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The failed back syndrome: Etiology and therapy
77 _-
CURRENT ORTHOPAEDICS~MINI-SYMPOSIUM:
THE WRIST
Guilford W W. Bolton R H. Lambrinudi C. The mechanism
of the wrist joint. With special reference to fractures of the scaphoid. Guy’s Hospital Report 1943; 2: 52-59 Fisk G R. Carpal instability and the fractured scaphoid. Ann Roy Coil Surg England 1970; 46: 63-76 Linscheid R L. Dobyns J H. Beabout J W. Bryan R S. Traumatic instability of the wrist. Diagnosis, classification and pathomechanics. J Bone Joint Surg 1972; 54A: 1612-1631 Taleisnik J. The ligaments of the wrist. J Hand Surg 1976: I : !10~118 Ruby L K. Cooney W P. An K N, Linscheid R L, Chao E Y S. Relative motion of selected carpal bones: a kinemaic analysis of the normal wrist. J Hand Surg 1988; 13A: I-10 Lichtman D M. Schneider J R. Swafford A R. Mack G R. Ulnar mid-carpal instability. Clinical and Laboratory Analysis. J Hand Surg 1981; 6: 515-513
9. Webber E R. Biomechanical implications of scaphoid waist fractures. Clin Orthop Rel Res 1980: 149: 83-89 10. Webber E R. Wrist mechanics and its association with ligamentous instability. In The wrists and its disorders, 118-128. Lichtman. D M (ed), Philadelphia: W B Saunders. 1988 II. Stanley J K. Personal communication 1991 I’. Field J. Majkowski R J. Leslie I J. Poor results of Darrachs procedure after wrist injury. J Bone Joint Surg 1993; 75B: 53-57 13. Amadio P C. Berquist T H, Smith D K et al. Scaphoid malunion. J Hand Surg 1989; 14A: 679-687 14. Blatt G Scapholunate instability. In: Lichtman D M. The wrist and its disorders. Philadelphia: W B Saunders Co.. 1988 15. Linscheid R L. Dobyns J H. Carpal instability. Curr Orthop 1989;3: IO&l14
Book reviews
The Failed Back Syndrome: Etiology and Therapy
Harold A. Wilkinson.
Springer Verlag, Berlin. 1992
Orthopaedic Diagnosis and Management-A Guide to the Care of Orthopaedic Patients Boyd S. Goldie. Blackwell
Scientific Publications. ISBN 0 387 97617 5
254 pages
Oxford, 1992
Price DM138 ISBN 0 632 03043 7
This book is the second edition of a very personal account of the management of the failed back syndrome first published in 1983. The author has attempted to update the
text to take account of the enormous advances particularly in spinal imaging which have occurred in the intervening 9 years but regrettably this volume still has a somewhat dated air about it. This volume clearly distils the author’s long experience in this area and is a highly individual account of the problems involved therein. Like many such enterprises. it is long on attitudes but short on science. This. however, does not necessarily mean that there is no value in this text but rather it behoves the reader to peruse it with an analytical mind. The book contains a very worthwhile distillation on the author’s thoughts on the minefield of problems which besets the management of the failed back and includes a very thorough account of the many non-operative measures which may be employed. However, there is little scientific guidance as to the place of such management in the individual case. When it comes to the role of surgical intervention, there is again much useful guidance as to when not to intervene but the discussion of operative intervention ignores many of the major developments which have occurred. There is hardly a mention of the role of instrumentation in the management of such patients and the author’s apparent prejudice against many established treatment options such as chymopapain and microsurgery is clearly displayed. It is often difficult to remind oneself that the text is in fact about failed back problems as often the discussion seems to be as pertinent to the role of the non-operated patient. I would find it hard to suggest that this book should be part of every resident’s reading but it is certainly well worthwhile reading by the embryo spinal surgeon for its role in making such a person aware of the problems that this condition produces. G. F. G. F~NDLAY
254 pages
Price f17.95
The preface clearly states the aim of this volume: it has been written as a portable aide m6moire for the junior resident. The book contains short notes on common orthopaedic and traumatic conditions. These notes summarise the clinical features of the condition, list the usual investigations and suggest indications for surgery. A major contribution of the book is the tabulation of basic information about, and administrative requirements for, the preparation of patients undergoing orthopaedic surgical procedures. Armed with this book, the junior resident will be better able to organise equipment. technical personnel and blood products to ensure the smooth running of theatre lists. He will be able to confidently counsel his patients before surgery, and arrange suitable postoperative management with less need to refer questions to his superiors. The book is of a suitable size and weight to keep in a white coat pocket. The text does not deny the potential for conservative management of orthopaedic conditions. However. it concentrates on the practicalities of surgical management of such conditions. As such the text. whilst clear and easy to read, requires some care in interpretation by the inexperienced surgeon. Orthopaedic nursing and paramedical staff will also find a use for this book. There is space alongside the information lists to record personal preferences of established local surgeons. where these differ from the recommendations. This book has not been written for senior trainees or consultants themselves, but they may derive an indirect benefit by ensuring the availability of this work at ward level in orthopaedic units. J. D. S. MCCUTCHAN
