Many, if not most, of the recent improvements in trauma care in civilian practice have developed from military experience. The British Defence Medical Services have been recognised as providers of exemplary health care. Although there will is an emphasis on trauma, this book also captures lessons from internal medicine and infectious disease, ethics (for example dealing with detainees - a particularly controversial subject), human factors, mental health issues and rehabilitation.Military Medicine provides the evidence and context for these innovations, and its unique and important account will be of interest to both military and civilian practitioners alike.

Total joint arthroplasty is an effective surgical procedure for end-stage osteoarthritis of major joints with satisfactory long term clinical outcome. A large and growing number of arthroplasties are performed annually worldwide and a great number of orthopaedic surgeons are practicing arthroplasty surgery as their main surgical activity. The biological behavior of the bone-implant interface is crucial for the long term survival of the artificial joint. All factors which have a positive or negative effect on the interface are of great interest for those practicing arthroplasty surgery. Basic scientists and the industry are continuously searching for new implant fixation mechanisms and improved materials. There is an accumulation of a great amount of basic science data (both biological, material and mechanical) related to the incorporation or loosening of the bone-implant interface. However, basic science data does not always translate to satisfactory clinical application, and orthopaedic practitioners often wonder which piece of information is clinically useful. A further problem is that basic scientists often speak their own scientific language and may not fully appreciate common clinical practice needs. In this textbook the biological and mechanical mechanisms of implant incorporation and loosening will be presented. All new data concerning materials and methods for incorporation enhancement will be critically analyzed. Data useful for clinical application will be stressed. Orthopaedic Surgeons will find information which will improve their clinical practice and basic scientists will be helped to understand and appreciate clinical needs.

A comprehensive reference and practical guide on the technology and application of ultrasound to the musculoskeletal system. It is organized into two main sections. The first is devoted to general aspects, while the second provides a systematic overview of the applications of musculoskeletal ultrasound in different areas of the body. Ultrasound scans are correlated with drawings, photographs, images obtained using other modalities, and anatomic specimens. There is a generous complement of high-quality illustrations based on high-end equipment. This book will acquaint beginners with the basics of musculoskeletal ultrasound, while more advanced sonologists and sonographers will learn new skills, means of avoiding pitfalls, and ways of effectively relating the ultrasound study to the clinical background.

Part of the practical, highly illustrated Operative Techniques series, this fully revised book from Drs. Emil H. Schemitsch and Michael D. McKee brings you up to speed with must-know surgical techniques in today's technically demanding orthopaedic trauma surgery. Step-by-step, evidence-based guidance walks you through both common and unique cases you're likely to see in your practice, including upper extremity, lower extremity, spine, pelvis, and acetabulum trauma. Practical features such as pearls of wisdom, key points, and potential pitfalls detailed by the authors in order to successfully manage patients with complex fracture patterns have all been reinforced in this new edition. Includes all-new chapters on Acromioclavicular Joint Injuries, Sternoclavicular Joint Open Reduction and Internal Fixation, Intramedullary Fixation of Clavicle Shaft Fractures, Use of the Reamer Irrigator Aspirator (RIA) for Bone Graft Harvesting, Fractures of the Posterior Tibial Plateau, Reverse Total Shoulder Arthroplasty for Proximal Humerus Fractures, and many more. Features high-quality line drawings, diagnostic and intraoperative images, and radiographs alongside expert technical guidance on instrumentation, placement, step-by-step instructions and more - all supported by best evidence. Includes practical videos online to support visual understanding and implementation into practice. A bulleted, highly templated format allows for quick understanding of surgical techniques. Outlines positioning, exposures, instrumentation, and implants to equip you to be more thoroughly prepared for every procedure. Offers post-operative management guidelines and discussions of expected outcomes to help you avoid mistakes and offer quality, patient-focused care. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices.

