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572 NORTH CAROLINA MEDICAL JOURNAL September, 1(J47 W Fig. 7. Complete bucket-handle tear of the main body of the meniscus, with locking of the torn posterior portion on the anterior portion. Fig. 9 Large bucket-handle tear with findings similar to those in fig. 8. The insertion of the tibial collateral ligament is intact, but the cartilage has been separated from the surface of the tibia. internal cartilage fail to appear, a ruptured tibial collateral ligament is usually suspected by persistence of swelling, pain, and tenderness on the medial aspect of the knee. Recurrences are frequent when treatment of the original injury has been neglected. X-ray evidence of acute injury to the tibial collateral ligament is meager, but films may show definite swelling or thickening of the injured portion when compared to roentgenograms of the opposite knee. Chronic injuries to the tibial collateral ligament produce fibrous thickening of the ligament, sometimes with adjacent fibrosis in the perifocal overlying subcutaneous tissues. When satisfactory roentgenograms are obtained in the chronic case, the injury is usually made evident by a distortion of the normal articular space. It is not uncommon to see the vacuum extend upward and more medially than normal, indicating avulsion of the fibers which insert on the meniscus(11). Occasionally, in severe, old injuries, it is possible to 11. (a) Simon, H. T.. Hamilton. A. S.. and Farrington. C. L.: Pneumoradiography of the Knee: Newer Technique Demonstrating Its Value in Diagnosis of the Semilunar Cartilage Injury, Radiology 27:533-540 (Nov.) 1930. (b) Somerville, E. W.: Air Arthrography in the Diagnosis of Internal Derangements of the Knee-Joint, Proc. Royal Soc. Med. 36:063-664 (Oct.) 1943. Fig. 8. Incomplete separation of the posterior portion of the meniscus, with long-standing locking due to overlapping of the torn meniscus. Note the defect in the articular surface of the femoral epiphysis, and asymmetrical thickening of the tibial epiphysis. The cruciate ligament is seen in the partial vacuum on the lateral side. Fig. 10. History of previous operation and repair of ruptured lateral meniscus. Recent history of locking and tenderness on the medial side. A vacuum was not obtained, probably because of slight effusion. Two months later a vacuum was obtained, and a large defect in the medial meniscus was shown. demonstrate ossifying periostitis in the region of the ligamentous insertions. Injuries to the semilunar cartilages (Fig. 2, 3, 4, 5, 6, 7, 8, 9) Attachments of the semilunar cartilages vary considerably. Hence, different amounts of violence are necessary to effect equivalent meniscus injury in two individuals. One patient may have permanent damage from ordinary exertion on a dance floor, while a severe injury on a football field or in a skiing accident would be necessary to effect the same damage in another individual. Usually with meniscus injury there is severe, sudden pain due to associated ligament damage. Whether locking occurs early or late, the acuteness of the symptoms is usually due to the initial sprain and swelling of the ligaments. Limitation of motion is sudden in cartilage injuries. Maximum tenderness is usually felt over the site of the tear. Since all acute meniscus injuries are associated with varying degrees of effusion, roentgen-
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1947 |
Identifier | NCHH-17-008 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 8 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-008.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-008 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Description
Fixed Title * | Page 574 (image) |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1947 |
Identifier | NCHH-17-008-0584 |
Form General | Periodicals |
Page Type | all; all images; x-ray; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed81947medi_0584.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 8 |
Issue Number | 9 |
Page Number | 574 |
Health Discipline | Medicine |
Full Text | 572 NORTH CAROLINA MEDICAL JOURNAL September, 1(J47 W Fig. 7. Complete bucket-handle tear of the main body of the meniscus, with locking of the torn posterior portion on the anterior portion. Fig. 9 Large bucket-handle tear with findings similar to those in fig. 8. The insertion of the tibial collateral ligament is intact, but the cartilage has been separated from the surface of the tibia. internal cartilage fail to appear, a ruptured tibial collateral ligament is usually suspected by persistence of swelling, pain, and tenderness on the medial aspect of the knee. Recurrences are frequent when treatment of the original injury has been neglected. X-ray evidence of acute injury to the tibial collateral ligament is meager, but films may show definite swelling or thickening of the injured portion when compared to roentgenograms of the opposite knee. Chronic injuries to the tibial collateral ligament produce fibrous thickening of the ligament, sometimes with adjacent fibrosis in the perifocal overlying subcutaneous tissues. When satisfactory roentgenograms are obtained in the chronic case, the injury is usually made evident by a distortion of the normal articular space. It is not uncommon to see the vacuum extend upward and more medially than normal, indicating avulsion of the fibers which insert on the meniscus(11). Occasionally, in severe, old injuries, it is possible to 11. (a) Simon, H. T.. Hamilton. A. S.. and Farrington. C. L.: Pneumoradiography of the Knee: Newer Technique Demonstrating Its Value in Diagnosis of the Semilunar Cartilage Injury, Radiology 27:533-540 (Nov.) 1930. (b) Somerville, E. W.: Air Arthrography in the Diagnosis of Internal Derangements of the Knee-Joint, Proc. Royal Soc. Med. 36:063-664 (Oct.) 1943. Fig. 8. Incomplete separation of the posterior portion of the meniscus, with long-standing locking due to overlapping of the torn meniscus. Note the defect in the articular surface of the femoral epiphysis, and asymmetrical thickening of the tibial epiphysis. The cruciate ligament is seen in the partial vacuum on the lateral side. Fig. 10. History of previous operation and repair of ruptured lateral meniscus. Recent history of locking and tenderness on the medial side. A vacuum was not obtained, probably because of slight effusion. Two months later a vacuum was obtained, and a large defect in the medial meniscus was shown. demonstrate ossifying periostitis in the region of the ligamentous insertions. Injuries to the semilunar cartilages (Fig. 2, 3, 4, 5, 6, 7, 8, 9) Attachments of the semilunar cartilages vary considerably. Hence, different amounts of violence are necessary to effect equivalent meniscus injury in two individuals. One patient may have permanent damage from ordinary exertion on a dance floor, while a severe injury on a football field or in a skiing accident would be necessary to effect the same damage in another individual. Usually with meniscus injury there is severe, sudden pain due to associated ligament damage. Whether locking occurs early or late, the acuteness of the symptoms is usually due to the initial sprain and swelling of the ligaments. Limitation of motion is sudden in cartilage injuries. Maximum tenderness is usually felt over the site of the tear. Since all acute meniscus injuries are associated with varying degrees of effusion, roentgen- |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-008.pdf |
Document Sort | all; nchh-17 |
Article Title | Vacuum Technique For Simple Demonstration Of Rupture Of The Medial Meniscus Of The Knee |
Article Author | James E. Hemphill; J. Rush Shull |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-008 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
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