By Murray K. Dalinka M.D. (auth.)

In contemporary years, arthrography of the knee, this region, defining for the reader the intricacies shoulder, and hip has develop into more and more of the radiologic reviews and detailing the $64000 within the overview of the varied nuances of procedure that could expedite the problems which have an effect on those significant joints. the standard of the exam and improve the radiologist has assumed the fundamental function now not diagnostic acumen of the radiologist. This basically in supplying for the orthopedic clinician paintings, as well as its different many priceless a correct analysis of abnormalities of those beneficial properties, is really a "how to do it" treatise for joints, but additionally in defining anatomical information within the radiologist. a fashion hitherto unavailable or even un­ of serious curiosity are the chapters which deal suspected. in truth, it can be acknowledged that the with arthrography in joints and components usually now not constructing radiologic suggestions in arthrog­ thought of an incredible a part of the diagnostic armamentarium of the radiologist or perhaps raphy have partly rewritten the anatomical texts when it comes to the traditional joints. considered via the orthopedic clinician. those during this very good paintings by way of Murray okay. Dalinka, comprise the ankle, hindfoot, elbow, wrist, and M. D. , arthrography of a couple of significant joints small joints of the hand and foot. The bankruptcy is taken into account intimately. Dr. Dalinka, a recog­ on arthrotomography of the temporomandib­ nized authority in skeletal radiology and par­ ular joint by way of Dr.

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Note the superior defect (open arrow). The inner border of the lateral meniscus is projected over the femoral condyle (arrowheads). C. Posterior horn slightly anterior to B. The popliteus tendon (arrow) can be seen within popliteus recess. D. Midportion of lateral meniscus. Popliteus tendon almost filling the popliteus recess (arrow). E. Anterior horn of lateral meniscus. Note inferior recess (arrow). F. Anterior to E. Note the lateral extension of the fat pad (large arrow), closeness of condyles (small arrows), and inferior recess (open arrow).

Double-contrast arthrography (Figs. 1-1 lOB and 1-11 OC) revealed multiple, smooth filling defects throughout the synovial cavity. This combination of increased synovial density, little or no joint fluid, and multiple filling defects on arthrography should suggest the diagnosis of synovial chondromatosis. Erect filming will differentiate the synovial chondromas from loose bodies. Popliteal Cysts There is considerable confusion in the literature with regard to popliteal cysts and whether the semimembranosis gastrocnemius bursa (SMG-B) normally communicates with the posterior aspect of the knee joint.

A. Density (arrowhead) within meniscus . Is this a tear? B. Slight positional change indicates displaced inner fragment of a bucket-handle tear (arrow). Knee Arthrography Lateral Tears Lateral meniscal anatomy is more complex than medial because of the separation of the meniscus from the capsule posteriorly by the popliteal hiatus and tendon sheath (Fig. 1-53). In the past, authors have commented upon the difficulty in diagnosing lateral meniscal tears; many of these studies utilized the horizontal beam or positive-contrast techniques.

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