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This text presents a comprehensive and concise evidence-based and differential-based approach to physical examination of the shoulder in a manner that promotes its successful application in clinical practice. Additionally, this book provides an integrated approach to the diagnosis of numerous shoulder pathologies by combining discussions of pathoanatomy and the interpretation of physical examination techniques and was written for any health care professional or student who may be required to evaluate patients who present with shoulder pain. This information will allow the clinician to make informed decisions regarding further testing procedures, imaging and potential therapeutic options. Physical Examination of the Shoulder will serve as an invaluable resource for practicing orthopedic surgeons, sports medicine specialists, physical therapists, residents in training and medical students interested in the field of clinical orthopedics. ​
This book provides a concise and up-to-date resource on common shoulder disorders. The reader will learn about various shoulder conditions, their presentation, evaluation and management. Anatomy, biomechanics, function, clinical history taking and examination, radiological imaging and other investigations, as well as principles of non-surgical and surgical management of the troublesome shoulder are presented first. The Shoulder Made Easy conveys clear, easily understood information to help practitioners in day-to-day clinical practice as well as in preparation for undergraduate or postgraduate exams. The book focuses on: Commonly encountered clinical symptoms of the shoulder: patients don't present with a clinical diagnosis but with symptoms such as pain, stiffness, weakness or instability and a thorough consideration of what could be accounting for such symptoms and how such symptoms may be dealt with is presented. Commonly encountered clinical disorders of the shoulder: each clinical disorder is concisely presented with the background, clinical symptoms, investigations, differential diagnosis, treatment and a further reading section. This book attempts to present information in an easily read, succinct way. In particular, this book tries to unpick and explain those concepts of shoulder disorders that may be difficult to understand. An attempt is made to pass on knowledge but more importantly also stimulate lateral thinking. Key diagrams, clinical photographs and radiographs are used as necessary to highlight important points; references to relevant landmark articles are also provided in each chapter. The book will be of great interest to medical students, junior orthopaedic doctors, GP’s and physiotherapists.
In addition to complementary radiographic imaging, the physical exam is an essential diagnostic element for the orthopedic surgeon. As such, learning to perform this exam thoroughly is of utmost importance to medical students, residents and interns on an orthopedic rotation and in later practice. This practical text succinctly presents all of the necessary information regarding the physical examination of the upper extremity. The hand, wrist, elbow and shoulder are discussed in dedicated thematic sections, with each section comprised of three main chapters. The initial chapter describes the musculoskeletal anatomy and function of the joint, presenting the tests themselves along with the rationale for performing them. The second chapter presents the systematic examinations carried out in every case, and the third chapter describes examinations for specific conditions relating to the joint, including tendinopathies, osteoarthritis, neurological conditions, deformities, and more. Plentiful bullet points and color images throughout the text describe and illustrate each test and physical sign. Convenient and user-friendly, Handbook of Upper Extremity Examination is a valuable, portable guide to this all-important diagnostic tool for students and practitioners alike.
The second edition of this book provides a practical guide to the latest diagnostic and therapeutic techniques in orthopedics for both the upper and lower limb. Extensively revised chapters provide detailed step-by-step instructions on how to perform basic clinical and surface, anatomy examinations on joints including the hand, elbow and ankle. The application of relevant surgical procedures and post-operative management techniques are also detailed. New topics covered include cruciate ligament injuries, and robot assisted surgery. Orthopedics of the Upper and Lower Limb is an ideal resource for trainees and junior surgeons seeking an easy to follow clinical manual on how to successfully diagnose and treat patients with orthopedic disorders affecting both limbs. It is also of use to the experienced practitioner seeking a detailed resource on the latest advances in the field.
For courses in orthopedics, physical therapy, athletic training, and physical examination, in programs for healthcare providers including physicians, nurses, athletic trainers, physician's assistants, physical therapists, and occupational therapists. This is the field's most comprehensive evidence-based guide to clinical tests for orthopedic physical examination. It presents complete explanations and photography visualizing all commonly used physical exam tests for all body regions, including both neurological screening tools and conventional tests. The quality of research supporting each test is assessed using the QUADAS quality instrument, which analyzes the extent to which bias may have influenced diagnostic values. Diagnostic values are reported wherever they exist, and summary Utility scores are provided for each test based on the authors' interpretation of the research and their use of the tests in clinical practice. This edition adds 200 new tests, presents valuable clusters of tests, and contains two entirely new chapters: one on visceral assessment and medical screening, and another on temporomandibular examination.
