LA WRENCE G. RAISZ, MD Division of Endocrinology and Metabolism, University of Connecticut Health Center. Farmington. CT The rapid transfer of new knowledge concerning the pathogenesis, diagnosis, preven tion, and treatment of disease into clinical practice has always been a major challenge in medicine. This challenge is particularly difficult to meet in osteoporosis, not only because has been so much new knowledge generated in recent years, but also because this there disorder has not caught the attention of many practicing physicians. The goal of this volume is to help primary care physicians develop a better understanding of osteoporosis and a more effective approach to diagnosis, prevention, and treatment. As primary care physicians become more and more responsible for the maintenance of health and the prevention of disease, osteoporosis must become one of their important concerns. The magnitude of the problem of osteoporosis has been widely publicized. Within the next 30 years, the cost of hip fractures alone is expected to exceed $40 billion a year in the United States and will be a major cause ofincreased mortality. In addition, vertebral crush fractures will cripple more and more of our elderly population, both men and women. This enormous toll is not inevitable. Current methods of identifying individuals at risk and applying preventive programs could reduce the incidence offractures by 50% or more. This should be the minimum goal of clinicians."

The case studies in this book use authentic injury assessment examples to help readers link theory and clinical practice with the goal of becoming competent clinicians. The situations are realistic and present more than 130 of the injuries that athletic trainers may encounter in the real world. The questions that accompany the cases ask readers to identify clinical and differential diagnoses, critique the evaluating clinician's actions, recommend treatment, comment on ethical choices, and make many of the decisions they will face in the field. The cases encourage readers to think and problem solve; evidence-based answers (for select cases in the text and for all cases in the instructor's manual) ensure that the recommended clinical decisions are based on the best available research, clinical expertise, and patient preferences rather than on anecdotal practice.

This book reviews the main topics in thromboprophylaxis around orthopedic surgery, from a general scope of the problems with the disease highlighting them in orthopedics to the new specific protocols involving, for example, new oral anticoagulants. The prevalence of the venous thromboembolism in each procedure (from "easy" to "hard" surgeries, with different rates of related thrombosis) and the risk factors to bear in mind in each one (related and non-related with the orthopedic procedure) are also revised. A chapter focus on the diagnosis and treatment of venous thromboembolism, which is commonly "forgotten" in many books addressed to orthopedic surgeons and anaesthesiologists. The methods for thromboprophylaxis have three specific chapters: the most common drugs used and recommended when pharmacological prophylaxis is needed, new drugs which are arising day by day and which management will be of main importance in a close near future, and mechanical methods, recommended both as additional when possible and for sole indications when the risk of bleeding could move us to minimize the real risk of thrombosis. Anaesthetic implications for thromboprophylaxis and, also, main implications of the application of antithrombotic protocols in the anaesthetic practice are covered by another chapter. In our opinion it was very important to divide the orthopedic procedures according to their own thrombotic risk, so having their own protocols for thromboprophylaxis: high risk, day surgery procedures and "special" surgical procedures are included in three different chapters, from three different authors with complementary views. Finally, in a last chapter, we review the problems involving the perioperatory management of antiaggregated and anticoagulated patients, with a special part in hip fracture surgery.

Covers the immediate assessment and management of common plastic and reconstructive surgery emergencies and referrals. A companion for junior doctors starting within plastic surgery, the Plastic Surgery for \Trauma provides succinct and clear presentation together with up to date guidelines on the common plastic surgery emergencies. With clear descriptions of difficult trauma scenarios, illustrated with numerous figures, and updated guidelines for each step of practice, this book will ensure that the reader can access all the information required to help gain confidence and experience .Be the readers passing through a plastic surgery rotation on their way to some other career goal or beginning within plastic surgery and keen to make a strong start with a view to progressing in the speciality, this book provides the support to allow rational and confident clinical decision making from the start. Essential reading for all non-specialists and trainees.

