前交叉韧带撞击综合征的关节镜下诊断和治疗

[目的]探讨膝关节前交叉韧带撞击综合征的发生机制、病理改变及关节镜下诊断与治疗.[方法]自2005年1月-2007年7月通过关节镜下诊断和治疗膝关节前交叉韧带撞击综合征28例,术前患者临床表现以膝关节伸直受限和膝前痛为主.关节镜下检查并确认引起前交叉韧带撞击原因:股骨髁间窝狭窄或骨赘形成19例,陈旧性胫骨髁间嵴骨折导致交叉韧带止点抬高4例,前交叉韧带囊肿3例,前交叉韧带重建术前交叉韧带止点选择不当2例.根据关节镜下检查结果选择相应的手术方式:股骨髁间窝成形术;股骨髁间窝成形+胫骨髁间嵴骨赘切除术;关节清理+交叉韧带囊肿切除术;交叉韧带胫骨止点复位重建内固定术.[结果]所有病例均获得随访,时间6～34个月,平均15个月,优19例,良4例,可4例,差1例,优良率82.1%.[结论]前交叉韧带撞击综合征是引起膝关节渐进性伸直受限和膝前痛的一个重要原因.关节镜的检查和镜下手术对其诊断和治疗有着极高价值.     

关节镜诊治股骨髁间窝撞击前交叉韧带

目的 :分析股骨髁间窝与前交叉韧带撞击对伸膝关节功能的影响。方法 :回顾本院骨科 1995年 3月～2 0 0 3年 1月 8例有股骨髁间窝与前交叉韧带撞击现象患者的关节镜下诊治及患者的恢复情况。结果 :8例患者的股骨髁间窝扩大后 ,疼痛均减轻或消失 ,伸膝范围加大。结论 :股骨髁间窝撞击前交叉韧带是引起屈膝畸形及伸膝疼痛不可忽视的原因之一 ,关节镜在诊断与治疗此病方面有其独特的优点。     

退行性膝关节髁间撞击征的分型与治疗

目的：探讨退行性膝关节髁间撞击征的概念及分型和各型的关节镜治疗原则和方法。方法：对30例退行性膝关节髁间撞击征病人症状、体征、放射检查及关节镜下表现及治疗方法进行总结分析。结果30例全部随访，时间平均1年，伸膝受限改善率平均80％。撞击感消失，疼痛明显减轻，优：10例，良：14例，可：4例，差：2例。结论：退行性膝关节髁间撞击征是由于股骨髁间窝继发性狭窄和(或)胫骨髁间嵴增生增高和(或)前交叉韧带胫骨起点前缘骨赘增生，造成膝关节伸直位时撞击而出现的相应临床表现。分为3型：A型：股骨髁间窝型，即股骨髁间窝骨赘增生。B型：胫骨髁间嵴型；Bl型：胫骨髁间嵴增生增高型；B2：前交叉韧带胫骨起点前缘骨赘增生型；C型：混合型。关节镜下股骨髁间窝扩大成形术和(或)胫骨髁间嵴部分切除术，和(或)前交叉韧带胫骨起点前缘骨赘切除术，是治疗退行性膝关节髁间撞击征的有效微创方法。     

退行性膝关节髁间撞击征的分型与治疗

目的:探讨退行性膝关节髁间撞击征的概念及分型和各型的关节镜治疗原则和方法。方法:对30例退行性膝关节髁间撞击征病人症状、体征、放射检查及关节镜下表现及治疗方法进行总结分析。结果30例全部随访,时间平均1年,伸膝受限改善率平均80％。撞击感消失,疼痛明显减轻,优:10例,良:14例,可:4例,差:2例。结论:退行性膝关节髁间撞击征是由于股骨髁间窝继发性狭窄和(或)胫骨髁间嵴增生增高和(或)前交叉韧带胫骨起点前缘骨赘增生,造成膝关节伸直位时撞击而出现的相应临床表现。分为3型:A型:股骨髁间窝型,即股骨髁间窝骨赘增生。B型:胫骨髁间嵴型;B1型:胫骨髁间嵴增生增高型;B2:前交叉韧带胫骨起点前缘骨赘增生型;C型:混合型。关节镜下股骨髁间窝扩大成形术和(或)胫骨髁间嵴部分切除术,和(或)前交叉韧带胫骨起点前缘骨赘切除术,是治疗退行性膝关节髁间撞击征的有效微创方法。     

