Rockwood and Green's Fractures in Adults Rockwood, Green, and Wilkins' Fractures

by Bucholz, Robert W.; Heckman, James D.

• ISBN13: 9780781725088
• ISBN10: 0781725089
• Edition: 5th
• Format: Hardcover
• Copyright: 2002-02-08
• Publisher: LWW

Summary

This gold-standard two-volume set is a comprehensive text for residents in training and practicing orthopaedists. Now in its Fifth Edition, this widely renowned and established tool features new authors, new illustrations, new technology, and new techniques. With a format that is thorough, it remains clearly written and is designed for reader ease. Chapter outlines, tables, boxes and graphics contain a generous amount of information. Updated topics include X-rays and surgical anatomy.The two-volume set is accompanied by a CD-ROM, which features fully searchable text and power point presentation (with simple animation) of 40 surgical procedures. The CD-ROM also provides PubMed access. A Brandon-Hill recommended title.

Table of Contents

Contributing Authors	xv
Preface to the First Edition	xix
Preface	xxi
Acknowledgments	xxiii
SECTION I: GENERAL PRINCIPLES	1	(652)
Biomechanics of Fractures and Fixation	3	(34)
Allan F. Tencer
Basic Concepts	3	(7)
Biomechanics of Intact and Healing Bone	10	(5)
Biomechanics of Bone Fracture	15	(3)
Biomechanics of Fracture Implants	18	(16)
Summary	34	(3)
Classification of Fractures	37	(10)
James A. Goulet
David J. Hak
Traditional Fracture Classification Systems	38	(3)
Comprehensive Fracture Classification Systems	41	(1)
Steps Toward Validation of Fracture Classification Systems	42	(2)
Future Directions	44	(3)
The Multiply Injured Patient with Musculoskeletal Injuries	47	(38)
Marc F. Swiontkowski
Philosophy and Trauma Team Organization	47	(4)
Transport of the Trauma Patient	51	(1)
Plan of Treatment	52	(7)
Delayed Operative Procedures	59	(2)
Critical Issues for the Trauma Patient with Musculoskeletal Injuries	61	(7)
Pelvic Fractures: Stabilization or Angiography?	68	(3)
Spinal Cord Injuries	71	(1)
Distal Extremity Injury and Limb Salvage	72	(1)
Measurement of Outcomes	73	(12)
Anesthetic Care of the Trauma Patient	85	(28)
Kathryn R. Hamilton
The Trauma Team	85	(1)
Assessment of the Trauma Patient	86	(2)
Airway Management in the Trauma Patient	88	(5)
Operating Room Preparation	93	(1)
Monitoring the Trauma Patient	93	(2)
Anesthetic Techniques in the Trauma Patient	95	(10)
Fluid Resuscitation and Blood Component Therapy	105	(2)
Intraoperative Complications	107	(1)
Postoperative Pain Management	108	(5)
Nonoperative Fracture Treatment	113	(68)
John F. Connolly
Effect of Treatment on Skeletal Repair Processes	114	(1)
A Brief History of the Evolution of Fracture Treatment	114	(1)
Selection of Fractures for Nonoperative Treatment and Acceptability of Reduction	114	(4)
Options in Nonoperative Management of Fractures	118	(1)
Upper Extremity Fractures Commonly Treated Nonoperatively without Manipulative Reduction	118	(11)
Lower Extremity Fractures Commonly Treated Nonoperatively without Manipulative Reduction	129	(12)
Manipulative Reduction	141	(16)
Closed Reduction of Lower Limb Fractures	157	(16)
Summary	173	(8)
Principles of Internal Fixation	181	(50)
Robert W. Chandler
Biology of Bone and Fracture Relative to Internal Fixation	181	(1)
Fundamental Aspects	182	(4)
Compression Fixation	186	(5)
Noncompression Techniques	191	(1)
