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The foot, examination and diagnosis
288
CURRENT
ORTHOPAEDICS-BOOK
REVIEWS
of the shoulder are considered as are disorders of the rotator cuff, injuries to the shoulder and gleno-humeral instability. Techniques of arthrodesis and arthroplasty are described but perhaps the most interesting section is the penultimate one dealing with stiffness and weakness-two symptoms commonly volunteered by patients but rarely considered in books on orthopaedic surgery.
The Fracture Classification Manual ISBN 0 8151 4047 9
175pages
R. B. Gustilo. Mosby Year Book, London 1991
PriceE30.00
The Fracture Classification Manual represents the attempt of the American Orthopaedic Trauma Association to establish for the first time what they consider to be a logical, systematic and comprehensive method of classifying and coding fractures. This authoritative text features 500 line drawings in an effort to allow one to assess fracture type precisely. Coding is performed according to the ICD-9 system and each treatment option is assigned both a trauma code and an ICD9-CM code. This, therefore, allows the surgeon not only to assess the fracture type precisely but in the process to determine expenses incurred during treatment. This system is published at approximately the same time as the A0 classification of fractures of long bones and it will be interesting to see which of the two systems become universally dominant. Whereas the A0 system is based on strict, objective criteria the Fracture Classification Manual of Gustilo has tended to incorporate several time honoured classifications for specific injuries by modifying them into a more consistent and logical format. For example, the classifications of Garden, Letoumal, Tile and Webber to
The Foot, Examination and Diagnosis ISBN 0 443 08604 4
152 pages
PriceE13.50
Year Book of Sports Medicine 1989 470 pages
name but a few have been woven into a consistent pattern to describe some particular long bone fractures and soft tissue injuries. Many hospitals around the world have now incorporated ICD-9 coding into their administrative process and certainly this well illustrated atlas will be easier to use than the current ICD-9 text. The facility to code treatment options at the same time and hence calculate a costing is a unique feature and I am sure will appeal to many hospital administrators. Only time will tell whether the Gustilo system or the A0 system will become the classification of choice but it is my opinion that the Gustilo system (or something like it) is more likely to pass into everyday usage and the A0 system-a more complicated system-will be reserved for the research process. Consequently, most departments of orthopaedic surgery-together with their administrators, will require a copy of the Gustilo type classification which is certainly more ‘user-friendly’ than the standard ICD-9 manual. RAYMOND J. NEWMAN
I. J. Alexander. Churchill Livingstone, Edinburgh 1990
This book is a concise, straightforward dissertation covering the basic examination of the foot. It does so in simple language and is supplemented by many excellent diagrams. I can thoroughly recommend it to all Registrars in the
ISBN 0 8151 7739 9
This volume is a particularly large one-well over 650 pages, and will be rapidly accepted by orthopaedic surgeons as the reference book to turn to in times of doubt. Throughout it is generously illustrated with radiographs, line diagrams and particularly elegant drawings of operative surgery. Each chapter ends with a short list of carefully chosen references. RAYMOND J. NEWMAN
process of orthopaedic training and as a useful reminder to more mature Orthopaedic Surgeons. M. H. CARR
Shephard et al. Yearbook Medical Publishers, London 1989
Price%51.95
The Year Book of Sports Medicine presents a compilation of abstracts from over 300 articles related to the breadth of sports medicine. Almost 90 journals are represented. The wide range of topics covered extends from biomechanics and sports related injuries through to training and cardiovascular function, including articles on doping, diet and the immune system. A valuable feature is the provision of comments and criticisms of many of the articles, made by members of the editorial board. This is a helpful book for individuals interested in sports medicine and who wish to bring themselves up to date with published material. It also provides a starting point for reviewing articles in depth.
For the orthopaedic surgeon there is coverage of sports related injuries with the expected emphasis on knee problems. Dr Joseph Torg provides comments and criticisms on many of these articles. There are further articles of relevance related to biomechanics. The remaining chapters, representing about two-thirds of the articles abstracted, are principally of interest to the specialist. Problems related to sports medicine frequently present to orthopaedic surgeons and this book is a valuable summary of the years literature, deserving a place in the department library. J. 0. LAWTON
CURRENT
ORTHOPAEDICS-BOOK
REVIEWS
of the shoulder are considered as are disorders of the rotator cuff, injuries to the shoulder and gleno-humeral instability. Techniques of arthrodesis and arthroplasty are described but perhaps the most interesting section is the penultimate one dealing with stiffness and weakness-two symptoms commonly volunteered by patients but rarely considered in books on orthopaedic surgery.
