Orthopedic book for Primary Care

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

jojo10I1

New Member
10+ Year Member
15+ Year Member
Joined
Jul 19, 2008
Messages
1
Reaction score
0
Hi everyone! This is my first post!

I've surfed the site like crazy looking for a recommendation on an ortho book for PCP - so far most of them are either PM&R, Fractures or Exams - does anyone have a recommendation on one that has exam, d/dx, gen tx and rheum/sports/ortho office procedures?

I've found a couple of books but not much reviews on them - any feedback/recs would be great!:-

Orthopaedics in Primary Care 2nd ed by Carr & Hamilton - 2005
Orthopaedics in Primary Care 3rd ed by Steinberg,Akins & Baran - 1998
 
You may be asking too much as I'm having a hard time finding such. Be interested if anyone else has input. I think it all depends on where you are in your training and what you need. I can only tell you about the books I use and they've all been pretty much trial and error.

I have Essentials which is a good place to start and is appropriate for a 1st book because it covers soft tissue stuff and has a rehab CD. It's in the format that you described, but it's not thorough/detailed IMO. There're some procedures in it, but not extensive. So it's a good starter book.

If you start to realize that you're seeing/managing fractures, Eiff's Fractures is good. Best part is the summary tables on initial management and definitive management and indications for referral.

If you start to realize that the exam is where you're lacking, I read in the PM&R forum that Magee is good/thorough which I'm borrowing off the library shelf but I haven't read. Hoppenfeld is good too but just as dense, although it does as a good job integrating both ortho and neuroanatomy into exam which I like. I keep Netters close by so I know what they're talking about. I bought this other book called Clinical Orthopedic Examination by McRae a while ago, but I haven't really used it much. A good exam book should not only have pictures of maneuvers with anatomy correlates but should also help you formulate differential diagnosis.

I haven't explored the radiological texts. I heard the Essentials people put one out that's pretty basic. I still use Anatomy in Diagnostic Imaging by Fleckenstein from med school because it has Xray, CT, and MRI cuts atlas pointing out anatomy (but not pathology). There's another reference text out there called Normal Variations in Anatomical something which is not much of a read-through text, but a reference one to keep near the light box.

There're a few other texts out there that I've seen. ACSM Primary Care Sports Medicine book, which one fellow used as his main book and I glanced at a few pages. Can't give much color. I bought Sports Medicine for Primary Care Physicians by Birrer which is a text, hardly any pictures, but is in the same format as you described above. There's one program that makes fellows read Brukner's Clinical Sports Medicine cover to cover, so that's one thing you can consider getting just from endorsement alone. I've used 5 Minute Clinical Consults for SM before, which I like, but I think it's only good if you have an idea of what the diagnosis is based on your assessment.

As far as procedures, there're a few joint injection books out there. I've tried using Pfenninger, but it's not enough. Get a book that's solely injections. I forgot the name of them.

Books, books, books. I haven't given up yet, but the one thing I'm starting to realize is that if you want to learn MSK, it's hard to learn it in a book by itself. When you rotate, it's hard to understand what's going on unless you read. I've never really found that to be the case with the rest of FM where you can do either one or the other and "get it".

So... just give it time and go back and forth between patients/teaching and reading and hopefully it'll all make sense. Just don't get sucked into buying a ton of books because you're insecure with your knowledge... unless you want to.
 
Last edited:
Top