Extramedullary Fixation Techniques	192	(24)
Intramedullary Fixation Techniques	216	(5)
Composite Fixation	221	(2)
Hybrid Fixation	223	(1)
Bioabsorbable Fixation	224	(7)
Principles of External Fixation	231	(14)
Madhav A. Karunakar
Michael J. Bosse
Clinical Applications	232	(1)
Frame Components	233	(2)
Frame Design	235	(2)
External Fixation: Actions	237	(1)
Biomechanics of External Fixation	238	(1)
Clinical Care and Follow-up	239	(2)
Complications	241	(1)
Health Care Economic Issues	241	(4)
Bone and Joint Healing	245	(28)
Joseph A. Buckwalter
Thomas A. Einhorn
J. L. Marsh
Bone Tissue	245	(1)
Joint Tissues	246	(1)
Bone and Joint Injuries	247	(1)
Bone Fracture Healing	247	(17)
Synovial Joint Healing	264	(4)
Summary	268	(5)
Tendon, Ligament, Meniscus, and Skeletal Muscle Healing	273	(12)
Joseph A. Buckwalter
Tendon, Ligament, and Meniscus	273	(1)
Skeletal Muscle	274	(1)
Dense Fibrous Tissue and Skeletal Muscle Injuries	274	(1)
Dense Fibrous Tissue Healing	274	(6)
Skeletal Muscle Healing	280	(2)
Summary	282	(3)
Open Fractures	285	(34)
Steven A. Olson
Christopher G. Finkemeier
N. David Moehring
Historical Perspective	286	(1)
Diagnosis	286	(3)
Classification	289	(3)
Examination of the Wound and Initial Emergency Management	292	(1)
Preparation for Surgical Debridement	293	(1)
Irrigation and Debridement	293	(5)
Antibiotics	298	(2)
Immediate or Early Amputation Versus Limb Salvage	300	(2)
Stabilization of the Bone	302	(8)
Definitive Wound Management	310	(9)
Vascular Injuries and Compartment Syndromes	319	(34)
R. Bruce Heppenstall
Peter R. McCombs
Dominic A. DeLaurentis
Vascular Injuries	319	(12)
Compartment Syndromes	331	(22)
Penetrating Trauma	353	(38)
A. Paige Whittle
General Principles	353	(1)
Ballistics	353	(1)
Firearms	354	(4)
Management Principles	358	(1)
Initial Treatment	359	(7)
Upper Extremity Injuries	366	(4)
Lower Extremity Fractures	370	(8)
Spine Injuries	378	(13)
Traumatic Amputations	391	(24)
Frank A. Gottschalk
Mechanism of Injury in Open Fractures with Severe Soft Tissue Loss	391	(2)
Assessment	393	(1)
Indications for Primary Amputations	394	(3)
Initial Management	397	(2)
Selecting the Level of Amputation	399	(1)
General Principles for Amputation	399	(1)
Amputation Levels	400	(8)
Complications	408	(2)
Prosthetic Principles	410	(3)
Rehabilitation	413	(2)
Bone and Soft Tissue Reconstruction	415	(48)
Lior Heller
L. Scott Levin
History	416	(1)
Complex Musculoskeletal Injuries	416	(1)
Open Fractures	417	(2)
The Reconstructive Ladder	419	(1)
Debridement	420	(4)
Selection of Reconstruction Time	424	(1)
Preparation of the Wound for Reconstruction	424	(3)
Techniques of Wound Closure	427	(3)
Flaps	430	(3)
Indications for Free Tissue Transfer Upper Extremity: Trauma, Sepsis	433	(1)
Microneural Reconstruction of the Upper Extremity	434	(1)
Indication for Free Tissue Transfer Lower Extremity: Trauma, Sepsis	434	(1)
Orthopaedic Sepsis: Osteomyelitis	434	(1)
Timing of Free Tissue Transfer	435	(1)
Selection of Tissue Transplantation	435	(3)
Informed Consent and Medical/Legal Issues	438	(1)
Postoperative Care	438	(1)
Monitoring	439	(2)
Team Approach to Extremity Reconstruction	441	(4)
Reconstructive Algorithm by Region	445	(9)
Trauma and the Dysvascular and Diabetic Foot	454	(1)
Aesthetic Considerations after Limb Trauma	454	(2)
Stump Coverage	456	(1)
Tissue Expansion	456	(1)
