Merriman's Assessment of the Lower Limb E-Book

Ben Yates

Description

Merriman's Assessment of the Lower Limb has established itself through two editions as the benchmark text book of lower limb examination and assessment. The third edition preserves the lucidity, logical approach and comprehensive coverage of its predecessors but adds many exciting features, including online resources (videos and images), many new contributors, thorough updating of all chapters – many of which have been completely rewritten – and an entirely new chapter on functional assessment. The online resources (access via http://booksite.elsevier.com/9780080451077) provide extensive videos of assessment techniques and illustrations: practitioners with patients and models show how to assess all parts of the lower limb, and evaluate various conditions.

Together with its companion volume Clinical Skills in Treating the Foot, the new third edition of Merriman’s Assessment of the Lower Limb is a truly indispensable guide for podiatry students and practitioners, as well as trainee general practitioners, medical students working in rheumatology, diabetology and orthopaedics, sports therapists and sports medicine trainees.

• Online resources incorporating videos and illustrations:
• invaluable footage of assessment techniques
• downloadable full colour figures and extra
• radiological photographs

Log on to http://booksite.elsevier.com/9780080451077 and follow the on-screen instructions.

• Many new contributors bringing fresh expertise and insights for today’s student
• All chapters thoroughly rewritten and updated
• New chapter on functional assessment
• Case histories help put learning in context

• DVD incorporating videos and illustrations:
• invaluable footage of assessment techniques
• downloadable full-colour figures and extra radiological photographs
• Many new contributors bringing fresh expertise and insights for today’s student
• All-new design
• All chapters rewritten and updated
• New chapter on functional assessment

Sujets

• Medical
• Médecine
• Podiatry

Informations

• Publié par: Churchill Livingstone
• Date de parution: 17 janvier 2012
• Nombre de lectures: 0
• EAN13: 9780702050626
• Langue: English
• Poids de l'ouvrage: 4 Mo

Extrait

Merriman’s Assessment of the Lower Limb
With accompanying website - DVD logo in the text indicates material on the website
Third Edition

Ben Yates, MSc BSc (Hons) FCPodS DpodM
Consultant Podiatric Surgeon, Trauma and Orthopaedics, Great Western Hospital, Swindon, UK
CHURCHILL LIVINGSTONE
Copyright

© Pearson Professional Limited 1995
© 2002, Elsevier Limited
© 2009, Elsevier Limited. All rights reserved.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission of the Publishers. Permissions may be sought directly from Elsevier’s Health Sciences Rights Department, 1600 John F. Kennedy Boulevard, Suite 1800, Philadelphia, PA 19103–2899, USA: phone: [phone]; fax: [phone]; or, e-mail: [e-mail] . You may also complete your request on-line via the Elsevier homepage ( http://www.elsevier.com ), by selecting ‘Support and contact’ and then ‘Copyright and Permission’.
First edition 1995
Second edition 2002
Reprinted 2005, 2006, 2007
Third edition 2009
ISBN: 978-0-08-045107-7
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library.
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress.
Note
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. 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 the practitioner, relying on their own experience and knowledge of the patient, 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 Editor assumes any liability for any injury and/or damage to persons or property arising out or related to any use of the material contained in this book.
The Publisher
Printed in China
Contributors

A R. Bird, PhD BPod(Hons)
Lecturer, Department of Podiatry and the Musculoskeletal Research Centre, La Trobe University, Victoria, Australia

I. Bristow, MSc(Oxon) BSc(Hons) MChS FHEA
Lecturer, School of Health Professions and Rehabilitation Sciences, University of Southampton, UK

J. Burns, PhD
NHMRC Australian Clinical Research Fellow, Institute for Neuromuscular Research, The Children’s Hospital at Westmead, New South Wales, Australia

M. Hanley, BSc(Hons) Psychology MSc PhD
Principal Lecturer, Postgraduate programmes, The University of Northampton, Northampton, UK

D. Hocken
Consultant Vascular Surgeon, Great Western Hospital, Swindon, UK

K B. Landorf, PhD
Senior Lecturer and Research Coordinator, Department of Podiatry and Musculoskeletal Research Centre, La Trobe University, Bundoora, Australia

C. McCarthy, MBChB FRCR
Consultant Radiologist, Nuffield Orthopaedic Hospital, Oxford, UK

A. McInnes, BSc(Hons) DPodM
Senior Lecturer, Podiatry Division School of Health Professions, Eastbourne, UK

H B. Menz, BPod(Hons) PhD
Associate Professor and Reader, Musculoskeletal Research Centre, La Trobe University, Victoria, Australia

James RD. Murray, MA FRCS(Orth)
Consultant Orthopaedics and Trauma Surgeon, Avon Orthopaedic Centre and Frenchay Hospital, North Bristol NHS Trust, Bristol, UK

C B. Payne, DipPod(NZ) MPH
Lecturer, Department of Podiatry and the Musculoskeletal Research Centre, School of Human Biosciences, La Trobe University, Melbourne, Australia