The Use of Aquatics in Orthopedic and Sports Medicine Rehabilitation and Physical Conditioning is a definitive and scientifically based text on the use and application of aquatic methodologies in both rehabilitation and physical conditioning appropriate for the general population to the elite athlete. The Use of Aquatics in Orthopedic and Sports Medicine Rehabilitation and Physical Conditioning represents a new generation of rehabilitation that is informative enough to be injury and sports specific. Dr. Kevin E. Wilk and Dr. David M. Joyner, along with noted domestic and international leaders in the field, explore the aquatic techniques and principles detailed in the work, while presenting this scientifically based material in an understandable and user-friendly format. Ten chapters take the reader from the history of aquatic rehabilitation and progress to discuss all parameters of aquatic rehabilitation. Some chapter topics include: * History, theory, and applications of aquatic therapy * Pool selection, facility design, and engineering considerations * Rehabilitation for the upper and lower extremities and spine * Sports-specific training * Research evidence for the benefits of aquatic exercise * Appendices, including 4 specific protocols for various lesions and disorders The Use of Aquatics in Orthopedic and Sports Medicine Rehabilitation and Physical Conditioning represents a new era in the use and development of aquatic therapy in sports medicine rehabilitation and is perfect for physical therapists, athletic trainers, strength and conditioning coaches, personal trainers, and sports medicine professionals alike.

Main image shows the bones, muscles, ligaments, veins and arteries of the shoulder. Illustrates posterior, lateral, anterior and superior views of the shoulder anatomy, as well as the socket of a normal shoulder joint. Shows impingement syndrome, rotator cuff tear, trauma (such as proximal humeral fracture and acromioclavicular separation), and bicipital tendon problems. Also illustrates instability such as anterior dislocation of the humerus, Bankart lesion, and Hill Sachs formation. Size is 20 W by 26 H

In this significantly expanded "Alumni" edition, graduates of the Orthopaedic Trauma program at the University of Washington's renowned Harborview Medical Center provide succinct and novel tips and tricks gleaned from their years of professional practice. Focusing specifically on the technical aspects of fracture treatment, Harborview Illustrated Tips and Tricks in Fracture Surgery, Second Edition takes a unique issue/solution approach, offering up-to-date guidance you can apply quickly to a care situation with the full trauma team. New chapters touch on fractures of the femur, hardware removal, and navicular and cuboid fractures. Expanded with significantly more tips than the previous edition-all contributed by graduates of Harborview's Orthopaedic Trauma Fellow program. Features to-the-point instructions on the latest techniques to treat fractures of the neck, arm, wrist, ankle, foot, knee, and leg in a fast-paced trauma setting. Chock full of tables and annotated illustrations for a visual context to techniques and the underlying anatomy. Concise bulleted format and standardized organizational structure help you grasp critical material quickly. Topics cover required instruments, optimal patient positioning, imaging, hardware and implants, fixing and setting, and fracture reduction. Perfect for orthopaedic surgeons, trauma surgeons, and orthopaedic surgery residents learning to treat patients in a trauma setting. Enhance Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

A quick-reference handbook with more than 100 figures, charts, and images, Handbook of Musculoskeletal Tumors provides a wide-ranging overview of musculoskeletal tumors for the practicing clinician. From a pathological fracture in the emergency department to a soft tissue tumor in the clinic, musculoskeletal tumors present in clinical practice yet receive minimal exposure in training. Edited by Drs. Matthew T. Wallace and Frank J. Frassica, Handbook of Musculoskeletal Tumors provides readers with concise recommendations for their encounters with diseases including: Latent bone lesions and active and aggressive benign bone lesions Osteosarcoma, Ewing sarcoma, and primary lymphoma of bone Myeloma and metastatic bone disease, chondrosarcoma, osteochondroma, multiple hereditary exostoses, Ollier disease, and Mafucci syndrome Benign soft tissue tumors, including lipomatous tumors, nerve sheath tumors, and myxoid, fibrous, and vascular lesions Soft tissue sarcomas, including undifferentiated pleomorphic sarcoma, liposarcomas, synovial sarcoma, rhabdomyosarcoma, and epithelioid sarcoma Anatomic-specific considerations, including intra-articular lesions and hand, foot, and spine tumors Written for primary care providers, practicing orthopedists and surgeons, residents and students in training, physician assistants, and nurses and nurse practitioners, Handbook of Musculoskeletal Tumors is a practical guide to help practitioners recognize and diagnose suspicious lesions, order appropriate testing, and facilitate prompt referrals to trained musculoskeletal oncologists when appropriate for additional management.

