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Musculoskeletal ultrasound has seen a considerable surge in usage in recent years. Its advantages are manifold. Given adequate training of the examiner, it is very cost-effective; there is no ionizing radiation to contend with; the scanners are normally highly portable; and it enables certain interventional procedures to be performed with great accuracy (therapeutic injections of local anesthetics and/or corticosteroids into areas of complex anatomy, e.g., the shoulder). In this book, the anatomic areas are organized in chapter pairs, of which the first part of the pair summarizes the diagnostic imaging of that area from various angles so as to obtain the standard images necessary for reliable evaluation. The second part covers the image-guided injection techniques themselves, including requisite equipment. Key Features: Concise texts accompanied by typical US scans, brilliant anatomic illustrations, and many photographs showing proper scanner placementJuxtaposes normal and pathologic anatomy for maximum understandingDetailed and lucid description of all common injection procedures, appropriately illustratedResteghini's Diagnostic Musculoskeletal Ultrasound and Guided Injection: A Practical Guide is an essential introductory reference for physical therapists, sports medicine physicians, orthopaedic practitioners new to the method, radiographers, and allied health professionals involved in the diagnosis and therapy of musculoskeletal conditions.
Flow Diversion of Cerebral Aneurysms
From detachable balloons and GDC coils to the recent advent of flow diversion, practitioners of have endovascular neurosurgery been fortunate to work in an era of rapid and exciting advances. The first commercially available flow diverter in the U.S. was approved specifically for a small subset of cerebral aneurysms. Recent experience has demonstrated its utility in treating challenging or otherwise untreatable aneurysms, safely and efficaciously. The design of these devices requires learning radically different methods than those used in the deployment of other, non-braided stents. Flow Diversion of Cerebral Aneurysms by Min Park, Philipp Taussky, Felipe Albuquerque, and Cameron McDougall provides step-by-step guidance on utilization of flow diversion technology in clinical practice. Reflecting the combined experience and knowledge of pioneers in neurointerventional surgery, this comprehensive book fills a gap in available resources. Twenty-one chapters cover fundamentals to advanced concepts – historical perspective to future developments. Key Features More than 250 high quality graphics and illustrative case studies reinforce key conceptsTechniques and nuances of Pipeline, Silk (Balt Extrusion), Surpass Streamline, and Flow-Redirection Endoluminal Device (FRED) deploymentAn overview of current flow diversion devices, discussion of coil embolization versus flow diversion, off-label uses, adjuvant approaches, and hemodynamic modificationsPharmacology, flow diversion grading scales, and post-procedure radiographic imagingClinical pearls on ruptured aneurysms, intraprocedural/postprocedural complications, and management of aneurysm residualsThe ultimate goal of incorporating cutting-edge flow diversion techniques into the aneurysm treatment paradigm is improved efficacy and patient outcome. The knowledge gleaned from this outstanding resource will help residents and fellows learn to deploy flow diverters for the first time and enable seasoned clinicians to expand their neurointerventional radiology skills.
Reverse Shoulder Arthroplasty
This masterful book from top experts provides clinical insights on reverse shoulder arthroplasty gleaned from hands-on refinement of shoulder replacement techniques. Years of significant biomechanical and clinical research yielded invaluable knowledge that led to important improvements in functional outcome and implant durability. Among these refinements were stronger polyethylene derivatives, better ingrowth technology, and improved connection devices. As the durability and longevity of implant technology increased, younger active patients became suitable candidates for this procedure. In fact, RSA has played a pivotal role in making shoulder arthroplasty the fastest growing implant technology. In the first two sections, the authors take the reader through the history and evolution of RSA, followed by step-by-step surgical techniques for specific injuries and conditions. The next three sections discuss past and recent outcomes, complications, and rehabilitation. The last section covers special considerations including patient specific instrumentation, convertible humeral and glenoid components, and the future potential of stemless humeral technology. Key Features The latest trends in patient-specific components, guide systems, and instrument designThe use of RSA for rotator cuff repair, shoulder arthritis, and acute and complex fracturesIn-depth discussion of techniques to improve deltoid function, avoid impingement, and increase implant longevityClinical pearls on how to recognize and handle complications that occur: instability, infection, scapular notching, component loosening, glenoid and humeral bone loss, and RSA failureHigh quality videos and 300 superb illustrations further delineate techniquesThis book is a practical resource that enables learning complex procedures, putting them into practice, and handling complications should they arise. It is an essential tool for all orthopaedic surgeons who treat shoulder conditions.
