This Current Diagnosis and Treatment in Orthopedics
Fourth Edition of the orthopedic surgery contribution to the Lange Current
Series of books. It is surprising to realize that it has been 10 years since
the first edition of this book. The goal of this book has not changed. It is
intended to fill a need for a ready source of up-to-date information on
disorders and diseases treated by orthopedic surgeons and related
physicians. The format in this edition is unchanged from previous: there is
emphasis on the major diagnostic features of disease states, the natural
history of the disease where appropriate, the work-up required for
definitive diagnosis, and, finally, definitive treatment. The book focuses
on orthopedic conditions, de-emphasizing the treatment of the patient from a
general medical viewpoint, except when it pertains to the orthopedic problem
under consideration. Importantly, pathophysiology, epidemiology, and
pathology are included when they assist in arriving at a definitive
diagnosis or an understanding of the treatment of the diseases or condition.
In many conditions, such as infection or neoplasm, it is extremely important
to understand the pathophysiology because the disease may be encountered at
various time points in the progression of the disease.
This edition of the Current Diagnosis and Treatment in
is truly current.
The entire book
has been updated in its references to include only those references since
2000, except in cases where classic articles are necessary to refer back to
major advances in understanding or treatment, or in situations where there
has been little change in the sub-specialization in orthopedics, such as
rehabilitation. These selected references to the older literature represent
landmarks in the advancement of the understanding of orthopedic diseases and
conditions, and serve as useful sources of the fundamental basis for
understanding these diseases and conditions.
The unique format of the Lange series textbooks allows readers of many
levels of understanding to derive benefit from the information.
Students will find that the book encompasses virtually all
aspects of orthopedics that they will encounter in classes and as
sub-interns in major teaching institutions. Residents and house officers can
use the book as a ready reference covering the majority of disorders and
conditions in emergency and elective orthopedic surgery. Despite its small
size, it is truly comprehensive. Because of the organization of the book on
a sub-specialty basis, review of individual chapters will provide house
officers rotating on sub-specialty orthopedic services with an excellent
basis for further in-depth study.
room physicians, especially those with medical backgrounds, the text
provides an excellent resource in managing orthopedic problems seen on an
emergent basis. Similarly, family practice, pediatricians, general
practitioners, and internists will find the book particularly helpful in the
referral decision process, and as a resource to explain disorders to
patients. Finally, practicing orthopedic surgeons, particularly those in
sub-specialties of orthopedics, will find the book a helpful resource in
reassuring them that their treatment in areas outside their sub-specialty
interest is current and up-to-date.
The book is structured similarly to the structure of orthopedic surgery.
Natural sub-specialization has occurred in orthopedic surgery over the
years, which has resulted in some overlap in anatomic areas. This has
resulted in the book having some overlap and some artificial division of
subjects. Because of the primarily sub-specialization structure, the reader
is encouraged to read entire chapters, or for more discrete topics, go
directly to the index for information. For example, the house officer
rotating on the pediatric orthopedic service would find reading the
pediatric chapter to be a prudent method of developing a baseline knowledge
in pediatric orthopedic surgery. Knee problems however, might be best
approached by looking in the sports medicine chapter, or in the adult
reconstruction chapter, since these areas overlap, mostly in age of patient.
The first chapter serves as a basis for the rest of
the book because it summarizes current basic information that is fundamental
in the understanding of orthopedic surgery. Chapter Two introduces aspects
of interest in the perioperative care of the orthopedic patient, including
social aspects of the patient/physician relationship. Management of
orthopedic problems arising from trauma is covered in Chapter Three, while
Chapter Four deals with sports medicine with an emphasis on the knee and
shoulder. Chapter Five covers all aspects of spine surgery, including
degenerative spinal problems, spinal deformity, and spinal trauma.
Chapter Six provides comprehensive coverage of tumors
in orthopedic surgery, including benign and malignant soft tissue and hard
tissue tumors. Adult joint reconstruction, including the disorders that lead
to joint reconstruction are covered in Chapter Seven. In Chapter Eight,
infections, with their special implications for orthopedic surgery are
covered. Chapter Nine discusses foot and ankle surgery, and Chapter Ten,
hand surgery. Chapter Eleven covers diseases in orthopedics unique to
children. The final two chapters deal with amputation and all aspects of
rehabilitation fundamental to orthopedic surgeons in returning patients to
- Illustrations have been carefully selected to
maximize their benefits in pointing out orthopedic principles and
concepts. The effect of changes in imaging technology on optimal
diagnostic studies is emphasized, including cost-effectiveness.
- Bone and soft tissue tumor differential diagnoses
are simplified by comprehensive tables that categorize tumors by age,
location, and imaging characteristics. The molecular basis of the
current understanding of tumor etiology is expanded.
- Concise, current, and comprehensive treatment of
the basic sciences underlying the understanding of orthopedic surgery is
NEW TO THIS EDITION
- Information on shoulder evaluation has been widely
expanded, including tables to elucidate the diagnosis of shoulder
- Advances in treatment of back pain, including disk
replacement, are included.
- The latest on molecular biology of neoplasm has
been expanded in the musculoskeletal tumor section.
- Surgical management of osteoporosis, including
techniques such as kyphoplasty and vertebroplasty, and information on
shoulder replacement have been widely expanded.
- Guidelines for predicting function, such as
ambulatory capability after spinal cord injury, are updated.
- New materials in orthopedics that are making
changes in the way replacement arthroplasty is performed are included.
- The latest information on important growth factors
in orthopedics is elucidated with current usage.
I am pleased to be able to say, with the concurrence
of my co-authors, that these new features added to the information in the
previous edition, make this edition a significant improvement over the last.Harry B. Skinner, MD, PhD