退行性膝关节髁间撞击征的分型与治疗

目的:探讨退行性膝关节髁间撞击征的概念及分型和各型的关节镜治疗原则和方法.方法:对30例退行性膝关节髁间撞击征病人症状、体征、放射检查及关节镜下表现及治疗方法进行总结分析.结果30例全部随访,时间平均1年,伸膝受限改善率平均80%.撞击感消失,疼痛明显减轻,优:10例,良:14例,可:4例,差:2例.结论:退行性膝关节髁间撞击征是由于股骨髁间窝继发性狭窄和(或)胫骨髁间嵴增生增高和(或)前交叉韧带胫骨起点前缘骨赘增生,造成膝关节伸直位时撞击而出现的相应临床表现.分为3型:A型:股骨髁间窝型,即股骨髁间窝骨赘增生.B型:胫骨髁间嵴型;B1型:胫骨髁间嵴增生增高型;B2:前交叉韧带胫骨起点前缘骨赘增生型;C型:混合型.关节镜下股骨髁间窝扩大成形术和(或)胫骨髁间嵴部分切除术,和(或)前交叉韧带胫骨起点前缘骨赘切除术,是治疗退行性膝关节髁间撞击征的有效微创方法.     

股骨髁间前交叉韧带撞击症

股骨髁间前交叉韧带撞击症薛庆云黄公怡股骨髁间前交叉韧带撞击症是指在膝关节屈伸活动的正常范围内发生的股骨髁间窝与前交叉韧带撞击、磨损，产生前交叉韧带损伤的一种病理现象。１９７７年Ｎｏｒｗｏｄ和Ｃｒｏｓ［１］研究发现，在膝关节最大伸直位时膝关节前交叉韧带...     

关节镜下退行性股骨髁问窝前交叉韧带撞击症的诊断和治疗

目的探讨关节镜对退行性股骨髁间窝前交叉韧带撞击症的诊断和治疗。方法对2006年4月～2010年4月期间,在本组应用关节镜检查、治疗存在半月板损伤或关节游离体等症状的膝退行性关节炎129例140膝患者进行回顾性分析,发现合并股骨髁问窝前交叉韧带撞击症有69例72膝,并发率高达51．43％。关节镜下屈伸膝关节动态观察股骨髁间窝与前交叉韧带有无撞击,作出诊断后,行股骨髁间窝扩大成形及关节清理术。结果本组病例随访12～48个月,平均24个月,术后膝前区疼痛、关节积液、关节屈伸功能明显改善,Lysholm评分明显提高。结论膝退行性关节炎并发股骨髁间窝前交叉韧带撞击症,并发率较高,术前较难以明确诊断,关节镜是检查诊断股骨髁间窝前交叉韧带撞击症的金标准,可以明确诊断有无股骨髁间窝前交叉韧带撞击存在及其病因,股骨髁间窝扩大成形后疗效较好。     

股骨髁间窝的应用解剖及其临床研究

目的 探讨如何完善髌韧带中1／3重建前叉韧带术式，防止重建韧带撞 现象的发生。方法 测量42例和73例正常干、湿性股骨髁间窝标本的横径、纵径及其相关值；通过对湿性膝关节标本股骨髁间窝与前交叉韧带和重建韧带解剖关系的观测，确定膝关节伸展时髁间窝与韧带发生撞击的部位，在髌韧带中1／3重建前叉韧带的模拟和临床手术中， 切除股骨髁间窝前外侧壁及顶部部分骨质，加宽加深髁间窝，保持重建韧带与其有5mm间距。结果 临床应用19例中随访1年以上者11例，无1例出现重建韧带撞击现象，膝关节稳定性恢复良好。结论 股骨髁间窝扩大成形能有效地防止髁间窝对髌韧带的撞击，保证其顺利地替代前叉韧带的功能。     

关节镜下空心钉固定治疗陈旧性胫骨髁间棘撕脱骨折

前交叉韧带的前内侧束及后外侧束止于胫骨髁间棘上,陈旧性胫骨髁间棘撕脱骨折由于前交叉韧带松弛,导致膝关节前方不稳,会继发出现膝关节半月板损伤,以及因骨折块与股骨髁间顶部的撞击引起的伸膝功能受限,故仍需尽早手术治疗.自2003年1月～2006年9月,笔者使用关节镜下空心钉固定治疗9例,疗效满意,报告如下.     

