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Orthopaedic anatomy and surgical approaches
BOOK
Book Reviews ORTHOPAEDIC ANATOMY AND SURGICAL APPROACHES Edited by Frederick W. Reckling, Jo Anne B. Reckling and Melvyn P. Mohn. 525 pages. Mosby Yearbook Inc., 1990. ISBN 0-8.51-7120-X. Price f71.00.
This volume, one of a number recently published on the subject, is some 525 pages long, including the index. The editors have arranged the chapters in a logical sequence, similar to that found in a standard anatomical textbook. Each section starts with a short overview of the area to be described, followed by fairly detailed surgical anatomy. For a book that is not primarily an anatomical textbook, the detail of the anatomy is surprisingly good and is definitely orientated towards the practising surgeon. The surgical anatomy section is then followed for each region by a detailed description of each of the surgical approaches. Although the authors do mention particular indications for each surgical approach, the book does not undertake the description of specific operations. The black and white line drawings are really extremely clear. However, owing to the large number of drawings, the text is not necessarily close to the diagrams. The diagrams, though, are sufficient to demonstrate the surgical approaches in most cases. The text is clear, and the authors do indicate particular structures that are at risk for each surgical approach. 52 pages are devoted specifically to the wrist and hand, outlining operations that would be undertaken by non-specialist surgeons. With the increase in the use of arthroscopy, the short descriptions of arthroscopy of various joints is extremely useful. The final section, entitled “Anatomy and musculo-skeletal oncology”, is an excellent guide for the non-tumour orthopaedic surgeon, so that biopsies of tumours can be planned without interfering with later formal surgical resection, which may be performed by another surgeon. I find little to criticise in this book. The first chapter is an historical overview of anatomy and surgical approaches. The author mentions a number of ancient texts, and I feel it is a pity that a few illustrations were not included from some of these texts to enhance the description in this chapter. There are a few relatively minor typographical errors. The authors make use of photographs of live individuals, for example in demonstrating the portals for wrist arthroscopy. There is also fairly small use of CT and plain radiography to demonstrate particular points. Mention is made of magnetic resonance imaging, but there are no examples of MR images to be found in the book. I feel that this is a well-produced book, fulfilling the aims suggested in the dedication. S. P. Frostick
JOINT REPLACEMENT ARTHROPLASTY Edited by Bernard F. Morrey. 1252pages. extensively illustrated.
Experience at the Mayo Clinic of over 40,000 joint replacements forms the basis of this comprehensive presentation of the current state of the art. 61 individuals have contributed to this book and their collective experience is drawn upon to provide the material it contains. In order to provide ease of reading, the 16B No. 4 NOVEMBER
work is laid out in eight sections, starting with the basic sciences, and followed by sections devoted to one joint or area. Although this results in 95 chapters they are short, succinct and readable, and provide an excellent bibliography for each aspect of joint replacement. The majority of the contributors work, or have worked, at the Mayo Clinic. This, and the use of section editors, has meant that continuity is maintained throughout the discussion of each joint. This continuity is also found in the illustrations, since a single artist has provided all the sketches and line drawings. An excellent standard of reproduction of all illustrations has been achieved. Needless to say, as the book includes all joint replacement surgery, two thirds of the material concerns the lower limb, and this area is covered very well. The hrst 460 pages present the current attitude of the Mayo Clinic towards biomechanics and joint replacement in the upper limb. The sections dealing with hand, wrist, elbow and shoulder cover the relevant anatomy, biomechanics, indications for surgery, current policy, revision potential, and where possible the long-term results and the preferred method of treatment of the author(s). The section dealing with hand and wrist assumes some experience of joint replacement in this area but covers the relevant anatomy and biomechanics in a direct, understandable style. The description of surgical technique is a little sketchy but the editor is aware of this and references to the original published descriptions of the surgery are frequently made. The elbow section, based as it is upon one clinic’s experience, does not cover the major contributions currently being made in Europe, but eloquently highlights the biomechanics, the surgical anatomy and the tremendous strides made over the last decade in understanding this joint. The results presented are impressive. The shoulder is covered very well, particularly anatomy, biomechanics and indications for surgery. Equally well presented are the alternatives and the problems associated with replacement of this joint. Bernard Morrey, the editor, William Cooney III who contributes extensively and An who provides much of the biomechanical input are to be congratulated upon providing such a well produced although weighty work. This book is ideal for the unit providing a joint replacement service, and should be in the reference section of any orthopaedic library since it provides excellent source material and teaching for the trainees, and confronts head-on many of the problems the more experienced surgeon will meet from time to time. The identification of less common difficulties and their management would be of particular value to the surgeon heavily involved in joint replacement. Plastic surgeons will find this book orthopaedically orientated, but worth borrowing from their orthopaedic colleagues. J. K. Stanley
SPORTS INJURIES Edited by M. A. Hutson. 224 pages, 252 illustrations.
Oxford Medical Publications. ISBN O-19-261 750-8. Price ~640.00.
Churchill Livingstone, 1991.
VOL.
