Prelims.indd 1 05-12-2013 11:35:50 Essentials of ORTHOPEDICS Prelims.indd 1 05-12-2013 11:35:50 Prelims.indd 2 05-12-2013 11:35:50 Essentials of ORTHOPEDICS Second Edition RM Shenoy D Orth MS Orth Professor and Unit Head Department of Orthopedics Yenepoya Medical College (A constituent of Yenepoya University) Nithyananda Nagar, Derlakatte, Mangalore Karnataka, India Foreword M Shantharam Shetty ® JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD New Delhi • London • Philadelphia • Panama Prelims.indd 3 05-12-2013 11:35:51 ® Jaypee Brothers Medical Publishers (P) Ltd Headquarters Jaypee Brothers Medical Publishers (P) Ltd 4838/24, Ansari Road, Daryaganj New Delhi 110 002, India Phone: +91-11-43574357 Fax: +91-11-43574314 Email: [email protected] Overseas Offices J.P. Medical Ltd Jaypee-Highlights Medical Publishers Inc. 83 Victoria Street, London City of Knowledge, Bld. 237, Clayton SW1H 0HW (UK) Panama City, Panama Phone: +44-2031708910 Phone: +1 507-301-0496 Fax: +02-03-0086180 Fax: +1 507-301-0499 Email: [email protected] Email: [email protected] Jaypee Medical Inc. Jaypee Brothers Medical Publishers (P) Ltd The Bourse 17/1-B Babar Road, Block-B, Shaymali 111 South Independence Mall East Mohammadpur, Dhaka-1207 Suite 835, Philadelphia, PA 19106, USA Bangladesh Phone: +1 267-519-9789 Mobile: +08801912003485 Email: [email protected] Email: [email protected] Jaypee Brothers Medical Publishers (P) Ltd Bhotahity, Kathmandu, Nepal Phone: +977-9741283608 Email: [email protected] Website: www.jaypeebrothers.com Website: www.jaypeedigital.com © 2014, Jaypee Brothers Medical Publishers The views and opinions expressed in this book are solely those of the original contributor(s)/author(s) and do not necessarily represent those of editor(s) of the book. All rights reserved. No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the publishers. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the author(s)/editor(s) assume any liability for any injury and/ or damage to persons or property arising from or related to use of material in this book. This book is sold on the understanding that the publisher is not engaged in providing professional medical services. If such advice or services are required, the services of a competent medical professional should be sought. Every effort has been made where necessary to contact holders of copyright to obtain permission to reproduce copyright mate- rial. If any have been inadvertently overlooked, the publisher will be pleased to make the necessary arrangements at the first opportunity. Inquiries for bulk sales may be solicited at: [email protected] Essentials of Orthopedics First Edition: 2010 Second Edition: 2014 ISBN: 978-93-5090-373-5 Printed at Prelims.indd 4 05-12-2013 11:35:51 Dedicated to My Wife Renu and Daughter Archana Prelims.indd 5 05-12-2013 11:35:51 Prelims.indd 6 05-12-2013 11:35:51 Foreword It was a pleasure of going through the pages of this highly informative well- presented book entitled Essentials of Orthopedics written by Dr RM Shenoy whom I had the pleasure of knowing him since his childhood and later as a student and now a revered colleague. He has an inborn dominant gene of a writer and a leader. His mother an award winning writer of short stories and poems and father a grass root social worker of repute. I am sure this book will be a beacon of light and guide for undergraduates to understand orthopedics and the postgraduates to have their basics well forwarded and to the practicing surgeons as a ready reckoner. I am sure this book will find a place in the shelf of every Orthopedic Surgeon. I wish Dr Ravi all the best in his endeavors and may the good God bless him in all his endeavors. M Shantharam Shetty MS Ortho FRCS FACS Pro-Chancellor, Nitte University Past President, Indian Orthopedic Association AO Trustee 2003–2009 AO Trauma India Chairman 2009–2011 Mangalore, Karnataka, India Prelims.indd 7 05-12-2013 11:35:51 Prelims.indd 8 05-12-2013 11:35:51 Good Wishes Professor RM Shenoy is a teacher par excellence and committed to his profession. His dedication to academic activities is worth appreciating. He is an innovative Orthopedic Surgeon who is highly disciplined and meticulous in his work. He likes to improve the current status of medicine, always aiming at perfection. He expects the same from his pupils too. His original research of developing a single incision for exposure of forearm fracture speaks of his capabilities. This was published in the Journal of Bone and Joint Surgery, British 1995;77B(4):568-70. I find it to be an extremely good and a cosmetic exposure. The book Essentials of Orthopedics written by him is going to be a boon for both undergraduates and postgraduates as well as practicing Orthopedic Consultants. As a teacher, I am thrilled to see one of my pupils Prof RM Shenoy, reaching great heights and carving out a niche for himself among the Orthopedic Surgeons. I wish him good luck and expect many more innovative things from him in future. PK Usman MS Ortho Former Professor Department of Orthopedics Kasturba Medical College Mangalore, Karnataka, India Former Emeritus Professor and HOD AJ Institute of Medical Sciences Mangalore, Karnataka, India Prelims.indd 9 05-12-2013 11:35:51