关节镜下治疗前交叉韧带摩擦撞击症

回顾性分析关节镜下治疗膝关节股骨髁、胫骨嵴摩擦撞击前交叉韧带的疗效。方法对126例膝关节退行性骨关节炎关节镜下治疗,28例前交叉韧带磨损撞击者,镜下观察行膝关节清理、髁间窝扩大成形术、胫骨骨嵴摘除术。结果本组28例均获随访,随访时间12～16个月,平均18个月.术后关节功能明显改善。结论膝关节骨性关节炎部分股骨髁、胫骨嵴增生磨损前交叉韧带,关节镜手术应注意观察前交叉韧带磨损情况.手术处理后可获得良好效果。     

Book Reviews

Book reviewed in this article: TRAUMA CARE : Edited by WILLIAM ODLING-SMEE, M.B., F.R.C.S., and ALAN CROCKARD, M.B., F.R.C.S. THORACIC AND CARDIOVASCULAR SURGERY. CONTINUING EDUCATION REVIEW. 713 ESSAY QUESTIONS AND REFERENCED ANSWERS : By EDWIN C. JAMES, M.D., D. PAUL HOAN, M.D., DAVID A. BROWDIE, M.D., GEORGE W. IWEN, M.D., and WILLIAM H. HEYDORN, M.D. OPERATIVE ARTERIAL SURGERY : By P, R. F. BELL, M.D., F.R.C.S., and W. BARRIE, M.D., F.R.C.S. Bristol FUNDAMENTALS OF HAEMATOLOGY : By RICHARD A RIFKIND, M.D., ARTHUR BANK, M.D., PAUL A. MARKS, M.D., HYMIE L. NOSSEL, M.D., ROSE RUTH ELLISON, M.D. and JOHN LINDENBAUM, M.D. Chicago OPERATIVE SURGERY. FUNDAMENTAL INTERNATIONAL TECHNIQUES : Edited by CHARLES ROB, M.C., M.D., M.Chir., F.R.C.S., RODNEY SMITH, K.B.E., Hon. D.Sc, M.S., F.R.C.S., Hon. F.R.A.C.S., Hon. F.R.C.S.(Ed.)., Hon. F.A.C.S., Hon. F.R.C.S.(Can.)., Hon. F.R.C.S.(L)., Hon. F.D.S., and HUGH DUDLEY Ch.M., F.R.C.S., F.R.C.S(Ed.)., F.R.A.C.S. HEAD AND NECK. PART I AND PART II : Edited by J. S. P. WILSON, F.R.C.S.(Ed.)., Hon. F.R.C.S. ATHEROSCLEROSIS V PROCEEDINGS OF THE FIFTH INTERNATIONAL SYMPOSIUM : Edited by ANTONIO M, GROTTO JR, LOUIS C. SMITH and BARBARA ALLAN. SURGICAL PROBLEMS IN CHILDREN RECOGNITION AND REFERRAL : By HOWARD C. FILSTON, M.D., F.A.C.S., F.A.A.P. DISASTER MEDICINE VOLUME 3 : Edited by R. FREY and P. SAFAR COLD AND FROST INJURIES -REWARMING DAMAGES BIOLOGICAL, ANGIOLOGICAL AND CLINICAL ASPECTS : By HANS KILLIAN. Berlin, Heidelberg MEDICAL EXAMINATION REVIEW. VOLUME 5. SURGERY. 1000 MULTIPLE CHOICE QUESTIONS WITH REFERENCED EXPLANATORY ANSWERS : By M. D. RAM, B.SC, M.D., M.S.(SURG.)., Ph.D., F.R.C.S.(Eng.), F.R.C.S.(Ed.), F.R.C.S.(Can.), F.A.C.S. ORGAN PRESERVATION FROM TRANSPLANTATION : Edited by ARMANDM. KAROW, JR. Ph.D., and DAVID E. PEGG, M.D., M.R.C. Path. SURGERY OF FEMALE INCONTINENCE : Edited by STUART L. STANTON, F.R.C.S., M.R.C.O.G.; and EMIL A. TANAGHO, M.D. SURGICAL MANAGEMENT OF OBESITY : Edited by J. D. MAXWELL, M.D., F.R.C.P., J-C GAZET, M.S., F.R.C.S., and T. R. E. PILKINGTON, M.D., F.R.C.P. A COLOUR ATLAS OF PAEDIATRIC SURGICAL DIAGNOSIS : By LEWIS SPITZ, M.B., Ch.B., Ph.D., F.R.C.S. (Edin)., F.R.C.S. (Eng.)., G. M. STEINER, M.B.B.S., D.C.H., D'Obs., R.C.O.G., F.R.C.R., F.R.C.P., and R. B. ZACHARY, M.B., Ch.B., F.R.C.S.I., F.R.C.S. (Eng.). DISORDERS OF THE NERVOUS SYSTEM -A PRIMER : By ALEXANDER G. REEVES, M.D. MICROSURGERY OF THE BRAIN ANATOMICAL AND TECHNICAL PRINCIPLES 1 AND 2 : By WOLFGANG SEEGER. ARTHRITIS OF THE KNEE - CLINICAL FEATURES AND SURGICAL MANAGEMENT : Edited by M. A. R. FREEMAN, M.D., F.R.C.S. SPINA BIFIDA OCCULTA ORTHOPAEDIC, RADIOLOGICAL AND NEUROSURGICAL ASPECTS : By C. C. MICHAEL JAMES, Ph.D. (Edin.)., F.R.C.S. (Edin)., and L. P. LASSMAN, M.B., B.S. (Lond.)., F.R.C.S. RECONSTRUCTION OF THE HEAD AND NECK : Edited by MALCOLM A. LESAVOY, M.D., F.A.C.S. THE PRACTICE OF HAND SURGERY : Edited by D. W. LAMB, M.B., C.H.B., F.R.C.S.E., and K. KUCZYNSKI, M.B., C.H.B., F.R.C.S.E. EYE SURGERY AN INTRODUCTION TO OPERATIVE TECHNIQUE : By GEORG EISNER, M.D. CHEIROLUMBAR DYSOSTOSIS DEVELOPMENTAL BRACHYCHEIRY AND STENOSIS OF THE BONY VERTEBRAL LUMBAR CANAL : By A. WACKENHEIM.     

