Miklós Szendrői · Franklin H. Sim (Eds.

)
Color Atlas of Clinical Orthopedics
Miklós Szendrői · Franklin H. Sim (Eds.)

Color Atlas
of Clinical Orthopedics
Miklós Szendrői
Department of Orthopedics
Semmelweis University Budapest
1113 Budapest
Hungary

Franklin Sim
Mayo Clinic
200 First Street SW
Rochester, MN 55905
USA

ISBN 978-3-540-85560-6 e-ISBN 978-3-540-85561-3

DOI 10.1007/978-3-540-85561-3

Springer Dordrecht Heidelberg London New York

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 Preface
The evaluation of musculoskeletal disorders is often
problematic because of the variety of diseases and di-
agnostic complexity. Th is is compounded by the in-
creasing specialization in this field. While a variety of
recent textbooks give comprehensive coverage of these
disorders, this color atlas is intended to provide a suc-
cinct guide to evaluation and treatment. The atlas is or-
ganized into sections according to diagnosis. The text
is brief and gives concise information on the clinical
features, radiographic characteristics and pathologi-
cal features that are important for the diagnosis. The
reader will appreciate the many illustrations demon-
strating the characteristic features of musculoskeletal
disorders. The atlas includes more than 600 clinical
photographs of patients, 710 radiographs, 272 MRI
and CT illustrations, 128 intra-operative and surgical
photographs, and 73 microphotographs which help to
understand the basic characteristics of more than 250
orthopedic disorders.
This atlas offers a starting point for orthopedic, radi-
ology, and pathology residents. Furthermore, it empha-
sizes a team approach and should be attractive to the
clinician, the rheumatologist, the radiologist, and pa-
thologist and offer them the opportunity to familiarize
themselves with and enhance their diagnostic acumen of
these musculoskeletal conditions.
This atlas of clinical orthopedics is a joint effort from
two large institutions, the Orthopedic Department of
Semmelweis University (Hungary) and the musculoske-
letal tumor center of Mayo Clinic (USA), both of which
have extensive experience in the different areas of mus-
culoskeletal diseases.
It is the hope of the authors that this atlas will prove
educational and be a resource that will assist doctors in
the care of their patients.
Miklós Szendrői
Franklin H. Sim
 Acknowledgments
I wish to express my gratitude to the colleagues and med-
ical staff of the Orthopaedic Department of the Semmel-
weis University who contributed to the material of this
Atlas with their own case presentations, excellent pho-
tographs and radiographs. My debt of gratitude goes to
Dr. András Vajda for the translation of the text from
Hungarian to English. My special thanks for the efforts
and skillful help of our medical photographer Mr. Péter
Kovács, who made the great majority of the excellent
gross photographs and reproduced the radiographs and
photomicrographs. The final preparation of the manu-
script was made possible by the invaluable work of Mrs J.
Daróczi and Miss M. Alexa.
I owe a special acknowledgment to the editors of the
Semmelweis and Medicina publisher companies for gran-
ting permission to reproduce some illustrative material
from my books published by them earlier.
I am also greatly indebted to the staff members and
publishers of Springer for their careful attention to
this Atlas, especially to Mrs G. Schröder, Mrs I. Bohn,
Mr. C.-D. Bachem and Mr. T. Reichenthaler for their
untiring efforts.
Miklós Szendrői
 Contents

Chapter 1 Chapter 9
Common Bone Dysplasias Soft Tissue Tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191
and Malformations . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 F. Sim, R. Esther, and D. E. Wenger
S. Kiss, T. Vízkelety, K. Köllő, T. Terebessy,
G. Holnapy, G. Szőke Chapter 10
Synovial Neoformation and Tumors . . . . . . . . . . . . . 201
Chapter 2 F. Sim, R. Esther, and D.E. Wenger
Infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Á. Zahár and K. Köllő Chapter 11
Tumor-like Lesions of Bone . . . . . . . . . . . . . . . . . . . . 209
Chapter 3 F. Sim, R. Esther, and D.E. Wenger
Rheumatoid Arthritis and Related Diseases . . . . . 85
I. Böröcz and M. Szendrői Chapter 12
Connective Tissue Disorders . . . . . . . . . . . . . . . . . . . 231
Chapter 4 G. Holnapy and M. Szendrői
Neurogenic Osteoarthropathy
(Charcot’s Joint ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 Chapter 13
A. Deli and M. Szendrői Pediatric Orthopedicss . . . . . . . . . . . . . . . . . . . . . . . . 241
G. Szőke, S. Kiss, T. Terebessy, and G. Holnapy
Chapter 5
Stress Fractures (Fatigue Fractures, Chapter 14
Marsh-Fractures) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Neck, Chest, Spine and Pelvis . . . . . . . . . . . . . . . . . . 285
M. Szendrői J. Lakatos, K. Köllő, G. Skaliczki, and G. Holnapy