With a concise, expert focus on one of today's hottest topics in shoulder surgery, Disorders of the Rotator Cuff and Biceps Tendon provides thorough, up-to-date coverage of all aspects of this fast-changing area. This unique volume covers everything from physical examination and imaging workup to state-of-the-art treatment methodologies and clinical indications for operative techniques. Designed with the clinician in mind, it offers a comprehensive, well-illustrated approach in an easy-to-read format, supplemented by surgical videos created by leaders in the field. Expert contributing authors describe every procedural step in a logical, methodical manner, offering clinical and technical pearls from personal experience. Surgical techniques are written with the general orthopaedist in mind and include an emphasis on transitioning to all-arthroscopic techniques. Coverage includes non-operative care, including an emphasis on rotator cuff and proximal biceps rehabilitation techniques, injections, and modalities. Expert discussions include advanced arthroscopic rotator cuff repair techniques, revision surgery, and arthroplasty (hemiarthroplasty, total shoulder, and reverse shoulder arthroplasty) for failed cuff repair. Unique! Includes salvage reconstruction techniques including tendon transfers, biologic patches, and emerging technologies. More than 1100 high-quality illustrations include both original artwork and clinical photographs that accurately depict important aspects of each procedure for surgical management. Before each surgical technique, quick-reference text boxes in bulleted format present guidelines for arriving at the associated diagnosis. Ideal for orthopaedic surgeons, fellows, residents, and students in orthopaedic surgery as well as physical therapists, physician assistants and athletic trainers. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices.

The ACL or anterior cruciate ligament is the most important ligament in the knee. When it is completely torn, it can lead to instability or buckling of the knee. There are several options to choose from when selecting a graft for ACL reconstruction such as using autografts including patellar tendon, hamstring tendon, and quadriceps tendon, and allografts (also known as donor tissue or cadaver tissue). Artificial ligaments are also discussed since they are still used in Europe and Asia. This book summarizes the pros and cons of each graft option in detail.

Die richtige Lagerung des Patienten ist im Rahmen der Operationsvorbereitung ein ganz entscheidender Faktor, der nicht zuletzt auch fur den Erfolg einer Operation verantwortlich ist. Lagerungsschaden - Folgen einer falschen Lagerung - fuhren nicht selten zu Regressanspruchen und Arzthaftungsprozessen. In diesem Buch beschreibt ein erfahrener OP-Pfleger die Lagerungen, wie sie fur die haufigsten Eingriffe in der Unfallchirurgie und Orthopadie benoetigt werden. Die ubersichtliche Gliederung, der einheitliche Aufbau und die anschauliche Darstellung jeder Lagerung in speziell bearbeiteten Fotos ermoeglichen sowohl die intensive Beschaftigung mit den Lagerunstechniken als auch den schnellen Zugriff kurz vor der Operation. Eine praxisbezogene Arbeitsanleitung - eine wertvolle Hilfe im Operationsalltag.

A longtime standard for military healthcare personnel, the second edition of Military Advanced Regional Anesthesia and Analgesia Handbook (MARAA) has been thoroughly revised and updated. Although the MARAA handbook initially gained its reputation as a useful resource for managing pain associated with battlefield trauma, its beautifully illustrated step-by-step guidance provides pertinent and practical guidance for managing vital acute pain services in all civilian and military clinical settings. Opening chapters review equipment, local anesthesia and additives, and physics of ultrasound and nerve stimulation. Much of the book is devoted to step-by-step guidance on performing various regional anesthesia nerve blocks organized by pertinent neuroanatomy, use of nerve stimulation, and use of ultrasound. The concluding group of chapters discusses organization of the acute pain service and staff, a review of multidisciplinary care, basics of pediatric regional anesthesia, first-aid acupuncture, and more.