Book Reviews

Book reviewed in this article: CHOICES AND CHARACTERISTICS IN COMPUTERIZED TOMOGRAPHY : Edited by A. WACKENHEIM and G. H. Du BOULAY. NITRATES. III. CARDIOVASCULAR EFFECTS : Edited by P. R. LICHTLEN, H. -J. ENGEL, A. SCHREY and H. J. C. SWAN. RHEUMATIC VALVULAR DISEASE IN CHILDREN : Edited by JOSEPH B. BORMAN, M.B., B.Ch. (Wits.)., F.R.C.S. (Eng.)., F.A.C.S., F.A.C.C, and MERVYN S. GOTSMAN, M.D., F.R.C.P., F.R.C.P.(G), F.A.C.S. CLINICAL DISORDERS OF THE SHOULDER : By LIPMANN KESSEL, M.B.E. (Mlty)., M.C., F.R.C.S. THROMBOSIS AND ATHEROSCLEROSIS : Edited by NILS U BANG, M.D., JOHN L. GLOVER, M.D., ROBERT W. HOLDEN, M.D., and DOUGLAS A. TRIPLETT, M.D. TOPICS IN ACUTE AND CHRONIC PANCREATITIS : Edited by L. A. SCURO and A. DAGRADI. ESSENTIALS OF ANORECTAL SURGERY : By STANLEY M. GOLDBERG, M.D., F.A.C.S., PHILIP H. GORDON, M.D., F.R.C.S. (C)., F.A.C.S., and SANTHAT NIVATVONGS, M.D., F.A.C.S. ADVANCES IN EXTERNAL FIXATION : Edited by RENNER M. JOHNSTON, M.D. HAND SPLINTING. PRINCIPLES AND METHODS : By ELAINE EWING FESS M.S., O.T.R. KAREN S. GETTLE O.T.R., and JAMES W. STRICKLAND, M.D. THE NAIL : Edited by MAURICE PIERRE.     

