Vascular Problems in Musculoskeletal Disorders of the Limbs

ISBN-13: 9781461258643 / Angielski / Miękka / 2011 / 404 str.

David I. Abramson; Donald S. Miller; David I. Abramson

Opis

That a close relationship exists between the specialties of peripheral vascular diseases and of orthopedic and general surgery has frequently been brought sharply into focus for both of us during many years of clinical experience in our respective fields of endeavor. Frequently, trauma to musculoskeletal struc tures has also been responsible for the production of a seriously compromised local blood flow, thus requiring a combined therapeutic approach to the solution of the problem. Improper utilization of appliances and conventional surgical procedures for common orthopedic conditions has on occasion likewise been followed by disastrous vascular complications. The fact that these possibilities exist in clinical practice has been the prime motivation for the development of this monograph. The purpose of the volume is first to make readily available to the orthopedic or the general surgeon information that will allow him to determine whether a limb which he is treating is also suffering from an underlying impairment of arterial, venous, or lymphatic circulation. On the basis of such data, he should be in a better position to institute an appropriate and safe therapeutic program. Second, the subject matter should acquaint him with the necessary steps for early recognition of vascular complications of musculoskeletal disorders pro duced by trauma, with their differential diagnosis, and with their management. Finally, it should make him aware of the fact that a relatively large number of clinical entities possess both vascular and orthopedic components, and that it is essential to distinguish one from the other."

Spis treści

Section 1: Vascular Beds in the Limbs.- 1. Circulation to the Skin.- 2. Circulation to Voluntary Muscle.- 3. Circulation to Bone.- 4. Circulation to Joints and Associated Structures.- Section 2: Study of the Circulation in the Limbs by Clinical and Laboratory Means.- 5. Clinical and Laboratory Tests of Arterial Circulation Part 1: Procedures for Study of Patency of Main Arterial Channels.- 6. Clinical and Laboratory Tests of Arterial Circulation Part 2: Procedures for the Study of Nutritional Circulation.- 7. Clinical and Laboratory Tests of Venous Circulation.- Section 3: Clinical Disorders.- 8. Differential Diagnosis of Physical Findings and States Part 1: Pitting Edema; Lymphedema; Ulceration; Gangrene.- 9. Differential Diagnosis of Physical Findings and States Part 2: Soft-tissue Calcification; Peripheral Neuropathy; Neurotrophic Arthropathy; Petechiae and Ecchymosis; Cutaneous and Subcutaneous Masses.- 10. Description and Pathogenesis of Symptoms and Signs of Arterial Insufficiency.- 11. Spontaneous Organic Occlusive Arterial Diseases Part 1: Arteriosclerosis Obliterans and Aortoiliac Arterial Occlusive Disease.- 12. Spontaneous Organic Occlusive Arterial Diseases Part 2: Acute Arterial Disorders.- 13. Clinical Entities with Both Vascular and Orthopedic Components Part 1: Circulatory Disorders with Musculoskeletal Manifestations.- 14. Clinical Entities with Both Vascular and Orthopedic Components Part 2: Musculoskeletal Disorders with Circulatory Manifestations.- 15. Vascular Complications of Musculoskeletal Disorders Produced by Trauma Part 1: Injury to Main Blood Vessels.- 16. Vascular Complications of Musculoskeletal Disorders Produced by Trauma Part 2: Fat Embolism.- 17. Vascular Complications of Musculoskeletal Disorders Produced by Trauma Part 3: Factors Responsible for Deep Venous Thrombosis and Measures for Their Control.- 18. Vascular Complications of Musculoskeletal Disorders Produced by Trauma Part 4: Clinical Manifestations of Deep Venous Thrombosis.- 19. Vascular Complications of Musculoskeletal Disorders Produced by Trauma Part 5: Pulmonary Embolism with or without Pulmonary Infarction.- 20. Vascular Complications of Musculoskeletal Disorders Produced by Trauma Part 6: Postphlebitic Syndrome.- 21. Vascular and Lymphatic Tumors and Malformations.- 22. Vascular Complications of Therapy in Musculoskeletal Disorders Part 1: Iatrogenic Vascular Entities.- 23. Vascular Complications of Therapy in Musculoskeletal Disorders Part 2: Untoward Consequences of Protracted Bed Rest or Immobilization of a Limb.- 24. Problems Associated with Minor and Major Amputations of Lower Limbs Suffering from Arterial Insufficiency.- 25. Replantation and Revascularization of Limbs.- 26. Medicolegal Aspects of Vascular Difficulties.