In the middle of the twentieth century, few physicians could have predicted that the modern diagnostic category of osteoporosis would emerge to include millions of Americans, predominantly older women. Before World War II, popular attitudes held that the declining physical and mental health of older persons was neither preventable nor reversible and that older people had little to contribute. Moreover, the physiological processes that influenced the health of bones remained mysterious. In Aging Bones, Gerald N. Grob makes a historical inquiry into how this one aspect of aging came to be considered a disease. During the 1950s and 1960s, as more and more people lived to the age of 65, older people emerged as a self-conscious group with distinct interests, and they rejected the pejorative concept of senescence. But they had pressing health needs, and preventing age-related decline became a focus for researchers and clinicians alike. In analyzing how the normal aging of bones was transformed into a medical diagnosis requiring treatment, historian of medicine Grob explores developments in medical science as well as the social, intellectual, economic, demographic, and political changes that transformed American society in the post-World War II decades. Though seemingly straightforward, osteoporosis and its treatment are shaped by illusions about the conquest of disease and aging. These illusions, in turn, are instrumental in shaping our health care system. While bone density tests and osteoporosis treatments are now routinely prescribed, aggressive pharmaceutical intervention has produced results that are inconclusive at best. The fascinating history in Aging Bones will appeal to students and scholars in the history of medicine, health policy, gerontology, endocrinology, and orthopedics, as well as anyone who has been diagnosed with osteoporosis.

This edition of the companion volumes Muscle Pain: Understanding the Mech- isms and Muscle Pain: Diagnosis and Treatment is essential reading for those interested in clinical approaches to acute and chronic pain conditions involving muscle tissues and in the mechanisms underlying these conditions. The volumes cover a very important topic in pain medicine, since muscle pain is very common and can often be dif?cult to diagnose and treat effectively. Furthermore, chronic pain involving muscle and other components of the musculoskeletal system increases with age, such that it is a common complaint of those of us who are middle-aged or older. Indeed, as changing population demographics in "west- nized" countries result in higher proportions of the population living longer and being middle-aged and elderly, chronic muscle pain will likely become even more of a health problem. In the case of acute muscle pain, this can often be very intense, and in the short term can limit or modify the use of components of the musculoskeletal system associated with the sensitive muscle. Chronic muscle pain can also be intense, as well as unpleasant and disabling, and it is in many cases the over-riding symptom of most musculoskeletal disorders that are associated with long-term deleterious changes in musculoskeletal function.

It is now over ten years since we edited the first edition of HLA-B27 in the Development of Spondyloarthropathies (SpA). It is obvious that over this period an enormous amount of information concerning SpA and HLA-B27 has accumulated, and this has been reflected in the knowledge of molecular mechanism of the spondyloarthropathies. Discussion for such a book took initial form at the outstanding 4th Gent Symposium on SpA in October 2006, but was not formally commissioned by Landes Bioscience until early 2007. Molecular Mechanisms of Spondyloarthropathies aims to synthesize this growing knowledge and present all the current studies concerning the basic research of SpA. Over the last decade, enormous progress has been made in the understanding of the molecular and cellular processes that lead to disease pathology. Recognition of the pathways involved in the pathogenic mechanisms of disease and the potential to target specific immune effector functions have opened the door to a wide range of innovative treatment opportunities for the SpA. Thus, we believe that the understanding of the specific molecular mechanisms involved would help to design highly specific drugs in the future. The contributors are among the best in their field and reflect the state of the art of research and current opinion of rheumatologists and immunologists.

In the world of sports, hip injuries among an athletic population can be very difficult to diagnose and manage. That's why" Sports Hip Injuries: Diagnosis and Management "is a comprehensive guide to diagnosing and managing sports hip injuries and hip preservation.
Drs. Bryan Kelly, Asheesh Bedi, and Chris Larson have years of experience caring for athletes at all levels and are leaders in the field of hip preservation. They present "Sports Hip Injuries: Diagnosis and Management" in a concise manner by focusing on hip and pelvis disorders and cover all of the typical disorders seen in athletes presenting with hip and pelivc pain. The anatomy, presentation, clinical work up, imaging, nonsurgical and surgical treatment, and post-surgical rehabilitation of hip joint disorders are presented clearly throughout.
Some of the topics Include:
- Femoroacetabular impingement
- Hip instability/dysplasia
- Athletic pubalgia
- Sports hernia
- Myotendinous injuries and neutral entrapment disorders of the hip and pelvis
- Pediatric hip disorders such as Perthes, SCFE, and hip and pelvis apophyseal
"Sports Hip Injuries: Diagnosis and Management" is an invaluable resource for sports medicine providers including orthopedic surgeons and fellows that care for patients presenting with hip pain for athletes at all levels, as well as physical therapists and athletic trainers.