REVIEWS
1991
Dr Hutson, theeditorofthis
book, isaphysicianinorthopaedics and Sports Medicine. For that reason alone, this publication is to be welcomed. Too much surgical time in the specialty of Orthopaedics is 467
Book Reviews ORTHOPAEDIC ANATOMY AND SURGICAL APPROACHES Edited by Frederick W. Reckling, Jo Anne B. Reckling and Melvyn P. Mohn. 525 pages. Mosby Yearbook Inc., 1990. ISBN 0-8.51-7120-X. Price f71.00.
This volume, one of a number recently published on the subject, is some 525 pages long, including the index. The editors have arranged the chapters in a logical sequence, similar to that found in a standard anatomical textbook. Each section starts with a short overview of the area to be described, followed by fairly detailed surgical anatomy. For a book that is not primarily an anatomical textbook, the detail of the anatomy is surprisingly good and is definitely orientated towards the practising surgeon. The surgical anatomy section is then followed for each region by a detailed description of each of the surgical approaches. Although the authors do mention particular indications for each surgical approach, the book does not undertake the description of specific operations. The black and white line drawings are really extremely clear. However, owing to the large number of drawings, the text is not necessarily close to the diagrams. The diagrams, though, are sufficient to demonstrate the surgical approaches in most cases. The text is clear, and the authors do indicate particular structures that are at risk for each surgical approach. 52 pages are devoted specifically to the wrist and hand, outlining operations that would be undertaken by non-specialist surgeons. With the increase in the use of arthroscopy, the short descriptions of arthroscopy of various joints is extremely useful. The final section, entitled “Anatomy and musculo-skeletal oncology”, is an excellent guide for the non-tumour orthopaedic surgeon, so that biopsies of tumours can be planned without interfering with later formal surgical resection, which may be performed by another surgeon. I find little to criticise in this book. The first chapter is an historical overview of anatomy and surgical approaches. The author mentions a number of ancient texts, and I feel it is a pity that a few illustrations were not included from some of these texts to enhance the description in this chapter. There are a few relatively minor typographical errors. The authors make use of photographs of live individuals, for example in demonstrating the portals for wrist arthroscopy. There is also fairly small use of CT and plain radiography to demonstrate particular points. Mention is made of magnetic resonance imaging, but there are no examples of MR images to be found in the book. I feel that this is a well-produced book, fulfilling the aims suggested in the dedication. S. P. Frostick
JOINT REPLACEMENT ARTHROPLASTY Edited by Bernard F. Morrey. 1252pages. extensively illustrated.
Experience at the Mayo Clinic of over 40,000 joint replacements forms the basis of this comprehensive presentation of the current state of the art. 61 individuals have contributed to this book and their collective experience is drawn upon to provide the material it contains. In order to provide ease of reading, the 16B No. 4 NOVEMBER
work is laid out in eight sections, starting with the basic sciences, and followed by sections devoted to one joint or area. Although this results in 95 chapters they are short, succinct and readable, and provide an excellent bibliography for each aspect of joint replacement. The majority of the contributors work, or have worked, at the Mayo Clinic. This, and the use of section editors, has meant that continuity is maintained throughout the discussion of each joint. This continuity is also found in the illustrations, since a single artist has provided all the sketches and line drawings. An excellent standard of reproduction of all illustrations has been achieved. Needless to say, as the book includes all joint replacement surgery, two thirds of the material concerns the lower limb, and this area is covered very well. The hrst 460 pages present the current attitude of the Mayo Clinic towards biomechanics and joint replacement in the upper limb. The sections dealing with hand, wrist, elbow and shoulder cover the relevant anatomy, biomechanics, indications for surgery, current policy, revision potential, and where possible the long-term results and the preferred method of treatment of the author(s). The section dealing with hand and wrist assumes some experience of joint replacement in this area but covers the relevant anatomy and biomechanics in a direct, understandable style. The description of surgical technique is a little sketchy but the editor is aware of this and references to the original published descriptions of the surgery are frequently made. The elbow section, based as it is upon one clinic’s experience, does not cover the major contributions currently being made in Europe, but eloquently highlights the biomechanics, the surgical anatomy and the tremendous strides made over the last decade in understanding this joint. The results presented are impressive. The shoulder is covered very well, particularly anatomy, biomechanics and indications for surgery. Equally well presented are the alternatives and the problems associated with replacement of this joint. Bernard Morrey, the editor, William Cooney III who contributes extensively and An who provides much of the biomechanical input are to be congratulated upon providing such a well produced although weighty work. This book is ideal for the unit providing a joint replacement service, and should be in the reference section of any orthopaedic library since it provides excellent source material and teaching for the trainees, and confronts head-on many of the problems the more experienced surgeon will meet from time to time. The identification of less common difficulties and their management would be of particular value to the surgeon heavily involved in joint replacement. Plastic surgeons will find this book orthopaedically orientated, but worth borrowing from their orthopaedic colleagues. J. K. Stanley
SPORTS INJURIES Edited by M. A. Hutson. 224 pages, 252 illustrations.
Oxford Medical Publications. ISBN O-19-261 750-8. Price ~640.00.
Churchill Livingstone, 1991.
VOL.
REVIEWS
1991
Dr Hutson, theeditorofthis
book, isaphysicianinorthopaedics and Sports Medicine. For that reason alone, this publication is to be welcomed. Too much surgical time in the specialty of Orthopaedics is 467