Fat Injection
Presented by the editors and more than ninety renowned experts on structural fat grafting, this extensively updated volume comprises their state-of-the-art experience and techniques on the use of autologous fat in many aspects of plastic surgery to correct, restore, and enhance patients' structural proportions and defects. Provides a strong foundation of the current Coleman technique of structural fat grafting, including available instrumentation, and the principles and basic concepts of fat injection.Comprehensive coverage on the biology underlying successful fat grafting, as well as excellent color illustrations of the step-by-step technique and descriptions of the effects of the aging process.This new edition contains the most current information on the regenerative potential of grafted fat as well as the long-term results of fat grafting, with updated cases demonstrating the staying power of transferred fat.A remarkable strength of this book is the purposeful inclusion of these worldwide contributors' many different approaches to harvesting, processing, and placing of lipoaspirate, with generous case examples of their results.Clinical applications for all parts of the body, from face and neck to breasts, and upper and lower extremities and genital areas reflect the wide utility of the procedure in reconstructive and aesthetic fields.A chapter on complications and the means to avoid them is given extensive coverage.An e-book and multiple clinical videos are included.This exciting new edition reflects the entire arc of the development of the revolutionary techniques of structural fat grafting, which have sprung from the growing awareness worldwide of the critical role of fat transplantation in aesthetic and reconstructive surgery.
Hand Trauma: Illustrated Surgical Guide of Core Procedures
Surgical treatment of hand trauma is a highly complex form of surgery that requires mastery of several different disciplines, including microsurgery of blood vessels less than 1 mm in diameter, osteosynthesis, and flap coverage of traumatic defects. Combining these disciplines into an effective surgical repertoire requires no little creativity. This work intends to provide clear, practical guidance to the less experienced so that they gain confidence in carrying out the core procedures involved in the surgical management of hand trauma. Key Features: Stepwise, concise descriptions of all core procedures, highly and helpfully illustratedProcedures and topics covered include: nailbed repair, infections of the hand, flexor and extensor tendon repair, EIP to EPL tendon transfer, digital nerve repair, replantation and revascularization, fracture fixation techniques, limb threatening emergencies, and moreA wealth of useful tips and tricks, for trainees by traineesNikkhah's Hand Trauma: Illustrated Surgical Guide of Core Procedures is certain to be treasured as an indispensable resource for trainees in plastic, orthopaedic, and hand surgery.
Portal Hypertension
Previously published by the Society for Interventional Radiology (SIR), this fully revised and updated third edition of Portal Hypertension: Imaging, Diagnosis, and Endovascular Management is the first volume in collaboration between Thieme and the SIR. Edited by Wael Saad and written by internationally recognized experts, this authoritative volume is a comprehensive guide to the diagnosis and interventional management of portal hypertension. A potentially serious condition, portal hypertension presents considerable clinical challenges due to the delicate nature of the impacted organs, veins, and vessels. From pathophysiology to the latest state-of-the-art approaches, five major sections encompass diagnostic, medical, endoscopic, non-vascular, surgical, percutaneous, endovascular, and balloon-occluded methodologies, including indications, complications, and clinical trial results. Throughout this book's 33 chapters, a Who's Who of world-renowned interventional radiologists share clinical pearls and step-by-step procedural guidance. Several techniques have undergone significant advances since the second edition was published, including Transjugular Intrahepatic Portosystemic Shunt (TIPS), Balloon-Occluded Retrograde Transvenous Obliteration (BRTO), Balloon-Occluded Antegrade Transvenous Obliteration (BATO), and variations on TIPS, and all these are featured herein. Key Highlights Hepatic and portal venous anatomy relative to procedural approachesNearly 250 figures elucidate anatomical structures and technical methodologiesTIPS: patient selection, effects on kidney and liver function, hemodynamic changes, intravascular ultrasound guidance, Doppler surveillance, and utilization for Budd-Chiari Syndrome and liver transplantationTIPS clinical study outcomes for variceal bleeding, ascites, and hydrothoraxBRTO and BATO techniques, clinical study outcomes, and utilization for gastric varicesManagement of mesenteric and portal vein stenosis, thrombosis, and hypersplenismThis remarkable book is a must-have tool for interventional radiologists and for all those who care for patients with portal hypertension, from residents to practicing clinicians.
Facial Volumization
Highly Commended by the BMA Medical Book Awards for Surgery! The gliding nature and dynamic planes of the face present one of the great challenges in aesthetic surgery and volume replenishment is a key component of the treatment algorithm. Facial Volumization: An Anatomic Approach by Jerome Lamb and Christopher Surek masterfully bridges the gap between the anatomy lab and injection clinic. It synthesizes a large body of facial anatomy publications into a «one-stop shop» covering a wide array of facial procedures – from the chin and perioral – to the midface and temple. In addition to vascular injury, lymphatic disruption can play a critical role in suboptimal aesthetic facial volumization outcomes. Chapter 2, The Lymphatic Anatomy of the Lower Eyelid and the Malar Region of the Face discusses new state-of-the art facial lymphatic discoveries. Key Features Numerous beautiful, full-page color illustrations systematically reveal each layer of the face – from deep to superficial – taking readers on a unique journey through the 3-D architecture of complex facial anatomy.The left side of each page features a written synopsis of the vascular, muscular, ligament, and adipose components of specific layers paired with cadaveric dissection photographs.More than 20 high-definition live patient injection videos posted in the Thieme online Media Center include detailed injector commentary.Augmentation and enhancement techniques, the latest facial fillers and lip injections, and illustrated guidance on preferred volumization approaches.Identification of danger zones and technical pearls for injecting safely, avoiding problems, and obtaining the best results.This invaluable resource will help residents and seasoned plastic surgeons, facial plastic surgeons, dermatologists, otolaryngologists, and aestheticians perform facial injections safely and achieve optimized results.
