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Orthopedics, An Issue of Primary Care Clinics in Office Practice, E-Book

Orthopedics, An Issue of Primary Care Clinics in Office Practice, E-Book

George G.A. Pujalte

(2013)

Additional Information

Book Details

Abstract

This issue of Primary Care: Clinics in Office Practice features expert clinical reviews on Orthopedics which includes current information on . The Preparticipation Physical Examination, Exercise Prescription, Diagnosis and Treatment of Osteoarthritis, Evaluation and Treatment of Cervical Radiculopathy, Choosing the Right Diagnostic Imaging Modality in Musculoskeletal Diagnosis, Evaluation and Treatment of Musculoskeletal Chest Pain, Evaluation and Treatment of Rotator Cuff Pathology, Evaluation and Treatment of Sternoclavicular, Clavicular, and Acromioclavicular Injuries, Evaluation and Treatment of Upper Extremity Nerve Entrapment Syndromes, Complementary and Alternative Treatments in Musculoskeletal Medicine, Evaluation and Treatment of Biking and Running Injuries, Common Injections in Musculoskeletal Medicine, and Considerations in Footwear and Orthotics.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Orthopedics i
Copyright\r ii
Contributors iii
Contents vii
Forthcoming Issues xi
Foreword\r xiii
Preface xv
The Preparticipation Physical Examination 791
Key points 791
Introduction 791
History 793
Cardiovascular 793
Central Nervous System 793
General 794
Pulmonary System 794
Dermatologic Conditions 794
Musculoskeletal Concerns 794
The Female Athlete 794
Other 794
Physical examination 795
Vital Signs 795
Cardiovascular 795
Auscultation for heart murmurs 795
Palpation of pulses 795
Examination for stigmata of Marfan syndrome 795
Brachial artery blood pressure taken in the sitting position 795
Musculoskeletal 796
Eyes and Visual Acuity 796
Lungs 796
Abdomen 796
Male Genitalia 796
Skin 797
Neurologic 797
Clearance 797
References 798
A Guide to Exercise Prescription 801
Key points 801
The problem of low cardiorespiratory fitness, sedentary time, and physical inactivity 801
Short-term and long-term benefits of exercise 802
Summary of published guidelines on exercise 803
Cochrane Database Recommendations on Physical Activity 803
The United States Preventative Services Task Force Recommendations on Physical Activity 804
American College of Sports Medicine Recommendations on Physical Activity 806
Practical approach to prescribing exercise 807
Using the “Stages of Change” Model to Assess Readiness for Exercise Prescription 807
Using the PAR-Q to Stratify Risk Before Exercise Prescription 807
Deciding Who Needs Further Testing or Who Should be Limited to Nonvigorous Physical Activity 808
Role of Exercise Stress Test 809
Choosing the Appropriate Exercise Prescription 812
Using a Pedometer 813
Special populations 813
Exercise in Children 813
Exercise and Obesity 814
Exercise in the Elderly 815
Exercise in Patients with Osteoarthritis 816
Summary 816
References 816
Diagnosis and Treatment of Osteoarthritis 821
Key points 821
Background 821
Diagnosis 822
Diagnosis: key points 825
The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hand, knee, and hip 826
Hand OA 826
Knee OA 827
Hip OA 828
Treatment 828
Nonpharmacologic Modalities 828
ACR recommendations for nonpharmacologic treatment modalities for osteoarthritis 829
Pharmacologic Modalities 830
Other Agents 831
ACR recommendations for pharmacologic treatment modalities for osteoarthritis 831
Surgical Approach 833
Fusion and Joint Lavage 833
References 833
Evaluation and Treatment of Cervical Radiculopathy 837
Key points 837
Introduction: nature of the problem 837
Patient history 838
Physical examination 840
Imaging and additional testing 841
Pharmacologic treatment 842
Nonpharmacologic treatment 844
Interventional treatment 844
Evaluation of outcome and long-term recommendations 845
Summary 845
References 845
Choosing the Right Diagnostic Imaging Modality in Musculoskeletal Diagnosis 849
