By Robert A. Pedowitz MD PhD, John J. O'Connor, Wayne H. Akeson

As a follow-up of the hugely acclaimed paintings released in 1990, this moment version makes a speciality of every little thing on the topic of the knee ligaments. This version has extra medical details, and lines a brand new surgical part. Drs. Pedowitz, O'Connor, and Akeson study the ligament from mobilephone to sufferer, together with biology, biomechanics, and scientific therapy. because the previous decade has proven great enlargement within the realm of knee ligament study, this variation was once compiled with the tactic to carry every thing into one handy reference.

A CD-ROM that includes narrated animations of practical biomechanics of knee ligaments is integrated during this edition.

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Additional resources for Daniel’s Knee Injuries: Ligament and Cartilage Structure, Function, Injury, and Repair

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Procollagen then moves through the cisternae of the rough endoplasmic reticulum (RER) and through a transitional endoplasm (TE) to the Golgi apparatus (G), where it is packaged into secretory vesicles (SV) before extrusion by exocytosis (EX). (From Amiel D, Nimni ME. The collagen in normal ligaments. ) LIGAMENT BIOCHEMISTRY AND PHYSIOLOGY / 39 moves toward the Golgi apparatus through the microsomal lumen. In the Golgi, the C-terminal, mannose rich, carbohydrate extensions are remodeled; the molecules are packaged into vesicles, and subsequently carried toward the cellular membrane (Fig.

Most intraarticular structures of the knee, with the exception of the patellar articular cartilage, are sensate. The synovium was particularly sensitive, even to light touch (<100 g of pressure through a probe footprint of 1 × 3 mm). The cruciate ligaments could be felt when probed and were painful to tugging at the origins and insertion sites, as were the menisci. This work, although from one individual, confirms that intraarticular ligaments and most other intraarticular components are sensate.

4. The Burmester curve is composed of two thirdorder derivative curves that predict regions of relative isometry between regions on the cam (femoral side) of the knee to that of the flat (tibial side) of the knee. The asymmetric origin insertions of the lateral and medial collateral ligaments are predicted by these areas of relative isometry. (From Dye SF. An evolutionary perspective of the knee. ) out intraarticular anesthesia (7). Perceived sensation was graded subjectively (scale of 0 for no sensation to 4 for severe pain) with a modifier for localization (A for accurate spacial localization with probing or B for inaccurate localization).

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