Osteoarthritis (OA) is among the top 10 of most disabling diseases in the Western world. It is the major cause of pain and disability among the elderly. This book provides a contextual review of recent research on neuromuscular factors and behavioral risk factors for functional decline in OA, with a special emphasis on explanatory mechanisms. In addition, the book discusses innovative approaches to exercise and physical activity in OA, derived from research on behavioral and neuromuscular risk factors for functional decline in OA. Recent research has shown that neuromuscular factors (such as muscle strength, joint laxity) and behavioral factors (such as avoidance of activity, depressed mood) predict pain and disability in OA. Furthermore, exercise and physical activity are among the dominant interventions aiming at reducing pain and disability, and innovative interventions targeting neuromuscular and behavioral interventions have been recently developed. This research has been published as separate papers, with the result that the field is in need of an integrative contextual review that puts the research into theoretical perspective. TARGETED MARKET SEGMENTS Rehabilitation specialists, health psychologists, gerontologists, rheumatologists, pain specialists

Biologie des Gelenkknorpels Die AEtiologie von Gelenkknorpelschaden Diagnostik Konservative Therapie: - Medikamentoese Therapie - Physiotherapie Operative Therapie: - Refixation von abgeloesten Knorpelfragmenten - Gelenkspulung/Knorpelglattung/Lavage/Debridement - Knochenmarkstimulierende Techniken - Osteochondrale Transplantation - Autologe Chondrozytentransplantation (ACT) - ACT- Neue Verfahren - Korrekturosteotomien - Implantation von nicht resorbierbaren Knorpelersatzmaterialien Scores zur Bewertung des Therapieergebnisses nach Behandlung von Gelenkknorpeldefekten Wichtige Analyseverfahren Herstelleradressen

Neuromuscular disorders are diagnosed across the lifespan and create many challenges especially with infants, children and adolescents. This new edition of the definitive reference, edited by the established world renowned authorities on the science, diagnosis and treatment of neuromuscular disorders in childhood is a timely and needed resource for all clinicians and researchers studying neuromuscular disorders, especially in childhood. The 2nd Edition is completely revised to remain current with advances in the field and to insure this remains the standard reference for clinical neurologists and clinical research neurologists. The 2nd Edition retains comprehensive coverage while shortening the total chapter count to be an even more manageable and effective reference.
Carefully revised new edition of the classic reference on neuromuscular disorders in infancy, childhood and adolescence.Definitive coverage of the basic science of neuromuscular disease and the latest diagnosis and treatment best practices.Includes coverage of clinical phenomenology, electrophysiology, histopathology, molecular genetics and protein chemistry

Over the past 30 years, there has been increasing recognition of psoriatic arthritis as a distinct clinical entity. Psoriatic arthritis occurs mostly in patients with psoriasis and may affect up to 1% of the general population. It has many similarities to other forms of spondyloarthritis, and must be differentiated from related conditions. Given that most patients with psoriatic arthritis have skin and musculoskeletal diseases that significantly affect their quality of life and function, patients are ideally managed in a multidisciplinary clinic with rheumatologists, dermatologists and a nurse specialist, physical therapist and occupational therapist. Psoriatic Arthritis covers the epidemiology and diagnostic and classification criteria, describing the clinical features of the disease, including skin and nail involvement, articular, and other extra-articular manifestations. Laboratory features and imaging characteristics are covered in detail, along with co-morbidities and their impact. A comprehensive review of skin disease therapy is also provided, along with the various treatment options for joint disease, including traditional disease modifying therapy and newer biologic agents . This comprehensive yet concise and practical volume is the perfect guide to psoriatic arthritis for the busy practitioner, and will be of interest to trainees and specialists in rheumatology and dermatology.

