H. Sick, J.-L. Burguet Imaging Anatomy ofthe Knee Region

Transcription

1 H. Sick, J.-L. Burguet Imaging Anatomy ofthe Knee Region

2 Henri Sick, Jean-Louis Burguet Imaging Anatomy of the Knee Region Anatomy-CT - NMR Frontal Slices, Sagittal Slices, Horizontal Slices With 124 Photographs J. F. Bergmann Verlag Miinchen

3 Henri Sick Professeur d'anatomie Praticien Hospitalier lean-louis Burguet Chef de Clinique des Universites Assistant des Hopitaux Faculte de Medecine Universite Louis Pasteur 4, rue Kirschleger F Strasbourg Cedex France ISBN-13: DOl: / e-isbn-13: CIP-Titelaufnahme der Deutschen Bibliothek: Sick, Henri: Imaging anatomy of the knee region: anatomy - CT - NMR ; frontal slices, sagittal slices, horizontal slices / Henri Sick; Jean-Louis Burguet. [Photogr. by R. Becker]. - Munchen: Bergmann; New York; Berlin; Heidelberg: Springer, 1988 Franz. Ausg. u.d. T.: Sick, Henri: Atlas de coupes seriees de la region dugenou NE: Burguet, Jean-Louis: French edition: Atlas de Coupes Seriees de 1a Region du Genou. Anatomie - Tomodensitometrie - IRM. ISBN This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in other ways, and storage in data banks. Duplication of this publication or parts thereof is only permitted under the provisions of the German Copyright Law of September 9, 1965, in its version of June 24, 1985, and a copyright fee must always be paid. Violations fall under the prosecution act of the German Copyright Law. J. F. Bergmann Verlag, Munchen 1988 Softcover reprint of the hardcover 1st edition 1988 Photographs by R. Becker Reproduction of photographs: Gustav Dreher, Stuttgart 2382/

4 Preface Introducing the work of Professor H. Sick and Dr. J.-L. Burguet is a very happy event for me, for during its production I had the privilege of being witness to the enthusiasm and untiring commitment of both authors. I saw how this valuable atlas of serial sections of the region of the knee - which brings together a judicious synthesis of the anatomic, computed-tomographic, and magnetic resonance data collected on serial frontal, sagittal, and horizontal sections - was edified with rigorous methods and logic. This new approach, from descriptive and topographic anatomy, is henceforth essential in medical imaging; it gives a new, particularly determining, trend to anatomical research applied to clinical investigation. The amount of morphological data collected from the image is much increased and the description and topography greatly specified, while their number and comparison more easily suggest a functional interpretation. As a consequence it is essential to come back to fundamental science, determinative for picture scanning, descriptive and topographic anatomy, and apply it to new prospects already open. This coming back must be carried out with the precision of observation, analysis and synthesis, and requires adequate experience. The work presented here is high quality evidence of this new approach. Its iconography, achieved with care of perfection, intelligibility, and synthesis offers a rich harvest which significantly takes place in the medical imaging of the region of the knee. J. G. Koritke Professeur des Universites Praticien Hospitalier Institut d'anatomie Normale de la Faculte de Medecine de Strasbourg If my friend H. Sick and my student J.-L. Burguet come to be recognized for their achievement in producing this prestigious atlas of serial sections of the region of the knee, the thanks goes to their master Professor J. G. Koritke, for their style of publication takes place in the tradition of the famous "Atlas Strasbourgeois" 1. H. Sick, anatomist, and J.-L. Burguet, radiologist, possess "occipital" intelligence. They are prompted by a liking for structure in a "structural" as well as in a "structured" meaning. They must not be surprised by their own successguaranteed to anyone able to study existing structures (anatomy), their connections, relations, and imminent rules (structuralism). J.-L. Burguet, brought up in the atmosphere of the "Radiologistes, Imagiers de la Medecine" 2, was able, despite his youth, to spend time and efforts in the bidisciplinary research of radiological anatomy (or anatomical radiology?). Bidisciplinary research brings of course many positive qualities to imaging. It naturally induces confrontation, comparison, opposition, superimposition, correlation, spatialization, bi- or tridimensional vision - in short, a set of manipulations constituting the intellectual reality of the disciplinarian centaurs, and easy to be materialized, thanks to imaging. These advantages are expressed in the reality underlying the mastery of the interface, which works only with difficulty or inadequately, between the different disci- 1 J. G. Koritke, H. Sick (1982) Atlas de coupes seriees du corps humain. Coupes [rontales, sagittales et horizon tales. Urban & Schwarzenberg, Miinchen Wien Baltimore 2 A. Wackenheim (1986) Les radiologistes, imagiers de la medecine, 2nd edn. Axone, Montpellier plines: the rates of exploration are very variable; the nature of information, although very similar, requires analogic support that has to be dealt with within the contingencies of digitalization; laboratories are not uniform, their geographical separation is often excessive (Strasbourg-Paris). In spite of the best intentions, there remains an interdisciplinary obstacle which resembles our European borderlines, which, we are told, will soon disappear. However, anatomy is such a well-established discipline in occidental civilization that it looks like a "University Notable" in comparison with radiology, which is less than a century old and still suffering from the stupendous frolics of youth and its concomitantly fantastic instability (X-rays, IR, US, CT, MRI). The prosperous calmness of anatomy facilitates to a certain degree the effervescence of radiology. H. Sick and J.-L. Burguet represent this modern phenomenological doubledealing and hereby give us their knowledge and the results of their work. They are to me the perfect image of the process of structuralist research spreading beyond oversimple confrontations. If J.-L. Burguet now feels some attraction - as do many others - for the University of Paris, he will nevertheless retain many friends in Strasbourg, as well as the opportunity to do further research there. Let us not, however, forget the words ofh. Fischgold, who said that we have the possibility "to change this or that, but not our parents". A. Wackenheim Professeur de Radiologie de la Faculte de Medecine de Strasbourg