Future Technology: Prefabrication and Bone Substitute	457	(6)
Complications	463	(94)
Emil H. Schemitsch
Mohit Bhandari
Thromboembolism	463	(16)
Fat Embolism Syndrome	479	(11)
Adult Respiratory Distress Syndrome	490	(2)
Shock	492	(9)
Coagulation Disorders	501	(8)
Hypercalcemia	509	(2)
Gas Gangrene	511	(3)
Tetanus	514	(1)
Osteomyelitis	515	(15)
Complex Regional Pain Syndromes	530	(27)
Pathologic Fractures	557	(28)
Dempsey S. Springfield
Diagnosis	557	(5)
Diagnosis of the Pathologic Process	562	(1)
Specific Treatment	563	(15)
Summary	578	(1)
Fatigue Fractures	578	(7)
Periprosthetic Fractures	585	(68)
Jay D. Mabrey
Michael A. Wirth
Periprosthetic Fractures of the Upper Extremity	585	(1)
Periprosthetic Fractures of the Shoulder	585	(12)
Periprosthetic Fractures of the Elbow	597	(9)
Periprosthetic Fractures of the Lower Extremity	606	(1)
Periprosthetic Fractures around Total Hip Arthroplasty	606	(21)
Periprosthetic Fractures of the Knee	627	(19)
Periprosthetic Fractures of the Ankle	646	(7)
SECTION II: UPPER EXTREMITY	653	(640)
Fractures and Dislocations of the Hand	655	(94)
Mark Henry
General Principles	657	(2)
Diagnosis	659	(1)
Classification: Overview	659	(10)
Distal Phalanx (P3) Fractures	669	(6)
Distal Interphalangeal and Interphalangeal Joint Dislocations	675	(4)
Middle Phalanx (P2) Base Fractures and Fracture-Subluxations	679	(7)
Proximal Interphalangeal Joint Dislocations	686	(3)
Phalanx (P1 and P2) Fractures	689	(15)
Finger Metacarpophalangeal Joint Dislocations	704	(5)
Metacarpal Fractures (Excluding the Thumb)	709	(12)
Carpometacarpal Joint Dislocations (Except the Thumb)	721	(3)
Thumb Carpometacarpal Joint Dislocations	724	(2)
Thumb Metacarpal Fractures	726	(6)
Thumb Metacarpophalangeal Joint Dislocations	732	(4)
Massive Hand Trauma	736	(4)
Summary	740	(9)
Fractures and Dislocations of the Wrist	749	(66)
William H. Seitz, Jr.
Rick F. Papandrea
Surgical/Applied Anatomy	750	(8)
Diagnosis	758	(1)
Imaging	759	(6)
Classification	765	(1)
Specific Wrist Injuries	766	(49)
Fractures of the Distal Radius	815	(54)
Matthew D. Putnam
William H. Seitz, Jr.
Diagnosis	817	(4)
Diagnostic Pitfalls Associated with Distal Radius Fractures	821	(6)
Classification	827	(4)
Surgical and Applied Anatomy	831	(3)
Biomechanics	834	(2)
Treatment Alternatives	836	(16)
Incision and Removal of External/Internal Fixation	852	(5)
Postfixation Rehabilitation	857	(1)
Late Effects/Complications	858	(5)
Outcomes, Prevention, and Enhanced Repair	863	(6)
Fractures of the Shafts of the Radius and Ulna	869	(52)
Robin R. Richards
Fractures of the Shafts of Both Bones of the Forearm	869	(19)
Open Fractures of the Radius and Ulna	888	(5)
Fractures of the Radius Alone	893	(5)
Isolated Fractures of the Ulna without Radial Head Instability	898	(2)
Fractures of the Ulnar Shaft with Radial Head Instability	900	(8)
Complications	908	(13)
Fractures and Dislocations of the Elbow	921	(32)
Kimberly Mezera
Robert N. Hotchkiss
Dislocations	921	(13)
Fractures of the Olecranon	934	(6)
Radial Head Fractures	940	(13)
Fractures of the Distal Humerus	953	(20)
Lawrence X. Webb
Anatomy	953	(1)
Mechanism of Injury	954	(1)
Diagnosis	954	(2)
Classification	956	(2)
Fracture Incidence/Distribution	958	(1)
Treatment Options	958	(9)
Specific Fractures	967	(2)
Complications	969	(2)
Functional Outcome	971	(2)
Fractures of the Shaft of the Humerus	973	(24)
Paul R. Gregory, Jr.
