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The Elbow and its Disorders
Book Reviews Systemic Disease and the Nasal Airway (Rhinology and Sinusology series), edited by Thomas V. McCaffrey, 160 pp, with illus, $49, New York, Thieme Medical Publishers, 1993 For this book, Dr. McCaffrey enlisted the help of several authors, mostly from the Mayo Clinic, who combined up-todate ideas on systemic disease and how it affects the nasal airway. In the preface, he notes that the purpose of the book is twofold: to show the effects of these systemic diseases on the nose and sinuses and to provide a list of those systemic diseases that may initially be diagnosed by their nasal manifestations. In each chapter, the specific physical findings and clinical symptoms referable to the nose and sinuses are carefully documented. In the first part of the book, some of the most unusual diseases that can affect the nose are described, beginning with Wegener's granulomatosis. Distinctions between it and other diseases like polymorphic reticulosis are carefully discussed, and the use of the anti-neutrophil cytoplasmic antibodies test in diagnosing this disease is highlighted. This chapter emphasizes that in diagnosing this disease, many biopsy specimens of the nose should be obtained from each patient. In the sections on granulomatous diseases, the basic features are presented with descriptions of the histopathology. Numerous tables carefully outline the symptoms and sites of involvement. An invaluable table (on page 19) lists the various granulomas and infectious diseases of the nose that are often confused. Two chapters address impaired immunity; one details the effects of sinusitis in the immunocompromised patient, and the other deals with the influence of the acquired immunodeficiency syndrome (AIDS) on the nasal airway. The first describes the various infections, often fungal, that can affect the nose and sinuses. Rapid diagnosis and surgical therapy are emphasized because these diseases .can be life threatening. This factor is eloquently focused on near the end of the chapter, where the author notes that patients with severely damaged immune systems can "beat leukemia and lose to the fusarium of a rotting plum." Although many fungal and bacterial diseases that affect immunocompromised patients can also affect patients with AIDS, the chapter on AIDS mostly deals with other aspects, including neoplasms and chronic rhinitis. At the end of this chapter, the description of the office practices needed for implementing the universal precautions necessary for managing all patients is excellent. Finally, the authors raise the important point that although many patients may not ask directly, they may need to be reassured that they do not have AIDS. Mayo Clin Proc 1993; 68: 1224-1230
The book covers lymphatic diseases and those that can cause epistaxis. A simple summary of clotting mechanisms is presented, including suggestions on when to use blood tests for screening. This chapter also summarizes the types of materials, such as oxidized cellulose, gelatin, or collagen, that can be used for the management of nasal bleeding. The endocrine chapter is useful in that it shows how meager the available information is on the relationship between nasal function and endocrine physiology. The chapter notes that the relationship between thyroid disease and nasal function is inconclusive, and that the rhinitis associated with pregnancy is really a collection of various types of rhinitis. Treatment for these conditions is discussed, including the relative teratogenicity of various antihistamines, decongestants, and antibiotics. Finally, the book ends with chapters related to cilia function, cystic fibrosis, and olfaction. Noteworthy reviews of cilial microanatomy and the interrelationship between cilia and the nasal mucus are included. Overall, this book is an excellent review and a continuing reference source for how the nose fits in with systemic disease. It will be useful to all otolaryngologists and should be required reading for general internists. The pearls of physical diagnosis and symptoms will enhance the diagnostic acumen of every physician. I recommend that every obstetrician-gynecologist read the chapter on the rhinitis associated with pregnancy. Finally, this book is part of a larger series on rhinology and sinusology and nicely fits the niche to which it has been assigned. Donald A. Leopold, M.D. Department of Otolaryngology-Head and Neck Surgery Francis Scott Key Medical Center Baltimore, Maryland
The Elbow and its Disorders, 2nd ed, edited by Bernard F. Morrey, 903 pp, with illus, $160, Philadelphia, W. B. Saunders Company, 1993 The elbow suffers as a "watershed joint" between the shoulder and hand. Hand surgeons "creep up" the interosseous membrane to treat'certain elbow injuries. Shoulder surgeons "wander down" the humerus to treat occasional elbow problems. Traumatologists may reconstruct severe fractures of the elbow but frequently lose interest in managing the posttraumatic stiff painful elbow. Dr. Morrey's text has legitimized the elbow as a joint worthy of such a fine textbook.
