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Orthogate

  Thursday, 08 September 2005
  10 Replies
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I was hoping someone could recommend a good orthopedic surgery intro/review book. I am a MSIII that wants to do Orthopedic Surgery. I dont want to sound too anal, but I wanted to read up on some intro ortho material. My medical school has a sub-par anatomy program and they barely touched bones (in terms of metabolism of bone, fracture repair, callus formation, etc) and I feel like I need to self educate myself to do well in my orthopedic Sub-Is. If anyone has any advice for a youngin' that is kinda late on the Ortho train, that would be much appreciated.

P.S. any advice as what key things people wish they would have done in their thrid year is greatly appreciated too.

Thanks,

Wannabeboner
20 years ago
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#50236
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I am an MS4 currently on my aways. Basically people dont expect you to know aything about ortho. They do expect you to know about anatomy and to be interested and work hard. I would revies Netter's Concise Atlas of Anatomy. This great little book has almost eveyrthing you will be asked about anatomy and has some schematics of basic fracture classifications.
When in the OR, you will be pimped about major structures usually nerves and ateries you should watch out for on a certain approach and maybe some muscles and tendons. You are not expected to know when to use what kind of screws or locking vs non locking plates. If you read about the cases the night before you go in, and look over the approach in Hoppenfeld's you will be in good shape. There is really no good beginner ortho text book. I have used Miller's review for some stuff, but this book assumes knowledge -- much like Fist Aid for the OITE. I also used LAnge's Current series for some really fast reading if I dont know anything about a topic.
Basically, just lear your anatomy and as you do some ortho you will see what is important and you will read about common stuff. If you know fracture classifications, it is a bonus when asked. But if you dont know what neve you just cut through you will really look like a dope.
Otho guys are like the marines of medicine...up early and working late. Basically if you work hard, are ambitions, and never complain....thats what score the most points.
20 years ago
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#50237
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Not to split hairs here, but the book I think perpetualpriapism is referring to is Netter's Concise Atlas of Orthopedic Anatomy. Again, not trying to bust your balls, just want to make sure the original poster can find the book. It's a great review of relavent orthopedic anatomy and it covers several physical exam and clinical pearls. It's a must-have!

How ironic are the erection references in both of your names...weird. Perpetualpriapism must have felt some unspoken connection with wannabeboner and felt compelled to reply!

rwbrhp29
20 years ago
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#50238
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Thanks for your help guys. Very useful infromation. I had a chance to look at Miller's book and I liked the material it covered. It is what i am looking for...a little review of basic bone/tendon/muscle stuff at the beginning plus orthopedic stuff. However, I agree with perpetualpriapism's description of it assuming you already have certain knowledge base. Also, someone described it as beginning written very poorly, any thoughts on that guys?

I didn't get a chance to see Netter's book, but it seems it is more anatmoy intense. Is it like a typical Netter book with just atlas pictures or does it have portions for reading? any other ideas of what this book is best used for?

Basically I think I am going to get either Netter's or Miller's. I think Netter's sounds better from you guys, but I like the Miller's approach to a whole review of Ortho.

Anyways, if you guys have any thoughts on the above to help my search that would be great.

P.S. rwbrhp29--The agree the irony of erection related response is too much.
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20 years ago
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#50239
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i forgot to ask perpetualpriapism a question--what is the name of the Lange book you used.

thanks
20 years ago
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#50240
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DUDE--
You need and must buy 2 books.

1. Netter's Concise Atlas of Orthopaedic Anatomy -- fits in coat pocket and will be used to review before you go into OR and great to look up anything anatomical. If you dont know your anatomy inside and out all the higher level stuff is meaningless.

2. Koval, Handbook of Fractures.....this is also a pocket book that you use on call for classification of fxrs.

The miller book is a bonus the residents use it for reviewing for the OITE...it is most valuable for joint reconstruction. You will rarely be pimped on basic science stuff because most attendings dont even remeber this stuff anyway.