Nanotechnology-Enhanced Orthopedic Materials provides the latest information on the emergence and rapid development of nanotechnology and the ways it has impacted almost every aspect of biomedical engineering. This book provides readers with a comprehensive overview of the field, focusing on the fabrication and applications of these materials, presenting updated, practical, and systematic knowledge on the synthesis, processing, and modification of nanomaterials, along with the rationale and methodology of applying such materials for orthopedic purposes. Topics covered include a wide range of orthopedic material formulations, such as ceramics, metals, polymers, biomolecules, and self-assemblies. Final sections explore applications and future trends in nanotechnology-enhanced orthopedic materials.

Ensure optimal outcomes from each shoulder, elbow, and knee sports medicine surgery with the consistent, step-by-step approach offered in this comprehensive reference. Surgical Techniques of the Shoulder, Elbow, and Knee in Sports Medicine, 3rd Edition, covers both open and arthroscopic surgeries, providing the expert guidance you need on everything from patient positioning, anatomy, relevant biomechanics and the latest orthopaedic surgery techniques, through pearls and pitfalls and post-operative care. Contributing authors are renowned sports medicine surgeons who equip you with a global perspective on the most recent orthopaedic advances. Covers the latest open and arthroscopic techniques for both common and not-so-common sports medicine pathologies. Offers a comprehensive approach to each pathology including rehabilitation protocols and return-to-play criteria. Contains more than 15 new chapters: First-time Shoulder Dislocation, Ulnar Collateral Ligament Reconstruction (various techniques), Managing Bone Loss on the Humeral Head, Cartilage Allografts for the Treatment of Cartilage Lesions of the Knee, and many more. Provides up-to-date information on timely topics such as complex decision making for the patellofemoral joint, biologics and injection therapy for the management of osteoarthritis, and primary ACL repair techniques. Highlights step-by-step text with numerous high-quality illustrations, surgical photographs, and MRIs and radiographs. Includes access to an online surgical video collection covering Arthroscopic Rotator Cuff Repair: Double Row Techniques; Arthroscopic Repair of Multidirectional Instability of the Shoulder; Ulnar Collateral Ligament Repair and Reconstruction: DANE Technique; Double Bundle Anterior Cruciate Ligament Reconstruction; and Management of Proximal Tibiofibular Instability. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Musculoskeletal applications of tissue engineering will be among the first to achieve widespread clinical use, and the resulting shift in clinical and surgical paradigms will highlight the need for an authoritative text on tissue engineering for musculoskeletal tissues including nerve, bone, tendon, skin, vessels, and cartilage. This book will serve the needs of a large readership including plastic surgeons, orthopedic surgeons, medical residents and medical students, researchers and academic faculty in regenerative medicine and biomedical engineering, and medical device experts. This textbook will serve as the curriculum for undergraduate and graduate courses in biomedical engineering and surgery.

Notable contributors to this volume include Antonios G Mikos, PhD; Wei Liu, MD; Yilin Cao, MD; Mark Randolph, MAS; Jennifer Elisseeff, PhD; Geoffrey C Gurtner, MD; Michael T Longaker, MD; and James Chang, MD, all of whom are leaders in tissue engineering research and applications.

Up to date and evidence-based answers to a wide range of spinal surgical questions that could be asked in the FRCS (Tr & Orth) Viva exam. Using a clear, case-based structure key points emphasise the core information that will improve the performance of every surgical in training. Sections cover all the key areas of Trauma, Degenerative spinal pathology, Spinal cord injury, Spinal deformity, Primary bone tumours, Metastatic disease, Paediatric spinal surgery, Basic sciences, and other topics. Suitable for use by trainees at all levels in orthopaedic surgery and neurosurgery, both in the UK and internationally, and those with an interest in spinal surgery.

Sports Injuries of the Foot is the go-to text for the management and treatment of foot injuries in athletes, demonstrating the current state-of-the-art techniques in assessment, testing and treatment. Organized anatomically beginning with the toes and working down the foot, it covers such common athletic injuries as turf toe, bunions, MTP instability and mid foot and navicular fractures, all in the context of athletic activity. Attention is also given to special considerations for the adolescent and female athlete, with an eye toward return to play. Written by clinicians for clinicians, it will be an invaluable resource for orthopedists, podiatrists, team physicians, athletic trainers and primary care providers alike.

