Essentials of orthopaedics for physiotherapists

569 Pages·2011·21.789 MB·English

by  John Ebnezar

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Second Edition
John Ebnezar
MBBS D’Ortho, DNB (Ortho), MNAMS (Ortho), DAc, DMT, PhD (Yoga)
Sports Medicine (Australia), INOR Fellow (United Kingdom)
Consulting Orthopedic and Spine Surgeon and Holistic Orthopedic Expert, Sports Specialist
Vice President
Indian Orthopedic Association
President
Neurospinal Surgery Association of India
Formerly
Assistant Professor of Orthopedics
Devaraj Urs Medical College, Kolar, Karnataka, India
Senior Specialist in Orthopedics
Department of Orthopedics, Victoria Hospital, Bangalore Medical College
Currently
Chief Consulting Orthopedic Surgeon and Medical Director
Parimala Health Care Services, An ISO 9001:2000 Hospital, Bengaluru
Karnataka, India
Chairman
• Ebnezar Orthopedic Center, Bengaluru, Karnataka, India
• Dr Ebnezar’s Medical Institute, Bengaluru, Karnataka, India
• The Physically Handicapped and Paraplegic Charitable Trust of Karnataka
• Rakesh Cultural Academy
President
• Geriatric Orthopedic Society
• Orthopedic Author’s Association
• The Karnataka Orthopedic Academy
• Vaidya Kala Ranga, Bengaluru, Karnataka, India
Director
Bangalore Holistic Orthopedic Centre, Bengaluru, Karnataka, India
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Essentials of Orthopedics for Physiotherapists
© 2011, John Ebnezar
All rights reserved. No part of this publication should 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 written permission of the author and the
publisher.
This book has been published in good faith that the material provided by author is original. Every effort is made to ensure
accuracy of material, but the publisher, printer and author will not be held responsible for any inadvertent error(s). In case of
any dispute, all legal matters are to be settled under Delhi jurisdiction only.
First Edition: 2003
Second Edition : 2011
ISBN 978-93-5025-161-4
Typeset at JPBMP typesetting unit
Printed at Ajanta Offset
To
God, who created me and the universe
My parents
and
Teachers
My wife, Dr Parimala
and
My children, Rakesh and Priyanka

Foreword
It gives me immense pleasure to write a foreword for Dr John Ebnezar’s book Essentials of Orthopedics for Physiotherapists.
Physiotherapy plays a very big role in treating orthopedic conditions, both traumatic and non-traumatic. Hence, it is mandatory
for all physiotherapists to equip themselves with basic orthopedic knowledge and skills.
This book precisely aims to inculcate basics of orthopedic treatment principle and their physiotherapy management. In fact,
he is the first orthopedic surgeon from the country to make such an effort. Each chapter is neatly written, adequate and
comprehensive. I am impressed by his distinctive style of writing, clarity of subject matter, coverage of contents, good quality
illustrative diagrams, lucid and simple language. I have helped him in the compilation and writing of the physiotherapy technique
in orthopedics. This is a must-possess book by every physiotherapist and the teachers.
Dr John Ebnezar needs no introduction. He is the most prolific Orthopedic writer in the country today. His Textbook of
Orthopedics is one of Jaypee’s best sellers and has gained universal acceptance not only in our country but overseas too. In
fact, this book has had a fantastic opening in the recently held World Book Fair in London and is being widely recommended
in many physiotherapy colleges.
I sincerely hope this book will also goes on to become a best seller and benefit the physiotherapic community. I heartly
congratulate and wish him well in this effort of his.
Dr Rajesh Kumar
Principal
Dr MV Shetty College of Physiotherapy
Mangalore, Karnataka, India
Senate Member, Rajiv Gandhi Health University