Point of Care Ultrasound Made Easy (POCUSME) is an exciting and innovative book that aims to teach all healthcare professionals how to do simple and clinically relevant ultrasound scanning at the point of care. This book will help you solve clinical problems at the bedside across a range of specialty areas, including: trauma, emergency medicine, respiratory medicine, cardiology, general surgery, otolaryngology and vascular surgery. Straightforward and practical, and designed for clinicians who are generally unfamiliar with ultrasound scanning, it will make a positive difference to your clinical practice, and help improve the delivery of optimised patient care. So read the book, grab an ultrasound machine, and please embrace the Point of Care Ultrasound movement!

Proper ultrasound examination and interpretation hinges on thorough knowledge of the relevant anatomy, artifacts, and technique. This book provides an excellent foundation by going beyond pathology and concentrating on these fundamentals. Basic physics and artifact recognition and prevention are outlined. Chapters review essential anatomy and include images and tables that highlight relevant bones, ligaments, tendons, muscles, and nerves. Sites of attachment and the best positions for examination are also noted.Technique is presented via a three-tiered approach and photographs of patients in the transducer position are matched with the resulting ultrasound images and complementary anatomical overlays. The accompanying DVD offers ultrasound technique as performed by experienced radiologists and clinicians. Procedures are detailed with a split screen showing the examination and the corresponding ultrasound image. The dynamic presentation is of value to those just learning the modality as well as physicians wanting to review anatomy and fine-tune their skills.

Written by experts in the field, Patellar Instability and Dislocation: Classification and Operative Techniques is a comprehensive, authoritative review of the procedures used to address this challenging condition. Includes step-by-step procedures, both in print and on video, to guide you through today's most effective approaches to stabilization and reconstruction, trochleoplasty, limb realignment osteotomy, and much more. Provides an overview of treatments based on classifications of patellar instability, including anatomical, biomechanical, and surgical considerations. Features procedures for proximal realignment and distal realignment; trochleoplasty techniques; chondral and osteochondral lesions with patellar instability; techniques to address patellar instability in skeletally immature patients; limb realignment osteotomies and patellar instability; and how to address complications. Offers expert coverage of each procedure both in print and video format. Includes discussions of surgical anatomy, indications and contraindications, evaluation, surgical management, pearls and pitfalls, preoperative and postoperative protocols, and outcomes. Enhance Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Die endoprothetischen Verfahren entwickelten sich im Laufe der letzten Jahre standig weiter. Inzwischen ist, vergleichbar dem Einsatz von Huftprothesen, auch der kunstliche Kniegelenksersatz sprunghaft angestiegen und wird mittlerweile in orthopadischen und chirurgischen Kliniken als Standardeingriff durchgefuhrt. Implantate, Instrumentarium und Operationstechniken werden standig verbessert, die Indikationsstellung zur Operation erweitert, so dass zunehmend auch jungere Patienten endoprothetisch versorgt werden. Bei der ansteigenden Zahl der Eingriffe bleiben Komplikationen wie Implantatslockerung, Patellaprobleme und Infektionen nicht aus, wodurch vermehrt Revisionseingriffe notwendig werden. Problemlosungen aus der Praxis fur die Praxis, erarbeitet von Spezialisten aus 14 Landern im Rahmen des Zweiten Internationalen Kniesymposiums in Strassburg."

Diagnose und Therapie von Huftreifungsstoerungen gehoeren zu den wesentlichen Aufgaben des Orthopaden. Die Entwicklung der Sonographie erlaubt mittlerweile eine so fruhzeitige Diagnosestellung, dass eine entsprechende Behandlung sofort eingeleitet werden kann. Konservative und operative Therapiemoeglichkeiten werden ausfuhrlich beschrieben, Behandlungskonzepte fur verschiedene Altersstufen vorgestellt. Eine aktuelle Darstellung des Themenkomplexes - gleichermassen geeignet fur die Arbeit in Klinik und Praxis.

The need for a comprehensive resource with easy-to-find information has increased with the addition of nine new syndromes. Tunnel Syndromes: Peripheral Nerve Compression Syndromes provides a quick overview of tunnel syndromes including the definition, anatomy, etiology, clinical signs and symptoms, and treatment. It presents a total of 50 tunnel syndromes. Following the tradition of the first two editions, this resource continues to probe the origins of tunnel syndromes and to propose probable causes that lead to them.