Here is the second, completely revised and updated edition of the successful practical guide to image-guided spine intervention. It contains revised text and images as well as new sections and chapters. The updated text thoroughly discusses both well-established and new interventions that are applied to the spine for the purpose of pain relief.

The idea of this book is very simple. Nowadays, there are many good, very comprehensive, "thick" books available on Elbow Surgery. Although they are useful to obtain discrete information about specific topics, they are too large to be a user friendly for a general orthopedic surgeon facing common elbow problems. The increasing interest among young surgeons on elbow problems is remarkable. It has been our experience throughout the years, teaching our residents and visitors, that there is a real demand for a less extensive book, easy to read, and with practical information about the most commonly encountered problems of the elbow. This text would be enough to understand the common elbow practice for a general orthopedic surgeon and a guide to learn basic elbow surgery during training. There is nothing like this available today. It will be strongly oriented to practice, and all the authors, well known internationally for their expertise on elbow surgery, will be homogeneous in their message.

Robotic spine surgery is one of the fastest growing segments of the spine surgery market. Surgeons specialising in spine surgery are highly motivated to learn and improve their understanding of the indications,application,and future clinical scope of using new technological platforms. Spinal surgeons face time pressures but are hungry for new ways to effectively treat patients. This book presents information in the case study format. By using examples of surgical cases of an advanced nature (e.g. spinal deformity, minimally invasive surgery, combinatorial technology using the robot) this will differ from other texts. Each case study is written by a well-respected expert in the field and represents that surgeon's most monumental case. Each case contains a concise patient history with indications, contraindications and insights to help the reader assimilate expert knowledge. The case studies examine both the unique and technical aspects of robotic planning and surgical execution, and include seminal bullet point sections: Key take away points; Tips and pearls to avoid pitfalls; and "how I could have done this better." This new text provides valuable and practical knowledge for spine surgeons and others involved in robotic surgery.

Robotic spine surgery is one of the fastest growing segments of the spine surgery market. Surgeons specialising in spine surgery are highly motivated to learn and improve their understanding of the indications,application,and future clinical scope of using new technological platforms. Spinal surgeons face time pressures but are hungry for new ways to effectively treat patients. This book presents information in the case study format. By using examples of surgical cases of an advanced nature (e.g. spinal deformity, minimally invasive surgery, combinatorial technology using the robot) this will differ from other texts. Each case study is written by a well-respected expert in the field and represents that surgeon's most monumental case. Each case contains a concise patient history with indications, contraindications and insights to help the reader assimilate expert knowledge. The case studies examine both the unique and technical aspects of robotic planning and surgical execution, and include seminal bullet point sections: Key take away points; Tips and pearls to avoid pitfalls; and "how I could have done this better." This new text provides valuable and practical knowledge for spine surgeons and others involved in robotic surgery.

Over the past three decades, the flexible intramedullary nailing (FIN) technique that originated in the University of Nancy in France has evolved to the point where it is becoming the gold standard for the treatment of many fractures in children. This comprehensive textbook on FIN is written by Pierre Lascombes and his colleagues from the University of Nancy and covers all its potential applications. The book is divided into three parts. The first part focuses on general considerations such as biomechanics, choice of implant, basic principles of surgical technique, and rehabilitation. The second part describes in detail the techniques developed for each particular fracture type with the aid of numerous high-quality illustrations. In the final part, a range of further indications for FIN in children are discussed. By clearly explaining the basic principles and various uses of FIN, this book will prove of value to both novice and experienced traumatologists and orthopedic surgeons.

The first medical reference textbook to compile an unprecedented synthesis of evidence for regenerative orthopedics by key opinion leaders Thirty-five authors address your clinical questions What emerging technologies are right for my clinical practice? How can I strengthen my patients before their orthopedic surgery? Practically speaking, how can I leverage the latest metabolic therapies to safeguard my patients from toxins, medications, food and chronic diseases known to adversely affect the musculoskeletal system? "Ask the Author" feature Would you like to discuss a patient with a particular author? Now you can do so at www.betterorthopedics.com. First to be second Did you notice this book is the first book in regenerative orthopedics to publish a second edition? This diverse author team leads the growing field of regenerative orthopedics and offers the broadest and in-depth approach to leveraging metabolic therapies. This book comprises the professional opinion of its authors. It does not claim to represent guidelines, recommendations, or the current standard of medical care.