Key points 849
Introduction 849
Nature of the Problem 849
Definition 849
Symptom Criteria 850
Clinical findings 850
History 850
Physical Examination 850
Imaging 850
Routine Radiographs 850
Computed Tomography 850
MRI 851
Ultrasound 851
Bone Scan (Scintigraphy) 852
Disorders 853
Shoulder Imaging 853
Hand and Wrist Imaging 854
Hip and Pelvis Imaging 855
Knee Imaging 856
Foot and Ankle Imaging 856
Spine Imaging 857
Traumatic cervical spine injures 857
Traumatic thoracolumbar spine injuries 858
Spondylolysis and spondylolisthesis 858
Atraumatic spine disorders 859
Summary 860
References 860
Evaluation and Treatment of Musculoskeletal Chest Pain 863
Key points 863
Introduction 863
Musculoskeletal chest pain related to bony and cartilaginous structures of the chest wall 865
Costochondritis and Tietze Syndrome 865
Evaluation 867
Treatment 867
Rib Pain 868
Evaluation 868
Treatment 868
Slipping Rib Syndrome 870
Evaluation 871
Treatment 871
Painful Xiphoid Syndrome 871
The Evaluation and Treatment of Rotator Cuff Pathology 889
Key points 889
Introduction/Epidemiology 889
Anatomy and pathophysiology 890
Clinical presentation 890
Patient history 891
Physical examination 891
Diagnostic testing 892
Diagnostic imaging 893
Diagnostic dilemmas and differentials 895
Prognosis 896
Management goals 898
Pharmacologic strategies 898
Nonpharmacologic strategies 899
Self-management strategies 901
Surgical technique 901
Surgical complications 903
Discussion and summary 903
References 904
Evaluation and Treatment of Sternoclavicular, Clavicular, and Acromioclavicular Injuries 911
Key points 911
Introduction 911
Clavicle Fractures 912
SC Joint Injuries 913
AC Joint Injuries 914
Patient history 914
Evaluation and Treatment of Upper Extremity Nerve Entrapment Syndromes 925
Key points 925
Introduction 925
Pathophysiology 926
Upper extremity nerves and their syndromes 926
Dorsal Scapular Nerve 926
Complementary and Alternative Treatments in Sports Medicine 945
Key points 945
Introduction 945
Lateral epicondylitis 946
Acupuncture 946
Leech Therapy 946
Tendonitis 946
Rotator Cuff Tendonitis 946
Tendonitis (of All Types) Treatments 946
Osteoarthritis 947
Acupuncture 947
S-Adenosylmethionine 947
Medical literature on efficacy 947
Dosage and forms 947
Side effects 947
Aquamin 948
Avocado-Soybean Unsaponifiables 948
Evaluation and Treatment of Biking and Running Injuries 969
Key points 969
Introduction 969
Running 970
Introduction 970
Evaluation 971
History 971
Physical examination 971
Gait analysis 971
Imaging and additional testing 972
Biking 972
Introduction 972
Prevention 972
Evaluation 973
History 973
Common Injections in Musculoskeletal Medicine 987
Key points 987
Introduction 987
Preparation 988
Injectable substances 989
Corticosteroids 989
Local Anesthetics 989
Hyaluronic Acid 990
Ultrasound guidance 991
Contraindications to injections 991
Knee 991
Indications 991
Techniques 991
Medial mid-patellar 991
Superolateral 992
Anterior joint line 993
Subacromial Bursa 993
Indications 993
Techniques 993
Considerations in Footwear and Orthotics 1001
Key points 1001
Traditional footwear 1001
Discovery of the Oldest Footwear 1001
Ancient History and Footwear 1001
Today’s Casual and Running Shoes 1002
Running shoe anatomy 1002
Upper 1002
Bottom 1002
Midsole 1002
Wedges 1003
Outsole 1003
Insole 1003
Sock Liner 1003
Final Construction of the Shoe 1003
Foot orthoses 1004
Basics and Definition 1004
Evolution of Foot Orthoses 1004
Indications and Effectiveness 1004
Barefoot running and minimalist footwear 1005
Clinical conditions 1005
Patellofemoral Pain Syndrome 1005
Plantar Fasciitis 1005
Tarsal Tunnel Syndrome 1006
Posterior Tibial Tendon Dysfunction 1006
Stress Fractures 1007
Medial Tibial Stress Syndrome 1007
Pes Cavus 1007
Adult-Acquired Flatfoot Deformity 1008
Pediatric Flatfoot 1008
Hallux Valgus 1008
Hallux Rigidus (or Limitus) 1008
Chronic Ankle Instability/Recurrent Ankle Sprains 1009
Low Back Pain 1009
Summary 1009
References 1010
Index 1013