Diagnosis	973	(1)
Classification	974	(1)
Anatomy	974	(1)
Biomechanics	975	(1)
Treatment Options	976	(8)
Surgical Technique	984	(7)
Complications	991	(6)
Fractures of the Proximal Humerus	997	(44)
Evan L. Flatow
Incidence of Fractures	997	(1)
History	998	(1)
Anatomy and Pathomechanics	999	(3)
Evaluation and Classification	1002	(26)
Complications	1028	(7)
Conclusions	1035	(6)
Fractures of the Clavicle	1041	(38)
Mark D. Lazarus
Surgical/Applied Anatomy	1041	(2)
Biomechanics	1043	(1)
Mechanism of Injury	1044	(2)
Classification	1046	(2)
Diagnosis	1048	(2)
Treatment	1050	(10)
Unusual Fracture Patterns	1060	(3)
Complications	1063	(11)
Conclusion	1074	(5)
Fractures of the Scapula	1079	(30)
Kenneth P. Butters
Diagnosis	1079	(3)
Classification of Fractures of the Scapula	1082	(4)
Unusual Fracture Patterns	1086	(2)
Anatomy	1088	(2)
Treatment Options	1090	(14)
Surgical Approaches	1104	(1)
Other Disorders	1105	(2)
Postoperative Fracture Care	1107	(2)
Subluxations and Dislocations About the Glenohumeral Joint	1109	(100)
Michael A. Wirth
Charles A. Rockwood, Jr.
Diagnosis	1110	(18)
Classification	1128	(11)
Pitfalls in Diagnosis	1139	(7)
Surgical and Applied Anatomy	1146	(5)
Biomechanics	1151	(5)
Nonoperative Treatment	1156	(7)
Surgical Procedures	1163	(18)
Operative Treatment of Posterior Shoulder Instability	1181	(8)
Complications of Anterior Shoulder Instability	1189	(7)
Complications of Operative Treatment	1196	(4)
Complications of Posterior Shoulder Instability	1200	(1)
Complications of Operative Management	1201	(8)
Acromioclavicular Joint Injuries	1209	(36)
Leesa M. Galatz
Gerald R. Williams, Jr.
Historical Review	1210	(1)
Anatomy	1210	(1)
Biomechanics	1211	(2)
Motion of the Acromioclavicular Joint	1213	(1)
Diagnosis	1213	(2)
Classification	1215	(2)
Incidence	1217	(1)
Signs and Symptoms	1217	(2)
Radiographic Studies	1219	(1)
Radiographic Findings	1220	(4)
Unusual Injury Patterns	1224	(1)
Treatment	1225	(15)
Complications	1240	(5)
Injuries to the Sternoclavicular Joint	1245	(48)
Michael A. Wirth
Charles A. Rockwood, Jr.
Diagnosis	1246	(7)
Classification	1253	(2)
Unusual Fracture and Dislocation Patterns	1255	(1)
Surgical Anatomy and Biomechanics	1256	(5)
Treatment Options	1261	(23)
Complications of Injuries to the Sternoclavicular Joint	1284	(9)
SECTION III: SPINE	1293	(174)
Principles of Management of Spine Injury	1295	(30)
Sohail K. Mirza
Jens R. Chapman
Epidemiology of Spine Trauma	1295	(2)
Mechanisms of Spinal Injury	1297	(6)
Principles of Management	1303	(6)
Radiographic Evaluation	1309	(5)
Definitive Treatment	1314	(2)
Outcome	1316	(1)
Special Considerations	1317	(1)
Complications	1317	(1)
Injury Prevention	1318	(7)
Fractures of the Upper Cervical Spine	1325	(50)
Jens R. Chapman
Sohail K. Mirza
Diagnostic Workup and Assessment	1326	(6)
Injury Classification	1332	(4)
Unusual Cases	1336	(2)
Surgical Anatomy	1338	(3)
Biomechanics	1341	(1)
Treatment Options	1342	(7)
Surgical Procedures	1349	(9)
Postoperative Care	1358	(1)
Complications	1358	(8)
Controversies	1366	(9)
Fractures and Dislocations of the Lower Cervical Spine	1375	(30)
Alexander R. Vaccaro
Dan A. Zlotolow
Diagnosis	1375	(4)
Surgical and Applied Anatomy of the Lower Cervical Spine	1379	(1)
Biomechanics	1380	(1)
Classification	1380	(3)
Imaging Studies	1383	(5)
Treatment	1388	(11)
Postoperative Fracture Care	1399	(1)
Complications	1400	(1)
Conclusion	1401	(4)
Fractures and Dislocations of the Thoracolumbar Spine	1405	(62)
Michael J. Bolesta
Glenn R. Rechtine II
Diagnosis and Initial Management	1405	(4)
Classification	1409	(6)
Pitfalls in Diagnosis	1415	(1)
Surgical and Applied Anatomy	1416	(3)