Book Reviews

Book reviewed in this article: INTESTINAL ANTISEPSIS. By ISIDORE COHN jr, M.D., B.Sc. (Med.), F.A.C.S. PRINCIPLES OF SURGERY: A NEW APPROACH. By D. J. Du PLESSIS, Ch.M., F.R.C.S. SURGERY OF THE ACUTE ABDOMEN. By JOHN A. SHEPHERD, V.R.D., M.D., M.Ch., F.R.C.S. (Edin.), F.R.C.S. (Eng.). VASCULAR DISEASES. By PROFESSOR AG. M. J. TSAPOGAS, M.D., M.Ch., V. V. KAKKAR, F.R.C.S., F.R.C.S. (Edin.) and E. N. GLEAVE, F.R.C.S., F.R.C.S. (Edin.). SOLITARY METASTASES. By PHILIP RUBIN and JEROME GREEN. ADVANCES IN SURGERY. Edited by Claude E. Welch. CLINICAL MANAGEMENT OF SHOCK. By ROBERT M. HARDAWAY, M.D., with a foreword by Francis D. Moore. THE TRAINING OF SURGEONS IN THE FUTURE. Sponsored by the Allen O. Whipple Surgical Society. NERVE AND NERVE INJURIES. By SYDNEY SUNDERLAND, C.M.G., M.D., B.S., D.Sc., F.R.A.C.S. (Hen.), F.R.A.C.P., F.F.A. HISTORICAL ASPECTS OF ABDOMINAL INJURIES. By FRANK L. LORIA, B.S., M.D., F.A.C.S. TRAUMATIC ARTERIAL LESIONS, VOLUME 2. Edited by Tor Hierton, M.D. and Bo Rybeck, M.D. THE SURGEON'S RESPONSIBILITY. By JOHN R. DERRICK, M.D., F.A.C.S. PLANNING OF SURGICAL CENTERS. By ERVIN PüTSEP. PROCEEDINGS OF THE SYMPOSIUM ON COMBINED INJURIES AND SHOCK, UPPSALA, JUNE, 3–6 1967. Edited by BO SCHILDT and LARS THOREIN. MENILRE'S DISEASE: MECHANISM AND MANAGEMENT. By M. SPENCER HARRISON, M.D., F.R.C.P., F.R.C.S., and LIONEL NAFTALIN, B.Sc., F.C.Path. SURGERY OF THE HEAD AND NECK. By ROBERT A. WISE, M.D. and HARVEY W. BAKER, M.D. LOOKING AT MY HEART. By DR PHILIP BLAIBERG. GREAT TEACHERS OF SURGERY IN THE PAST.     

BOOK REVIEWS

Book reviewed in this article: GUIDE TO ORTHOPAEDICS 1. TRAUMA By K. L. G. MILLS, M.A., M.B., B.Chir. (Camb.), B.Sc. (Lond.), F.R.C.S. (Eng.), F.R.C.S. (Edin.), F.R.C.S. (Canada), L.R.C.P. (Lond.). FUNDAMENTAL TECHNIQUES OF PLASTIC SURGERY AND THEIR SURGICAL APPLICATIONS By IAN A. MCGREGOR, M.B., Ch.M., F.R.C.S. (Eng.), F.R.C.S. (Glasg.), Hon. F.R.A.C.S. INFECTION IN SURGERY - BASIC AND CLINICAL ASPECTS Edited by J. McK. WATTS, P. J. MCDONALD, P. E. O'BRIEN, V. R. MARSHALL, and J. J. FINLAY-JONES. BUT WESTWARD LOOK NURSING IN WESTERN AUSTRALIA 1829–1979 By VICTORIA HOBBS. CURRENT ORTHOPAEDIC MANAGEMENT Edited by WILLIAM J. KANE, M.D., Ph.D. SYNOPSIS OF SURGERY By RICHARD D. LIECHTY, M.D. and ROBERT T. SOPER, M.D.     

Books Reviewed

Book reviewed in this article: STUDIES ON THE ABDOMINAL INCISION. By MATHEW W. KOBAK, M.D. THE MEDICAL ANNUAL, 1965. By SIR RONALD BODLEY SCOTT and R. MILNES WALKER. THE BURN WOUND. By STANLEY E. ORDER, M.D., and J. A. MONCR1EF, M.D. INDUCTION PHENOMENA IN TISSUE REGENERATION. By GUSTAV LEVANDER. SECOND SYMPOSIUM ON METHOTREXATE IN TH TREATMENT OF CANCER. By SIR BRIAN WINDEYER, D.Sc., F.R.C.S., F.R.C.P F.F.R., and A. P. M. FORREST, Ch.M., F.R.C.S., an A.P.M. FORREST, F.R.S. RENAL BIOPSY. By D. B. BREWER, M.D. (Path.) THE PROBLEM OF CANCER IN NEW ZEALAND. By J. MAXWELL CLARKE, Ch.M., F.R.C.S., F.R.A.C.S.     

