Orthopedic Imaging: A Practical Approach / Edition 4

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Interpret musculoskeletal images with confidence with Orthopedic Radiology: A Practical Approach!  This trusted radiology reference has established itself as an ideal comprehensive source of guidance for radiologists and orthopedists at every level of training.


  • Effectively interpret a full range of findings with the aid of more than 4,000 outstanding illustrations that encompass conventional radiography, ultrasound, CT, dual-energy CT, PET-CT, and all other diagnostic imaging modalities used to evaluate musculoskeletal disorders, including numerous examples of 3-D imaging.
  • Master the latest trends in orthopedic radiology including the increasing emphasis on ultrasonography and MRI over other methods that expose patients to higher levels of radiation.
  • Choose the best imaging approach for each patient with discussions of each technique’s accuracy, speed, and cost.
  • Apply a state-of-the-art knowledge of magnetic resonance imaging interpretation with advanced guidance from renowned musculoskeletal MRI authorities.
  • Find the information you need quickly and easily thanks to informative diagrams and schematics, and a quick-reference, high-yield format, including “Practical Points” summaries at the end of each chapter for quick review.
Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to:
  • Complete content with enhanced navigation
  • A powerful search that pulls results from content in the book, your notes, and even the web
  • Cross-linked pages, references, and more for easy navigation
  • Highlighting tool for easier reference of key content throughout the text
  • Ability to take and share notes with friends and colleagues
  • Quick reference tabbing to save your favorite content for future use

Featuring over 1,700 large-size illustrations and unique, effective pedagogy, the Fourth Edition of Dr. Greenspan's best-seller is the ideal teaching text on musculoskeletal imaging for radiologists and orthopedists at every level of training. It covers all orthopedic problems and imaging modalities and offers indispensable guidance on selecting cost-effective imaging techniques. This edition includes new illustrations of MRI, digital radiography, 3-D CT, and other advanced imaging methods and new information on fat suppression techniques in MR imaging. Also included are additional differential diagnosis tables, new tables summarizing salient features of disorders, and improved illustration captions beginning with the diagnosis in boldface.

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Editorial Reviews

Doody's Review Service
Reviewer: Michael Evan Bresler, MD (University of Illinois at Chicago College of Medicine)
Description: As the lead author wrote in the preface to the first edition of this book, his stated goal was "to facilitate the complex process of diagnostic investigation in a broad range of orthopedic disorders." Now with the book in its sixth edition, the goal has been expanded to "familiarize the reader with a variety of new imaging modalities" and "to present the constructive and beneficial, as well as the negative, aspects" of the available imaging modalities. This represents an enormous undertaking and the authors have soundly met their goals.
Purpose: Initially, the title led me to believe that this was a sports medicine orthopedic MRI book. In reality, it is a general bone radiology book, with a far broader scope than expected. It excels in its ability to mix classic bone radiographic methodology with modern imaging techniques. It is refreshing to see so much effort put into the historic, but eminently useful, description of conventional radiography and other unglamorous tools available in the radiology armamentarium. On the retro side, it goes so far as to discuss standard and special radiographic projections for multiple joints, but does not abandon discussions pertaining to advanced imaging techniques.
Audience: Radiologists, both attendings and residents, will find it to be a practical resource, as it covers an extremely broad range of useful topics. Its utility, however, should not be limited to radiologists. The book also would be an excellent addition to the shelf of any orthopedic surgeon, rheumatologist, or other physician who is exposed to disorders of the musculoskeletal system.
Features: The sections related to bone trauma are especially well written. The descriptions and classification systems of fractures and dislocations are explained in a clear and concise manner. The authors are able to carefully blend conventional radiographs, CTs, diagrams, and text in a way that makes the topic readily understandable. The diagrams are extremely well done and provide just the right amount of detail. It is the use of these diagrams that sets this book apart from many others. The detail level is variable. For instance, more than half of an entire chapter is devoted to various types of osteosarcomas. The depth of information is extraordinary, with written descriptions of more than 15 types of osteosarcomas with accompanying charts, tables, diagrams, radiographs, CTs, and MRIs. Conversely, other topics are discussed only superficially. For instance, just a few pages are dedicated to meniscal injuries. Although not necessarily a negative, I was surprised that more attention wasn't given to this topic in an orthopedic radiology book.
Assessment: This brings up the topic of the type of book that the authors set out to write. I couldn't decide if the book was meant to be a reference or one that an individual could sit down to read chapter by chapter. I came to the conclusion that it is a combination of both and that its versatility is an asset. Some of the chapters are conducive to reading in their entirety, while others are better approached as a resource. Although the sheer size of the book precludes reading it anywhere but at a desk or table, the electronic version is easily manageable on an iPad. Overall, this book is excellent.
From the Publisher

