Download A-Z of Musculoskeletal and Trauma Radiology by James R D Murray; Erskine J Holmes; Rakesh R Misra PDF

By James R D Murray; Erskine J Holmes; Rakesh R Misra

Sensible, easy-to-use reference for analyzing musculoskeletal issues, with fine quality photos and multidisciplinary writer team.

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Sample text

Look for ‘red flags’:  bilateral leg pain.  difficulty with sensation or control of urinary (or bowel) function.  saddle anaesthesia.  unremitting pain – particularly night pain.    Back pain – including spondylolisthesis/spondylolysis Characteristics  Incidence of 10%–35%.  Lifetime prevalence of 50%–80%.  Accounts for 13% of total sickness absences in the UK, with the perceived disability apparently rising.  Risk factors include lower socio-economic class, static posture (sitting), manual handling (particularly twisting/bending), vibration, smoking, driving and poor core-muscle tone.

14 I Avascular necrosis – osteonecrosis Freiberg’s osteonecrosis of the second metatarsal head. Management  Pain relief with analgesics and immobilisation. g. drugs, alcohol, occupation.  Surgery, if indicated, is generally reparative or reconstructive in nature.  Core decompression and vascularised bone graft aims to restore vascularity and prevent further collapse.  In severe collapse, reconstructive surgery should be considered. 15 I A–Z of Musculoskeletal and Trauma Radiology 16 Lateral view of a 55-year-old male with medial tibial plateau SONK.

Difficulty with sensation or control of urinary (or bowel) function.  saddle anaesthesia.  unremitting pain – particularly night pain.    Back pain – including spondylolisthesis/spondylolysis Characteristics  Incidence of 10%–35%.  Lifetime prevalence of 50%–80%.  Accounts for 13% of total sickness absences in the UK, with the perceived disability apparently rising.  Risk factors include lower socio-economic class, static posture (sitting), manual handling (particularly twisting/bending), vibration, smoking, driving and poor core-muscle tone.

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