Internal Fixation in Osteoporotic Bone

Internal Fixation in Osteoporotic Bone

Injury, Int. J. Care Injured (2005) 36, 354—356 BOOK REVIEWS Principles and Practice of Emergency Neurology: a Handbook for Emergency Physicians Sid ...

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Injury, Int. J. Care Injured (2005) 36, 354—356

BOOK REVIEWS Principles and Practice of Emergency Neurology: a Handbook for Emergency Physicians Sid M. Shah, Kevin M. Kelly (Eds.), Delmar Publishers, 2003, $55, ISBN 0521009804 Although a USA-based book, Principles and Practice of Emergency Neurology is a useful guide for neurological emergencies in the UK. It is successful in describing the pathways from patients’ symptoms though to their definitive treatment. The book is useful for any doctor who deals with neurological emergencies, including the A&E SHO who is daunted by the bizarre symptoms of a patient through to the admitting medical team considering an alternative diagnosis. The initial chapters on neurological examination and testing are extensive, and a good point of reference for all clinicians, especially as most junior doctors would have very little experience of neuroimaging and have probably let their clinical examination skills decline. The rest of the book is divided into neurological symptoms such as headache, and then there are later chapters concerned with emergencies that arise specific neurological diseases and injuries, such as dementia and spinal trauma. The end of the book includes chapters on paediatric and gynaecological neurological emergencies. One of the book’s strengths is that clinical content merges well with pathophysiology. Noteworthy chapters include those on dizziness and neurotoxicology. The former is particularly interesting. The latter describes the neurological manifestations of a range of insults that include drugs, diving and scorpion bites. There are also useful algorithms for emergencies that require instant action, such as status epilepticus–—which gives a minute-by-minute protocol. A pitfall of the book is that radiographs and diagrams could be much clearer. It was particularly difficult to visualise the radiographs in the trauma chapters. Also there is probably a disproportionate amount of text dedicated to less common emergencies–—the number of pages dedicated to cerebrovascular disease is similar to those concerning emergencies in multiple sclerosis. Although self described as a handbook, it is more useful as a concise reference book, and is a useful addition to the library of the emergency depart0020–1383/$ — see front matter ß 2004 Published by Elsevier Ltd.

ment and is a good source of information for teaching and revision. Also as American authors write it, specific protocols ought to be followed with caution. Certain imaging techniques are less widely available in the UK, especially in District General Hospitals. National and local guidelines should be observed in preference. Roger Crystal Department of A&E, Royal Free Hospital London, UK 29 March 2004 doi:10.1016/j.injury.2004.03.019

Internal Fixation in Osteoporotic Bone Yuehuei H.An. (Ed.), First ed., Thieme Medical Publishing, 375 pp., US $129.00, ISBN 1-58890087-8 This text claims to be the first inclusive and organised reference book on internal fixation of osteoporotic bone. It presents both the current clinical techniques of treatment and the latest knowledge from preclinical research, dealing with both the biomechanical and the biological aspects of the surgical treatment of fractures in osteoporotic bone. Potential readers include orthopaedic surgeons and trainees as well as orthopaedic researchers and implant designers. The text is arranged into six sections and comprises a total of 36 chapters. The first section, ‘‘Essentials of Osteoporosis,’’ introduces the spectrum of osteoporotic conditions, the biology of fracture healing and the basic concepts in internal fixation. The second section reviews the current techniques and clinical applications of fixation for osteoporotic bone. Sections three to six cover new concepts in fixation of long bones as well as the spine and pelvis. Specific topics covered include bioabsorbable implants and cement augmentation of fixation devices. Chapters are compact and easy to read. Each is lavished with a wealth of clear line diagrams, clinical photographs and tables. Full bibliographies at the end of each chapter guide its reader to more detailed references.