BOOK REVEWS AND BOOKS RECEIVED

Book reviewed in this article: EVALUATION AND MANAGEMENT OF TRAUMA Edited by NORMAN MCSWAIN MD AND MORRIS KERSTIEIN MD. COLOUR ATLAS OF OPHTHALMOLOGY By ARTHUR LIM SIEW MING. MBBS. AM. FRACS. FRACO. FRCS. DO. AND IAN J. CONSTABLE, MBBS, FRCSE, FRACS, FRACO, TRANSLUMINAL ANGIOPLASTY Edited by G. DAVID JANG KIDNEY TRANSPLANT REJECTION. DIAGNOSIS AND TREATMENT Edited by G. MELVILLE WILIAMS, JAMES F. BURDICK AND KIM SOLEZ. OFFICE PROCTOLOGY By GEORGE ORLAY. OPERATIVE SURGERY AND MANAGEMENT Edited by G. KEEN. VISCERAL VASCULAR SURGERY:SCIENCE & PRACTICE OF SURGERY 13 Edited by ALFRED V. PERSON AND PAUL A. SKUDDER JR. Shoulder Replacement. Edited by Reinhard Kolbel Recent Developments in Orthopaedic Surgery. Edited by J. Noble and C. S. B. Galasko. Reconstructive Microsurgery. Edited by Bernard McC. O'Brien and Wayne A. Morrison. 1987 Year Book of Surgery. Edited by S. I. Schwartz, 0. Jonasson. E. E. Peacock Jr, G. T. Shires, F. C. Spencer and J. C. Thompson. Advances in Trauma, Volume 2. Edited by K. I. Maull. H. C. Cleveland. G. 0. Strauch and C. C. Wolferth. A Supplement to a List of the Works of Frederick Wood Jones 1874–1954. Edited by Barry C. Christophers. Richmond: Barry C. Christophers Thoracic and Cardiovascular Surgery. Edited by V. 0. Bjork, A. Henze. C. Olin and Q. R. Stiles. Cranio-Facial Deformities - An Introductory Guide. By D. J. David. T. G. Henriksson and R. D. Cooter. Clinical Photography in Plastic Surgery. Edited by Gerald D. Nelson and John L. Krause Jr.     

BOOK REVIEWS

Book reviewed in this article: PATHWAYS IN SURGICAL MANAGEMENT By MICHAEL HOBSLEY, T.D., Ph.D., M.Chir. THE PRACTICE OF BILIARY SURGERY By GABRIEL A. KUNE, M.B., B.S., F.R.A.C.S., F.R.C.S., F.A.C.S., and AVNI SALI, M.B.B.S., Ph.D., F.R.A.C.S. 1978 YEAR BOOK OF ORTHOPEDICS AND TRAUMATIC SURGERY Edited by MARK COVENTRY, M.D., M.S. SYMPOSIUM ON RECONSTRUCTIVE SURGERY OF THE KNEE SPONSORED BY THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS Edited by C. MCCOLLISTER EVARTS, M.D. A COLOUR ATLAS OF GYNAECOLOGICAL SURGERY. VOLUME 4. SURGERY OF VULVA AND LOWER GENITAL TRACT By DAVID H. LEES, F.R.C.S. (Ed.), F.R.C.O.G., and ALBERT SINGER, Ph.D., D. Phil. (Oxon.), F.R.C.O.G. ADVANCES IN THE MANAGEMENT OF CLEFT PALATE Edited by M. EDWARDS, M. Phil., L. C.S.T., and A. C. H. WATSON, F.R.C.S. (Ed.). CURRENT PROBLEMS IN ORTHOPAEDICS THE ORTHOPAEDIC MANAGEMENT OF SPINA BIFIDA CYSTICA By MALCOLM B. MENELAUS, M.D., F.R.C.S., F.R.A.C.S. PROGRESS IN ORTHOPAEDIC SURGERY 1 LEG LENGTH DISCREPANCY. THE INJURED KNEE. Edited by DAVID S. HUNGERFORD. CLINICAL ATLAS OF MUSCLE AND MUSCULOCUTANEOUS FLAPS By STEPHEN J. MATHES, M.D., and FOAD NAHAI, M.D.     