A. Percivall, BSc MSc DPodM FCPodS
Senior Lecturer, School of Podiatry, University College Northampton, Northampton, UK

A. Redmond, PhD MSc DPodM FCPod
Arthritis Research Campaign Senior Lecturer, School of Medicine University of Leeds, Leeds Institute of Molecular Medicine, Section of Musculoskeletal Disease, Chapel Allerton Hospital, Leeds, UK

S. Rees, BSc MSc PhD FRSM
Senior Lecturer and Clinical Fellow, West Middlesex University Hospital, UK

I. Reilly, DPodM BSc FCPodS DMS
Consultant Podiatric Surgeon, Northamptonshire PCT, Northampton, UK

W J. Ribbans, BSc(Hons) MB BS MChOrth PhD FRCS FRCS(Ed) FRCSEd(Tr and Orth) FFSEM(UK)
Professor of Surgical Sciences, University of Northampton
Consultant Orthopaedic Surgeon, Northampton General Hospital, Northampton, UK

M C. Spruce, PhD
Lecturer, School of Health Professions and Rehabilitation Sciences, University of Southampton, Southampton, UK

P. Thomson, BSc MChS
Podiatry Centre Dunfermline, UK

R. Turner, MB ChB MRCP
Consultant Dermatologist, Oxford Radcliffe Hospitals, Oxford, UK

W. Tyrrell, MEd FHBA DPodM MChS FCPod Med
Principal Lecturer, Director of Enterprise, Cardiff School of Health Sciences, University of Wales Institute Cardiff, Cardiff, Wales

B. Yates, MSc BSc(Hons) FCPodS DpodM
Consultant Podiatric Surgeon, Trauma and Orthopaedics, Great Western Hospital, Swindon, UK
Preface
Many textbooks make reference to the assessment of the lower limb but very few are dedicated entirely to this purpose. Those that are tend to focus on only one of the components of the process, e.g. skin disorders or on a specific client group such as paediatrics. The purpose of this book is to produce a textbook which encompasses all aspects of lower limb assessment. Problems affecting the lower limb can lead to pain and morbidity through a reduction or loss of mobility and loss of time from work. Occasionally lower limb pathology can be life threatening. Effective and efficient management of these problems can only be based on a thorough assessment.
Throughout the book the term ‘practitioner’ is used in its broadest sense to denote any person who has an interest in the management of lower limb problems. Although the podiatrist has a natural claim to specialising in caring for the foot, the range of practitioners with an interest in the lower limb includes: general medical practitioners, nurses, occupational therapists, orthopaedic surgeons, orthotists, physiotherapists, bioengineers, diabetologists, rheumatologists and vascular surgeons.
This is the third edition of this textbook and, like its predecessors, it is divided into four parts: Approaching the patient, Systems examination, Laboratory and hospital investigations and Specific client groups. The textbook has been thoroughly revised with thirteen new chapter authors. Throughout the text there is a clear emphasis on evidence-based practice to underpin assessment techniques.
In Section one, Approaching the patient provides an introduction to the assessment process and covers in detail the assessment interview, the presenting problem and the reliability and validity of outcome measures used in the assessment of lower limb pathology. For the third edition these chapters have been updated and chapter four completely rewritten to cover the assessment of health outcome measures that can be used in both clinical practice and clinical research.
Systems examination covers the separate components of lower limb assessment: medical and social history, vascular, neurological, musculoskeletal, dermatological and footwear assessments. Details relating to anatomy and physiology have been discussed where relevant. Again, the chapters in this section have been revised as part of the third edition. The chapter on musculoskeletal assessment has been completely rewritten and divided in to two sections: orthopaedic assessment and functional assessment. The chapters have been written respectively by a professor of orthopaedics and a NIHR research lecturer in musculoskeletal medicine who is also a podiatrist. Although some areas are covered in both sections they are approached in different ways with different assessment aims. This gives the reader a more holistic overview of lower limb musculoskeletal assessment of both function and pathology.
Laboratory and hospital investigations focuses on those tests which may be performed to confirm, support or clarify the clinical examination: blood analysis, urine analysis, microbial identification and histopathology. The previous chapter on radiographic imaging has been completely rewritten as diagnostic imaging to incorporate the ever increasing use of more sophisticated imaging modalities such as MRI and ultrasound. The chapter on methods of analysing gait has been revised and updated and logically follows on from musculoskeletal assessment. Reliance on tests without the appropriate clinical examination is unwise, creates higher costs, may worry the patient unnecessarily and overworks support departments. It is intended that this part of the book demonstrates when and how these tests can be used to aid the assessment process.
The last part of the book focuses on Specific client groups, and the assessment of the lower limb in these patients. The sports, paediatric and older patient all require a different approach to assessment often based upon the unique characteristics associated with that client group. The presenting pathologies within theses groups are often different to others and their assessment is also cov