Se Won Lee

Musculoskeletal Injuries and Conditions (eBook, ePUB)

Assessment and Management

• Format: ePub

Produktbeschreibung

Musculoskeletal Injuries and Conditions: Assessment and Management is a practical guide to diagnosis and treatment of musculoskeletal conditions in clinical practice. More comprehensive than a handbook, yet more clinically-focused than a desk reference, this volume is a one-stop guide for clinicians who deal with musculoskeletal disorders and injuries in the practice setting.

The book is organized by anatomic region, from neck to toe, and written in outline format. Each chapter concisely presents the basic knowledge that every practitioner needs to have at the ready in the outpatient clinical context. Taking a uniform approach based on isolating symptoms and the location of the pain, the book presents a uniquely practical template for non-operative management of a broad spectrum of musculoskeletal problems. All chapters include epidemiology, anatomy, biomechanics, physical examination, diagnostic studies, and treatment. Flowcharts for differential diagnosis and initial management are provided for chief complaints. Helpful tables, lists, and over 150 anatomic illustrations supplement the text throughout. Given the increasing importance of ultrasound in clinical decision-making at the point of care, a mini-atlas of normal and abnormal findings for common injuries is presented as part of the imaging work-up.

Designed to help busy practitioners diagnose and treat musculoskeletal disorders in the clinic or office, this book is an essential resource for physicians in rehabilitation and sports medicine, primary care, orthopedics, and other healthcare professionals who work in outpatient settings.

Key Features:

• Provides a consistent approach to managing common musculoskeletal conditions based on location of pain
• Bulleted format and clear heading structure make it easy to find information
• More than 30 flowcharts map out differential diagnosis, diagnostic approach, and initial management strategy for each complaint
• Packed with useful tables, lists, and over 150 illustrations of surface anatomy
• Integrates musculoskeletal ultrasound into the imaging workup, with over 40 normal and abnormal scans to aid in recognizing signature pathologies at the point of care
• Purchase includes free access to the fully-searchable downloadable e-book with image bank

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Produktdetails

• Verlag: Springer Publishing Company
• Seitenzahl: 488
• Erscheinungstermin: 28. November 2016
• Englisch
• ISBN-13: 9781617052750
• Artikelnr.: 47137778

Autorenporträt

Se Won Lee, MD, Assistant Professor, Department of Rehabilitation Medicine, Albert Einstein College of Medicine; Director of Electrodiagnostic Laboratory and Sports Medicine Fellowship Director, Montefiore Medical Center/Albert Einstein College of Medicine; Bronx, NY

