Lecture Notes: Orthopaedics and Fractures

Lecture Notes: Orthopaedics and Fractures

Lecture Notes

Orthopaedics and Fractures

T Duckworth

BSc (Hons), MBChB (Hons), FRCS (Eng) Emeritus Professor of Orthopaedics University of Sheffield

C M Blundell

MB, ChB, BMedSci (Hons), FRCS (Eng), MD, FRCS (Tr&Orth) Northern General Hospital Sheffield, UK

Fourth edition

A John Wiley & Sons, Ltd., Publication

This edition first published 2010, ? 2010 by T Duckworth and CM Blundell Previous editions: 1980, 1984, 1995

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Library of Congress Cataloging-in-Publication Data Duckworth, T.

Lecture notes. Orthopaedics and fractures / T. Duckworth, C.M. Blundell. ? 4th ed. p. ; cm.

Rev. ed. of: Lecture notes on orthopaedics and fractures / T. Duckworth. 3rd ed. c1995. Includes index. ISBN 978-1-4051-3329-6 1. Orthopedics?Handbooks, manuals, etc. 2. Fractures?Handbooks, manuals, etc. I. Blundell, C. M. (Chris M.) II. Duckworth, T. Lecture notes on orthopaedics and fractures. III. Title. IV. Title: Orthopaedics and fractures. [DNLM: 1. Orthopedic Procedures?Handbooks. 2. Fractures, Bone?Handbooks. WE 39 D836L 2010] RD732.5.D83 2010 616.7?dc22

2009046372

ISBN: 9781405133296

A catalogue record for this book is available from the British Library.

Set in 8 on 12 pt Stone Serif by Toppan Best-set Premedia Limited Printed and bound in Singapore

1 2010

Contents

Contributors vi Preface to fourth edition vii Preface to first edition viii

Part 1: General Principles

1 Musculoskeletal structures and function 3 2 Soft-tissue injuries and healing 12 3 Nerve injuries and repair 20 4 Fractures and healing 25 5 Fractures--principles of management 32 6 Complications of fractures 44 7 Major trauma 49 8 Congenital and developmental conditions 52 9 Generalized orthopaedic conditions 66 10 Inflammatory conditions 74 11 Degenerative conditions 87 12 Neoplastic conditions of bone and soft

tissue 92

13 Infections 100 14 Metabolic diseases of bone 109 15 Examination of the musculoskeletal

system 116

Part 2: Regional Orthopaedics

16 The forearm, wrist and hand 123 17 The elbow 139 18 The shoulder and upper arm 148 19 The spine 157 20 The pelvis 172 21 The hip and thigh 176 22 The knee and lower leg 188 23 The foot and ankle 201 24 Orthopaedic techniques 218

Appendix 233 Index 237

v

Contributors

Stephen Bostock Consultant Orthopaedic Hand Surgeon Sheffield Orthopaedics Ltd Sheffield, UK

Ashley Cole Consultant Orthopaedic Spinal Surgeon Sheffield Orthopaedics Ltd Sheffield, UK

Richard Gibson Consultant Orthopaedic Surgeon Sheffield Teaching Hospital NHS Trust Sheffield, UK

Bob Grimer The Royal Orthopaedic Hospital Birmingham, UK

Andrew Hamer Consultant Orthopaedic Surgeon Sheffield Orthopaedics Ltd Sheffield, UK

Paul Haslam Consultant Orthopaedic Surgeon Doncaster and Bassetlaw Hospitals NHS Trust Doncaster, UK

Stan Jones Consultant Orthopaedic Surgeon Sheffield Orthopaedics Ltd Sheffield, UK

David Stanley Consultant Orthopaedic Surgeon Sheffield Teaching Hospitals NHS Trust Sheffield, UK

Simon Till Consultant Rheumatologist Sheffield Teaching Hospitals NHS Trust Sheffield, UK

Rob Townsend Consultant Microbiologist Department of Microbiology Northern General Hospital Sheffield, UK

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