5 Acknowledgments This book was accomplished in a favorable environment. We found encouragement and aid from our masters and colleagues and we are here very much indebted to them. In the spirit and tradition of the Institute of Normal Anatomy at Strasbourg, brilliantly represented by Professor J. G. Koritke, we began to identify the anatomical structures. Professor A. Wackenheim, Chairman in Radiology, imparted in us his own dynamism and allowed us free use of the X-ray scanner belonging to the Department of Neuroradiology. Thanks to Professor J. Grellet and to Drs. M. F. Bellin and E. Auberton (Hapital de la Pitie, Paris) we obtained the views in magnetic resonance imaging. The talent and availability of Mr. R. Becker, photographer in the Institute of Pathological Anatomy of Strasbourg (Professor Y. Legal), enabled us to achieve quality iconography. Finally, the great experience of Professor H. J. Clemens of Bergmann Verlag was instrumental in the realization of this work.

6 Table of Contents Preface (J. G. Koritke)... V Preface (A. Wackenheim)... V Acknowledgments... VI Introduction... 1 Material and methods... 3 Abbreviations... 4 Frontal slices F 1-F 13 (referential plane F 12 passing through the anterior tuberosity of tibia) [Anatomy, CT anatomy, CT in vivo, NMR in vivo] Fl (5.5 cm)... 6, 7 F2 (5.0 cm)... 8, 9 F3 (4.5 cm)... 10, 11 F4 (4.0 cm)... 12,13 F5 (3.5 cm)... 14,15 F6 (3.0 cm)... 16,17 F7 (2.5 cm)... 18, 19 F8 (2.0 cm)... 20,21 F9 (1.5 cm)... 22,23 FlO (1.0 cm)... 24, 25 Fll (0.5 cm)... 26,27 F 12 (0)... 28,29 F 13 (0.5 cm)... 30,31 Sagittal slices S 1-S 13 (referential plane S 7 passing through the middle of the intercondylar fossa) [Anatomy, CT anatomy, CT in vivo, NMR in vivo] S 1 (3.0 cm)... 34, 35 S2 (2.5 cm)... 36,37 S3 (2.0 cm)... 38,39 S4 (1.5 cm)... 40,41 S5 (1.0 cm)... 42,43 S6 (0.5 cm)... 44,45 S7 (0)... 46,47 S8 (0.5 cm)... 48,49 S9 (1.0 cm)... 50,51 S 10 (1.5 cm)... 52, 53 S 11 (2.0 cm)... 54, 55 S 12 (2.5 cm)... 56, 57 S 13 (3.0 cm)... 58,59 Horizontal slices H 1-H 12 (referential plane H7 passing through the medial femorotibial articular interspace) [Anatomy, CT anatomy, CT in vivo, NMR in vivo] HI (6.0 cm)... 62, 63 H2 (5.0 cm)... 64, 65 H3 (4.0 cm)... 66,67 H4 (3.0 cm)... 68,69 H5 (2.0 cm)... 70, 71 H6 (1.0 cm)... 72, 73 H7 (0)... 74, 75 H8 (1.0 cm)... 76, 77 H9 (2.0 cm)... 78,79 H 10 (3.0 cm)... 80,81 H 11 (4.0 cm)... 82, 83 H 12 (5.0 cm)... 84, 85 References Index... 87