Inhaltsangabe

Contents
Abbreviations
Preface
Acknowledgments
1. APPROACH TO THE PATIENT WITH A MUSCULOSKELETAL PROBLEM
History and Physical Examination
Chief Complaint
Neurological Impairment
Other History
Past Medical History (Limited to MSK Problems)
Review of Systems
Other MSK Symptoms
Physical Examination
Provocative Test
Clinically Oriented Anatomy
Tendon and Ligament
Muscle and Fascia
Bursa
Bone and Joint
Nervous System
Biomechanics
Introduction
Clinical Application
Gait Cycle
Gait Dysfunction
Workup
MSK Imaging
Radiographs
Advanced Imaging
Scanning Protocol Modified From AIUM Protocol
Other Workup: Laboratory Investigation
Treatment
Patient Education
Pharmacologic Management
Local Intervention
Physical and Occupational Therapy
Orthoses
Treatment Based on Different Anatomical Pathologies
References
2. NECK
Epidemiology of Neck Pain
Neck Pain in the General Population
Neck Pain in Athletes
Neck Pain at Work
Differential Diagnosis
Unusual Causes of Neck Pain
Neurological Symptoms Associated With Neck Pain
Anatomy
Regional Anatomy
Spine Complex (Bone and Joint)
Ligament
Nerve: Root and Plexus
Muscle
Fascia
Blood Supply
Biomechanics
Physical Examination
Inspection
Palpation
Neurologic Examination and Special Examination
Diagnostic Studies
Plain Radiographs
MRI
Point-of-Care Ultrasonagraphy
CT Scan
Electromyography (EMG)
Treatment
Nonoperative Management
Surgery
Nerve and Spinal Cord Pathology
Cervical Radiculopathy
Noncompressive Radiculopathy
C5 (Nerve Root) Palsy
Greater Occipital Neuralgia
Supraclavicular Nerve Entrapment Syndrome
Cervical Myelopathy
Cervical Cord Neurapraxia
Ossification of Posterior Longitudinal Ligament (OPLL)
Syringomyelia
Chiari Malformation
Drop Head Syndrome
Bone and Joint Pathology
Cervical Facet Pathology
Whiplash-Associated Injury
Degenerative Disc Disease
Rheumatoid Arthritis
Cervical Spine Disorder in Down Syndrome
Klippel–Feil Anomaly
Fracture
Metastatic Cervical Spine Tumor
Muscle and Ligament Pathology
Cervical Strain/Sprain
Myofascial Pain Syndrome
References
3. SHOULDER
Epidemiology of Shoulder Pain
Shoulder Pain in the General Population
Shoulder Pain in Athletes
Shoulder Pain at Work
Differential Diagnosis
Musculoskeletal (MSK) Causes of Shoulder Pain Based on Location
Neuropathic Causes of Shoulder Pain
Extrinsic Causes of Shoulder Pain
Neurological Symptoms
Snapping Shoulder
Shoulder Instability
Anatomy
Bone, Joint, and Ligament
Nerve
Bursa
Muscle
Biomechanics
Shoulder Movement
Subacromial Impingement
Subcoracoid Impingement: Roller Wringer Effect
Suprascapular Nerve Traction With Scapula Position
Biomechanics of Throwing
Shoulder Stability
Physical Examination
Inspection
Palpation
Range of Motion
Strength of Rotator Cuff Muscles
Special Tests
Diagnostic Studies
Plain Radiographs
Point-of-Care Ultrasonography
MRI/MRA
CT Scan
Treatment
Nonoperative Management
Surgery
Tendon and Bursa Pathology
Impingement Syndrome
Rotator Cuff Tendinopathy and Tear
Calcific Tendinopathy
Biceps Long-Head Tendon Pathologies
Pectoralis Muscle Strain and Tear
Joint and Bone Pathology
AC Joint Sprain and Injury
AC Osteoarthritis
Distal Clavicle Osteolysis
Glenohumeral Joint Pathologies
Shoulder Osteoarthritis
Shoulder Instability
Multidirectional Instability
SLAP (Superior Labral Anteroposterior) Lesion
Bennett Lesion
Rheumatologic Disease
Infectious Pathology
Osteonecrosis of the Humeral Head
Little League Shoulder
Sternoclavicular (SC) Sprain/Injury
SC Osteoarthritis
Fracture
Neuropathy and Vascular Dysfunction