All existing chapters have been updated and new chapters have been added including:
o Spinal accessory nerve syndrome
o Intercostobrachial nerve syndrome
o Notalgia paresthetica
o Medial antebrachial cutaneous nerve syndrome
o Distal posterior interosseous nerve syndrome
o Medial superior cluneal nerve syndrome
o Pudendus nerve syndrome
o Lateral plantar nerve syndrome
o Medial plantar nerve syndrome

New in this Edition:

o New syndromes of clinical importance
o Improved illustrations, including new magnetic resonance images
o Twenty-seven new drawings (graphic designs) and twenty new photos
o Updated references with a total of more than 1,650 citations

Derived in part from the iconic Surgical Exposures in Orthopaedics: The Anatomic Approach, the fully revised second edition of Surgical Exposures in Foot and Ankle Surgery: The Anatomic Approach provides a clear view of orthopaedic anatomy from the surgeon's perspective using easy-to-follow descriptions and more than 300 superb, full-color illustrations. Co-authored by Dr. Richard Buckley and Piet de Boer, this edition carries on the legacy of Dr. Stanley Hoppenfeld (1934-2020), offering unique, time-tested coverage of orthopaedic approaches to the ankle, the hindfoot, the midfoot, and the forefoot. New approaches, descriptions, and high-quality illustrations make this an ideal resource for both orthopaedic surgeons and podiatrists. Details the techniques and pitfalls of a surgical approach, gives a clear preview of anatomic landmarks and incisions, and highlights potential dangers of superficial and deep dissection Includes descriptions of how to enlarge the approach and the regional anatomy encountered during the approach Contains more than 300 full-color illustrations drawn from the surgeon's perspective Provides updated and expanded content throughout, especially for the ankle and midfoot, including new approaches to the talus, cuboid, navicular, and Lisfranc joints Features new biomechanical diagrams and revised and expanded sections on anatomy Enrich Your eBook Reading Experience Read directly on your preferred device(s),such as computer, tablet, or smartphone. Easily convert to audiobook,powering your content with natural language text-to-speech.

This book is based on presentations and discussions of a group of world-renowned experts during a symposium "International Cerebral Palsy Function & Mobility Symposium: Improving Quality of Life for Individuals with Cerebral Palsy through Treatment of Gait Impairment" which was held in Banff, Canada, in December 2019. Clinicians and scientists are paired to discuss the current state of knowledge, working at the border of what we know and what we don't, to advance the care of those with gait impairment due to cerebral palsy. Using authors with different focus, points of view, and ways of thinking, to help establish a framework to guide research efforts for the next five years and to ensure that progress continues to be made to improve the quality of life for those with gait impairments. Disparate topics are unified by a common format of bulleted key points and objectives at the beginning of each chapter and research goals at the end to make the results more rapidly accessible. Focus on gait and mobility in a clear, well-structured format. Enhances debate and exploration of issues. Challenges long-held assumptions to explore the current state of research, testing, and treatment and help direct it meaningfully. The disparate topics are unified by a common format of bulleted key points and objectives at the beginning of each chapter and research goals at the end to make the results more rapidly accessible. Presents objective, but also expert opinion, on how future research could be best directed. Patient goals need more attention, outcomes have stagnated, the details of the underlying neurological impairments are still a mystery, and strong evidence for what we do is desperately needed.

Der Arzt, der orthopadische Schuhe verordnet und der orthopadische Schuhmacher, der sie herstellt - beide mussen ein Spezialwissen mitbringen, das nur bedingt in der jeweiligen Ausbildung vermittelt wird und zum grossen Teil auf einer langjahrigen Erfahrung beruht. - Wie ist ein orthopadischer Schuh gebaut - Welche orthopadischen Elemente gibt es und wie werden sie eingesetzt - Wann wird ein orthopadischer Schuh verordnet und wie muss das Rezept dafur ausgestellt sein - Worauf muss bei der Abnahme des orthopadischen Schuhes durch den Arzt geachtet werden? Fragen und Probleme, auf die der Autor aus seiner langjahrigen Erfahrung Antwort gibt. Rezeptbeispiele helfen dem Orthopaden, das orthopadische Schuhwerk so zu rezeptieren, dass der orthopadische Schuhmacher die Vorstellung des Arztes handwerklich umsetzen kann."

