Download A Textbook of Paediatric Orthopaedics by Broughton, Nigel S. Broughton PDF

By Broughton, Nigel S. Broughton

A transparent, concise method of a small yet very important subspecialty that's a vital part of orthopaedic surgical education and ultimate examinations. Aimed additionally on the training orthopaedic healthcare professional desiring entry to simple paediatric info, it's as compatible for speedy referral because it is for revision reasons. good points: * A concise account of an important subspecialty * the entire uncomplicated ideas of paediatric orthopaedics in a single simply available e-book * sincerely illustrated * Covers all very important issues on the point of easy ideas * Written by way of a unmarried very hot division, drawing at the joint services of its many contributors and their adventure operating as a crew * Geared heavily to the necessities of surgical trainees all through Europe and Australia

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Arthroscopy 2000 ; 16 : 457. 4 Duchenne de Boulogne GB. Physiologie des mouvements. Paris : Baillère et fils ; 1897. 5 Duranthon LD, Gagey OJ. Anatomy and function of the subdeltoid bursa. Surg Radiol Anat 2001 ; 23 : 23. 6 Gagey OJ, Hue E. Mechanics of the deltoideus, a new approach. Clin Orthop 2000 ; 375 : 250. F. GAZIELLY RÉSUMÉ SUMMARY L’évaluation clinique avant l’implantation d’une prothèse totale d’épaule s’appuie sur trois éléments d’une importance égale : l’histoire du patient et en particulier ses antécédents médicaux, l’examen clinique et l’imagerie, qui permet souvent d’avoir une idée de l’étiologie de l’atteinte de l’articulation glénohumérale.

Balance. Introduction est l’illustration la plus probante. Au début de l’élévation, la stabilisation de l’articulation est donc assurée presque uniquement par les muscles. Au-delà de 90°, les ligaments entrent progressivement en action. Considérant l’anatomie ligamentaire, il est évident que leur résistance mécanique n’est pas à la hauteur de la tâche de stabilisation : l’épaisseur de l’ensemble capsulo-ligamentaire est en effet au maximum de 4 à 5 mm au voisinage de la glène et diminue progressivement en direction de l’humérus pour n’être plus que de 1 à 2 mm à ce niveau (figure 1) [3].

Les centres instantanés de rotation selon Fisher (A), Favard (B) et Blaimont (C). Pour Fischer et Favard, le changement de C1 à C2 s’effectue aux alentours de 60°, et pour Blaimont autour de 40° puis de 60° pour le passage de C2 à C3. Gr 1 Gr 2 + Gr 3 Gr 4 – GH GH ST ST 30Њ 30Њ Ratio : GH/ST = 0,8 Ratio : GH/ST = 4 Situation A Situation B Figure 10. Schéma illustrant la différence de ratio (situation A et B) pour un même degré d’abduction et l’influence sur l’apparition d’une encoche du pilier de la scapula.

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