Brachial Amyotrophy (Parsonage Turner Syndrome)
Cervical Radiculopathy
Stinger Syndrome (Burner)
Thoracic Outlet Syndrome (TOS)
Effort Thrombosis (Paget–Schroetter Syndrome)
Axillary Artery Occlusion
Suprascapular Neuropathy
Quadrilateral Space Syndrome
References
4. ELBOW
Epidemiology of Elbow Pain
Elbow Pain in the General Population
Elbow Pain in Athletes
Elbow Pain at Work
Differential Diagnosis
Elbow Instability
Snapping Elbow
Stiffness
Anatomy
Bone and Joint
Ligament
Nerve
Muscle
Biomechanics
Kinetic and Kinematics
Elbow Stability
Elbow Function in ADL
Physical Examination
Inspection
Palpation
Range of Motion
Special Tests
Diagnostic Studies
Plain Radiographs
Point-of-Care Ultrasonography
MRI/MRA
CT Scan
Treatment
Nonoperative Management
Surgery
Tendon, Ligament, and Bursa Pathology
Lateral Epicondylitis
Lateral Collateral Ligament Sprain
Medial Epicondylitis
Little League Elbow
Ulnar Collateral Ligament (UCL) Injury
Valgus Extension Overload Syndrome (Posteromedial Impingement)
Distal Biceps Tendinopathy/Tear
Bicipitoradial Bursitis
Triceps Tendinopathy and Tear
Olecranon Bursitis
Bone and Joint Pathology
Osteoarthritis
Osteochondritis Dissecans of the Elbow (Capitellum)
Posterior Impingement of the Elbow
Rheumatoid Arthritis
Myositis Ossificans
Fracture
Elbow Dislocation
Neuropathy
Ulnar Neuropathy
Radial Tunnel Syndrome
Posterior Antebrachial Cutaneous Neuropathy
Median Neuropathy at Elbow
Other Nerves
References
5. WRIST AND HAND
Epidemiology of Wrist and Hand Pain
Wrist and Hand Pain in the General Population
Wrist and Hand Pain in Athletes
Wrist and Hand Pain at Work
Differential Diagnosis
MSK Causes of Wrist and Hand Pain Based on Location
Neuropathic Causes of Wrist and Hand Pain
Differential Diagnosis of Finger/Wrist Drop
Snapping
Anatomy
Bone, Joint, and Ligament
Nerve
Muscle
No Man’s Land
Biomechanics
Forearm Movement and RU Joint
ROM of Wrist and Hand
Proximal Carpal Movements
Wrist Stability
Biomechanics of Hand
Physical Examination
Inspection
Palpation
Special Tests of Wrist and Hand
Special Examination of Hand (Finger)
Diagnostic Studies
Plain Radiographs
Point-of-Care Ultrasonography
MRI/MRA
CT Scan
Electromyography (EMG)
Treatment
Nonoperative Management
Surgery
Tendon and Ligament Pathology
Wrist Extensor Tendon Disorders
Wrist Flexor Tendon Disorders
Trigger Fingers
Retinacular Cyst
Dupuytren’s Disease
Gamekeeper’s (Skier’s) Thumb and Stener’s Lesion
Finger Sprain and Strain
Volar Plate Injury
Central Slip Extensor Injury
Nerve Entrapment Syndrome
Carpal Tunnel Syndrome (CTS)
Anterior Interosseous Neuropathy
Ulnar Neuropathy at Wrist
Superficial Radial Neuropathy
Bone and Joint Pathology
First Carpometacarpal (CMC) Osteoarthritis (Trapeziometacarpal)
Osteoarthritis of the Wrist
Pisotriquetral (PT) Arthritis/Instability
Rheumatoid Arthritis of the Wrist and Hand
Ligament Sprain and Instability
Ganglion Cyst
Carpal Boss
Tumor
Fracture
Other Pathology
Hypothenar Hammer Syndrome
References
6. BACK
Epidemiology of Back Pain
Back Pain in the General Population
Back Pain in Children
Back Pain in Athletes
Back Pain at Work
Differential Diagnosis
Working Definition of Low Back
Differential Diagnosis Based on Mode of Onset
Classification and Differential Diagnosis of Spine Deformity
Differential Diagnosis of Severe Back Spasm
Differential Diagnoses of Bowel and Bladder Dysfunction Related to Spine
Pathologies
Differential Diagnosis of Chest Wall Pain
Differential Diagnosis of Buttock Pain
Anatomy
Bone and Joint
Nerve
