From the earliest conception of this book through the publication of this third edition, it has always been our intent to produce a practical user-friendly book that helps clinicians manage their patients who have fractures. We have accomplished this through a systematic approach to each fracture that enables you to find the information you need quickly, including what to look for, what to do in the acute setting, how to manage the fracture long term, and when to refer. The many high-quality radiographs and illustrations help clinicians properly identify those fractures that can be managed by primary care providers and those that need to be referred. The basic systematic format of the text has been retained, but information from the second edition has been significantly revised to include current evidence and references. We have expanded the discussion in the imaging sections for each fracture to include evidence regarding preferred modalities for identifying fractures. Aspects of the emergency care of fractures, including guidelines for emergent referral and greater detail regarding methods for closed reductions for fractures and dislocations, are featured in this edition. New radiographs and illustrations have been added to give you optimal examples of the fractures you will encounter.
This edition builds on the success of the second edition and gives you an even better reference for your practice. One of the most notable changes is the addition of an entire section devoted to step-by-step instructions on applying a variety of splints and casts. Another update in this edition is the inclusion of patient education handouts that can be downloaded from the online version of the book. These handouts will give your patients information about the healing process and the kinds of rehabilitation exercises they can do to return to full activity after an injury. The online book also includes videos covering techniques for splinting and reducing dislocations.
We would like to thank the many individuals who helped us in the preparation of this edition. We thank our contributing authors for their assistance with individual chapters and the appendix: Ryan Petering, MD (Finger Fractures and Carpal Fractures), Charles Webb, MD (Metacarpal Fractures), John Malaty, MD (Facial and Skull Fractures), Adam Prawer, MD (Radius and Ulna Fractures), Michael Seth Smith, MD (Metatarsal Fractures), and Michael Petrizzi, MD, and Timothy Sanford, MD (Appendix). We thank Walter Calmbach, MD, for his contribution to the first two editions of the book. We also thank Janice Gaillard, senior developmental editor, at Elsevier for her guidance and advice. And finally, we are grateful to the many practicing clinicians who have encouraged us to take this next step in pursuit of our vision to give you the most accurate and practical working guide to fracture management.
-- M. Patrice Eiff and Robert L. Hatch
Key Features
- Access the information you need, the way you need it with a template format for presenting each type of fracture.
- Diagnose fractures accurately with the many high-quality images.
- Clearly see the anatomic relationships of bones and joints through schematic illustrations.
- Reference key information quickly and easily thanks to one-page management tables that summarize pertinent aspects of diagnosis and treatment.
- Treat displaced fractures using detailed, step-by-step descriptions of the most common reduction techniques.
Website Features
- Consult the book from any computer at home, in your office, or at any practice location.
- Instantly locate the answers to your clinical questions via a simple search query.
- Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
Contents
Introduction
- Fracture Management: A Personal View
Chapter 1 - Fracture Management by Primary Care Providers
- Primary Care Physicians
- Nurse Practitioners and Physician Assistants
- References
Chapter 2 - General Principles of Fracture Care
- Bone Composition
- Fracture Healing
- Potential Fracture Sites
- Fracture Description
- Fracture Selection
- Overview of Acute Management
- Overview of Definitive Care
- Late Fracture Complications
- Management of Pediatric Fractures
Chapter 3 - Finger Fractures
- Distal Phalanx Fractures
- Mallet Finger
- Flexor Digitorum Profundus Avulsion (Jersey Finger)