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© 1993 Mayo Foundation for Medical Education and Research
Mayo Clin Proc, December 1993, Vol 68
Frequently, second editions are stale because the editor, certain that the first edition was just published, is too tired to make substitutive changes. Dr. Morrey added 17 chapters to this second edition and emphasized surgical technique. This 903-page text is divided into 65 chapters that, for the most part, are well referenced and organized in a readable format. Moreover, Dr. Morrey contributed to 25 of these chapters and is the sole author of 12. This involvement lends substantial continuity to the text and obviates the problem of overlap and redundancy that occurs in many multiauthored texts. This comprehensive review covers all facets of the elbow, from phylogeny to arthroplasty. Critical chapters such as those on anatomy and biomechanics are written by Dr. Morrey. Most chapters that deal with clinical issues review various treatment options and then provide the authors' preferred treatment. This standard format should have been incorporated into all the clinical chapters in this text. Dr. Morrey has enlisted a prominent group of contributors; most chapters are well illustrated (especially the ones on surgical anatomy and surgical approaches). A well-balanced book review should point out the strengths and weaknesses of a textbook; however, I found few shortcomings. Invariably, individual biases will exist in the presentation of material. The information On elbow arthroplasty favors the semiconstrained implant in comparison with the resurfacing arthroplasty. For balance, Dr. Morrey and the other contributors attempted to provide several surgical viewpoints. This text should be part of any orthopedic library. It is suitable for students, residents, fellows, and attending physicians. Any serious upper extremity reconstructive surgeon should own this textbook. For those who own the first edition, good news and bad news exist. The good news is that the additions and improvements in the second edition are substantial. The bad news is that the first edition alone will not suffice. I congratulate Dr. Morrey for once again providing a thorough, comprehensive textbook that is the book about the elbow. Thomas S. Thornhill, M.D. Brigham Orthopedic Associates Boston, Massachusetts
Textbook of Pediatric Nutrition, 2nd ed, edited by Robert M. Suskind and Leslie Lewinter-Suskind, 571 pp, with illus, $120, New York, Raven Press, 1993 Although the importance of nutrition in children has been recognized for centuries, the science of pediatric nutrition remains in its formative years. The first edition of this
BOOK REVIEWS
1225
textbook, published in 1981, helped determine the bounds of the subspecialty; this second edition is a major step forward in demonstrating that the field is undergoing maturation. The format of this edition is unchanged from that of the first edition. The 45 chapters that deal with the range of pediatric nutrition are divided into four sections as follows: (1) Infant Nutrition, (2) Nutritional Deficiency States, (3) Nutritional Support of the Hospitalized Child, and (4) Clinical Nutrition. Dr. Suskind and his wife Leslie LewinterSuskind recruited 60 contributing authors. Of interest, only nine of these authors contributed to the original edition. Thus, this book is not a rewrite of the original textbook but a complete overhaul to be as current as possible. I previewed this textbook in 1990, when most of the contributing authors presented their subject material at a 4day course held in New Orleans. Because the book was published almost 3 years after that course, most references are from the late 1980s. (The exception is one of the appendixes that deals with pediatric nutrition guidelines and is current.) Nonetheless, I found that this book-as was the course-is timely and