Dutton’s Orthopedic Survival Guide: Managing Common Conditions

1056 Pages·2011·9.06 MB·English

by  Mark Dutton

D U T T O N ’ S
ORTHOPEDIC
Survival Guide
Managing
Common Conditions
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D U T T O N ’ S
ORTHOPEDIC
Survival Guide
Managing
Common Conditions
Mark Dutton, PT
Allegheny General Hospital
West Penn Allegheny Health System (WPAHS)
Adjunct Clinical Instructor, Duquesne University
School of Health Sciences
Pittsburgh, Pennsylvania
Medical
New York Chicago San Francisco Lisbon London Madrid Mexico City Milan
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ISBN: 978-0-07-174125-5
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Contents
Preface ................................................................................................... vii
Acknowledgments ................................................................................... ix
Section 1 Fundamentals ...................................................................... 1
Chapter 1 Anatomy and Biomechanics of the
Musculoskeletal System ...................................................... 3
Chapter 2 The Nervous System .......................................................... 53
Chapter 3 Patient/Client Management ............................................. 107
Chapter 4 Therapeutic Exercise ....................................................... 201
Section 2 Peripheral & Spinal Joints ............................................... 275
Chapter 5 The Shoulder Complex ..................................................... 277
Chapter 6 The Elbow Complex ......................................................... 369
Chapter 7 The Forearm, Wrist, and Hand ........................................ 439
Chapter 8 The Hip Joint ................................................................. 527
Chapter 9 The Knee Joint Complex ................................................ 621
Chapter 10 The Ankle and Foot Complex ........................................... 699
Chapter 11 The Cervical Complex ..................................................... 783
Chapter 12 The Thoracic Spine and Ribs ......................................... 879
Chapter 13 The Lumbopelvic Complex ............................................. 925
Answers ............................................................................................ 1003
Index ................................................................................................. 1019
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Preface
This clinic companion was designed to provide physical therapy students and
clinicians with a quick reference source for orthopaedics. The book may be
used in a number of ways. The beginner should start with the introductory
chapters that provide descriptions of anatomy, physiology, and biomechan-
ics in addition to guidelines that steer the clinician through the complex
progression of the clinical examination, evaluation, and intervention. The
more experienced clinician can brush up on a specifi c topic by reading the
relevant chapter in its entirety or focus on a specifi c diagnosis. Each of the
body area chapters provides quick-reference tables and illustrations to assist
the clinician and clinical pearls are provided to highlight the most salient
points. At the end of each of the relevant chapters the most common diag-
noses are described based on their common subjective and objective fi ndings,
confi rmatory tests, differential diagnosis, recommended intervention, and
prognosis.
The questions provided at the end of each joint chapter are designed to
increase the reader’s knowledge. Although most of the answers are provided
within the text, some are not, so that the reader is encouraged to complete
further reading.
Although most clinicians inherently know that the intensity of an inter-
vention is based on the stage of healing, formulating ideas for appropriate
intervention beyond the use of heat, cold and the various electrotherapeutic
modalities often proves diffi cult. At the end of each of the body area chapters
a hierarchical series of appropriate therapeutic exercises, in the form of a clini-
cal ladder, is presented. The advantage of these exercise steps is that they can
be used for any injury regardless of the diagnosis as they are based on patient
tolerance. However, for the exercises to be effective, each of the exercise steps
must be used in the order they are presented.
It is hoped that this book achieves its aim—to provide the student and
clinician with the necessary tools for the comprehensive examination, evalua-
tion, and intervention of the outpatient orthopedic population.
Mark Dutton, PT
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Acknowledgments
It is my fi rm belief that our accomplishments in life are due to a supporting
cast of people, who help shape, direct, and inspire. I would therefore like to
thank the following:
• My family. Certain sacrifi ces to family life are always necessary whenever a
task of this size is undertaken.
• The production team of McGraw-Hill—Joe Morita for his confi dence in
this project, and Christie Naglieri for her patience, guidance, and support.
• The team at Thomson Digital, led by Pooja Khurana.
• The staff of Human Motion Rehabilitation, Allegheny General Hospital.
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