- Distal Interphalangeal Joint Dislocation
- Middle Phalanx Shaft Fractures (Adult)
- Middle Phalanx Fractures (Pediatric)
- Proximal Interphalangeal Joint Injuries
- Proximal Phalanx Shaft Fractures (Adult)
- Pediatric (Physeal) Fractures of the Proximal Phalanx
- Dislocations and Ligament Injuries of the Metacarpophalangeal Joint
- Dislocations and Ligament Injuries of the Thumb Metacarpophalangeal Joint
Chapter 4 - Metacarpal Fractures
- Metacarpal Head
- Metacarpal Neck
- Metacarpal Shaft
- Metacarpal Base
- Dislocations of the Carpometacarpal Joint
- First Metacarpal Fractures (Adult)
- First Metacarpal Fractures (Pediatric)
Chapter 5 - Carpal Fractures
- Scaphoid Fractures (Adult)
- Triquetrum Fractures
- Lunate Fractures
- Hamate Fractures
- Capitate Fractures
- Pisiform Fractures
- Trapezium Fractures
- Trapezoid Fractures
- Carpal Dislocations
Chapter 6 - Radius and Ulna Fractures
- Distal Radius Fractures (Adult)
- Distal Radius Fractures (Pediatric)
- Fractures of the Shaft of the Radius (Adult): Galeazzi's Fracture
- Fractures of the Shaft of the Radius (Pediatric)
- Both-Bone Forearm Fractures (Adult)
- Both-Bone Forearm Fractures (Pediatric)
- Fractures of the Ulnar Shaft
- Monteggia's Fractures (Adult)
- Monteggia's Fractures (Pediatric)
- Wrist Dislocations (Radiocarpal Joint)
Chapter 7 - Elbow Fractures
- Radial Head and Neck
- Olecranon
- Distal Humerus (Adult)
- Distal Humerus (Pediatric)
- Elbow Dislocation
Chapter 8 - Humerus Fractures
- Anatomic Considerations
- Proximal Humerus Fractures (Adult)
- Proximal Humerus Fractures (Pediatric)
- Midshaft Fractures of the Humerus
- Shoulder (Glenohumeral) Dislocations
Chapter 9 - Clavicle and Scapula Fractures
- Clavicle Fractures
- Scapula Fractures
Chapter 10 - Spine Fractures
- Cervical Spine Fractures (Adult)
- Cervical Spine Fractures (Pediatric)
- Thoracolumbar Spine Fractures (Adult)
- Thoracolumbar Spine Fractures (Pediatric)
- Spondylolysis
- Nontraumatic Thoracolumbar Fractures
- Tumors
- Vertebral Osteomyelitis
Chapter 11 - Femur and Pelvis Fractures
- Femoral Neck Fractures
- Intertrochanteric Fractures
- Trochanteric Fractures
- Femoral Shaft Fractures
- Stress Fractures of the Femur
- Hip Dislocations
- Pelvic Fractures
- Acetabular Fractures
Chapter 12 - Patellar, Tibial, and Fibular Fractures
- Patellar Fractures And Dislocations
- Tibial Fractures
- Fibular Fractures
Chapter 13 - Ankle Fractures
- Ankle Fractures (Adult)
- Ankle Fractures (Pediatric)
- Ankle Dislocation
Chapter 14 - Calcaneus and Other Tarsal Fractures
- Calcaneus Fractures (Adult)
- Calcaneus Fractures (Pediatric)
- Talus Fractures (Adult)
- Talus Fractures (Pediatric)
- Navicular Fractures (Adult)
- Navicular Fractures (Pediatric)
- Cuboid and Cuneiform Fractures
Chapter 15 - Metatarsal Fractures
- Fractures of the Metatarsal Shafts
- Stress Fractures of the Metatarsal Shafts
- Proximal Fractures of the First through Fourth Metatarsals
- Stress Fracture of the Fifth Metatarsal Diaphysis
Chapter 16 - Toe Fractures
- Toe Fractures
- Toe Dislocations
- Sesamoid Fractures
Chapter 17 - Facial and Skull Fractures
- Nasal Fractures
- Fractures of Other Facial Bones
- Skull Fractures
Chapter 18 - Rib Fractures
- Anatomic Considerations
- Mechanism of Injury
- Rib Fractures after Trauma
- Stress Fractures of the Ribs
Appendix (Casting and Splinting)
- General Principles about Splinting and Casting
- Short-Arm Cast CPT 29075
- Short-Arm Thumb Spica Cast CPT 29075
- Long Arm Cast CPT 29065
- Long-Arm Thumb Spica Cast CPT 29065
- Short-Leg Cast: Non–Weight Bearing (CPT 29405) and Weight Bearing (CPT 29425)
- Long-Leg Cast CPT 29345,355 or 365
- Ulnar Gutter Splint CPT 29105
- Upper Extremity Sugar Tong Splint CPT Code 29125
- Thumb Spica Sugar Tong Splint CPT Code 29105
- Lower Extremity Splint (Three-Sided Immobilization) CPT 29505
About the Authors
- M. Patrice Eiff, MD, Professor, Department of Family Medicine, Oregon Health and Science University, Portland, Oregon.
- Robert Hatch, MD, MPH, Professor, Department of Community Health and Family Medicine, University of Florida, Gainesville, Florida.
- Mariam K. Higgins, Medical Illustrator, Portland, Oregon.
Product Details
- Paperback: 400 pages
- Publisher: Saunders; 3 edition (August 8, 2011)
- Language: English
- ISBN-10: 143770428X
- ISBN-13: 978-1437704280
List Price: $79.95