Clinician s Manual on Lupus is an expert overview of Lupus and related conditions that serves as an educational resource for medical students, physicians and other medical professionals with an interest in rheumatology. The book is an up-to-date introduction to the disease and includes high quality colour photographs and evidence-based guidelines for diagnosing, treating and managing Lupus in primary care."

Musculoskeletal medicine is now recognised as a distinct branch of medicine, incorporating the sub-specialities of manual medicine, orthopaedic medicine, and the neuromusculoskeletal component of osteopathic medicine. The editors of this volume have been active in promoting the discipline worldwide, and this new edition is the ideal reference for doctors and therapists wishing to expand and improve their skill base, or to further their careers and academic accomplishments, to the benefit of the patient. With contributions from international experts, Oxford Textbook of Musculoskeletal Medicine 2e is an authoritative account of the basis of musculoskeletal medicine in contemporary medical society. It provides the reader with advanced knowledge of the conceptual basis, diagnostic challenge, and pragmatic management of the neuromusculoskeletal system. Now with almost 500 illustrations, this is a practical, easy-to-read text with a clinical focus. New chapters cover the latest evidence on efficacy and effectiveness of management strategies, the provision of services, and the latest developments in musculoskeletal ultrasound, making this new edition a comprehensive reference on musculoskeletal medicine. This print edition of The Oxford Textbook of Musculoskeletal Medicine comes with a year's access to the online version on Oxford Medicine Online. By activating your unique access code, you can read and annotate the full text online, follow links from the references to primary research materials, and view, enlarge and download all the figures and tables.

"Musculoskeletal, Sports, and Occupational Medicine: Rehabilitation Medicine Quick Reference" provides the core knowledge the busy practitioner needs to deliver top-notch rehabilitative care to patients with musculoskeletal, sports, or occupational injuries. Covering 107 alphabetically arranged topics from Achilles Tendinopathy to Whiplash, this nuts and bolts resource is designed to provide concise and accurate information. The book begins with a template for evaluating a patient with musculoskeletal injury, and covers the full gamut of conditions and sequelae commonly seen by practitioners dealing with bone, joint, and soft tissue problems in athletes, injured workers, and individuals of any age with musculoskeletal issues.

Every entry is standardized for quick look-up in the office or clinic, and features description, etiology, risk factors, clinical features, natural history, diagnosis, red flags, treatment, prognosis, helpful hints and suggested readings.

Every entry is standardized for quick look-up in the office or clinic, and features description, etiology, risk factors, clinical features, natural history, diagnosis, red flags, treatment, prognosis, helpful hints, and suggested readings. All "Rehabilitation Medicine Quick Reference"titles offer: Consistent Approach and Organization: at-a-glance outline format allows readers to find the facts quickly Concise Coverage: of must-know information broken down into easy-to-locate topics Fast Answers to Clinical Questions: diagnostic and management criteria for problems commonly encountered in daily practice Hands-on Practical Guidance: for all types of interventions and therapies Multi-Specialty Perspective: ensures that issues of relevance to all rehabilitation team members are addressed

This book brings together the congenital, acquired and traumatic conditions which may affect the child's cervical and thoraco-lumbar spine. The immature spine poses considerable diagnostic dilemmas and radiographs are often difficult to interpret. The aetiology of deformity, its assessment, monitoring and treatment are comprehensively described. Back pain in children receives special attention. Care has been taken to identify symptoms and signs which should raise our level of anxiety and those which are likely to resolve. Where surgery is necessary the principles and risks are defined.

Children's upper and lower limb orthopaedic disorders has been written to give orthopaedic practitioners an easily accessible and concise description of regional disease and conditions encountered in the practice of pediatric orthopaedic surgery. The upper limb chapters describe fetal development and how this may go wrong. As always, function dominates our management plans although cosmetic considerations must be borne in mind. Perinatal brachial plexus injury is analyzed and a plea made for early recognition and reconstruction of both plexus lesions and peripheral nerve injuries. The lower limb chapters consider limb deficiency and deformity and how best we should manage them. Those prominent afflictions of the child's hip - dysplasia, Perthes' disease and epiphyseal slipping - are fully discussed. Chapters on the common conditions affecting the knee, foot and ankle complete the book.

