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16.  Patellofemoral arthritis in the female patient

cells, and an extracellular matrix (ECM) composed of collagen, noncollagenous proteins, proteoglycans, and water. Hyaline cartilage ECM contains low densities of type II collagen fibers and an abundance of the proteoglycan, aggrecan, composing the ground substance. Water molecules embedded in the collagen matrix give
Claudette M. Lajam· Oxford· 7766778899887Book detail →

21.  Revision knee replacement

lining and underlying scar.13 In cases where this approach remains difficult, a lateral retinacular release may be considered, which allows for easier patellar eversion or lateral subluxation.14 Page 178At times, a more extensile exposure may be required. A quadriceps snip can be performed where
Claudette M. Lajam· Oxford· 7766778899887Book detail →

30.  Revision total hip arthroplasty

line, CT with contrast can assess the proximity of the acetabular component to intrapelvic structures (Fig. 30.1). • Fig. 30.1A–D show subsequent axial cuts of a CT scan demonstrating proximity of the acetabular component to intrapelvic structures.34 The acetabular component is designated
Claudette M. Lajam· Oxford· 7766778899887Book detail →

3.  Nonsurgical options for management

line therapy. Finally, duloxetine may be considered to treat severe pain that is refractory to other nonoperative treatments or in patients with depression; Page 19however, this is likely best managed by a primary care physician or psychiatrist. Narcotic pain medications should not be used
Claudette M. Lajam· Oxford· 7766778899887Book detail →

8.  Hormonal influences on joint health and osteoarthritis

lining cells, ligaments, and lining
Claudette M. Lajam· Oxford· 7766778899887Book detail →

7.  Osteoporosis

cells that synthesize the bone matrix, and cause apoptosis. Importantly, tobacco can also induce changes in the RANK/RANKL/OPG pathway that regulates differentiation and activity of osteoclasts.22 Smokers were found to have significantly lower levels of OPG, which is a protein secreted by osteoblasts
Claudette M. Lajam· Oxford· 7766778899887Book detail →

List of Illustrations

cells, LE, leukocyte esterase.aNew criteria from the previous iteration.bRemoval of criteria from the previous iteration (data from Refs. 13-18.) • Fig. 14.1 Bony landmarks and insertions for ligaments and tendons for the anterior (A), medial (B), lateral (C), and posterior (D) knee
Claudette M. Lajam· Oxford· 7766778899887Book detail →

CHAPTER 74. The Sperm Whale’s Head—Contrasted View.

lined, or rather papered with a glistening white membrane, glossy as bridal satins. But come out now, and look at this portentous lower jaw, which seems like the long narrow lid of an immense snuff-box, with the hinge at one end, instead
Herman Melville· Zentrovia Academic Press· 9780142437247Book detail →
Ulysses · Chapter 11

[ 9 ]

line: As in wild earth a Grecian vase. Did he? I hope you’ll be able to come tonight. Malachi Mulligan is coming too. Moore asked him to bring Haines. Did you hear Miss Mitchell’s joke about Moore and Martyn? That Moore
James Joyce· Zentrovia Academic Press· 9780141182803Book detail →

CHAPTER 134. The Chase—Second Day.

line of judges:—like a hawk’s beak it pecks my brain. I’ll, I’ll solve it, though!” When dusk descended, the whale was still in sight to leeward. So once more the sail was shortened, and everything passed nearly
Herman Melville· Zentrovia Academic Press· 9780142437247Book detail →
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