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BOOK REVIEW
Title:
Author:
Publishers:
ORTHOPAEDIC DIAGNOSIS
Hans U. Debrunner, MD. Translated by Gottfried Stiasny, MD, 1982
Year Book Medical Publishers, Chicago and London. Georg Thieme Verlag Stuttgart
Price: £1 1.50
This book might have been better titled Orthopaedic Measurement for it is much more concerned with anthropometric
information than with diagnosis. Many of the measurements mentioned are unrelated to abnormal states. For instance
we are told that arm span x 1.03 ± .02 = body length but not what or how it helps us diagnose anything. We are
informed that taking a history and doing an examination is very important but there is a paucity of information on the
interpretation and the eliciting of physical signs.
Kyphosis is measured clinically with a kyphometer (how biometric can you get) yet a kyphos and its significance is
omitted.
There are some bad editorial lapses such as illustration B p. 103 which is that of a totally intrinsic minus hand and
is not a typical ulnar claw hand as labelled.
The test is tortured by a translation which lacks vernacular which makes it irksome to read as illustrated by these
examples.
"The procurement of the history also serves to deepen the human contact ... shocking questions should be avoided
and the amanuensis should if necessary be compiled at a later date".
or
"The stay of the blood in the veins can be ascertained by, etc. . ."
or
this sentence which eluded comprehension
"however subjective and mixed information is valuable because it allows the compiling of a record of complex findings
that would be nearly impossible to define as subjective information".
I am at a loss to identify an audience for the sort of information this book presents so I do not know to whom it
should be recommended.
B. Helal
Downloaded from http://bjsm.bmj.com/ on June 16, 2017 - Published by group.bmj.com
HANS U. DEBRUNNER (Translated by
GOTTFRIED STIASNY) ''Orthopaedic
Diagnosis''
B. Helal
Br J Sports Med 1983 17: 93
doi: 10.1136/bjsm.17.2.93
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