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Doody's Review ServiceReviewer: Edward Abraham, MD (University of Illinois at Chicago College of Medicine)
Description: This book covers in a general way basic principles in fracture management for the primary care physician.
Purpose: The purpose is to serve as a useful guide for fracture diagnosis and treatment. These are worthy objectives, which are only partially met.
Audience: The work is intended for primary care practitioners. The authors, Richard B. Birrer, MD, Cornell University Weill Medical College, and Robert L. Kalb, MD, University of Toledo, are qualified to write this book. Contributing authors are orthopedic residents.
Features: The material is organized by body region and fracture type. Most fractures are briefly covered. Casting and splinting techniques and necessary equipment are also outlined in separate chapters. The photographs are of fair quality. The illustrations and tables are useful.
Assessment: This book is designed to give the primary care physician a quick overview of how a particular fracture or dislocation is diagnosed and what treatment is expected. The authors are able to present just sufficient information without losing the essence of the message. As a general rule, circular cast application is best performed by an orthopedist because of the potential problems. On the other hand, the primary care physician is expected to know how to apply a splint to an injured extremity. The book does serve as a good field guide of how best to handle the patient's injury. I fully recommend it to the primary care physician.