'It excels in its ability to mix classic bone radiographic methodology with modern imaging techniques.'

'Descriptions and classification systems of fractures and dislocations are explained in a clear and concise manner. Carefully blend conventional radiographs, CTs, diagrams, and text in a way that makes the topic readily understandable.'

'The diagrams are extremely well done and provide just the right amount of detail.'

'The electronic version is easily manageable on an iPad. Overall, this book is excellent.'

Weighted Numerical Score: 94 - 4 Stars!

-Doodys Publishers' Club, Friday, December 19, 2014

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Product Details

  • ISBN-13: 9780781750066
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 10/28/2004
  • Edition description: Fourth Edition
  • Edition number: 4
  • Pages: 964
  • Product dimensions: 9.96 (w) x 12.28 (h) x 1.80 (d)

Table of Contents

Ch. 1 The role of the orthopedic radiologist 3
Ch. 2 Imaging techniques in orthopedics 17
Ch. 3 Bone formation and growth 39
Ch. 4 Radiologic evaluation of trauma 44
Ch. 5 Upper limb I : shoulder girdle 93
Ch. 6 Upper limb II : elbow 135
Ch. 7 Upper limb III : distal forearm, wrist, and hand 165
Ch. 8 Lower limb I : pelvic girdle and proximal femur 215
Ch. 9 Lower limb II : knee 243
Ch. 10 Lower limb III : ankle and foot 293
Ch. 11 Spine 349
Ch. 12 Radiologic evaluation of the arthritides 415
Ch. 13 Degenerative joint disease 445
Ch. 14 Inflammatory arthritides 473
Ch. 15 Miscellaneous arthritides and arthropathies 503
Ch. 16 Radiologic evaluation of tumors and tumor-like lesions 529
Ch. 17 Benign tumors and tumor-like lesions I : bone-forming lesions 571
Ch. 18 Benign tumors and tumor-like lesions II : lesions of cartilaginous origin 597
Ch. 19 Benign tumors and tumor-like lesions III : fibrous, fibroosseous, and fibrohistiocytic lesions 627
Ch. 20 Benign tumors and tumor-like lesions IV : miscellaneous lesions 649
Ch. 21 Malignant bone tumors I : osteosarcomas and chondrosarcomas 689
Ch. 22 Malignant bone tumors II : miscellaneous tumors 725
Ch. 23 Tumors and tumor-like lesions of the joints 759
Ch. 24 Radiologic evaluation of musculoskeletal infections 777
Ch. 25 Osteomyelitis, infectious arthritis, and soft-tissue infections 789
Ch. 26 Radiologic evaluation of metabolic and endocrine disorders 813
Ch. 27 Osteoporosis, rickets, and osteomalacia 823
Ch. 28 Hyperparathyroidism 837
Ch. 29 Paget disease 843
Ch. 30 Miscellaneous metabolic and endocrine disorders 859
Ch. 31 Radiologic evaluation of skeletal anomalies 875
Ch. 32 Anomalies of the upper and lower limbs 891
Ch. 33 Scoliosis and anomalies with general affect on the skeleton 927
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