Chapter 6 Chapter 15
Hemophilia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 Shoulder, Upper Arm . . . . . . . . . . . . . . . . . . . . . . . . . 315
L. Bartha J. Kiss, G. Skaliczki

Chapter 7 Chapter 16
Metabolic and Endocrine Diseases . . . . . . . . . . . . . . 121 Elbow, Forearm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 337
P. Somogyi, A. Deli, and M. Szendrői G. Skaliczki and J. Kiss

Chapter 8 Chapter 17
Bone Tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145 Wrist and Hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 347
F. Sim, R. Esther, and D.E. Wenger Zs. Süth and J. Rupnik
X Contents

Chapter 18 Chapter 20
Hip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 381 Ankle and Foot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 439
Z. Bejek, L. Sólyom and M. Szendrői F. Mády, G. Holnapy and M. Szendrői

Chapter 19 Suggested Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . 471

Knee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 403
M. Szendrői, G. Skaliczki and L. Bartha Subject Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 475
 List of Contributors
Lajos Bartha
Department of Orthopedics
Semmelweis University Budapest
1113 Budapest, Karolina út 27
Hungary
Zoltán Bejek
Department of Orthopedics
Semmelweis University Budapest
1113 Budapest, Karolina út 27
Hungary
István Böröcz
Department of Orthopedics
Semmelweis University Budapest
1113 Budapest, Karolina út 27
Hungary
Anikó Deli
Department of Orthopedics
Semmelweis University Budapest
1113 Budapest, Karolina út 27
Hungary
Robert Esther
Department of Orthopedics
University of North Carolina
100 Mason Farm Road
3155 Bioinformatics Building CB# 7055
Chapel Hill, NC 27599
USA
Gergely Holnapy
Department of Orthopedics
Semmelweis University Budapest
1113 Budapest, Karolina út 27
Hungary
Jenő Kiss
Department of Orthopedics
St. John Hospital Budapest
1125 Budapest, Diós árok 1–3
Hungary
Sándor Kiss
Department of Orthopedics
Semmelweis University, Budapest
1113 Budapest Karolina út 27
Hungary
Katalin Köllő
Department of Orthopedics
Semmelweis University Budapest
1113 Budapest, Karolina út 27
Hungary
József Lakatos
Department of Orthopedics
Semmelweis University Budapest
1113 Budapest, Karolina út 27
Hungary
Ferenc Mády
Department of Orthopedics
Semmelweis University Budapest
1113 Budapest, Karolina út 27
Hungary
János Rupnik
Department of Orthopedics
Semmelweis University Budapest
1113 Budapest, Karolina út 27
Hungary
XII List of Contributors

Franklin Sim György Szőke

Mayo Clinic Department of Orthopedics
200 First Street SW Semmelweis University Budapest
Rochester, MN 55905 1113 Budapest, Karolina út 27
USA Hungary

Gábor Skaliczki Tamás Terebessy

Department of Orthopedics Department of Orthopedics
Semmelweis University Budapest Semmelweis University Budapest
1113 Budapest, Karolina út 27 1113 Budapest, Karolina út 27
Hungary Hungary

László Sólyom Tibor Vízkelety

Department of Orthopedics Department of Orthopedics
Semmelweis University Budapest Semmelweis University Budapest
1113 Budapest, Karolina út 27 1113 Budapest, Karolina út 27
Hungary Hungary

Péter Somogyi Doris E. Wenger

Department of Orthopedics Mayo Clinic
Semmelweis University Budapest 200 First Street SW
1113 Budapest, Karolina út 27 Rochester, MN 55905
Hungary USA

Zsuzsa Süth Ákos Zahár

Department of Orthopedics Department of Orthopedics
Semmelweis University Budapest Semmelweis University Budapest
1113 Budapest, Karolina út 27 1113 Budapest, Karolina út 27
Hungary Hungary

Miklós Szendrői
Head of Orthopaedic Department
Semmelweis University Budapest
1113 Budapest, Karolina út 27
Hungary