Die grundlegend aktualisierte 2. Auflage bietet einen einzigartigen und fachA1/4bergreifenden Aoeberblick zu den Grundlagen, urologischen und orthopAdischen Details sowie psychosozialen und juristischen Aspekten der Spina bifida. Fallbeispiele machen das Buch besonders fA1/4r Studenten, praxisnah arbeitende A"rzte und auch Physiotherapeuten attraktiv. komplett A1/4berarbeitete und ergAnzte 2. Auflage praxisnah und aktuell neu gestaltete Abbildungen

In this book we discuss how children grow, how to measure this and how to decide whether development falls within normal parameters. It is important not to over-investigate, but, if necessary, which tests and imaging should we choose? We consider how best to look after our patients in hospital, out-patients departments and at home. This leads us to consider problems with the norm, including the more generalised bone and cartilage disorders, most now genetically determined. The section concludes with chapters on infection, arthritis and that most emotive of topics, the tumours of childhood.

The physical examination of the elbow, wrist, and hand can be a complex topic for professionals with all levels of clinical experience. How can advance concepts be taught in a user friendly, clear format, while still providing necessary information for effective diagnosis and treatment of the elbow, wrist, and hand? Musculoskeletal Examination of the Elbow, Wrist and Hand: Making the Complex Simple by Dr. Randall Culp answers these questions. Written by experts, this easy-to-carry book provides a thorough review of the most common pathologic elbow, wrist, and hand conditions, techniques for diagnosis, as well as the appropriate treatment for each condition. Musculoskeletal Examination of the Elbow, Wrist and Hand: Making the Complex Simple contains clear photographic demonstrations, tables, sidebars, and charts throughout its pages, allowing a thorough and concise examination of the elbow, wrist, and hand. A glance at what is covered inside: * Physical Examination * Basics and specific tests of the elbow, wrist, and hand * General Imaging * Basics of general imaging of the elbow, wrist, and hand * Common Conditions * Tendinopathy, arthritis, wounds, soft tissue injuries, and more Musculoskeletal Examination of the Elbow, Wrist and Hand: Making the Complex Simple contains essential information to successfully take a complex subject, and bring it to a level that will be welcomed by all orthopedic residents, attendings, physical therapists, athletic trainers, medical students in training, and other health care providers.

Rheumatoid arthritis is a common but often debilitating disorder. Given the intricate and challenging nature of treating rheumatoid arthritis, it is imperative to educate physicians on the disease's initial symptoms and complications, as well as to provide accurate and up-to-date information regarding effective treatment. Designed to help eradicate misconceptions concerning rheumatoid arthritis and its treatment, this concise volume helps clinicians to understand and then effectively diagnose and treat patients with the condition.
Part of the Oxford American Rheumatology Library, this concise guide serves as a practical, user-friendly reference for rheumatologists and other healthcare professionals. The book provides an overview of rheumatoid arthritis, including its epidemiology, symptoms, signs, and pathophysiology. Using the most current information available, the author evaluates both traditional and innovative treatment methods. A thorough glossary defines key terms and the appendix includes related resource information - associations, journals and doctors/researchers - all devoted to the study and treatment of rheumatoid arthritis.

The physical examination of the foot and ankle can be a complex topic for professionals with all levels of clinical experience. How can advance concepts be taught in a user-friendly, clear format, while still providing necessary information for effective diagnosis and treatment of the foot and ankle? Musculoskeletal Examination of the Foot and Ankle: Making the Complex Simple by Drs. Shepard Hurwitz and Selene Parekh answers these questions. Written by experts, this easy-to-carry book provides a quick and thorough review of the most common pathologic foot and ankle conditions, techniques for diagnosis, as well as the appropriate treatment for each condition. Musculoskeletal Examination of the Foot and Ankle: Making the Complex Simple contains clear photographic demonstrations, tables, sidebars, and charts throughout its pages, allowing a thorough and concise examination of the foot and ankle. A glance at some of what is covered inside: * Physical Examination * Basics and specific tests of the foot and ankle * General Imaging * Basic interpretation of common imaging modalities of the foot and ankle * Common Conditions * Bunions, toe deformities, Achilles pathology and posterior calcaneal pain, fractures, plantar fasciitis and plantar heel pain, and more Musculoskeletal Examination of the Foot and Ankle: Making the Complex Simple contains essential information to successfully take a complex subject, and bring it to a level that will be welcomed by orthopedic residents, faculty, physical therapists, athletic trainers, medical students interested in musculoskeletal health careers, and other health care providers.