Hoppenfelds, Surgical exposures book is a must read for basic approaches to the hip/pelvis and stuff like that.

If I were you I would make sure I knew my anatomy cold, before I statred reading about anything else. Med students are expected to know anatomy and if you miss those questions you look like an ass. You arent gonna be asked about the pros and cons to cemented vs uncemented hip components but this is stuff that you may want to read after you know the anatomy and the approach of a hip replacement.

The lange book is part of a series called, Current Diagnosis and Treatment in Orthopaedics. they have one for every speciality.
20 years ago
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#50241
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forgot one thing.

Get netters first and save your pennies or use miller from the library. The netters is a must have the miller is somethng you can live without. EVERY 4th year ortho student has a netter its your BIBLE for 6 months....you will start slepping with the thing
20 years ago
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#50242
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Hey fellas,
I agree with pretty much everything that has been written on this post. Just keep in mind that the ortho netter that you guys are refering to was actually written by a ER resident and although the plates are great, some of the text/notes is either completely inadequate or straight up wrong. Use it for the plates but if you are presenting cases/fractures, I'd look at something more substantial. By the way, Miller is a great book for residents but does not have great anatomy diagrams so if I had to buy one or the other as a MS, I'd buy the netter. Also, one thing that I'd like to add is that a significant part of any sub-I/rotation is going to be clinic time. I would read Hoppenfeld's musculoskeletal physical exam book cover to cover. Don't sleep on it. It looks really basic and cartoonish, but it will teach yuo how to do a thorough physical exam. Keep in mind that you are going to have to present patients to residents/attendings and instead of saying, "well when I abducted his arm and externally rotated and..." you can say something like, "negative apprehension test".
Tipsy
20 years ago
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#50243
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Like someone said before, as a med student, the MOST important thing you need to know is ANATOMY. I'll recommend several books:

1) Physical Exam of the Spine and Extremties: by Stnaley Hoppenfeld
Yes, the book was published in the 1970's, and its missing some newer ortho physical exam moves...BUT, the anatomy is unreal. If you know this book, you are 200 times ahead of everyone else that rotates with you. I cannot say how good this book is. Buy it....Hoppenfeld's books are staples of Orthopaedic education. Also HIGHLY recommended is his book Orthopaedic Neurology: a Diagnostic Guide to Levels.

2) I know some will recommend koval's handbook of fractures, but I think there is a better handbook: Handbook of Fractures by Clayton Perry.
Good, quick reading on classification, treatment, and easier to read than Koval's book. I believe this is THE idea book for intern's/2's and rotators, as well as anyone wanting to read a little before rotating. Good, practical advice!

3) Fundamentals of Orthopaedics by Miller. This is the baby miller, a good introduction into ortho, a good toilet book to have. Like the big Miller's Review of Orthopaedics, it is also in outline form, and sometimes reading it is not easy until you know a little about ortho. Good intro basic science chapters, etc...


4) Grab "Surgical Exposures in Orthopaedics" by Stanley Hoppenfeld before you start your rotations, or see if the librarby at your med school has one you can check out. Awesome for relevant anatomy.
When you are in the OR, you are fair game for anatomy pimp questions, and its much different from the way you learned anatomy in Med school, you don't see everything, only what's visible in the approach.

In all, I dont think there is 1 great single book. Fundamentals may be a good introduction....and for fracture care and management the Handbook of Fractures is pretty good....
20 years ago
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#50244
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A book that got me turned on to orthopaedics:

One Hundred Orthopaedic Conditions Every Doctor Should Understand by Roy Meals

This is a paperback thatsold for about $40, printed in 1992. Very funny book, a pretty good introduction to the big 100. Made some things in orthopaedics very memorable....I dont think many people have ever heard about or seen this book...

Roy Meals is a great writer, this is a fun book to read, I kept it handy for those times I needed a quick 5 minute read....I still browse through it occasionally, and as I have gone through residency, its meaning has changed....
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