A Practical Approach to Orthopaedic Medicine : a Practical Approach PDF
Preview A Practical Approach to Orthopaedic Medicine : a Practical Approach
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. evolve Think outside the book... 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 Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto 2010 © 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: 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 Cataloging in Publication Data A catalog record for this book is available from the Library of Congress Notices Knowledge and best practice in this fi eld are constantly changing. As new research and experience broaden our under- standing, 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 identifi ed, readers are advised to check the most current informa- tion 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 responsi- bility 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 Contents About the authors ..................................................... v ii Section 2: Practice of Foreword to the third edition .................................. i x orthopaedic medicine Foreword to the second edition ............................... x i Preface ....................................................................... xiii Introduction to Section 2 .................................85 Dedication .................................................................. xv 5 . The shoulder ...................................................... 8 7 Acknowledgments .................................................. x vii 6 . The elbow ........................................................ 1 25 7 . The wrist and hand ........................................ 1 53 Section 1: Principles of 8 . The cervical spine ............................................ 1 81 orthopaedic medicine 9 . The thoracic spine .......................................... 2 25 10 . The hip ............................................................ 2 47 Introduction to Section 1 ................................... 1 11 . The knee .......................................................... 2 83 12 . The ankle and foot .......................................... 3 21 1 . Clinical reasoning in orthopaedic 13 . The lumbar spine ........................................... 3 63 medicine ............................................................... 3 14 . The sacroiliac joint ........................................... 411 2 . Soft tissues of the musculoskeletal system ................................................................. 25 Appendix 1 ............................................................. 4 35 3 . Connective tissue infl ammation, Appendix 2 ............................................................. 4 37 repair and remodelling ..................................... 4 1 Appendix 3 ............................................................. 4 39 4 . Orthopaedic medicine treatment Glossary . ................................................................... 4 41 techniques .......................................................... 5 1 Index ........................................................................ 4 43 This page intentionally left blank About the authors Elaine Atkins DProf MA MCSP Cert FE Jill Kerr MSc BSc MCSP 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 contin- ued 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 refl ective 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 orthopae- dic medicine and are particularly interested in empowering students to learn through clinical reasoning and refl ective practice. This page intentionally left blank Foreword to the third edition 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 fi rst 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 ortho- paedic medicine can, and will, continue to develop. Empowering students to learn has always been the main focus of the text and the courses it sup- ports. 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 specifi c 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 fi rst 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. Monica Kesson MSc MCSP March 2009
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