By Robert A. Pedowitz MD PhD, John J. O'Connor, Wayne H. Akeson
As a follow-up of the hugely acclaimed paintings released in 1990, this moment version specializes in every little thing on the topic of the knee ligaments. This variation has extra medical info, and contours a brand new surgical part. Drs. Pedowitz, O'Connor, and Akeson learn the ligament from mobile to sufferer, together with biology, biomechanics, and medical remedy. because the prior decade has proven super growth within the realm of knee ligament examine, this version used to be compiled with the method to convey every little thing into one handy reference.
A CD-ROM that includes narrated animations of sensible biomechanics of knee ligaments is incorporated during this edition.
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Additional resources for Daniel’s Knee Injuries: Ligament and Cartilage Structure, Function, Injury, and Repair
For these reasons, this chapter and several that follow review the current understanding of basic and applied research relating to ligament injury, repair, and reconstruction. For many years, tendons and ligaments have been classified together as dense, regularly arranged connective tissue (1–3). Although tendons and ligaments are composed primarily fibrillar collagens, they have entirely different functions. Tendons are a conduit, connecting muscle to bone and thereby allowing movement of a joint complex through muscle contraction or relaxation.
Fibril-Associated Collagens with Interrupted Triple Helices The structure of fibril-associated collagens with interrupted triple helices (FACITs) can be divided into three main functional regions. One region comprises one or two triple-helical domains and serves for the interaction and adhesion of these molecules to the fibrils. A second region, comprising another triple-helical domain, serves as a rigid arm that projects out from the fibril. A third region, which does not include triple helices, may serve for interaction with other matrix elements or with cells.
13. Slocum DB, Larson RL, James SI. Late reconstruction of ligamentous injuries of the medial compartment of the knee. Clin Orthop 1974;100: 23–55. 14. Heller L, Langman J. The menisco-femoral ligaments of the human knee. J Bone Joint Surg Br 1964;46:307–313. 15. Hollinshead WJ. Anatomy for surgeons: the back and limbs, vol III. New York: Harper & Row, 1969. 16. Schutte MJ, Dabezies EJ, Zimmy MI, et al. Neural anatomy of the human anterior cruciate ligament. J Bone Joint Surg Am 1987;69: 243–247.