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Doody's Review ServiceReviewer: Eric J. Anish, MD (University of Pittsburgh Medical Center, Shadyside)
Description: This text provides a general overview of tendon structure, function, and biomechanics, as well as a discussion of tendon pathology and the evaluation and management of specific tendon injuries.
Purpose: The authors do not include a preface outlining the objectives of their work. An introduction provides basic information related to the terminology used to describe tendon injury.
Audience: The main author is a well-recognized authority on tendon injuries who has published extensively on this subject. The publisher comments that "sports physicians, musculoskeletal specialists, orthopedic surgeons, and rheumatologists" will find this book valuable. Based on the content, I would agree that individuals from all of these disciplines might find this a useful resource.
Features: The text begins with a review of normal tendon structure, function, and metabolism, before proceeding with a discussion of tendon pathology. The etiology of tendon injuries and the relationship between exercise and the muscle-tendon unit are then examined. Chapters devoted to clinical entities such as achilles tendinitis, jumper's knee, and humeral epicondylitis follow. Other tendon injuries are discussed more briefly in a subsequent chapter. The text concludes with a chapter in which the authors present data on the efficacy of their eccentric exercise program used to treat chronic tendon injuries. Somewhat disappointing are the quality of the anatomical illustrations and the absence of discussion on the use of iontopheresis or phonopheresis for treatment of tendonopathies.
Assessment: Despite the shortcomings mentioned above, the overall quality of this text is very good. Information pertaining to the normal tendon and tendon injury can he found in a variety of reference materials, but there are few texts devoted exclusively to this topic. I anticipate that many healthcare professionals will find this text quite useful in helping to care for patients with a variety of tendon injuries.