Book Review

Illustrated Orthopedic Physical Assessment

By: Ronald C. Evans, DC, FACO, FICC

Publisher: Mosby Elsevier, 2009, Third Edition, ISBN: 978-0-323-04532-2 (Accompanying DVD)

The Mastery of Investigation – A Superb Orthopedic Text Book Review
Reviewed By: Jonice Owen, DC, FACO

Published: June, 2009
Journal of the Academy of Chiropractic Orthopedists
June 2009, Volume 6, Issue 2
Received: 14 May 2009
Accepted: 3 March 2009

This review is available from: © 2009 Owen and the Academy of Chiropractic Orthopedists

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Illustrated Orthopedic Physical Assessment could be called “A Chiropractic Orthopedists’ Good Friend”. This multi-faceted, comprehensive orthopedic text takes priority as the best text next to the report-writing table and in the examination room. The third edition warrants consideration even if you own other editions.

At first glance, the preface circumvents a great deal of trouble. The well-organized preface outlines the sequence of this book, guiding you to the best use of this book. Dr. Evans then launches you into the subject matter with this introductory instruction:

“Success requires an organized thought process in approaching the patient’s problem. There must be a clear plan to follow and a particular aim in each stage of the investigation.”
The author follows with the delivery of four main guiding points, the first of which states:
“First, it must be determined whether a lesion of musculoskeletal system is present. This determination is accomplished by analysis of the history and physical examination.”
Dr. Evans proceeds with clear, detailed, easily-located informational organization. He aids you by providing complex material, and then he encourages you to think, critically.

Illustrated Orthopedic Physical Assessment packs in useful material that makes sense and saves time due to concise writing, excellent editing, and a palpably profound respect for the material and the reader. The photographs are crisp without being overly cold. The examination photographs display neutral positions along side demonstrations of positive responses, as well as, overlays of direction-enhancing arrows. Be prepared to be delighted by the variety of example selections including: MRI studies; MRA studies; anatomical drawings; surgical photographs; pathology photographs; cross-reference tables; flow charts; X-ray positioning photographs; Questionnaires; and the list goes on.

Thirteen Chapters introduce the principles, and progress through the Axial and Appendicular Musculoskeletal System: Principles in Assessing Musculoskeletal Disorders; Principles in Assessing Cardinal Symptoms and Signs; Cervical Spine; Shoulder; Elbow; Forearm, Wrist, and Hand; Thoracic Spine; Lumbar Spine; Pelvis and Sacroiliac Joint; Hip Joint; Knee; Lower Leg, Ankle, and Foot; and Malingering.

Illustrated Orthopedic Physical Assessment would be an ideal study guide choice for chiropractic students, and doctors undertaking post-graduate diplomate programs (not limited to orthopedics), and a prized clinical companion for chiropractic orthopedists.
I’ve enjoyed reviewing the tests, anatomy, and diagnostic studies, and I have appreciated the critical thinking which is required. I tested myself with the Critical Thinking questions at the end of each chapter.

An accompanying DVD contains over two hours of demonstration of all 237 tests shown in the text. Dr. Evans’ speaks clearly and understandably, and well-paced. The sound quality resonates well. Picture clarity enhances viewing. Dr. Evans’ performs easy-to-follow examinations, and the person being examined displays good comprehension of the tests being performed.

I have one difficulty with this book. The book weighs in at 5.5 lbs. The DVD assuaged my concerns.