Examination of Musculoskeletal Injuries, Fourth Edition With Web Resource, guides current and future athletic trainers and rehabilitation professionals through the examination and evaluation of musculoskeletal injuries both on and off the field. The text presents injury examination strategies in on-site, acute, and clinical settings and provides the information on mastering the skills needed for the Board of Certification examination for athletic trainers as determined by the sixth edition of Athletic Training Role Delineation Study/Practice Analysis for entry-level athletic trainers. This updated fourth edition contains foundational information on a wide spectrum of injuries and the appropriate tests for examining and diagnosing them. Readers will learn to obtain an accurate injury history from the patient, inspect the injury and related areas, test motion control, palpate both bone and soft tissues, and examine function in order to gauge the player's readiness to return to play. The fourth edition also includes the following enhancements: * A new online video library contains more than 51 short video clips that correspond to and demonstrate evaluation techniques for various musculoskeletal disorders found throughout the text. * Full-color photos and medical artwork have been added throughout the text to clarify testing techniques and enhance knowledge of relevant body structures. * Substantial updates provide the most recent evidence-based clinical information. * An expanded selection of special tests and injury-specific examinations are now presented in a more accessible format and include a photo or video, description of the purpose, patient and clinician positions for the test, procedures performed, and possible outcomes. The content of Examination of Musculoskeletal Injuries, Fourth Edition With Web Resource, has been restructured and focused to provide applicable information in a straightforward manner. Part I is aimed at entry-level students and presents general and introductory skills for each component of injury examination, including basic terminology and a breakdown of the examination procedure. Each component is then explored in depth along with general purposes and techniques. Part I ends by incorporating the various components into a systematic strategy for examination based on severity of injury and environment. Part II then applies the principles learned in the previous chapters to the recognition and examination of injuries organized by specific regions of the body. Each chapter includes strategies for examination immediately after an injury as well as examinations seen later in a clinical setting. To assist student comprehension and knowledge retention, key terms are in boldface throughout the text and are defined in the glossary. Symbols throughout the text alert students to essential procedures and highlight important information. The web resource houses printable tables of special tests, examination checklists and forms that students can use in laboratory work and review sessions, and a robust video library. To aid instructors, the text includes a suite of ancillary materials featuring a test package, instructor guide, and presentation package plus image bank. Examination of Musculoskeletal Injuries, Fourth Edition With Web Resource, is an essential resource ffor students of athletic training and therapy as well as current practitioners in the field who wish to use evidence-based procedures in their clinical practice to ensure safe and accurate diagnoses of injuries.

The physical examination of the spine can be a complex topic for professionals with all levels of clinical experience. How can advance concepts be taught in a user-friendly, clear format, while still providing necessary information for effective diagnosis and treatment of the spine? Musculoskeletal Examination of the Spine: Making the Complex Simple by Drs. Jeffrey A. Rihn and Eric B. Harris answers these questions. Written by experts, this easy-to-carry book provides a thorough review of the most common pathologic spine conditions, techniques for diagnosis, as well as the appropriate treatment for each condition. Musculoskeletal Examination of the Spine: Making the Complex Simple contains clear photographic demonstrations, tables, and charts throughout its pages, allowing a thorough and concise examination of the spine. A Glance at some of what is covered inside: * Physical Examination o Basics and specific tests of the examination of the cervical and thoracolumbar spine * General Imaging o Basics of general imaging of the degenerative and traumatic injuries of the spine * Common Conditions o Cervical spondylosis, Lumbar disk herniation, Diskitis and vertebral osteomyelitis of the spine, and more Musculoskeletal Examination of the Spine: Making the Complex Simple contains essential information to successfully take a complex subject, and bring it to a level that will be welcomed by all orthopedic residents, attendings, physical therapists, athletic trainers, medical students in training, and other healthcare providers.