Artery
Muscle
Biomechanics
Lumbar Spine Biomechanics
Physical Examination
Inspection
Palpation
Neurological and Other Examination
Red Flags
Diagnostic Studies
Plain Radiographs
CT Scan
MRI
Serologic Tests
Electromyography (EMG)
Treatment
Nonoperative Management
Surgery
Back Pain
Nerve and Spinal Cord Pathology
Bone and Joint Pathology
Muscle and Ligament Pathology
Chest Wall Pain
Bone and Joint Pathology
Nerve Pathologies
Muscle Strain
Buttock Pain
Bone and Joint Pathology
Tendon and Bursa Pathology
Ischiogluteal Bursitis
Neuropathy
Miscellaneous Pathology
References
7. HIP AND THIGH
Epidemiology of Hip Pain
Hip Pain in the General Population
Hip Pain in Children
Hip Pain in Athletes
Hip Pain at Work
Differential Diagnosis
Differential Diagnosis of Hip Pain Based on Location
Snapping Hip (Coxa Saltans)
Differential Diagnosis of Groin Mass
Differential Diagnosis of Hip Instability
Anatomy
Bone and Joint
Ligament
Nerve
Muscle
Biomechanics
Kinematic and Kinetic
Hip Stability
Physical Examination
Inspection
Palpation
Range of Motion
Special Examination
Diagnostic Studies
Plain Radiographs
Point-of-Care Ultrasonography
MRI/MRA
Treatment
Nonoperative Management
Surgery
Joint and Bone Pathology
OA of Hip
Labral Tear
Femoroacetabular Impingement
Avascular Necrosis of Hip
Stress Fracture
Osteitis Pubis
Avulsion Fracture and Apophyseal Injuries
Hip Pointer
Hip Dislocation
Tumor or Tumorlike Lesion
Bursitis and Tendinopathy
Lateral Hip
Groin
Neuropathy
Lateral Femoral Cutaneous Nerve
Anterior Femoral Cutaneous Neuralgia
Obturator Neuropathy
Border Nerve Syndrome (Ilioinguinal, Iliohypogastric, and Genitofemoral
Nerves)
Posterior Femoral Cutaneous Neuropathy
Other Pathology
Myositis Ossificans
Transient Osteoporosis
Pediatric Hip Pathology
Individual Conditions
Transient Synovitis or Irritable Hip
References
8. KNEE
Epidemiology of Knee Pain
Knee Pain in the General Population
Knee Pain in Athletes
Knee Pain at Work
Differential Diagnosis
MSK (Musculoskeletal) Causes of Knee Pain Based on Location
Neuropathic Causes of Knee and Leg Pain
Differential Diagnosis of Knee Swelling
Differential Diagnosis of Subjective Knee Instability
Differential Diagnosis of Painful Knee Snapping
Anatomy
Bone and Joint
Ligament and Meniscus
Nerve
Biomechanics
Kinematic and Kinetic
Knee Stability
Physical Examination
Inspection
Palpation
Range of Motion
Special Examination
Diagnostic Studies
Plain Radiographs
Point-of-Care Ultrasonography
MRI
MR and CT Arthrography
Management
Nonoperative Management
Surgery
Intra-Articular Structures
Bone and Joint Pathology
Inflammatory Arthropathy
Osteochondritis Dissecans
Spontaneous Osteonecrosis of the Knee
Proximal Tibiofibular Sprain and Instability
Meniscus Pathology
Ligament Injury
Plica Syndrome
Extra-Articular Structures (Bursa, Tendon, Ligament Pathology)
Medial Knee Pathology
Lateral Knee Pathology
Anterior Knee Pathology
Posterior Knee Pathology
Neuropathy
Saphenous Neuropathy; Gonalgia Paresthetica
Peroneal Neuropathy
References
9. LEG
Epidemiology of Leg Pain
Leg Pain in the General Population
Leg Pain in Athletes
Differential Diagnosis
Differential Diagnoses Based on Location of Pain
Differential Diagnosis of Calf Pain and Cramps
Differential Diagnosis of Leg Swelling
Differential Diagnosis of Atrophy and Pseudohypertrophy
Differential Diagnosis of Common Tibial Deformity
Other History to Ask
Anatomy
Cross-Sectional Anatomy
Bones
Muscles
Physical Examination
Inspection
Palpation
Neurological Examination