Biomechanics	1419	(3)
Treatment Options	1422	(4)
Surgical Procedures	1426	(23)
Management of Specific Fractures	1449	(6)
Postoperative Care	1455	(2)
Complications	1457	(1)
Summary	1458	(9)
SECTION IV: LOWER EXTREMITY	1467	(2)
Fractures of the Pelvic Ring	1469	(44)
Alan L. Jones
Andrew R. Burgess
Pelvic Anatomy	1470	(12)
Functional Biomechanics of the Pelvic Ring	1482	(1)
Diagnosis	1482	(3)
Injury Mechanism	1485	(1)
Classification	1486	(7)
Associated Pathologic Conditions	1493	(5)
Surgical Approaches	1498	(1)
Fracture Treatment	1498	(10)
Conclusion	1508	(5)
Fractures of the Acetabulum	1513	(34)
Mark S. Vrahas
Marvin Tile
Diagnosis	1516	(6)
Classification	1522	(2)
Pitfalls in Diagnosis	1524	(1)
Surgical Anatomy	1524	(5)
Biomechanics	1529	(1)
Treatment Options	1529	(3)
Surgical Considerations	1532	(1)
Surgical Approaches	1532	(5)
Specific Fracture Types-Guidelines for Choice of Approach	1537	(1)
Reduction	1538	(3)
Fixation Techniques	1541	(2)
Postoperative Care	1543	(1)
Complications	1544	(1)
Conclusion	1545	(2)
Hip Dislocations and Fractures of the Femoral Head	1547	(32)
Paul Tornetta III
Diagnosis	1547	(4)
Classification	1551	(4)
Unusual Fracture Patterns	1555	(1)
Surgical and Applied Anatomy	1556	(2)
Biomechanics	1558	(1)
Treatment Options	1559	(13)
Surgical Procedures	1572	(2)
Postoperative Care	1574	(1)
Complications	1575	(1)
Late Complications	1575	(4)
Femoral Neck Fractures	1579	(56)
Michael R. Baumgaertner
Thomas F. Higgins
Brief History	1579	(1)
Patient and Fracture Evaluation	1580	(14)
Treatment Options	1594	(25)
Aftercare and Outcomes	1619	(16)
Intertrochanteric Fractures	1635	(30)
Kenneth J. Koval
Joseph D. Zuckerman
Diagnosis	1636	(2)
Classification	1638	(2)
Unusual Fracture Patterns	1640	(1)
Applied Anatomy	1641	(1)
Biomechanics	1642	(1)
Treatment Options	1642	(5)
Surgical Procedures	1647	(12)
Postoperative Fracture Care	1659	(1)
Complications	1659	(6)
Subtrochanteric Fractures	1665	(18)
William G. DeLong, Jr.
Diagnosis	1666	(1)
Classification of Subtrochanteric Femur Fractures	1667	(2)
Surgical/Applied Anatomy	1669	(4)
Treatment Options	1673	(2)
Surgical Procedure	1675	(4)
Complications	1679	(4)
Fractures of the Shaft of the Femur	1683	(48)
Adam J. Starr
Robert W. Bucholz
Diagnosis	1684	(1)
Classification	1685	(1)
Surgical Anatomy	1686	(4)
Biomechanics	1690	(1)
Treatment Options	1690	(9)
Intramedullary Nailing: Preoperative Planning and Operative Technique	1699	(6)
Retrograde Nailing	1705	(2)
Recovery and Rehabilitation	1707	(3)
Special Fracture Patterns	1710	(21)
Fractures of the Distal Femur	1731	(44)
Peter J. O'Brien
Robert N. Meek
Piotr A. Blachut
Henry M. Broekhuyse
Anatomy	1732	(1)
Mechanism of Injury	1733	(1)
Classification	1733	(1)
Diagnosis	1734	(1)
Surgical Approaches	1735	(3)
Treatment Alternatives	1738	(12)
Treatment Options for Specific Fracture Types	1750	(15)
Complications	1765	(10)
Fractures of the Patella	1775	(26)
Robert M. Harris
Diagnosis	1776	(1)
Signs and Symptoms	1776	(1)
Radiographic Evaluation and Findings	1777	(2)
Classification	1779	(6)
Unusual Fracture Patterns	1785	(1)
Surgical/Applied Anatomy	1786	(1)
Biomechanics	1787	(1)
Treatment Options	1788	(5)
Surgical Procedures	1793	(2)
Postoperative Fracture Care	1795	(1)
Complications	1796	(5)
Fractures of the Proximal Tibia and Fibula	1801	(42)
J. Tracy Watson
Donald A. Wiss
Mechanism of Injury	1802	(1)
Diagnosis	1803	(2)
Classification	1805	(4)
Surgical Anatomy	1809	(2)
Overview of Fracture Management	1811	(2)
Surgical Procedures Overview	1813	(23)
Postoperative Care	1836	(1)
Complications	1836	(7)
Injuries of the Knee	1843	(96)
Robert C. Schenck, Jr.