The physical examination of the shoulder can be a complex topic for professionals with all levels of clinical experience. How can advance concepts be taught in a user-friendly, clear format, while still providing necessary information for effective diagnosis and treatment of the shoulder?Musculoskeletal Examination of the Shoulder: Making the Complex Simple by Dr. Steven B. Cohen answers these questions. Written by experts, this easy-to-carry book provides a thorough review of the most common pathologic shoulder conditions, techniques for diagnosis, as well as the appropriate treatment for each condition. Musculoskeletal Examination of the Shoulder: Making the Complex Simple contains clear photographic demonstrations, tables, and charts throughout its pages, allowing a thorough and concise examination of the shoulder. A glance at some of what is covered inside: • Physical Examination o Basics and specific tests of the physical examination of the shoulder • General Imaging o Basics of general imaging of the shoulder • Common Conditions o Superior labrar tears, Biceps tendon, Glenohumeral arthritis, and more Musculoskeletal Examination of the Shoulder: Making the Complex Simple contains essential information to successfully take a complex subject and bring it to a level that will be welcomed by orthopedic residents, attendings, physical therapists, athletic trainers, medical students in training, and other health care providers.  

The physical examination of the hip and knee can be a complex topic for professionals with all levels of clinical experience. How can advance concepts be taught in a user-friendly, clear format, while still providing necessary information for effective diagnosis and treatment of the hip and knee? Musculoskeletal Examination of the Hip and Knee: Making the Complex Simple by Drs. Anil Ranawat and Bryan T. Kelly answers these questions. Written by experts, this easy-to-carry book provides a thorough review of the most common pathologic hip and knee conditions, techniques for diagnosis, as well as the appropriate treatment for each condition. Musculoskeletal Examination of the Hip and Knee: Making the Complex Simple contains clear photographic demonstrations, tables, and charts throughout its pages, allowing a thorough and concise examination of the hip and knee. A glance at some of what is covered inside: * Physical Examination * Basics and specific tests of the physical examination of the hip and knee * General Imaging * Basics of general imaging of the hip and knee * Common Conditions * Arthroscopic management of labral tears, snapping hip syndromes, meniscal tears, and more Musculoskeletal Examination of the Hip and Knee: Making the Complex Simple contains essential information to successfully take a complex subject and bring it to a level that will be welcomed by orthopedic residents, attendings, physical therapists, athletic trainers, medical students in training, and other health care providers.

Presenting recent advancements in research findings and the resulting new schools of thought on the physiology of human bone, this comprehensive reference examines information on dietary pattern and specific nutrients in bone health. Written by experts in the areas of nutrition, bone function, and medicine, chapters include research on a variety of bone-related topics including effects of vitamins, nutrients, and antioxidants; dietary requirements; physical exercise; bone hormones; lifestyle and effects through the life cycle; race and ethnicity; and prevention of bone diseases including osteopenia and osteoporosis.

This groundbreaking new text explains and documents the scientific basis of chronic pain in Joint Hypermobility Syndrome (JHS) and other heritable disorders of connective tissue from the physiological, epidemiological, genetic and clinical viewpoints. It asks the reader to consider the possibility of JHS, identify it clinically, understand its co-morbidities, including interdependencies with Fibromyalgia and Chronic Fatigue Syndrome, while managing the condition appropriately. Hypermobility, Fibromyalgia and Chronic Pain takes a multi-specialty and multidisciplinary approach to understanding JHS and its management, drawing together expertise from a broad group of internationally-recognized authors. The book is split into two sections. Section 1 deals with the clinical manifestations of JHS and Fibromyalgia, their epidemiology and pathophysiology. Section 2 covers clinical management. Here the reader will find chapters covering pharmacotherapeutics, psychotherapy and physical therapies that address the needs of patients from childhood to adulthood. It is hoped that Hypermobility, Fibromyalgia and Chronic Pain will advance knowledge of therapies and provoke further research while stimulating interest and encouraging debate. Comprehensively relates practical therapy to the nature of the underlying pathology Covers in one single text both the scientific and practical management aspect of Joint Hypermobility Syndrome and its allied pathologies Contributions from over 30 leading international experts Multidisciplinary approach will support all health professionals working in this field