This textbook provides the most up-to-date information on shoulder surgery along with practical approaches for patient evaluation and treatments options. The book is divided into key sections, providing coverage on Soft Tissue Disorders of the Shoulder, Arthritis of the Shoulder, The Paediatric Shoulder and other miscellaneous topics relevant to treating this area. Its strong clinical focus will help residents and medical students to manage patients in a practical way, based on the most recent scientific evidence and the most effective surgical and non-surgical techniques. Thus, it will become a valuable reference and resource for young doctors and students looking to increase their professional skills and knowledge when treating shoulder injuries and disorders in clinical practice.
The practical considerations which underline the diagnosis and treatment of patients with shoulder disorders are presented in this concise, easy to understand, and informative text. Activities to help the reader master the problems, methods and mechanical principles of the shoulder are provided. Coverage includes frozen shoulder, post traumatic stiff shoulder, TUBS syndrome, glenohumeral instabliity, scapulothoracic snapping and cuff tears.
The complex structure of the shoulder, with its variable pathological conditions of rotator cuff disease, degenerative joint disease, and Type II SLAP lesions, makes clinical examination and assessment difficult for both new and experienced practitioners. With this text you will gain a full understanding of shoulder anatomy and the principles of physical shoulder examination and the nature and presentation of the pathological processes causing shoulder pain. This text discusses range of motion measurements, laxity testing, shoulder instability and presents critical analysis of the usefulness and accuracy of examination practices. Thorough and accessible, this text is ideal for all clinicians called upon to perform shoulder exams and interpret findings. An accompanying DVD contains narrated footage of the examination techniques described in the text for easy comprehension and review. You will also find examples of abnormal findings and biomechanical models demonstrating the complexity of shoulder motion. No orthopedic surgeon, orthopedic resident, physical therapist, athletic trainer, or specialist treating the shoulder should be without this outstanding text and DVD.
Fam's Musculoskeletal Examination and Joint Injection Techniques provides cutting-edge content and clear, clinical advice on joint injection techniques and performing the musculoskeletal exam. George V. Lawry, Hans J. Kreder, Gillian Hawker, and Dana Jerome present full-color photographs and illustrations demonstrating musculoskeletal (MSK) exam and joint injection techniques for step-by-step guidance...in print and online. Master applied anatomy through discussions of basic biology, anatomy, and functions of the musculoskeletal system. Apply anatomy skills in aspiration/injection techniques of both the joint and periarticular structures. Perform and interpret the physical exam thanks to step-by-step how-to guidance. Visualize anatomic landmarks in precise detail using the rich, full-color photographs and illustrations. Find up-to-date material on common abnormal conditions for every joint and easily identify each one. Access information easily with coverage of examination and injection techniques, organized by body region. Tap into multidisciplinary viewpoints from rheumatology, orthopaedics, and other health professions including physical therapy and chiropractice. Perform exams more effectively with evidence-based findings throughout the text. Apply cutting-edge knowledge on injection techniques to your practice. See physicians performing injections and parts of the musculoskeletal exam in full-color "action" shots. View videos of injection procedures online at expertconsult.com that reinforce concepts from the text.
The ultimate guide to the evidence-based clinical encounter "This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency."--Annals of Internal Medicine "The evidence-based examination techniques put forth by Rational Clinical Examination is the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination."--Baylor University Medical Center (BUMC)Proceedings 5 STAR DOODY'S REVIEW! "Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data. "This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth. "This extraordinary, one-of-a-kind book is a valuable addition to every medical library."--Doody's Review Service Completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again. Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without. FEATURES Packed with updated, new, and previously unpublished information from the original JAMA articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line Completely updated with all-new literature searches and appraisals supplementing each chapter Full-color format with dynamic clinical illustrations and images Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine More than 50 complete chapters on common and challenging clinical questions and patient presentations Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine