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Orthopedic Imaging – A practical approach

Adam Greenspan. pp. 1192 Lippincott Williams and Wilkins, 2014. ISBN-13: 978-1451191301

That this is the sixth edition of Adam Greenspan’s musculoskeletal imaging textbook is, in itself, testament to its inherent worth. The inclusion of another musculoskeletal radiology giant, Javier Beltran, as a contributor to this edition adds further to its merit.

The textbook is arranged into seven parts. Part I is an introduction to the relative pros and cons of various imaging modalities.  This introduction is crucial given the changing nature of musculoskeletal imaging and the widening scope of orthopaedic referral. Part II is a comprehensive overview of musculoskeletal trauma categorised by body region. Parts III-VII cover the important and common diseases likely to be encountered by musculoskeletal radiologists and orthopaedic surgeons, such as the arthritides, tumours, infections, metabolic and endocrine disorders, and congenital and developmental anomalies.

The book has an easy-to-read style throughout, and adopts a practical approach with, for example, each chapter containing a summary of “practical points to remember” which is invaluable as a ‘must-know’ recap and quick reference for residents and other readers. The book is filled with carefully chosen and beautifully presented radiographs, CT and MR images which are often accompanied by a schematic guide to clearly explain the chosen imaging plane, technique, and pertinent features crucial for those relatively new to musculoskeletal imaging.  It is pleasing to see that, as in previous editions, radiography and radiographic technique continues to be amply covered as this is a modality which tends to get increasingly overlooked yet remains the mainstay of orthopaedic imaging. It would have been nice to see more correlative or stand alone ultrasound images included, though, that said, the authors have done a tremendous job packing so much useful information into this 1170 page single volume textbook. The schematic diagrams are incredibly useful and memorable particularly with regard to fracture classification and disease type.  These are the images that will stay with you for a lifetime. The text and references are remarkably up to date for a textbook of this size.

Overall, the 6th Edition of this classic textbook lives up to all expectations. It is an  easy read and an excellent reference book for day-to-day radiological and orthopaedic practice. Several residents in our Department had the opportunity to study it and were equally enthusiastic in their praise. I have no hesitation whatsoever in recommending this book as an exceptional buy to trainees and residents.

Reviewed by Prof James Griffith.