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Critical pathways in therapeutic intervention : extremities and spine

Author: David C Saidoff; Andrew L McDonough
Publisher: St. Louis : Mosby, ©2002.
Edition/Format:   Print book : EnglishView all editions and formats
"This ... text builds on Mosby's CRITICAL PATHWAYS IN THERAPEUTIC INTERVENTION -- Upper Extremities and adds comprehensive coverage of the lower extremity and spine. [The format is such that] unique case study chapters simulates the signs and symptoms observed and measured during an actual examination, neatly bridging the gap between theory and practice. ... Each chapter is a comprehensive literature review of the  Read more...

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Additional Physical Format: Online version:
Saidoff, David C.
Critical pathways in therapeutic intervention.
St. Louis : Mosby, ©2002
Document Type: Book
All Authors / Contributors: David C Saidoff; Andrew L McDonough
ISBN: 032300105X 9780323001052
OCLC Number: 48446008
Description: xvii, 1118 pages : illustrations ; 27 cm
Contents: pt. I. Hand and Wrist --
1. Chilly fingertips: Raynaud's phenomenon --
2. Volar nodule and flexion contraction of ring finger: Dupuytren's contracture --
3. Painful thumb after intense bout of hammering: DeQuervain's disease --
4. Nocturnal wringing of painful tingling right hand: Carpal tunnel syndrome --
5. Fall resulting in wrist deformity: Colles fracture --
pt. II. Elbow and Forearm --
6. Burning pain, swelling, and trophic changes in hand, wrist, and forearm out of proportion to a 2-week-old negligible injury: Reflex sympathetic dystrophy --
7. Bilateral epicondylar elbow pain: Tennis and golfer's elbow --
pt. III. Shoulder --
8. Persistent pinpoint tenderness over bicipital groove despite shoulder rotation and painful arc during resistive supination and elevation: Bicipital tendinitis --
9. Loss of right shoulder elevation after injury, without presence of painful arc: Rotator cuff rupture --
10. Chronic right shoulder pain and crepitus during elevation, swimming, and carrying a briefcase: Supraspinatus impingement --
11. Chronic shoulder discomfort that progressed to acute unrelenting pain over 4-month period: Calcific supraspinatus tendinitis --
12. Acute and excruciating shoulder pain after intense bout of exercise and relieved by rest: Subacromial bursitis --
13. Stiff and painful shoulder: Adhesive capsulitis --
14. Painful bump over distal clavicle: AC joint sprain --
15. Fall on point of shoulder, causing sagging of the upper extremity, loss of shoulder function, and much pain on movement: Clavicle fracture --
16. Painful bump over section of proximal clavicle: Shoulder separation --
17. Diver accident with acute pain and deformity in shoulder: Shoulder dislocation --
pt. IV. Brachial Plexus, Thoracic Outlet, and Shoulder Girdle --
18. Pain, dysesthesia, and paresthesia in ulnar three digits caused by proximal lesion: Thoracic outlet syndrome --
19. Large and broad-shouldered infant with monoparetic arm after breech delivery: Erb's palsy --
20. Exquisite pinpoint muscle pain and taut bands within muscle substance, and remote referral to a locale within the same myotome: Myofascial pain syndrome --
21. Chronic and generalized aches, pains, stiffness at three anatomic sites and multiple tender points as well as insomnia and headache of at least 3 months in duration: Primary fibromyalgia syndrome --
22. Neonate presenting with leftward head tilt and rightward facial flattening: Congenital muscular torticollis --
pt. V. Nerve and Muscle Lesions --
23. Acute hemiparalysis of all facial muscles after cold exposure: Bell's palsy --
24. Right ape-hand deformity and left claw hand deformity after accident in which both hands were thrust through a glass window: Nerve injury --
25. Momentary stabbing pain in groin and ipsilateral buttock and loss of ambulation after a fall that yanks the ipsilateral extended leg into excessive abduction and flexion: Muscle injury --
pt. VI. Foot --
26. Pain and swelling of hallux, as well as difficulty running after forceful and excessive forefoot extension: Turf toe syndrome --
27. Painful pebble sensation over ball of foot that radiates into toes: Interdigital neuroma --
28. Medial calcaneal heel pain upon weight bearing on an intrinsic foot deformity: Plantar fasciitis/Heel spur --
29. Pain and triggering posterior to medical malleolus just lateral to calcaneal tendon that is exacerbated by push-off phase of gait and reproduced by flexing and extending hallux: Dancer's tendinitis --
pt. VII. Ankle --
30. Painful and unstable upper ankle after jump landing and excessively forceful inversion moment that causes the foot to roll inward: Ankle sprain --
31. Burning pain and paresthesia over medial side of ankle that radiates to foot and sole after excessive walking that is relived by sitting: Tarsal tunnel syndrome --
32. Pain, crepitus, and snapping over the lateral malleolus after ankle injury: Peroneal tendon instability --
33. Slim young woman with painless, sudden foot drop after cross-legged posture: Peroneal nerve entrapment --
pt. VIII. Heel --