Overview and General Concepts	1844	(1)
Anatomy and Biomechanics	1845	(5)
Surgical Approaches to the Knee	1850	(4)
Extensor Mechanism Injuries	1854	(9)
Disorders of the Patella	1863	(3)
Dislocation of the Patella	1866	(4)
Chondral and Osteochondral Injuries	1870	(4)
Meniscal Injuries	1874	(10)
Injuries to the Collateral Ligaments of the Knee	1884	(13)
Injuries to Cruciate Ligaments	1897	(17)
Traumatic Dislocations of the Knee	1914	(14)
Dislocation of the Proximal Tibiofibular Joint	1928	(11)
Fractures of the Tibia and Fibula	1939	(62)
Charles M. Court-Brown
History	1939	(1)
Classification	1940	(4)
Epidemiology	1944	(1)
Mechanisms of Injury	1945	(7)
Signs and Symptoms	1952	(1)
Radiographic Studies	1953	(1)
Surgical Anatomy	1953	(2)
Methods of Treatment	1955	(18)
Surgical Techniques	1973	(6)
Complications of Tibial Diaphyseal Fractures	1979	(5)
Other Complications	1984	(8)
Isolated Tibial Fractures	1992	(2)
Isolated Fractures of the Fibula	1994	(1)
Stress Fractures	1994	(7)
Ankle Fractures	2001	(90)
J. L. Marsh
Charles L. Saltzman
Epidemiology of Ankle Fractures	2001	(1)
Radiology of the Ankle	2001	(3)
Surgical and Applied Anatomy	2004	(5)
Clinical Biomechanics of the Ankle	2009	(1)
Rotational Ankle Fractures	2009	(42)
Axial Loading Injuries: Tibial Plafond Fractures	2051	(27)
Injuries to Tendons and Ligaments	2078	(13)
Fractures of the Talus	2091	(42)
James D. Heckman
Anatomy	2091	(2)
Classification	2093	(1)
Fractures of the Neck of the Talus	2093	(16)
Fractures of the Body of the Talus	2109	(3)
Fractures of the Talar Processes	2112	(8)
Fracture of the Head of the Talus	2120	(1)
Dislocations of and around the Talus	2121	(5)
Total Dislocation of the Talus	2126	(7)
Fractures and Dislocations of the Calcaneus	2133	(48)
Timothy C. Fitzgibbons
Scott T. McMullen
Matthew A. Mormino
Anatomy of the Calcaneus	2134	(5)
Classification	2139	(1)
Radiographic Techniques	2139	(3)
Extraarticular Fractures of the Calcaneus	2142	(8)
Intraarticular Fractures of the Calcaneus	2150	(24)
Dislocations and Fracture-Dislocations of the Calcaneus and Associated Soft Tissue Trauma and Injuries	2174	(1)
Summary	2175	(6)
Fractures and Dislocations of the Midfoot and Forefoot	2181	(66)
John S. Early
Injuries to the Midfoot	2182	(1)
Navicular Fractures	2182	(9)
Navicular Dislocation	2191	(1)
Cuboid Injuries	2192	(7)
Cuneiform Injuries	2199	(4)
Tarsometatarsal Injuries	2203	(12)
Injuries to the Forefoot	2215	(1)
Metatarsal Fractures	2215	(13)
Metatarsophalangeal Injuries	2228	(7)
Injuries to the Toes	2235	(4)
Multiple (High-Energy) Injuries	2239	(1)
Compartment Syndromes of the Foot	2240	(2)
Neuropathic Injuries	2242	(5)
Workers' Compensation for Fractures and Dislocations	2247	(1)
J. Mark Melhorn
Introduction	2247	(1)
Impairment, Disability, and Handicap	2248	(1)
Impairment Ratings	2249	(1)
Applying the AMA Guides	2250	(6)
Disability Considerations	2256	(1)
Handicap Concerns	2257	(1)
Occupational Evaluation of the Injured Worker	2257	(1)
Guidelines for Return to Work	2257	(1)
Knowing and Using the Language	2258	(3)
Summary	2261
Index	I-1