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Fundamentals of Musculoskeletal Imaging, ed 2

McKinnis LN. Philadelphia, PA 19103, FA Davis Co, 2005, hardcover (with CD-ROM), 592 pp, illus, ISBN: 0-8036-1188-9, $76.

The text is divided into 15 chapters. The first 4 chapters lay the foundation for musculoskeletal imaging. The first chapter, "General Principles of Musculoskeletal Imaging," begins with a historical perspective of imaging, followed by components of x-ray imaging and examination and other common studies in musculoskeletal imaging. Chapter 2 focuses on normal and abnormal radiologic evaluation. This chapter includes the classic "ABCs" of radiograph analysis. A section in this chapter discusses common bone diseases: rheumatoid arthritis, osteoarthritis, osteoporosis, infection, and tumors. I liked the algorithm that takes the reader through the evaluation of bone lesions discovered on conventional radiographs. The chapter ends with a section on radiologic report. Chapter 3 covers the evaluation of a fracture. Subheadings of the chapter include "Elements of Fracture Description," "Fractures in Children," "Fracture Healing," "Time Frame for Fracture Healing," "Complications in Fracture Healing," and "Commonly Missed Fractures." A helpful feature at the conclusion of this chapter is an appendix of fracture eponyms.

Chapter 4, a new chapter to this edition, discusses advanced imaging, including computed tomography (CT), magnetic resonance imaging (MRI), and ultra-sound (US). I found the table comparing CT, MRI, and US for clinical diagnoses by body region and pathology to be a beneficial tool for clinicians.

The next 10 chapters take a systems approach to describe musculoskeletal imaging of peripheral joints and the spine. Each chapter follows a common format, beginning with anatomy review, then routine radiologic evaluation, trauma, and pathological conditions.

Each chapter ends with a summary of key points and a self-test to help the reader integrate chapter content. One of the values of this comprehensive text is the description of abnormal conditions that accompany the radiologic information. For example, in chapter 10, "Radiologic Evaluation of the Knee," tibial plateau fracture, patellar fracture, and chondral fracture all are described in detail.

The last chapter, chapter 15, "Integration of Imaging Into Physical Therapy Practice," by Bradley Barr, presents the issue of the physical therapist as a primary care provider and the importance of understanding diagnostic imaging. He provides the physical therapy documentation that supports this concept. He also discusses the physical therapist’s role and decision making in the diagnostic process.

Another new feature to this edition is the case studies that accompany each of the system chapters. The basis of each case study is an injury or disease that relies on musculoskeletal imaging as a key diagnostic tool. Other improvements to this edition include a student CD, which allows the student to practice interpreting radiographs. A link is provided for additional resources.

After reviewing this text, I believe that the author’s purpose was fulfilled. The text is very thorough and presented in a clear and understandable manner. References are up-to-date. One of the outstanding features of the text is the numerous illustrations. I especially like the line drawings that accompanied many of the photo images to help with detail and clarification.

I know of no other comprehensive text on musculoskeletal imaging that is written specifically for physical therapists. I would highly recommend this book for all physical therapist clinicians, especially those practicing in an orthopedic setting. I think this text also is a good resource for physical therapy curricula, both at the professional and the postprofessional level.

Minimal system requirements for CD usage: 64 MB RAM; Windows 98/ ME/2000/XP, 122 MB Hard disk space; Internet Explorer 5.0 or greater/ Netscape 6.0 or later.

Loudon is Associate Professor in the physical therapy program. She has more than 20 years of clinical experience in orthopedics. Her research interest is in biomechanics and prevention of injuries in sports.

Janice K Loudon, PT, PhD, SCS, ATC

University of Kansas Medical Center Kansas City, Kan

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This Article Full Text (PDF) Submit a response Alert me when this article is cited Alert me when Rapid Responses are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Loudon, J. K Search for Related Content PubMed Articles by Loudon, J. K Related Collections Musculoskeletal System/Orthopedic: Other Tests and Measurements Social Bookmarking                      What's this?