A Practical Approach to Orthopaedic Medicine

Emily Goodlad, Jill Kerr, Elaine Atkins

Description

In the new third edition of this popular multidisciplinary text, Elaine Atkins, Jill Kerr and Emily Goodlad continue to advance the field of orthopaedic medicine. Always inspired by the work of Dr James Cyriax, this edition, renamed A Practical Approach to Orthopaedic Medicine, updates techniques and incorporates recent research discoveries into the text. There are also self assessment tasks to test your understanding of orthopaedic medicine on EVOLVE, an online electronic learning solution site designed to work alongside textbooks to stimulate clinical reasoning and to enhance learning.

The introductory chapters deal with the principles of orthopaedic medicine, with the following chapters taking the clinician through the practice of orthopaedic medicine joint by joint.

This edition includes:

• Substantially revised chapters
• Extended evidence-based commentaries underpinning indications and contraindications to treatment of spinal lesions
• Expanded critique of the treatment of peripheral joints including recent advances in the approach to tendinopathy
• Clearly described and illustrated injection and manual techniques
• New page layout for easy navigation
• Foreword by Monica Kesson

A Practical Approach to Orthopaedic Medicine is a complete reference source that provides the most up-to-date principles and practice for students and postgraduate medical practitioners, physiotherapists and other allied health professionals, including podiatrists and osteopaths. It is essential reading.

Sujets

• Physical Therapy
• Allied Health Services
• Medical
• Médecine

Informations

• Publié par: Churchill Livingstone
• Date de parution: 12 avril 2010
• Nombre de lectures: 0
• EAN13: 9780702044151
• Langue: English
• Poids de l'ouvrage: 1 Mo

Extrait

Table of Contents

Cover image
Front-matter
Copyright
About the authors
Foreword to the third edition
Foreword to the second edition
Preface
Dedication
Acknowledgments
Section 1. Principles of orthopaedic medicine
Chapter 1. Clinical reasoning in orthopaedic medicine
Chapter 2. Soft tissues of the musculoskeletal system
Chapter 3. Connective tissue inflammation, repair and remodelling
Chapter 4. Orthopaedic medicine treatment techniques
Section 2. Practice of orthopaedic medicine
Chapter 5. The shoulder
Chapter 6. The elbow
Chapter 7. The wrist and hand
Chapter 8. The cervical spine
Chapter 9. The thoracic spine
Chapter 10. The hip
Chapter 11. The knee
Chapter 12. The ankle and foot
Chapter 13. The lumbar spine
Chapter 14. The sacroiliac joint
Appendix 1
Appendix 2
Appendix 3
Glossary
Index
Front-matter

A Practical Approach to Orthopaedic Medicine

Evolve Learning Resources for Students and Lecturers.
See the instructions and PIN code panel on the inside cover for access to the web site.
Think outside the book… evolve
Commissioning Editor: Rita Demetriou-Swanwick
Development Editor: Veronika Watkins
Project Manager: Sruthi Viswam
Designer/Design Direction: Charles Gray
Illustration Manager: Gillian Richards
Illustrator: Debbie Maizels
A Practical Approach to Orthopaedic Medicine
Assessment, Diagnosis and Treatment
THIRD EDITION
by
Elaine Atkins DProf MA MCSP Cert FE
Jill Kerr MSc BSc MCSP
Emily Goodlad MSc MCSP
Foreword by
Monica Kesson
Copyright

© 2010 Elaine Atkins, Jill Kerr and Emily Goodlad
First edition 1998
Second edition 2005
Third edition 2010
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher's permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: http://www.elsevier.com/permissions
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).
ISBN 978-0-7020-3174-8
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloguing in Publication Data
A catalogue record for this book is available from the Library of Congress

Notices

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.