This popular and practical book is a comprehensive guide to diagnosing joint conditions and the benefits, and potential pitfalls, of steroid injections, an important tool in managing these problems used by an increasing range of practitioners. It considers all the practical aspects of injection as well as providing general information, discussing medico-legal issues and highlighting clinical errors to avoid. This sixth edition has been completely revised and expanded. Key features include: two new chapters on the evidence base and inflammatory arthropathy updated physiotherapy assessment and treatment options now incorporated within the chapters on joint injections full-colour photographs and additional explanatory illustrations The book describes, step-by-step, the required skills for each procedure, providing every practitioner with the knowledge needed to inject with confidence.

Kindliches Rheuma ist eine haufige Erkrankung, die von vielen Arzten und Patienten bis dato zu wenig beachtet wurde. Dieses Buch bietet erstmalig betroffenen Familien einen umfassenden Uberblick zu dem Formenkreis der rheumatischen Erkrankungen im Kindes- und Jugendalter. Die unterschiedliche Symptomatik, der Weg zur Diagnose und verschiedene Therapieansatze werden ausfuhrlich behandelt. Ebenso werden wichtige Begriffe, wie etwa chronische Entzundung, Arthritis, Autoimmunsystem fachmannisch und verstandlich erklart. Ein Hauptaugenmerk liegt auf den verschiedenen Therapiemoglichkeiten, deren Anwendbarkeit und Erfolgsaussichten. Neben der medikamentosen Therapie werden physio- und ergotherapeutische Methoden prasentiert. Anleitungen zur Selbsthilfe sowie ein Serviceteil mit nutzlichen Adressen komplettieren diesen Ratgeber. Auch behandelnde Arzte erfahren Wissenswertes uber dieses Krankheitsbild um ihre jungen Patienten optimal zu betreuen und behandeln."

"The Manual of Trigger Point and Myofascial Therapy" offers the reader a comprehensive therapeutic approach for the evaluation and treatment of Myofascial pain and musculoskeletal dysfunction. This user-friendly manual will serve as a quick reference for clinically relevant items that pertain to the identification and management of trigger points.

The first section of the book covers the theory and current research regarding the Myofascial Trigger Point Syndrome. The research is the most current and up-to-date available on the pathogenesis of Myofascial dysfunction, clinical symptoms, physical findings as well as diagnostic criteria. Treatment methods and techniques are also covered in a comprehensive and step-by-step format.

The second section includes the most important muscles that tend to have a higher incidence of the Myofascial involvement. Each muscle is supplemented by two pages of text and illustrations to better aid the student or clinician in an institutional or practicing setting. The muscle page contains a plethora of information for the reader including muscle origin, insertion, location of trigger points, referenced pain patterns, myofascial stretching exercises, positive stretch signs, and biomechanics of injury. Extensive full-color illustrations and pictures include treatment techniques, therapeutic interventions and patient home exercise programs.

This innovative and concise new clinical reference guide is perfect for the student learning about the diagnosis and treatment of the Myofascial Trigger Point Syndrome or therapist interested learning or applying this successful and effective method of treatment.

The field of rheumatology has undergone numerous exciting advances in recent years, especially the development of biological drugs with novel targets, made possible by rapid advances in the basic science of musculoskeletal diseases together with improved imaging techniques. This thoroughly revised fourth edition of the Oxford Textbook of Rheumatology reflects the changing face of the specialty and the many recent advances in the science, treatment, and understanding of rheumatic diseases. The focus of this comprehensive reference work is the presentation and management of rheumatic conditions at all ages. Where relevant, treatment approaches are evidence-based and cross-referenced to national and international guidelines. Each clinical chapter provides up-to-date treatment advice illustrated with clinical vignettes as appropriate, and the authors consistently emphasize the overlap of rheumatology with other disciplines. With full colour illustrations throughout and a complementary online version, the Oxford Textbook of Rheumatology, Fourth Edition is an essential reference for all trainees and specialists in the field.