34. Pain over posterior aspect of the ankle after brisk walking and when rising on tiptoe, with a lower extremity profile of tightness in right posterior lower extremity musculature and calcaneal deviation from subtalar joint neutral: Achilles tendinitis --
35. Popping sensation above heel followed by intense, immediate pain, loss of ambulation, and slight bulge over left calf: Achilles tendon rupture --
pt. IX. Knee and Shin --
36. Lateral or medial exertional shin pain in hyperpronated feet during running activity: Shin splints --
37. Tall adolescent male with anterior knee pain after basketball activities: Osgood Schlatter disease --
38. Pain and tenderness at inferior patellar pole and ligament after descent from repetitive jumping activities: Jumper's knee --
39. Painful, red, warm, gross prepatellar swelling in the absence of direct trauma with pain at either extreme of terminal knee motion: Patellar bursitis --
40. Retropatellar pain, crepitus, mild swelling, slight quadriceps atrophy, facet tenderness, and stiffness after sitting, and an occasional sensation of giving way: Chondromalacia --
41. Anterior knee instability, pain, swelling, and pseudolocking after injury: Subluxating patella syndrome --
42. Knee catching and locking in both flexion and extension, accompanied by joint-line tenderness, giving way, pain, swelling, and clear joint fluid during arthrocentesis: Meniscus pathology --
43. Knee injury with rapid swelling and giving way when pivoting: Cruciate Ligament disruption --
44. Severe force to the lateral knee joint, or medial foot, with and without a planted foot resulting in excessive valgus angulation of knee during knee extension evaluation: Medial collateral ligament sprain --
45. Obese, early adolescent, with insidious onset of mechanical obstruction in knee extension that is accompanied by knee swelling, and pain that varies in location, in the absence of acute trauma or giving-way: Osteochondritis dissecans --
46. Posterolateral exertional knee pain immediately after knee extension phases of gait after downhill running along banked surface: Popliteus strain --
47. Painful snapping, give-way sensation, and stiffness after prolonged sitting at the right medial tibiofemoral joint line: Plica syndrome --
pt. X. Hip, Thigh, and Knee --
48. Painful snapping over greater trochanter while running downhill on a banked surface: Iliotibial band friction syndrome --
49. Progressive, aching, insidious onset of pain and morning stiffness in the large weight- bearing, lower extremity joints that is exacerbated by inclement weather, causing diminished function: Arthritis --
50. Quadriceps contusion after a swimming pool diving injury resulting in palpable lump, restricted knee range, and progressively increasing daytime pain upon activity: Myositis ossificans --
51. Anterolateral thigh paresthesia without muscle weakness: Meralgia paresthetica --
52. Miserable malalignment syndrome in an aspiring ballerina: Miserable malalignment syndrome --
53. Pain over lateral aspect of hip and proximal thigh with site of maximal tenderness posterior to the greater trochanter: Trochanteric bursitis --
pt. XI. Pelvis --
54. Unilateral pubalgia in a soccer player that is aggravated by performing an inside kick: Osteitis pubis --
55. Deep buttock pain and numbness in the peroneal distribution: Pinformis syndrome --
pt. XII. Spine --
56. Insidious low back pain and morning stiffness of greater than 3 months duration that improves with activity and worsens with rest in a Caucasian man below age 40: Ankylosing spondylitis --
57. Elderly patient with low back pain and lower limb (neurogenic) claudication exacerbated by lumbar extension: Spinal stenosis. 58. History of fall on buttocks during childhood and progressive lumbosacral ache, pain, and limitation of flexion in adulthood that is aggravated by jarring motions and relieved by a hot shower: Degenerative disc disease --
59. Acute, localized, low back pain after sudden movement that progressively worsens and accompanied by palpable tenderness without sensory, motor, or reflex deficit: Back sprain and back strain --
60. Spontaneous low back pain aggravated by flexion and straining, relieved by recumbency, that decreases with concurrent peripheralization of pain: Acute disc herniation --
61. Lateral spinal curvature in a senescent woman with low back and leg pain during standing and walking that is relieved by recumbency: Scoliosis --
62. Sudden, intense, mid-level back pain in a middle-aged female while lifting a heavy object: Osteoporotic vertebral compression fracture --
63. Sudden cervical hyperextension followed by progressively stiff and painful neck, loss of cervical lordosis, headache, and tingling sensation of the upper extremities: Cervicol sprain/Radiculopathy.
Responsibility: David C. Saidoff, Andrew L. McDonough ; illustrated by Laura Pardi Duprey.


Offers an integrative approach to rehabilitation. Pulling together diverse disease and concepts from sports medicine, physiotherapy and occupational therapy, ergonomics, geriatrics, kinesiology and  Read more...


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