Printed in China
About the authors
Elaine Atkins, DProf MA MCSP Cert FE, Jill Kerr, MSc BSc MCSP and Emily Goodlad, MSc MCSP

The original authors, Monica Kesson and Elaine Atkins, studied physiotherapy together at St Thomas’ Hospital, London, in the early 1970s, where the methods of Dr James Cyriax were taught. From that original inspiration they have continued to develop their clinical practice encompassing a wider scope of physiotherapy skills but always building on the solid, logical base provided by orthopaedic medicine.
Jill Kerr and Emily Goodlad have joined Elaine Atkins in the writing of this third edition. Jill and Emily each have over 20 years’ experience in orthopaedic medicine. The development and progression of this sound approach into the current clinical setting has driven them to be both reflective and innovative in their valuable contribution to the text.
All the authors of the third edition now combine clinical practice with a teaching commitment to the Society of Orthopaedic Medicine, supporting the development of collaborative partnerships with higher education institutions and multidisciplinary working. As course principals and tutors they are involved in advancing education in orthopaedic medicine and are particularly interested in empowering students to learn through clinical reasoning and reflective practice.
Foreword to the third edition
Monica Kesson, MSc MCSP

Elaine Atkins and I had a dream!
As students at St Thomas’ Hospital in the early 1970s we were inspired by Jenny Hickling who taught us the methods of Dr James Cyriax. The clinical reasoning instilled in us through his approach has stood us in good stead throughout our careers. We have always built on those early foundations, integrating the ‘Cyriax approach’ into our clinical practice, experimenting with and developing those core skills.
With this in mind Elaine and I felt that the Cyriax approach should be made more accessible and not be allowed to lie dormant. With the first two editions of Orthopaedic Medicine: A Practical Approach we aimed to develop the evidence base to support orthopaedic medicine and to bring Cyriax's work with us into the 21st century.
It is therefore a great pleasure to see the dream continue with the addition of Jill Kerr and Emily Goodlad, working alongside Elaine, to develop this new edition of the text. I have always felt that it is important to let go and to hand over to the next generation. This enthusiastic new team has worked hard to extend the text and to stimulate fresh ideas. They have demonstrated that orthopaedic medicine can, and will, continue to develop.
Empowering students to learn has always been the main focus of the text and the courses it supports. The current team of authors will see this text integrated into recent technological advances which allow the added dimension of online access through eBooks and the website ‘Evolve,’ a learning tool designed to work alongside specific textbooks, allowing students to test their know-ledge, to stimulate clinical reasoning and to enhance learning.
I am proud to have been instrumental in the first two editions, but the biggest compliment to me is that Elaine, Jill and Emily wanted the dream to continue and tribute should be paid to their enthusiasm, commitment and hard work in further developing orthopaedic medicine.
March 2009
Foreword to the second edition
Patsy Cyriax, MCSP

Almost in their first paragraph, authors Monica Kesson and Elaine Atkins note how James Cyriax was, at the start of his career, ‘intrigued’ by an influx of patients with soft-tissue pain presenting with normal X-rays.
A fuller account of those early days may help to put this splendid new edition of Orthopaedic Medicine: A Practical Approach in its historical context. In 1926, when Dr Cyriax began as an orthopaedic house surgeon at St Thomas’ Hospital, he noticed that a significant element of the out-patients department caseload – those lacking ‘bony abnormalities’ – were referred to the massage department with a diagnosis no more specific than, say, ‘painful shoulder’. His curiosity was piqued.
Dr Cyriax's diagnostic and physical journey from surgery to orthopaedic medicine is the mainspring of this book. In the late 1920s he followed these patients down St Thomas’ long corridor to the massage department to find them in rows, still with not a diagnosis among them, receiving diffuse heat and diffuse superficial massage to the area of skin where their pain was perceived. Treatment, it transpired, was not on the basis of need but, as it were, on the basis of traditional supply.
He decided there and then to devise somehow a way of pinpointing the source of these pains so that treatment could be diverted from the symptom to the source. He did not know what he was looking for, nor how he would do the looking. His only tool was clinical examination.
It took several years before St Thomas’ set up a dedicated clinic in the massage department (later the Department of Physical Medicine). Here, month after month, Dr Cyriax systematically subjected each tissue which could be a source of pain to a variety of stimuli and tensions, seeking stimuli that would create or aggravate the patient's pain, and cohe