Examination and Diagnosis of Musculoskeletal Disorders: History - Physical Examination - Imaging Techniques - Arthroscopy

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The first book ever published to combine the full range of clinical examination techniques with standard radiological imaging studies of the musculoskeletal system, this is a key clinical tool for all orthopedic residents and specialists. You will find dozens of representative imaging studies (including arthrograms, ultrasonography and MRI) integrated with physical examination tests -- offering a truly unique approach to reaching an accurate diagnosis.

Special features include:

  • Tips for performing a standard physical examination in different areas of the body
  • Directions for patient positioning during radiographic studies to obtain optimal results
  • How to select the best test to confirm a diagnosis in the extremities, spine or pelvis
  • Specific technical guidelines for performing key diagnostic imaging tests

In light of the many new clinical tests and imaging modalities now in use, it is almost impossible for any individual examiner to be familiar with the complete spectrum of diagnostic options available. This book provides the quick orientation clinicians need as they work through the standard examination for each joint, pointing out appropriate imaging studies throughout. Useful and practical, it is a book specialists will reach for frequently in their daily practice.

The book contains black-and-white illustrations.

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Editorial Reviews

From the Publisher

This easy-to-read book is an encyclopedia of information presented in the length of a good novel. The authors have compiled an impressive collection of information on musculoskeletal history-taking, physical examination, and the ordering and interpretation of images produced by the many modalities that are currently available. Both traumatic and nontraumatic conditions are discussed. The illustrations include clinical photographs, line drawings, and superb reproductions of all types of images. The layout and the style of writing make the text very reader-friendly.Two of the primary authors, Dr. Castro and Dr. Jerosch, are from Germany, and the third, Dr. Grossman, is from the United States. There are eleven other contributing authors; however, the style of the book is uniform throughout, and the translation is as good as any original English-language work.The book's nine chapters are organized by anatomic region (the shoulder, knee, pelvis, and so on). Each chapter contains sections on clinical examination, including patient history; plain radiography, including special views; and other imaging modalities. The sections on radiography and other imaging modalities provide very clear examples of normal and abnormal findings. At the end of each chapter is a moderate list of references, approximately one-half of which are from the European literature; however, the book is so complete that use of the references is rarely necessary. The standardized format used for each chapter makes this an easy and quick reference source.Each chapter covers plain radiography, computerized axial tomography (including three-dimensional reconstruction), magnetic resonance imaging, arthrography, and nuclear medicine studies. There is an emphasis on the appropriate imaging modality for each disorder. For example, a considerable amount of discussion is devoted to the use of magnetic resonance imaging for the evaluation of chronic shoulder problems; this section includes good illustrations of pathologic conditions, with excellent labeling.The sections on clinical examination begin with a discussion of basic concepts and proceed to more specific clinical tests. For example, in the knee chapter, fundamental tests such as measurement of the Q angle are described, followed by descriptions of several sophisticated tests for ligamentous stability.Although some pediatric conditions are mentioned, the primary focus is on adult injuries and disorders. Similarly, there is no discussion of treatment, outcomes, clinical pathology, or laboratory tests; the book concentrates on diagnosis only.In summary, this is a superb book for both residents and practicing orthopaedic surgeons, and it more than meets the goal of imparting relevant diagnostic material. It is unusual to find a work in which so much up-to-date information is so well presented. The text can serve as either a quick reference or a detailed review of clinical examination features and imaging findings associated with particular musculoskeletal disorders. I recommend it without hesitation.--The Journal of Bone and Joint Surgery, Inc.Simple easy to use schematics illustrate the text quite nicely and really enhance its short and to the point descriptions...valuable information...provides a systemic approach for the physical examination of a patient, as well as a review of radiological anatomy --Journal of Musculoskeletal PainAn excellent reference book...abundantly illustrated throughout...a well-written, exhaustive text and should be available in all orthopaedic departments and libraries as an essential reference...recommended. --European Journal of Orthopaedic Surgery and TraumatologyOffers direct and understandable descriptions of clinical techniques...[images] are impressively reproduced....a worthwhile addition to the bookshelf of anyone involved in a career in musculoskeletal practice. --International Journal of the Care of the Injured
Doody's Review Service
Reviewer: Edward Abraham, MD (University of Illinois at Chicago College of Medicine)
Description: This book presents information on the diagnosis of musculoskeletal disorders by stressing a thorough history taking, physical examination, and ancillary tests.
Purpose: The authors have not stated the purpose of the book. However, it is obvious that they are presenting a systematic way to evaluate orthopedic conditions by stressing the importance of the role of the clinician and imaging techniques.
Audience: The book is written mainly for orthopedic surgeons and residents. Other allied medical professionals such as physical and occupational therapists are going to find this work most helpful. All but one contributor are from Germany and they all hold senior orthopedic appointments in their respective institutions.
Features: This is an English translation of the original German versions published in 1995 and 1996. The contents are divided into nine anatomical sections. Each section covers the clinical examination, radiology, ultrasound, arthrography, nuclear medicine studies, computed tomography, and magnetic resonance imaging. More emphasis is placed on imaging modalities. Each chapter is well written and supported by numerous excellent and most useful figures. Treatment is not covered here.
Assessment: This is perhaps the best work I have read in recent years on the subject. The chapters are thorough and superbly illustrated. The section on the shoulder is particularly outstanding. I very highly recommend this textbook to all orthopedic surgeons and residents. All medical science libraries are encouraged to purchase this outstanding book.
From The Critics
Emphasizing the importance of combining knowledge gained from patient history and physical examination with that gained from more technological diagnostic tools, Castro (supervising physician, M√ľnster Orthopedic Research Institute, Germany) and contributors present the proper diagnosis of orthopedic problems. Nine chapters are devoted to the major anatomical areas of concern and present information on the use of radiographs, ultrasound, computed tomography, arthography, nuclear medicine studies, and other tools and techniques. Annotation c. Book News, Inc., Portland, OR

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781588900326
  • Publisher: Thieme
  • Publication date: 1/5/2001
  • Pages: 464
  • Product dimensions: 7.90 (w) x 10.60 (h) x 1.10 (d)

Meet the Author

Adjunct Assistant Professor of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD
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