Animal models of diabetes mellitus: physiology and pathology

Contents. I. Introduction. II. Chemically induced diabetes in animals. A. Alloxan. B. Streptozotocin. C. Biochemistry of chemically induced diabetes. D. Pathology of chemically induced diabetes. 1. Pancreatic pathology. 2. Renal pathology. 3. Ocular pathology. 4. Nerve pathology. III. Spontaneous diabetes in animals. A. The Chinese hamster. B. The BB/W rat. C. The db and ob mouse. D. The guinea pig. E. Macaca nigra. F. Additional models of spontaneous diabetes. IV. Virus-induced diabetes in animals.     

Book Reviews

Book reviewed in this article: REVIEW OF MEDICAL PHYSIOLOGY. By W. F. GANONG, M.D. RECONSTRUCTION SURGERY AND TRAUMATOLOGY, VOLUME 14. Edited by G. CHAPCHAL. THE PORTAL VENOUS SYSTEM. By CHARLES MARKS, M.D., F.R.A.C.P., F.R.C.S., F.C.C.P., F.A.C.C. THE HIP: PROCEEDINGS OF THE FIRST OPEN SCIENTIFIC MEETING OF THE HIP SOCIETY, 1973. St Louis: The C. V. Mosby THE PRINCIPLES OF TRANSURETHRAL RESECTION AND HÆMOSTASIS. By J. P. MITCHELL, M.S., F.R.C.S., F.R.C.S. (Edin.) THE INFLUENCE OF PANCREATIC TUMOURS ON THE STOMACH. By ROBERT M. ZOLLINGER, M.D. and DAVID W. COLEMAN     

BOOK REVIEWS AND BOOKS RECEIVED

Book reviewed in this article: THE ROYAL COLLEGE OF PHYSICIANS AND SURGEONS OF CANADA 1960-1980 By DAVID A. E. SHEPHARD. SURGICAL TECHNIQUES ILLUSTRATED: COMPARATIVE ATLAS Edited by RONALD A. MALT LOCAL FLAPS IN HEAD AND NECK RECONSTRUCTION By IAN T. JACKSON MD FLEXIBLE SIGMOIDOSCOPY By RONALD M. KATON MD A COLOUR ATLAS OF DEMONSTRATIONS IN SURGICAL PATHOLOGY VOL 2. HEAD AND NECK, ENDOCRINE SYSTEM, BREAST, AND SKIN Edited by Professor D. E. C. MEKIE and Sir JAMES FRASER NONJNVASIVE DIAGNOSTIC TECHNIQUES IN VASCULAR DISEASE Edited by EUGENE F. BERNSTEIN DECISION MAKING IN GASTROENTEROLOGY By JOEL S. LEVINE MD A Colour Atlas of Rupture of the Rotator Cuff. Single Surgical Procedures - 34 . Edited by Lipmann Kessell Surgery of the Oesophagus . Edited by T. P. J. Hennessy and A. Cuschieri Current Operative Surgery. Plastic and Reconstructive Surgery . Edited by Ian F. K. Muir Lee McGregor's Synopsis of Surgical Anatomy . Edited by G. A. G. Decker and D. J. du Plessis Restoring a Lost Nose . Edited by J. C. Carpue A Colour Atlas of Left Hemicolectomy. Single Surgical Procedures - 31 . Edited by N. A. Matheson Advances and Technical Standards in Neurosurgery . Edited by L. Symon, J. Brihaye, B. Guidetti, F. Loew, J. D. Miller, H. Nornes, E. Pasztor, B. Pertuiset and M. G. Yasargil Advances and Technical Standards in Neurosurgery . Edited by L. Symon, J. Brihaye, B. Guidetti, F. Loew, J. D. Miller, H. Nornes, E. Pasztor, B. Pertuiset and M. G. Yasargil Cancer of the Face and Mouth . Edited by Ian A. McGregor and Frances M. McGregor. Upper Extremity Injuries in Athletes . Edited by Frank A. Simple Skin Surgery . Edited by Susan Burge and Ruth Rayment. Breast Disease. Volume 10 . Edited by J. F. Forbes. Current Operative Surgery, General Surgery . Edited by A. Cuschieri and T. P. J. Hennessy.