CURRENT ORTHOPAEDICS~MINI-SYMPOSIUM:
THE WRIST
Guilford W W. Bolton R H. Lambrinudi C. The mechanism
of the wrist joint. With special reference to fractures of the scaphoid. Guy’s Hospital Report 1943; 2: 52-59 Fisk G R. Carpal instability and the fractured scaphoid. Ann Roy Coil Surg England 1970; 46: 63-76 Linscheid R L. Dobyns J H. Beabout J W. Bryan R S. Traumatic instability of the wrist. Diagnosis, classification and pathomechanics. J Bone Joint Surg 1972; 54A: 1612-1631 Taleisnik J. The ligaments of the wrist. J Hand Surg 1976: I : !10~118 Ruby L K. Cooney W P. An K N, Linscheid R L, Chao E Y S. Relative motion of selected carpal bones: a kinemaic analysis of the normal wrist. J Hand Surg 1988; 13A: I-10 Lichtman D M. Schneider J R. Swafford A R. Mack G R. Ulnar mid-carpal instability. Clinical and Laboratory Analysis. J Hand Surg 1981; 6: 515-513
9. Webber E R. Biomechanical implications of scaphoid waist fractures. Clin Orthop Rel Res 1980: 149: 83-89 10. Webber E R. Wrist mechanics and its association with ligamentous instability. In The wrists and its disorders, 118-128. Lichtman. D M (ed), Philadelphia: W B Saunders. 1988 II. Stanley J K. Personal communication 1991 I’. Field J. Majkowski R J. Leslie I J. Poor results of Darrachs procedure after wrist injury. J Bone Joint Surg 1993; 75B: 53-57 13. Amadio P C. Berquist T H, Smith D K et al. Scaphoid malunion. J Hand Surg 1989; 14A: 679-687 14. Blatt G Scapholunate instability. In: Lichtman D M. The wrist and its disorders. Philadelphia: W B Saunders Co.. 1988 15. Linscheid R L. Dobyns J H. Carpal instability. Curr Orthop 1989;3: IO&l14
Book reviews
The Failed Back Syndrome: Etiology and Therapy
Harold A. Wilkinson.
Springer Verlag, Berlin. 1992
Orthopaedic Diagnosis and Management-A Guide to the Care of Orthopaedic Patients Boyd S. Goldie. Blackwell
Scientific Publications. ISBN 0 387 97617 5
254 pages
Oxford, 1992
Price DM138 ISBN 0 632 03043 7
This book is the second edition of a very personal account of the management of the failed back syndrome first published in 1983. The author has attempted to update the
text to take account of the enormous advances particularly in spinal imaging which have occurred in the intervening 9 years but regrettably this volume still has a somewhat dated air about it. This volume clearly distils the author’s long experience in this area and is a highly individual account of the problems involved therein. Like many such enterprises. it is long on attitudes but short on science. This. however, does not necessarily mean that there is no value in this text but rather it behoves the reader to peruse it with an analytical mind. The book contains a very worthwhile distillation on the author’s thoughts on the minefield of problems which besets the management of the failed back and includes a very thorough account of the many non-operative measures which may be employed. However, there is little scientific guidance as to the place of such management in the individual case. When it comes to the role of surgical intervention, there is again much useful guidance as to when not to intervene but the discussion of operative intervention ignores many of the major developments which have occurred. There is hardly a mention of the role of instrumentation in the management of such patients and the author’s apparent prejudice against many established treatment options such as chymopapain and microsurgery is clearly displayed. It is often difficult to remind oneself that the text is in fact about failed back problems as often the discussion seems to be as pertinent to the role of the non-operated patient. I would find it hard to suggest that this book should be part of every resident’s reading but it is certainly well worthwhile reading by the embryo spinal surgeon for its role in making such a person aware of the problems that this condition produces. G. F. G. F~NDLAY
254 pages
Price f17.95
The preface clearly states the aim of this volume: it has been written as a portable aide m6moire for the junior resident. The book contains short notes on common orthopaedic and traumatic conditions. These notes summarise the clinical features of the condition, list the usual investigations and suggest indications for surgery. A major contribution of the book is the tabulation of basic information about, and administrative requirements for, the preparation of patients undergoing orthopaedic surgical procedures. Armed with this book, the junior resident will be better able to organise equipment. technical personnel and blood products to ensure the smooth running of theatre lists. He will be able to confidently counsel his patients before surgery, and arrange suitable postoperative management with less need to refer questions to his superiors. The book is of a suitable size and weight to keep in a white coat pocket. The text does not deny the potential for conservative management of orthopaedic conditions. However. it concentrates on the practicalities of surgical management of such conditions. As such the text. whilst clear and easy to read, requires some care in interpretation by the inexperienced surgeon. Orthopaedic nursing and paramedical staff will also find a use for this book. There is space alongside the information lists to record personal preferences of established local surgeons. where these differ from the recommendations. This book has not been written for senior trainees or consultants themselves, but they may derive an indirect benefit by ensuring the availability of this work at ward level in orthopaedic units. J. D. S. MCCUTCHAN