exceedingly well put together. As a practicing pediatric nutritionist, I found minor areas with which I did not completely agree. Despite the broad coverage of the topic of pediatric nutrition, a few "pet" topics are missing (for example, nutrition in patients with glycogen storage disease). Overall, however, this text thoroughly discusses the field and should appeal to all professionals and students interested in pediatric nutrition. I believe that it is more clinically oriented than several of the other textbooks of pediatric nutrition that have been published in the middle' of the past decade. My only reservation about the book is that the price may hinder it from becoming a standard reference source in the office of every physician and dietitian who is responsible for the care of children. W. Frederick Schwenk II, M.D. Department of Pediatrics
MRI Total Body Atlas. Vol I: Neuro; Vol II: Orthopedic, by Stephen J. Pomeranz, 1,142 pp, with illus, $225 (each vol), $425 (2-vol set), 2600 Euclid Avenue, Cincinnati, OH 45219, MRI-EFI Publications, 1992 This atlas consists of two volumes, which are sold individually or as a set. Volume I (Neuro) covers the brain, skull base, neck, eye, ear, nose, throat, and spine, whereas volume II (Orthopedic) focuses on the extremities. The chest, heart, abdomen, pelvis, pharyngotracheal structures, and brachial plexus will be included in volume III, which is scheduled to be published in late 1993. Each volume is divided into short chapters that present the anatomic features of localized ana-
The book covers lymphatic diseases and those that can cause epistaxis. A simple summary of clotting mechanisms is presented, including suggestions on when to use blood tests for screening. This chapter also summarizes the types of materials, such as oxidized cellulose, gelatin, or collagen, that can be used for the management of nasal bleeding. The endocrine chapter is useful in that it shows how meager the available information is on the relationship between nasal function and endocrine physiology. The chapter notes that the relationship between thyroid disease and nasal function is inconclusive, and that the rhinitis associated with pregnancy is really a collection of various types of rhinitis. Treatment for these conditions is discussed, including the relative teratogenicity of various antihistamines, decongestants, and antibiotics. Finally, the book ends with chapters related to cilia function, cystic fibrosis, and olfaction. Noteworthy reviews of cilial microanatomy and the interrelationship between cilia and the nasal mucus are included. Overall, this book is an excellent review and a continuing reference source for how the nose fits in with systemic disease. It will be useful to all otolaryngologists and should be required reading for general internists. The pearls of physical diagnosis and symptoms will enhance the diagnostic acumen of every physician. I recommend that every obstetrician-gynecologist read the chapter on the rhinitis associated with pregnancy. Finally, this book is part of a larger series on rhinology and sinusology and nicely fits the niche to which it has been assigned. Donald A. Leopold, M.D. Department of Otolaryngology-Head and Neck Surgery Francis Scott Key Medical Center Baltimore, Maryland
The Elbow and its Disorders, 2nd ed, edited by Bernard F. Morrey, 903 pp, with illus, $160, Philadelphia, W. B. Saunders Company, 1993 The elbow suffers as a "watershed joint" between the shoulder and hand. Hand surgeons "creep up" the interosseous membrane to treat'certain elbow injuries. Shoulder surgeons "wander down" the humerus to treat occasional elbow problems. Traumatologists may reconstruct severe fractures of the elbow but frequently lose interest in managing the posttraumatic stiff painful elbow. Dr. Morrey's text has legitimized the elbow as a joint worthy of such a fine textbook.