Evaluation of Foot for Pes Planus (Overpronation) and Pes Cavus (With
Supination)
Diagnostic Studies
Plain Radiographs
MRI
Point-of-Care Ultrasonography (US)
CT Scan
Vascular Study and Other Tests
Treatment
Nonoperative Management
Musculoskeletal Pathology
Medial Tibial Stress Syndrome
Chronic Exertional Compartment Syndrome (CECS)
Stress Fracture (of Tibia)
Medial Gastrocnemius Tear
Plantaris Tendon and Soleus Muscle Tear
Neuropathy
Superficial Peroneal Neuropathy
Tibial Neuropathy—Soleal Sling Syndrome
Saphenous Neuritis
Lateral Sural Cutaneous Neuropathy
Vascular Pathology
Arterial Disease
Venous Disease
Other Pathology
Restless Legs Syndrome
Statin Myopathy
References
10. ANKLE ANKLE AND FOOT
Epidemiology of Ankle and Foot Pain
Foot and Ankle Pain in the General Population
Foot and Ankle Pain in Athletes
Foot and Ankle Pain at Work
Differential Diagnosis
Musculoskeletal (MSK) Causes of Foot and Ankle Pain Based on Location
Differential Diagnosis of MSK Hindfoot and Ankle Pain
Differential Diagnosis of MSK Midfoot Pain
Differential Diagnosis of MSK Forefoot Pain
Neuropathic Causes of Foot and Ankle Pain Based on Location
Other Causes of Severe (Disabling) Foot Pain
Common Causes of Pes Cavus (High Arch Foot)
Differential Diagnosis of Pes Planus (Flat Foot, Normal up to 6 Years)
Differential Diagnosis of Ankle Equinus
Differential Diagnosis of Ankle Instability
Differential Diagnosis of Snapping Ankle
Lateralization of Pain
Differential Diagnosis of Neuropathic Ankle and Foot Pain
Anatomy
Bone and Joint
Ligament
Retinaculum
Nerve
Muscle
Biomechanics
Kinetic and Kinematic
Ankle and Foot in Gait
Foot Alignment and Deformity
Physical Examination
Inspection
Palpation
Range of Motion
Special Tests
Diagnostic Studies
Plain Radiographs
Point-of-Care Ultrasonography
MRI
CT Scan
Treatment
Nonoperative Management
Surgery
Ankle and Hindfoot
Ligament, Tendon, and Bursa Pathology
Bone and Joint
Forefoot, Midfoot, and Toes
Common Medial Forefoot and Toe Pathologies
Toe Deformity and Fracture
Common Skin Lesion
Common Midfoot Pathologies
Neuropathy
Tarsal Tunnel Syndrome (Tibial Nerve Entrapment Neuropathy at Ankle)
Baxter’s Neuropathy (Inferior Calcaneal Neuropathy, 1st Branch of Lateral
Plantar Neuropathy)
Jogger’s Foot (Medial Plantar Neuropathy)
Morton’s Interdigital Neuralgia
Anterior Tarsal Tunnel Syndrome (Deep Peroneal Nerve Entrapment Neuropathy)
Superficial Peroneal Nerve Entrapment Syndrome
Saphenous Mononeuropathy
Sural Mononeuropathy
Medial Hallucal Neuropathy
References
11. OTHER PAIN SYNDROMES
Epidemiology
Epidemiology of Widespread Pain
Epidemiology of Cancer Pain
Epidemiology of Common Neuropathic Pain Conditions
Differential Diagnosis
Generalized Musculoskeletal Pain
Differential Diagnosis of Diffuse Neuropathic Pain
Physical Examination
Examination for Neuropathic Pain
Diagnostic Studies
Serologic Tests
Electrodiagnosis
Other Diagnostic Tests
Imaging Tests
Generalized Musculoskeletal Pain
Fibromyalgia
Polymyalgia Rheumatica (PMR)
Chronic Fatigue Syndrome
Pain Related to Cancer
Bony Pain Related to Tumor
Muscle and Soft Tissue Pain
Joint Disorders/Synovitis (Neoplastic or Paraneoplastic)
Neuropathic Pain Related to Tumor
Paraneoplastic Peripheral Neuropathy
Radiation Plexopathy
Leptomeningeal Metastasis
Polyradiculopathy
Chronic Radiation Myelopathy
Neuropathic Pain
Central Poststroke Pain Syndrome (Thalamic Pain)
Spinal Cord Injury–Related Pain Syndrome
Complex Regional Pain Syndrome
Small Fiber Neuropathy
Erythromelalgia
References
Index