Tenth Edition

EDITED BY
As hl ey Blom, David Warwick, Michael R. Whi tehouse

WITH VITALSOURCE J k , CRC Press

EB O O K V , Taylor & Francis Group
Ashley W. Blom MBChB MD PhD FRCS FRCS (Tr&Orth)
Head of Translational Health Sciences
Bristol Medical School
University of Bristol
Bristol, UK

David W arwick MD BM FRCS FRCS(Orth) Eur Dip Hand Surg

Honorary Professor and Consultant Hand Surgeon
University of Southampton and University Hospital Southampton
Southampton, UK

Michael R. W hitehouse PhD MSc(Orth Eng) BSc(Hons)

PGCert(TLHE) FRCS(Tr&Orth) FHEA
Consultant Senior Lecturer in Trauma and Orthopaedics
University of Bristol
and
North Bristol NHS Trust
Musculoskeletal Research Unit
Southmead Hospital
Bristol, UK

Apley and Solomon’s

System of Orthopaedics
and Trauma
UNIVERSITATEA DE STAT DE MEDICINA Şl FARMACIE
„NICOLAE TESTEMIŢANU"
BIBLIOTECA S L 'b
Tenth Edition
ŞTIINŢIFICĂ MEDICALĂ

CRC Press
Taylor & Francis Group
B o ca R aton London N e w Y ork

CRC Press is an imprint of the

Taylor & Francis Group, an informa business
 CONTENTS

Contributors ix
Preface xiii
Preface to the ninth edition xv
Acknowledgements xvii
List of abbreviations used xix

SECTION 1: GENERAL ORTHOPAEDICS

1 Diagnosis in orthopaedics 3
Louis Solomon & Charles Wakeley
2 Infection 31
Enrique Gomez-ESarrena
3 Inflammatory rheumatic disorders 65
Christopher Edwards
4 Crystal deposition disorders 83
Paul Creamer & Dimitris Kassimos
5 Osteoarthritis 91
Paul Dieppe & Ashley Blom
6 Osteonecrosis and osteochondritis 107
Jason Mansell & Michael Whitehouse
1 Metabolic and endocrine bone disorders 121
Emma Clark & Jon Tobias
8 Genetic disorders, skeletal dysplasias and malformations 157
Fergal Monsell, Martin Gargan, Deborah Eastwood,
James Turner & Ryan Katchky
9 Tumours 179
Jonathan Stevenson & Michael Parry
10 Neuromuscular disorders 229
Deborah Eastwood
11 Peripheral nerve disorders 279
Michael Fox, David Warwick & H. Srinivasan
12 Orthopaedic operations 317
Michael Whitehouse, David Warwick & Ashley Blom

SECTION 2: REGIONAL ORTHOPAEDICS

The shoulder and pectoral girdle 351
Andrew Cole
14 The elbow 383
Adam Watts & David Warwick
15Thewrist 397
David Warwick & Roderick Dunn
The hand 429
David Warwick
 17 The neck 455
Jorge Mineiro & Nuno Lanţa
18 The back 489
Robert Dunn & Nicholas Kruger
19 The hip 531
M artin Gargan, Ashley Blom, Stephen A. Jones,
Amy Behman & Simon Kelley
20 The knee 569
Andrew Price, Nick Bottom ley & William Jackson
21 The ankle and foot 609
Gavin Bow yer & Mike Uglow

SECTION 3: TRAUMA_________________________________________________
22 The management of major injuries 651
David Sutton & Max Jonas
23 Principles of fractures 711
Boyko Gueorguiev, Fintan T. Moriarty, Martin Stoddart,
Yves P. Acklin, R. G eoff Richards & Michael Whitehouse
24 Injuries of the shoulder and upper arm 755
Andrew Cote
25 Injuries of the elbow and forearm 773
Adam Watts & David Warwick
Children's sections: Mike Uglow, Joanna Thomas
26 Injuries of the wrist 797
David Warwick & Adam Watts
Children's sections: Joanna Thomas
27 Injuries of the hand 815
David Warwick
28 Injuries of the spine 835
Robert Dunn & Nicholas Kruger
29 Injuries of the pelvis 863
Gorav Datta
30 Injuries of the hip and femur 881
Richard Baker & Michael Whitehouse
31 Injuries of the knee and leg 913
Nick Howells
32 Injuries of the ankle and foot 937
Gavin Bowyer

Index 965