The Fracture Classification Manual ISBN 0 8151 4047 9
175pages
R. B. Gustilo. Mosby Year Book, London 1991
PriceE30.00
The Fracture Classification Manual represents the attempt of the American Orthopaedic Trauma Association to establish for the first time what they consider to be a logical, systematic and comprehensive method of classifying and coding fractures. This authoritative text features 500 line drawings in an effort to allow one to assess fracture type precisely. Coding is performed according to the ICD-9 system and each treatment option is assigned both a trauma code and an ICD9-CM code. This, therefore, allows the surgeon not only to assess the fracture type precisely but in the process to determine expenses incurred during treatment. This system is published at approximately the same time as the A0 classification of fractures of long bones and it will be interesting to see which of the two systems become universally dominant. Whereas the A0 system is based on strict, objective criteria the Fracture Classification Manual of Gustilo has tended to incorporate several time honoured classifications for specific injuries by modifying them into a more consistent and logical format. For example, the classifications of Garden, Letoumal, Tile and Webber to
The Foot, Examination and Diagnosis ISBN 0 443 08604 4
152 pages
PriceE13.50
Year Book of Sports Medicine 1989 470 pages
name but a few have been woven into a consistent pattern to describe some particular long bone fractures and soft tissue injuries. Many hospitals around the world have now incorporated ICD-9 coding into their administrative process and certainly this well illustrated atlas will be easier to use than the current ICD-9 text. The facility to code treatment options at the same time and hence calculate a costing is a unique feature and I am sure will appeal to many hospital administrators. Only time will tell whether the Gustilo system or the A0 system will become the classification of choice but it is my opinion that the Gustilo system (or something like it) is more likely to pass into everyday usage and the A0 system-a more complicated system-will be reserved for the research process. Consequently, most departments of orthopaedic surgery-together with their administrators, will require a copy of the Gustilo type classification which is certainly more ‘user-friendly’ than the standard ICD-9 manual. RAYMOND J. NEWMAN
I. J. Alexander. Churchill Livingstone, Edinburgh 1990
This book is a concise, straightforward dissertation covering the basic examination of the foot. It does so in simple language and is supplemented by many excellent diagrams. I can thoroughly recommend it to all Registrars in the
ISBN 0 8151 7739 9
This volume is a particularly large one-well over 650 pages, and will be rapidly accepted by orthopaedic surgeons as the reference book to turn to in times of doubt. Throughout it is generously illustrated with radiographs, line diagrams and particularly elegant drawings of operative surgery. Each chapter ends with a short list of carefully chosen references. RAYMOND J. NEWMAN
process of orthopaedic training and as a useful reminder to more mature Orthopaedic Surgeons. M. H. CARR
Shephard et al. Yearbook Medical Publishers, London 1989
Price%51.95
The Year Book of Sports Medicine presents a compilation of abstracts from over 300 articles related to the breadth of sports medicine. Almost 90 journals are represented. The wide range of topics covered extends from biomechanics and sports related injuries through to training and cardiovascular function, including articles on doping, diet and the immune system. A valuable feature is the provision of comments and criticisms of many of the articles, made by members of the editorial board. This is a helpful book for individuals interested in sports medicine and who wish to bring themselves up to date with published material. It also provides a starting point for reviewing articles in depth.
For the orthopaedic surgeon there is coverage of sports related injuries with the expected emphasis on knee problems. Dr Joseph Torg provides comments and criticisms on many of these articles. There are further articles of relevance related to biomechanics. The remaining chapters, representing about two-thirds of the articles abstracted, are principally of interest to the specialist. Problems related to sports medicine frequently present to orthopaedic surgeons and this book is a valuable summary of the years literature, deserving a place in the department library. J. 0. LAWTON