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Orthogate

  Monday, 20 March 2006
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Does anyone know of good books to read before the rotations start? I have a Hoppenfeld's surgical exposures, but I was wondering if there is anything more condensed to read just before going in.....
20 years ago
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#51475
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I like books, so I've read/used alot of different texts, but for me by and far the most useful for rotations was Netter's Orthopaedic Anatomy. I would say that 95% of the questions I was pimped were in that book. I'm sure people's experiences differ, but from my experience the things that attendings really expect you to know (and are impressed by) are anatomy (including nerve distributions). It also has physical exam and pathology pearls that are useful.
IF you have advance knowledge of what cases you are doing, hoppenfield's is great because you know what to expect during the dissection. I was always annoyed when I'd be holding some retractor from practically behind the anesthesiologist and then be asked what something was. I wanted to say: "I can barely see the damn field!" but if I had a chance to bone up on the approach I could at least make a good guess. Also, if you know what is coming than you can take a look at Campbell's, Rockwood and Green, Skeletal Trauma, etc. Of course, it impossible to read Hoppenfield or any of the aforementioned texts and remember it all unless you are some kind of mutant super-human.
There is a new book: Netter's Orthopaedics. I have it and it looks pretty good, perhaps even worth a cover-to-cover read during the rotation (it's not too big). However, it came out after I was through rotating so I have only took a cursory look at it.
My main point is that I believe anatomy trumps everything else in terms of importance for the medical student on a surgical (orthopaedic) rotation. Beyond that, you need to predict the conditions that you will be presented with most commonly on whatever service you are on (trauma, joints, peds, etc...) and read about those in a major reference book specific to that specialty. All the ortho resident lounges I've seen have copies of these lying around so you can peruse them there if you don't have a $3000 start-up fund lying around for your personal ortho library. Waiting for OR turnover has always been my most efficient reading time!
20 years ago
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#51476
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I agree and with gamma.

The BEST book to have for rotations is Netter's Concise Orthopaedic Anatomy ($50 bucks or so). As a med student, you're not expected to know whether to use a locking plate or not, but you will be pimped on anatomy in the OR. Don't try to learn ortho before your rotation, ANATOMY is what you should focus on. Hoppenfelds is an awesome book, but I would hold off on buying it b/c it's $225-$250 and wait until you are a resident. Someone will have Hoppenfeld where you rotate. You should photocopy the couple of pages of the approach you will be using the next day (assuming you know the cases you're doing).

Campbells, Rockwood and Green - those are both multivolume sets and extremely expensive. Do not buy them before your rotation. I recommend HANDBOOK OF FRACTURES. Having rotated at a trauma center and being a resident in one, it is very concise and helpful. There will be a Rockwood and Green (trauma) where you rotate and you can photocopy certain pages you need, but don't buy it before residency.

Good luck
20 years ago
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#51477
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ah yes, I can't believe I forgot about Handbook of Fractures. Definitely worth buying before your rotation and keeping close at hand. If you can bust out fracture classifications for ankle, tibial plateau, prox humerus you will impress. I would also know the galleazi and montagia fracture patterns and the gustillo open fracture grades. While this stuff is far behind anatomy in terms of pimp-factor, you will be asked about it and/or be able to show you know it.
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