Robotic Head and Neck Surgery
The field of head and neck surgery is rapidly changing, with expanding indications for minimally invasive robotic techniques. While the da Vinci Surgical System is the most widely used robotic technology, this is an ever-evolving field with a growing number of other systems, including the Medrobotics Flex Robotic System that is being incorporated into surgical practice. Transoral robotic surgery (TORS) has enabled improved patient outcomes, decreased morbidity, and shorter recovery periods. It has been used primarily for neoplasms located in the upper aerodigestive tract. Robotic Head and Neck Surgery: An Anatomical and Surgical Atlas is a splendidly illustrated anatomical guide on current and emerging procedures from David Goldenberg and Neerav Goyal. It fills a gap in available resources and offers surgical pearls from prominent head and neck surgeons who have pioneered and mastered robotic techniques. The atlas reflects expanding indications for head and neck robotics including midline glossectomy for obstructive sleep apnea, nasopharyngeal surgery, laryngectomy, transaxillary parathyroidectomy, facelift thyroidectomy, and robot-assisted neck dissection. Key Features Nine visually-rich chapters provide concise yet detailed procedural guidance including key landmarks, vascular and nervous structures, background, indications, surgical anatomy, step-by-step diagrams, and radiologic imagingExquisite anatomical illustrations by Tess Marhofer and stunning cadaveric dissections provide the ability to see detailed anatomy from the robot's perspectiveSpiral-bound paperback formatting enables easy-to-read, real-time surgical guidance while operating the robotic consoleVideos with cadaveric and live patient dissections provide additional endoscopic insightsThis resource is a must-have for otolaryngology residents and fellows new to operating a robotic console. It is also an essential console-side reference for experienced surgeons who wish to incorporate surgical robots into their practice paradigm.
Orthodontic Therapy
Created in the tradition and style of Thieme's renowned Dental Atlas series, and the product of many years of research and practical experience, Orthodontic Therapy covers the basics of the diagnosis, prevention, and correction of malpositioned teeth and jaws. Clear and concise texts, and thousands of accurate and rich illustrations, most in full color and presented in Thieme's award-winning two-page spreads, make for efficient and pleasant assimilation of this highly detailed and comprehensive material. Key Features: Almost 4,000 images with extensive legends and concise running textsCurrent and up-to-date, building upon the basic principles of biology, mechanics, and biomechanics, to reflect the state of the research today, using the most advanced materials and techniquesInformation on treatment concepts including functional orthodontics and orthodontic treatment, integration of retained teeth, anchorage options, finishing and retention, adult therapy, and aesthetic alternativesStep-by-step coverage of all the therapy methods with explanations and illustrationsA wealth of expert tips and tricksExperienced orthodontists and trainees will greatly value this comprehensive work, both as review and as an authoritative introductory text.
Arterial Variations in Humans: Key Reference for Radiologists and Surgeons
Based on the landmark work Arterial Variations in Man: Classification and Frequency by Lippert and Pabst, this atlas presents the full range of arterial variations that occur in the human body. Adding an interdisciplinary perspective to the original text, Arterial Variations in Humans: Key Reference for Radiologists and Surgeons shows variations of the arteries with schematic diagrams alongside their corresponding radiological images. Chapters begin with schematic and radiological depictions of normal arterial blood supply, followed by images of the arterial variation, to enable rapid identification of individual variations. This unique resource also includes statistics on the frequency of specific arterial variations and explanations of their embryologic origins. [b]Special Features: [/b]Coverage of arterial variations in the head, neck, spine, thorax, abdomen and pelvis, and upper and lower extremities with separate chapters devoted to each major arteryClearly drawn schematic outlines and their correlating high-quality radiological scans-more than 900 illustrations in total-highlight arterial variationsImages of the «normal» arterial anatomy as described in standard textbooks are provided for side-by-side comparison with the arterial variationPercentages for the frequency of occurrence of arterial variations with references to the source of the dataConcise and lucid descriptions in each chapter facilitate complete comprehension of normal and abnormal vascular anatomyWith Arterial Variations in Humans: Key Reference for Radiologists and Surgeons , radiologists will gain a full understanding of the diversity of arterial anatomy-essential knowledge for the accurate interpretation of pathological changes in diagnostic imaging. Interventional radiologists and vascular and general surgeons will also find this book valuable for planning and performing procedures safely and effectively.