Preface
It is a matter of great pride and happiness for me that the second edition of this book has seen the light of the day. When I first
wrote this book, I was very apprehensive about the kind of reception this book may get from the students and the teachers. I
feared that it may sink without a trace. But the book was received with a lot of love and warmth by all concerned. That it
became an unprecedented success is history. Students spoke in glowing terms about the book and said that it is bible for them.
High praise indeed. They embraced the book with such whole heartedness that it left me spell bound and humble. Orthopedics
is an integral part, in fact, it encompasses a major share of their work as physiotherapists and they were badly in need of a book
that deals with orthopedics and physiotherapy. They were earlier reading the Textbook of Orthopedics to fulfill this need of
theirs. But when a book exclusively for them was brought out by me, they embraced with open arms.
Physiotherapy students across the country wrote to me expressing their happiness for the book. In all conferences, CME’s
and Workshops students met me and told me that they were very happy and satisfied with the book and it is possessed by each
and every physiotherapy student in the country. They also told me that their faculties also read and recommended the book. I
received huge compliments wherever I went and that made me more responsible. There were some criticisms too. Some told
me that the book should have been written by a physiotherapist and not an orthopedic surgeon. But I felt the other way round.
I being an orthopedic surgeon helped me write a book on physiotherapy methods in orthopedic conditions better. I had extensive
discussions with my physiotherapy friends, teachers and students regarding the various physiotherapy techniques and methods
for each and every orthopedic condition. In fact for the second edition all my physiotherapists who are working in my center
helped me update the book. So this lacuna has been addressed adequately.
The second edition has come out very well. It is a multicolor book now and is the first of its kind in physiotherapy books.
In fact, I had to do a lot of convincing act to convince my publishers to go for the color edition. They were reluctant initially
for the huge logistics involved and wanted to go with the present format. But I felt that the students deserved it for the kind of
support they extended to this book. As a token of gratitude to their patronage for the book we needed to reciprocate them in a
manner that would leave them happy and satisfied. Moreover, clinical photographs and x-rays can be appreciated better in a
color book and it would be more pleasing to the eye and mind. So now the second edition comes out to you in a multicolor
format and I am sure you all will like it and extend the same in fact more patronage for the new edition.
Highlights
• The book has been thoroughly revised and updated. In fact, it has taken more time to revise this book than when I brought
out the first edition.
• It has been upgraded to a multicolor format.
• For the first time you will find real clinical photographs in the text. This will help you to understand orthopedic conditions
better.
• Good surgical photographs have been put wherever necessary. This will be a great boon for the physiotherapy students for
they seldom get a chance to witness live surgeries in their career. Getting an insight into the operative pictures will help
them to understand the treatment of orthopedic conditions better and this will make them better physiotherapists.
• Lots of new X-rays have been added to enhance and enrich their clinical knowledge.
• Plenty of orthopedic techniques like reduction of a fracture or a dislocation have been shown for their understanding of the
treatment of common orthopedic conditions.
• Two new chapters have been added on Arthroplasty and Arthroscopy
• All the attractive features of the first edition like short summaries, mnemonics, anecdotes, etc. have been retained as it has
been very much appreciated by the physiotherapy fraternity.
x Essentials of Orthopedics for Physiotherapists
You need to explore the book yourself to find out the many changes and additions made in this new edition. I always felt
as a student that I should have a book that is readable, informative but at the same time make reading and studying a pleasant
experience and not a drudgery routine. A book should not be just for reading and passing the exams but a permanent companion
for the rest part of our lives. It should teach not only the subject, but life principles too. It should egg you on to read more and
explore the subject more all on your own. It should generate more interest for the subject so that your pursuit of knowledge
becomes an unending thirst. So this way you will learn your subject, cherish it, enjoy it, appreciate it and put the knowledge
gained in the right treatment of your patients.
Unfortunately, I have seen many physiotherapy students not having the right kind of attitude, knowledge and goals in their
profession. They are skeptical and jittery about their profession. There is a lot of cynicism and helplessness in most of them.
Majority feel that they have not made the right choice by choosing physiotherapy as a career. They are confused and disillusioned
a lot. My heart goes out for them. My only advice for them is that be proud of your choice, physiotherapy is a very good
profession and has great prospects. It alleviates the pain and suffering of the patients and is indeed a very noble profession like
all other medical specialties. Only thing you need to work hard, get the right kind of knowledge and attitude and get the right
kind of passion going. You need to respect your profession only then others will respect you.
Hope you will extend the same kind of support and patronage for this new edition too. If there are any shortcomings and
mistakes please do not hesitate to bring it to my notice so that I can incorporate all the suggestions in the next edition. I take
this opportunity to thank the students and all the faculty members for their patronage for my book.
John Ebnezar