Fundamentals of Frontline Surgery is an easy to read text, written by world class faculty, that provides clinicians with succinct and didactic information about what to do in high intensity, resource limited situations.With global conflicts and humanitarian emergencies on the rise, there has been a dramatic uptake in the number of volunteers for both military and humanitarian operations. This manual aids best practice and fast decision making in the field.

This book is a 'go-to' guide for postgraduate Orthopaedic examinations as well as for Orthopaedic surgeons for trauma and elective foot and ankle surgery. A streamlined approach ensures that the 22 core topics are covered in a succinct and practical way. Foot and ankle surgery is a vast topic that can be daunting to revise due to the complex and diverse nature of associated pathologies. This highly illustrated succinct text, together with key learning points ensures a rapid understanding of all the essential elements of foot and ankle surgery. * Provides 'need -to-know' information for Orthopaedic surgeons * Assists with exam preparation for postgraduate exit exams such as the FRCS (Trauma & Orth) * Simple, succinct and concise * Over 500 illustrations to aid learning * Accompanying website with MCQs and videos of clinical examination and surgical techniques Orthopaedic surgeons, registrars and trainees, other specialty doctors, general practioners and physiotherapists with musculoskeletal interest and podiatrists will all find here 'gold standard' answers to foot and ankle conditions.

Access the information you need to confidently diagnose and treat musculoskeletal disorders at a glance! With a "5-books-in-1" approach, this essential clinical reference provides up-to-date diagnostic and therapeutic information on over 200 orthopedic conditions in a bulleted, quick-reference format ideal for both students and practitioners. Content is written entirely by orthopedic physical therapists and is logically organized to promote accurate, efficient differential diagnosis and intervention. '5-books-in-1' format combines essential content on foundational knowledge, clinical reasoning, orthopedic pathologies, common clinical questions, and pharmacology all in one place for fast, efficient reference. UNIQUE: Expert insight and decision-making strategies for the rehabilitation of musculoskeletal pathologies help you apply sound clinical reasoning to determine the needs of patients with musculoskeletal disorders. UNIQUE: Succinct, bulleted text organizes information consistently for easy access. Clinician-oriented profiles cover 200 orthopedic pathologies with considerations specific to your needs in orthopedic rehabilitation practice. 51 drug class monographs detail indications, dosages, contraindications and physical therapy implications to help you better understand drug interactions and more effectively manage patients.

Optimizing Physical Performance During Fasting and Dietary Restriction examines the effects of sustained fasting and food restrictions on metabolism and physical performance in athletes. It provides broad coverage including both religious and non-religious fasting and dietary restrictions. This practical and evidence-based guide outlines recent findings from peer-reviewed literature as well as original experiments conducted by the authors, who are experts in the supervision of athletes during fasting. The book presents findings and information simply and clearly and also summarizes implications for athletes. Written in an accessible style, each chapter reviews 30 to 100 investigations and also includes relevant citations, teaching objectives, definitions of key terms, summary of key points, practical implications for athletes, and questions for discussion

It's always been said, "Children are not young adults," and the examination of a child needs to be conducted with emphasis on the physiologic differences in a growing child. Clinical Orthopedic Examination of a Child focuses on pediatric examination, a topic not much explored in the regular orthopedic texts. A child's difficulty in verbally expressing his symptoms needs to be kept in mind during the examination, thus the examining surgeon has to be very observant in picking up even minor details that could help in diagnosis. This book serves as an essential companion to orthopedic surgeons, general practitioners, and professionals as well as being a welcome addition in pediatric orthopedic clinics. Key Features Reviews an unexplored topic of Pediatric Orthopedic examination with comprehensive clarity Has an algorithmic approach with step-by-step descriptions, complete with illustrations Provides helpful tips and insights to orthopedic surgeons, professionals, and trainees for accurate diagnosis and treatment