1224
© 1993 Mayo Foundation for Medical Education and Research
Mayo Clin Proc, December 1993, Vol 68
Frequently, second editions are stale because the editor, certain that the first edition was just published, is too tired to make substitutive changes. Dr. Morrey added 17 chapters to this second edition and emphasized surgical technique. This 903-page text is divided into 65 chapters that, for the most part, are well referenced and organized in a readable format. Moreover, Dr. Morrey contributed to 25 of these chapters and is the sole author of 12. This involvement lends substantial continuity to the text and obviates the problem of overlap and redundancy that occurs in many multiauthored texts. This comprehensive review covers all facets of the elbow, from phylogeny to arthroplasty. Critical chapters such as those on anatomy and biomechanics are written by Dr. Morrey. Most chapters that deal with clinical issues review various treatment options and then provide the authors' preferred treatment. This standard format should have been incorporated into all the clinical chapters in this text. Dr. Morrey has enlisted a prominent group of contributors; most chapters are well illustrated (especially the ones on surgical anatomy and surgical approaches). A well-balanced book review should point out the strengths and weaknesses of a textbook; however, I found few shortcomings. Invariably, individual biases will exist in the presentation of material. The information On elbow arthroplasty favors the semiconstrained implant in comparison with the resurfacing arthroplasty. For balance, Dr. Morrey and the other contributors attempted to provide several surgical viewpoints. This text should be part of any orthopedic library. It is suitable for students, residents, fellows, and attending physicians. Any serious upper extremity reconstructive surgeon should own this textbook. For those who own the first edition, good news and bad news exist. The good news is that the additions and improvements in the second edition are substantial. The bad news is that the first edition alone will not suffice. I congratulate Dr. Morrey for once again providing a thorough, comprehensive textbook that is the book about the elbow. Thomas S. Thornhill, M.D. Brigham Orthopedic Associates Boston, Massachusetts
Textbook of Pediatric Nutrition, 2nd ed, edited by Robert M. Suskind and Leslie Lewinter-Suskind, 571 pp, with illus, $120, New York, Raven Press, 1993 Although the importance of nutrition in children has been recognized for centuries, the science of pediatric nutrition remains in its formative years. The first edition of this
BOOK REVIEWS
1225
textbook, published in 1981, helped determine the bounds of the subspecialty; this second edition is a major step forward in demonstrating that the field is undergoing maturation. The format of this edition is unchanged from that of the first edition. The 45 chapters that deal with the range of pediatric nutrition are divided into four sections as follows: (1) Infant Nutrition, (2) Nutritional Deficiency States, (3) Nutritional Support of the Hospitalized Child, and (4) Clinical Nutrition. Dr. Suskind and his wife Leslie LewinterSuskind recruited 60 contributing authors. Of interest, only nine of these authors contributed to the original edition. Thus, this book is not a rewrite of the original textbook but a complete overhaul to be as current as possible. I previewed this textbook in 1990, when most of the contributing authors presented their subject material at a 4day course held in New Orleans. Because the book was published almost 3 years after that course, most references are from the late 1980s. (The exception is one of the appendixes that deals with pediatric nutrition guidelines and is current.) Nonetheless, I found that this book-as was the course-is timely and exceedingly well put together. As a practicing pediatric nutritionist, I found minor areas with which I did not completely agree. Despite the broad coverage of the topic of pediatric nutrition, a few "pet" topics are missing (for example, nutrition in patients with glycogen storage disease). Overall, however, this text thoroughly discusses the field and should appeal to all professionals and students interested in pediatric nutrition. I believe that it is more clinically oriented than several of the other textbooks of pediatric nutrition that have been published in the middle' of the past decade. My only reservation about the book is that the price may hinder it from becoming a standard reference source in the office of every physician and dietitian who is responsible for the care of children. W. Frederick Schwenk II, M.D. Department of Pediatrics
MRI Total Body Atlas. Vol I: Neuro; Vol II: Orthopedic, by Stephen J. Pomeranz, 1,142 pp, with illus, $225 (each vol), $425 (2-vol set), 2600 Euclid Avenue, Cincinnati, OH 45219, MRI-EFI Publications, 1992 This atlas consists of two volumes, which are sold individually or as a set. Volume I (Neuro) covers the brain, skull base, neck, eye, ear, nose, throat, and spine, whereas volume II (Orthopedic) focuses on the extremities. The chest, heart, abdomen, pelvis, pharyngotracheal structures, and brachial plexus will be included in volume III, which is scheduled to be published in late 1993. Each volume is divided into short chapters that present the anatomic features of localized ana-