Applied Anatomy Shoulder movements are a synthesis of motion at four articulations: sternoclavicular, acromioclavicular, glenohumeral, and scapulothoracic. STERNOCLAVICULAR JOINT The sternoclavicular (SC) joint is a spheroidal joint between the medial…
Applied Anatomy The temporomandibular joint (TMJ) is an articulation between the mandibular condyle and both the mandibular (glenoid) fossa and the articular eminence (tubercle) of the temporal bone ( Figure…
Indications for Aspiration and Injection of Joints and Periarticular Lesions Aspiration and injection of joints and periarticular synovium-lined cavities (bursae and tendon sheaths) and injection of soft-tissue lesions (entheses, tendinitis,…
Applied Anatomy TYPES OF JOINTS Skeletal joints, the sites of articulation between one bone or cartilage and another, are generally of three types: fibrous joints (skull-type sutures), cartilaginous and fibrocartilaginous…
Key Points • Cartilage calcification (chondrocalcinosis) can occur in both fibrocartilage and hyaline cartilage. Fibrocartilaginous calcifications are most common in the menisci of the knee, triangular fibrocartilage of the wrist,…
Key Points • Radiography is the main imaging modality for evaluation of progression of gout, but there is a 5- to 10-year latent period between first clinical symptoms and the…
Key Points • Assessment of nephrolithiasis, cholecystolithiasis, and ureteral calcified concrements has been the main indication for ultrasound in internal medicine. Ultrasound can detect uric acid–containing kidney stones that would…
Supported by the VA Research Service. Introduction This textbook has thoroughly covered the current status of gout clinical practice, a subject whose nuances, with respect to evidence-based medicine, have been…
Key Points • Basic calcium phosphate (BCP) crystals are a group of ultramicroscopic crystals that are mainly composed of hydroxyapatite and are frequently deposited in articular tissues. • BCP crystal…
