Common Musculoskeletal Problems

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1 Common Musculoskeletal Problems

3 James M. Daniels Editor Common Musculoskeletal Problems A Handbook Second Edition

4 Editor James M. Daniels, MD, MPH Department of Family and Community Medicine and Orthopedic Surgery SIU Primary Care Sports Medicine Fellowship Southern Illinois University School of Medicine Springfield, IL USA ISBN DOI / ISBN (ebook) Library of Congress Control Number: Springer Cham Heidelberg New York Dordrecht London Springer International Publishing Switzerland 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (

5 We dedicate this book to all of our mentors. They teach us not just the science of medicine, but its practice which is an art. Everyone has experienced that special mentor that did not just teach us how to analyze facts They touched our hearts and made us better souls. OURS has been Dr. Jerry Kruse. He has tirelessly worked at our University for thirty years plus in many roles as a physician, scientist, educator, faculty, chair, CEO and Executive Dean, but most importantly as our friend, our role model and our mentor! Thanks for all the help, Jerry! JD and Crew

7 Contents 1 Introduction James M. Daniels 2 The Cervical Spine Wayne A. Mathews and Cesar S. Arguelles 3 The Shoulder James M. Daniels 4 The Elbow Becky J. Hanna and Tamara Pylawka 5 The Hand and Wrist James M. Daniels, Michael W. Neumeister, Janet Albers, and Thomas H. Miller 6 The Fingers James M. Daniels, Michael W. Neumeister, Jon Humphrey, and Careyana Brenham 7 Lumbosacral Spine Joseph M. Kim and Per Freitag 8 The Hip Evan Plowgian and Tamara Pylawka 9 The Knee James M. Daniels and Patrick A. Smith 10 The Ankle Erica Miller-Spears and Brian Kleiber 11 The Foot E. Nambi Ramamoorthy and Brian Kleiber vii

8 viii Contents 12 Pediatric Musculoskeletal Complaints Quincy Scott and Keith Gabriel 13 The Acutely Swollen/Painful Joint Sharon Smaga and J. Kevin Dorsey 14 Musculoskeletal Radiology Adam C. King and John B. Becker 15 Soft Tissue Injuries Tao Lee Land, James M. Lynch, and Sue Stanley-Green 16 The Preparticipation Physical Exam Merle H. Muller, Dae Hyoun Jeong, and Daniel M. Couri Appendix Index

9 Contributors Janet Albers, MD Department of Family and Community Medicine, SIU School of Medicine, Springfield, IL, USA Cesar S. Arguelles, MD Family Medicine Residency Program, Department of Family and Community Medicine, SIU School of Medicine, Decatur, IL, USA John B. Becker, MD Department of Radiology, SIU School of Medicine, Memorial Medical Center, Springfield, IL, USA Careyana Brenham, MD Department of Family and Community Medicine, SIU School of Medicine, Springfield, IL, USA Daniel M. Couri, MD Division of Cardiology, Department of Internal Medicine, SIU School of Medicine, Springfield, IL, USA James M. Daniels, MD, MPH Department of Family and Community Medicine and Orthopedic Surgery, SIU Primary Care Sports Medicine Fellowship, Southern Illinois University School of Medicine, Springfield, IL, USA J. Kevin Dorsey, MD, PhD Dean and Provost, SIU School of Medicine, Springfield, IL, USA Per Freitag, MD, PhD Division of Orthopaedics, Department of Surgery, SIU School of Medicine, Springfield, IL, USA Keith Gabriel, MD Division of Orthopaedics, Department of Surgery, St. Johns Hospital, Springfield, IL, USA Becky J. Hanna, PA/C Department of Family and Community Medicine, SIU School of Medicine, Springfield, IL, USA Jon Humphrey, MD, CAQSM SIU Sports Medicine Fellowship, SIU School of Medicine, Carbondale, IL, USA ix

10 x Contributors Dae Hyoun Jeong, MD Family and Community Medicine Sports Medicine Fellowship, SIU School of Medicine, Quincy, IL, USA Joseph M. Kim, MD Department of Family and Community Medicine, SIU School of Medicine, Quincy, IL, USA Adam C. King, MD Department of Radiology, SIU School of Medicine, Springfield, IL, USA Brian Kleiber, MD Department of Orthopaedics, University of Missouri, Columbia Orthopaedic Group, LLP, Columbia, MO, USA Tao Lee Land, ATC Intercollegiate Athletics, Colorado State University, Fort Collins, CO, USA James M. Lynch, MD Athletic Training Education, Florida Southern College, Lakeland, FL, USA Wayne A. Mathews, PA-C Patient Centered Outcomes Research, Department of Family and Community Medicine, SIU School of Medicine, Decatur, IL, USA Erica M. Miller-Spears, PA-C, ATC Department of Family and Community Medicine, SIU Primary Care Sports Medicine Fellowship, SIU School of Medicine, Quincy, IL, USA Thomas H. Miller, MD Department of Family and Community Medicine, Quincy Family Medicine Residency, SIU School of Medicine, Quincy, IL, USA Merle H. Muller, MD Department of Family and Community Medicine, SIU Primary Care Sports Medicine Fellowship, SIU School of Medicine, Quincy, IL, USA Michael W. Neumeister, MD Department of Surgery, SIU School of Medicine, Springfield, IL, USA Evan Plowgian, MD Sports Medicine, UAP Bone and Joint Center, Terre Haute, IN, USA Tamara Pylawka, MD Division of Orthopaedics, Department of Surgery, SIU School of Medicine, Quincy, IL, USA E. Nambi Ramamoorthy, MD, MRCS, MCH Ortho Sports Medicine Fellowship, SIU School of Medicine, Quincy, IL, USA Linda Savage Department of Family and Community Medicine, SIU Primary Care Sports Medicine Fellowship, SIU School of Medicine, Quincy, IL, USA Quincy Scott, DO SIU Family Medicine Residency, SIU School of Medicine, Carbondale, IL, USA

11 Contributors xi Sharon Smaga, MD Department of Family and Community Medicine, SIU School of Medicine, Carbondale, IL, USA Patrick A. Smith, MD Department of Orthopaedics, University of Missouri, Columbia Orthopaedic Group, LLP, Columbia, MO, USA Sue Stanley-Green, MS, ATC, LAT Athletic Training Education Program Director, Florida Southern College, Lakeland, FL, USA Illustrators James M. Daniels, MD, MPH Department of Family and Community Medicine and Orthopedic Surgery, SIU Primary Care Sports Medicine Fellowship, Southern Illinois University School of Medicine, Springfield, IL, USA Tim Hoffman Independent Illustrator, Edwardsville, IL, USA Models Seth Heimer, DO Quincy Family Medicine Residency, SIU School of Medicine, Quincy, IL, USA Ben Wilde, DO Banner Health, Worland, WY, USA

MARE Publication Series

MARE Publication Series Volume 8 Series Editors Maarten Bavinck University of Amsterdam, Amsterdam, The Netherlands Svein Jentoft Tromsø, Norway The MARE Publication Series is an initiative of the Centre