Section 1. General Principles
Pain. Pressure on nerves. Connective tissue. Clinical diagnosis of
soft tissue lesions. General principles of treatment.
Section 2. The cervical spine
Applied anatomy of the cervical spine. Clinical examination of the
cervical spine. Interpretation of findings. Disorders of the cervical
spine. Mechanical disorders. Non-mechanical disorders. Other
disorders. Whiplash injury. Treatment.
Section 3. The shoulder
Applied anatomy of the shoulder. Clinical examination of the
shoulder. Interpretation of findings. Disorders of the inert
structures. Disorders of the contractile structures. Disorders
associated with a painful arc. A vascular disorder: subclavian steal
syndrome.
Section 4. The shoulder girdle
Applied anatomy of the shoulder girdle. Clinical examination of the
shoulder girdle. Interpretation of findings. Disorders of the inert
structures. Disorders of the contractile structures. Disorders of the
nerve tissue.
Section 5. The elbow
Applied anatomy of the elbow. Clinical examination of the elbow.
Interpretation of findings. Disorders of the inert structures.
Disorders of the contractile structures.
Section 6. The wrist, thumb and hand
Applied anatomy of the wrist, thumb and hand. Clinical examination of
the wrist, thumb and hand. Interpretation of findings. Disorders of
the lower radioulnar joint. Disorders of the wrist. Disorders of the
thumb. Disorders of the hand and fingers.
Section 7. Nerve Lesions and entrapment neuropathies of the upper
limb
Nerve lesions and entrapment neuropathies of the upper limb
Section 8. The thoracic spine
Applied anatomy of the thorax and abdomen. Clinical examination of
the thoracic spine. Interpretation of findings. Disorders of the
thoracic spine: disc lesions. Disorders of the thoracic spine: non-
disc lesions. Disorders of the thoracic cage and abdomen. Ankylosing
spondylitis of the thorax.
Section 9. The temporomandibular joint
Applied anatomy of the temporomandibular joint. Clinical examination
of the temporomandibular joint. Interpretation of findings. Disorders
of the temporomandibular joint.
Section 10. The lumbar spine
Introduction to the lumbar spine. Applied anatomy of the lumbar
spine. Ageing of the lumbar spine. The dural concept. The ligamentous
concept. The stenotic concept. Clinical examination of the lumbar
spine. Interpretation of findings. Mechanical disorders of the lumbar
spine: differential diagnosis. Non-mechanical disorders of the lumbar
spine. Treatment of the lumbar spine.
Section 11. The sacroiliac joint and coccyx
Applied anatomy of the sacroiliac joint. Clinical examination of the
sacroiliac joint. Interpretation of findings. Disorders of the
sacroiliac joint. Anatomy and disorders of the coccyx.
Section 12. The hip and buttock
Applied anatomy of the hip and buttock. Clinical examination of the
hip and buttock. Interpretation of findings. Disorders of the inert
structures. Disorders of the contractile structures. Hip disorders in
children. Summary of hip pain.
Section 13. The knee
Applied anatomy of the knee. Clinical examination of the knee.
Interpretation of findings. Disorders of the inert structures:
capsular and non-capsular patterns. Disorders of the inert
structures: ligaments. Disorders of the contractile structures.
Differential diagnosis of lesions at the knee.
Section 14. The lower leg, ankle and foot
Applied anatomy of the lower leg, ankle and foot. Clinical
examination of the lower leg, ankle and foot. Interpretation of
findings. Disorders of the lower leg. Disorders of the ankle and
subtalar joints. Disorders of the midtarsal joints. Disorders of the
forefoot and toes.
Section 15. Nerve lesions and entrapment neuropathies of the lower
limb
Nerve lesions and entrapment neuropathies of the lower limb.
Section 16. Psychogenic Pain
Psychogenic pain.
System of Orthopaedic Medicine has established itself as an
essential reference source for all those working in the field of
musculoskeletal disorders. It describes a logical system of clinical
examination of all musculoskeletal structures. By carefully following
the examination sequence described, the clinician can be confident of
arriving at an accurate diagnosis around which to plan the
appropriate treatment. Originally based on the approach to
orthopaedic medicine developed by James Cyriax, the book is relevant
to any clinician concerned with the assessment and treatment of
musculoskeletal pain. The system relies entirely on basic clinical
skills and requires none of the apparatus usually found only in
hospitals. For this reason it will be of particular value to family
doctors, physiotherapists, rheumatologists, orthopaedic surgeons and
those working in sports medicine.
The treatments described are simple and have proved their
effectiveness through time. For any treatment to be successful,
accurate diagnosis must be followed by carefully focused therapy to
the affected area. For this reason, considerable detail is given on
palpation of the anatomical structures and the correct performance of
each therapeutic technique.
The accurate assessment of the cause of musculoskeletal pain and
dysfunction is one of the biggest challenges for clinicians today. In
a society where everyone now wants to remain fit and active well into
old age, practitioners and therapists are expected to be able to
identify the cause of every ache and pain and then correct it. While
this may not always be possible, those using this book will find that
it helps them to identify the source of the problem more quickly and
surely. A System of Orthopaedic Medicine is a book that no
practitioner concerned with providing the most appropriate treatment
and rehabilitation program for musculoskeletal disorders should
ignore.