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Musculoskeletal Examination of the Hip and Knee

Edited by Anil Ranawat and Bryan T. Kelly pp. 457 Thorofare/New Jersey: SLACK Incorporated, 2011 ISBN: 978-1-55642-920-0

Ranawat and Kelly have brought together 35 other contributors to produce this very readable text. The list of authors of the 18 chapters includes international experts in the management of hip and knee conditions. This is a relatively short and copiously illustrated text, attempting to address and simplify this potentially complex topic for orthopaedic surgeons of all levels of clinical experience.

To describe the book merely as a guide to examination of the hip and knee, would be a great disservice. It is divided into three sections; Physical Examination, General Imaging, Common Conditions of the Hip and Common Conditions of the Knee. There are descriptions of the basic test in hip and knee examination as well as the more specific tests. As such, as well as providing a technique for examination of the degenerative joint, the book informs the reader of the tests relevant to pathologies associated with the younger adult joint. The imaging modalities appropriate for confirming these diagnoses are also described.

The section on Common Conditions of the Hip has chapters on Hip Instability, Femoroacetabular Impingement, Abductor Tears, Cartilage Injuries, Snapping Hip Syndrome, Femoral Deformities and Hip Osteotomies and on Dysplasia in the Adult. The section on Common Conditions of the Knee has chapters covering Anterior Cruciate Ligament Injuries, Posterior Cruciate Ligament Injuries, Meniscal Injuries, Cartilage Injuries, Posterolateral and Posteromedial Corners of the Knee, Knee Malalignment and High Tibial Osteotomy and on Patellofemoral Instability. Each chapter further describes the relevant tests in the physical examination. This reinforces the reader's knowledge and understanding of the tests. It would also allow the reader who wishes to use the book as a quick reference guide, ready access to the specific tests for the differential diagnoses they are considering.

The extent to which the authors go beyond the basic examination techniques, with the specific sections on imaging, history, and pathology, make this text superior to other many clinical examination books. A further advantage of is that the chapters are well referenced, providing a tool for the interested reader to explore any area of particular interest.

The book succeeds in its stated attempt to simplify the increasingly complex and emerging field of joint preservation of the hip and knee. It would be a useful addition to many a library and would aid orthopaedic trainees/residents sitting the FRCS(Orth) or Board Examinations. It should be of interest to the established Orthopaedic Surgeon looking to glean a further understanding of what is sometimes regarded as the mystical area of joint preserving surgery. Medical students, physiotherapists, sport medicine physicians and general practitioners would also find this book useful.

N. Maruthainar and S. Hanna

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