By Harry Skinner
The most recent medical advances in orthopedics at your fingertips
For greater than 70 years, professors, scholars, and clinicians have depended on LANGE for top of the range, present, concise clinical info in a handy, cheap, transportable structure. no matter if for coursework, clerkships, USMLE prep, forte board evaluation, or sufferer care, there is a LANGE publication that promises success.
- An authoritative, well-organized resource of up to date, high-yield info on issues and illnesses taken care of by means of orthopedic surgeons and similar physicians
- Emphasizes the most important diagnostic positive aspects of disorder states, the usual historical past of the illnesses, the workup required for prognosis, and the therapy
- Conveniently geared up by way of anatomic constitution, affliction, and process
- Includes pathophysiology, epidemiology, and laboratory and imaging stories while worthy for prognosis or an knowing of the therapy
- More than six hundred illustrations
- Includes activities drugs, pediatric orthopedic surgical procedure, rehabilitation, and geriatric drugs
- Valuable to scholars, citizens and condominium officials of orthopedic surgical procedure, emergency room physicians, relations practitioners, basic practitioners, and internists
- Ideal for certification and recertification
- An striking advent to the specialty
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Additional info for Current Diagnosis and Treatment in Orthopedics
The muscle cells are extensively involuted and folded at the junction to provide maximal surface area for attachment, thereby allowing for greater fixation and transmission of forces. The sarcomeres directly adjacent to the junction of fast contracting muscles are shortened in length. This may represent an adaptation to decrease the force intensity within the junction. A complex intracellular and extracellular transmitting membrane consisting of a glycoprotein links the contractile intracellular proteins to the extracellular protein connective tissue.
A. Structural Composition Each intervertebral disk has a nucleus pulposus surrounded by a thick capsule called the annulus fibrosus (Figure 1-21). End-plates composed of hyaline cartilage separate the intervertebral disk from the vertebral body. The unique interplay of the nucleus pulposus, annulus fibrosus, and end-plates accounts for the ability of the disk to withstand compressive, rotational, and shear forces. The nucleus pulposus lies in the center of the intervertebral disk, except in the lumbar spine, where it lies slightly posterior, at the junction of the middle and posterior thirds of the sagittal diameter.
The mechanical properties of ligaments are closely related to the number and quality of the cross-links within the collagen fibers. Therefore, any process that affects collagen formation or maturation directly influences the properties of the ligaments. As aging continues, the number and the quality of cross-links increase, thereby increasing the tensile strength of the tissue. Moreover, the diameter of the collagen fibril increases with age. As aging progresses, however, collagen reaches a mechanical plateau, after which point tensile strength and stiffness decrease.
Current Diagnosis and Treatment in Orthopedics by Harry Skinner