Written by PAs for PAs, Orthopaedics for Physician Assistants, 2nd Edition, is the first and only orthopaedics text specifically designed for physician assistant practitioners and students. This comprehensive yet portable guide helps you master the essential knowledge that directly affects your patient care. Coauthors and physician assistants Sara Rynders and Jennifer Hart clearly present everything you need to know to manage orthopaedic issues in either a general practice or orthopaedic practice setting. Provides precisely the diagnostic and procedural information physician assistants need, covering orthopaedic physical examination and history taking, imaging interpretation and diagnosis, and treatment strategies for orthopaedic problems. Features brief, bulleted text, consistent headings in each chapter, an easy-to-follow outline format, and clear diagrams and images throughout. Demonstrates how to perform 14 key joint injections with online videos of elbow joint injection, knee joint injection, medial epicondyle injection, subacromial injection, digital block, and more. NEW to the 2nd Edition: ICD-10 codes to facilitate accurate coding and billing "Clinical Alert" boxes that highlight key information Quick-reference guide inside the front cover listing content by disorder name Concise review of common Orthopedic PANCE/PANRE topics Streamlined surgery content that focuses on need-to-know material A clearer, more direct writing style and updated content throughout, reflecting the most current research evidence and national and international guidelines Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

This book is a 'go-to' guide for postgraduate Orthopaedic examinations as well as for Orthopaedic surgeons for trauma and elective foot and ankle surgery. A streamlined approach ensures that the 22 core topics are covered in a succinct and practical way. Foot and ankle surgery is a vast topic that can be daunting to revise due to the complex and diverse nature of associated pathologies. This highly illustrated succinct text, together with key learning points ensures a rapid understanding of all the essential elements of foot and ankle surgery. * Provides 'need -to-know' information for Orthopaedic surgeons * Assists with exam preparation for postgraduate exit exams such as the FRCS (Trauma & Orth) * Simple, succinct and concise * Over 500 illustrations to aid learning * Accompanying website with MCQs and videos of clinical examination and surgical techniques Orthopaedic surgeons, registrars and trainees, other specialty doctors, general practioners and physiotherapists with musculoskeletal interest and podiatrists will all find here 'gold standard' answers to foot and ankle conditions.

The 10th edition of Coughlin and Mann's Surgery of the Foot and Ankle delivers state-of-the-art, comprehensive coverage of the full range of foot and ankle disorders in an easy-to-manage, two-volume format. Authoritative guidance on every major aspect of the treatment and management of foot and ankle disorders and diseases helps you achieve consistent, optimal outcomes for your patients. With content covering biomechanics, examination, diagnosis, non-operative and operative treatment, and post-operative management, you have all the guidance you need to take your knowledge and skills to the next level. Covers all key topics in foot and ankle surgery, including ankle reconstruction and total ankle arthroplasty, external/internal fixation, management of complex foot deformities, nerve disorders, arthroscopic techniques, postoperative protocols for all surgical techniques, and more. Provides expanded coverage of minimally invasive surgery, ankle arthroscopy, and biologics. Features a consistent, structured chapter layout across the two volumes for quick and easy reference. Offers access to revised online features, including streamlined, refreshed, and all-new video content-more than 120 videos in all. Contains updated images and design as well as revised pearls and key points boxes throughout. An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.

Key Features * Focuses on examination of hand and upper limb case. * Serves as an illustrated reference of clinical examination for trainees, graduates, post-graduates, and fellows. * Use of high-quality operative videos to demonstrate the clinical examination of various diseases of the Hand and upper limb.

Avascular Necrosis (AVN) is a disease resulting from temporary or permanent loss of blood supply. It frequently affects the femoral head and in this area, if left untreated, routinely causes premature joint destruction.

In the USA, 5 to 10% of cases of hip osteoarthritis requiring total hip replacement are primarily caused by AVN. In 33 to 72% of patients, the disease is bilateral. The peak incidence is between 30 and 60 years of age, and the social costs of this pathology are remarkable. There is therefore increasing interest in hip joint preserving techniques such as conservative treatment through electromagnetic fields and shockwaves as well as joint preserving surgical techniques. This volume aims to present a complete overview of the current knowledge on AVN including therapeutic options.