoskeletal System, Volume 6, Part II - Spine and Lower Limb

Sample text

Radiographs of the lumbar spine may be normal but are useful in ruling out other conditions such as fracture. MRI is the study of choice to delineate the location and type of disc herniation. Most patients respond to symptomatic treatment such as NSAIDs, muscle relaxants, oral narcotics, a short course of oral corticosteroids, or epidural corticosteroid injection and will note improvement of symptoms by 6 weeks. Indications for surgery include cauda equina syndrome, urinary retention or incontinence, progressive neurologic deficit, severe single nerve root paralysis, and radicular pain lasting longer than 6 to 12 weeks.

The straightleg raising sign is typically absent, and findings of the neurologic examination are normal. Patients with 22 Degeneration of lumbar intervertebral discs and hypertrophic changes at vertebral margins with spur formation. Osteophytic encroachment on intervertebral foramina compressesâ•… spinal nerves. associated psychological issues may display nonorganic findings, such as exaggerated pain behaviors and nonanatomic localization of symptoms. Radiographs and MR images of the spine reveal changes that are difficult to differentiate from normal age-related changes.

The anulus fibrosus contains a central, springy and pulpy zone called the nucleus pulposus. The vascular and nerve supply to the discs is minimal. If the fibers of the annulus fail as a result of injury or disease, the enclosed nucleus pulposus may extrude posteriorly through the rent in the annulus and press on adjacent neural structures. In the normal spine, the discs account for almost 25% of the height of the vertebral column; they are thinnest in the upper thoracic region and thickest in the lumbar region.

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