BOOK REVIEWS
sis of the growing bone, for exampIe, must grow inward into the direction of the marrow during growth in Iength to reach the smaIIer diameter of the diaphysis. This is accompIished by endostea1 bone deposition and periostea1 resorption. During Iater enIargement in size and diameter this is reversed by endostea1 resorption and periosteal apposition. The conversion of canceIIous bone into a convoIuted type of cortica1 bone is suggested in the study. LameIIar bone originates by endostea1 or periostea1 apposition into areas where no bone tissues exist. This book shouId be studied by those who are engaged in teaching or in research of fundamenta1 problems involving bone tissues. H. K.
Handbook of Clinical Cardiology. By Harold W. SaImon, M.D. Harvey & BIythe, Ltd., London, 1962. 178 pages.
This book is no more than its titIe proposes it to be, nameIy, a handbook of cardioIogy. As is usuahy the case of an English book, the text is beautifuIIy and succinctly written so that the reader has little diffrcuhy grasping the point at hand. It is quite superficial, as necessitated by a text of only 178 pages for such a Iarge subject. There is no bibliography, hence the opinions set forth are onIy those of the author. It is a descriptive text which suffers the Iack of scientific data to document more substantiaIIy the concIusions set forth. One could hardIy recommend this text very enthusiasticaIIy today when it contains so IittIe physioIogic and biochemical data to heIp deveIop the necessary background for the proper perception of cardioIogy. The understanding of pressure puIses, flow data, the dynamics and metaboIism of ventricuIar and atria1 contraction, vasomotion and the principles of sound production and recording cannot be started too early in the young physician’s career. J. M. R.
Pictorial Handbook L. Comprer, M.D., Compere, M.D., 5th Inc., Chicago, 1963.
of Fracture Treatment. By Edward Sam W. Banks, M.D., Clinton L. ed. Year Book MedicaI PubIishers, 480 pages. $8.00.
As in previous editions, the authors have provided an exceIIent outline of fundamentaIs of fracture treatment. The strongest point of the book is the weaIth of clear and weIIchosen illustrations, particuIarIy of methods of manipulation, immobihzation and traction. One new chapter entitIed “CIosed Suction Drainage of Fracture Wounds and CIosed Irrigation of Infected Wounds” has been added to this edition. The exact indication for cIosed suction drainage of fracture wounds are somewhat nebuIous. The inclusion of a treatment of infected wounds in a pictorial handbook added IittIe to this edition. If the subject is important for this type of book, it would seem that discussion of broad principIes of treatment wouId be of more vaIue than the presentation of a singIe method. The objectives are minor. The student, intern and practitioner interested in fractures wiI1 find this book to be concise, interesting and superbIy iIIustrated. w. s. s.
Principles of Bone Remodeling. By DonaId H. EnIow, Ph.D. Chades C Thomas, SpringfieId, III., 1963. 133 pages. The main contribution of this stimuIating very interesting study is an attempt to interpret the mosaic of microscopic appearance of sections of cortica1 bone on the basis of bone growth and remodeling. Many good schematic drawings and iIIustrations aid in the interpretation. ExpansibIe growth is impossible in bone due to its physica properties. During growth in length and diameter, its shape, tubercles, foramina and crests must be preserved for optimal function. This requires a simuItaneous process of bone deposition and bone resorption, which is selective. The cortex of the metaphy531
American
Journal of Surgery,
Volume rd.
Seprember 1963