Orthopaedic Sports Medicine
Transcription
Orthopaedic Sports Medicine
Delee & Drez’s Orthopaedic Sports Medicine http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter This page intentionally left blank http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter Delee & Drez’s Orthopaedic Sports Medicine Principles and Practice Third Edition Volume ❷ Jesse C. DeLee, MD Clinical Professor of Orthopedic Surgery University of Texas Health Science Center at San Antonio Director, Orthopedic Sports Medicine Fellowship University of Texas Health Science Center at San Antonio San Antonio, Texas David Drez, Jr., MD Clinical Professor of Orthopaedics Louisiana State University School of Medicine New Orleans Medical Director of Sports Medicine McNeese State University Lake Charles Memorial Hospital Lake Charles, Louisiana Mark D. Miller, MD S. Ward Casscells Professor of Orthopaedic Surgery Head, Division of Sports Medicine University of Virginia Charlottesville Adjunctive Clinical Professor and Team Physician James Madison University Harrisonburg, Virginia http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter 1600 John F. Kennedy Blvd. Ste 1800 Philadelphia, PA 19103-2899 DeLee and Drez’s Orthopaedic Sports Medicine Copyright © 2010, 2003, 1994 by Saunders, an imprint of Elsevier Inc. ISBN: 978-1-4160-3143-7 All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elsevier’s Rights Department: phone: (+1) 215 239 3804 (US) or (+44) 1865 843830 (UK); fax (+44) 1865 853333; e-mail: [email protected]. You may also complete your request on-line via the Elsevier website at http://www.elsevier.com/permissions. Notice Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment, and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on his or her own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the publisher nor the editors assume any liability for any injury and/or damage to persons or property arising out of or related to any use of the material contained in this book. The Publisher Library of Congress Cataloging-in-Publication Data DeLee & Drez’s orthopaedic sports medicine: principles and practice/[edited by] Jesse C. DeLee, David Drez, Mark D. Miller. –3rd ed. p. ; cm. Includes bibliographical references and index. ISBN 978-1-4160-3143-7 1. Sports injuries. 2. Orthopedic emergencies. 3. Sports medicine. I. DeLee, Jesse. II. Drez, David. III. Miller, Mark D. IV. Title: Orthopaedic sports medicine. V. Title: DeLee and Drez’s orthopaedic sports medicine. [DNLM: 1. Athletic Injuries. 2. Orthopedics. 3. Sports Medicine. QT 261 D346 2009] RD97.078 2009 617.1’027–dc22 2007049536 Acquisitions Editor: Daniel Pepper Developmental Editor: Cathy Carroll Publishing Services Manager: Tina K. Rebane Project Manager: Jodi Kaye Design Direction: Steve Stave Printed in China. Last digit is the print number: 9 8 7 6 5 4 3 2 1 http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter We dedicate this edition of our book— to our wives, Ann and Judy; to our children, Alexis, Elizabeth, Fredericka, Susan, Catherine, and David III; to our grandchildren, Dagmar, Jeffrey, Lizzie, Katy, Caroline, James David, David IV, Phillip, and Patrick, who have had the patience and love to tolerate us throughout the years and make our efforts worthwhile. We are also deeply indebted to the many athletic trainers, coaches, and athletes we have had the privilege to work with over the years. Jesse DeLee and David Drez, Jr. to my children, Mike, Matt, Mason, and Missy, all athletes in their own right; and to the athletes, certified athletic trainers, coaches, and fellow sideline wanderers with whom I have the honor to serve...thank you! Mark Miller http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter This page intentionally left blank http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter C o n t r i b u t o r s Karim Abdollahi, MD Clinical Professor of Orthopedic Surgery, Loma Linda University Medical Center, Loma Linda; Orthopedic Surgeon, South Coast Medical Center, Laguna Beach, California Thoracic Outlet Syndrome Shafeeq Ahmed, MD Hospitalist, Cardiovascular Services, Hartford Hospital, Hartford, Connecticut Management of Hypertension in Athletes Mir Haroon Ali, MD, PhD Resident, Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota Heterotopic Bone Around the Elbow David B. Allen, MD Professor of Pediatrics, University of Wisconsin School of Medicine and Public Health; Director of Endocrinology and Endocrine Fellowship Training, American Family Children’s Hospital, Madison, Wisconsin Diabetes Mellitus Louis C. Almekinders, MD Attending Surgeon and Cofounder, North Carolina Orthopaedic Clinic, Durham, North Carolina Physiology of Injury to Musculoskeletal Structures Annunziato Amendola, MD Professor and Director of the University of Iowa Sports Medicine Center, University of Iowa Hospitals and Clinics, Iowa City, Iowa Leg Pain and Exertional Compartment Syndromes; Stress Fractures of the Leg James R. Andrews, MD Orthopedic Surgeon, Alabama Sports Medicine Center, Birmingham, Alabama Throwing Injuries in the Adult Robert A. Arciero, MD Professor of Orthopaedic Surgery, University of Connecticut Health Center, Framingham, Connecticut Sports Medicine Terminology April Armstrong, MD, MSc, FRCSC Assistant Professor, Department of Orthopaedics, Milton S. Hershey Medical Center, Hershey, Pennsylvania The Female Athlete Robert E. Atkinson, MD Associate Professor and Division Chief, Department of Orthopedic Surgery, University of Hawaii John A. Burns School of Medicine, and Program Director, University of Hawaii Residency Program; Associate, The Queen’s Medical Center, Honolulu, Hawaii Athletic Injuries of the Adult Hand Geoffrey S. Baer, MD, PhD Assistant Professor of Orthopedic Surgery, Division of Sports Medicine, Department of Orthopedics and Rehabilitation, University of Wisconsin Medical School, Madison, Wisconsin Tendon Injuries of the Foot and Ankle Roald Bahr, MD, PhD Chair, Oslo Sports Trauma Research Centre, Oslo, Norway Preventing Hamstring Strains Sue D. Barber-Westin, BS Director, Clinical and Applied Research, Cincinnati Sportsmedicine Research and Education Foundation, Cincinnati, Ohio High Tibial Osteotomy in the Anterior Cruciate Ligament–Deficient Knee with Varus Angulation Bryce Bederka, MD The Bone and Joint Clinic, Portland, Oregon Leg Pain and Exertional Compartment Syndromes; Stress Fractures of the Leg J. Michael Bennett, MD Clinical Instructor, Department of Orthopedic Surgery, Sports Medicine, and Arthoscopy, University of Texas at Houston; Orthopedic Surgeon, Fondren Orthopedic Group; Orthopedic Surgeon, Texas Orthopedic Hospital, Houston, Texas Vascular Problems of the Shoulder Thomas M. Best, MD, PhD Professor and Pomerene Chair in Family Medicine; Chief, Division of Sports Medicine; Director, Primary Care Sports Medicine Fellowship, The OSU Sports Medicine Center, the Ohio State University, Columbus, Ohio Physiology of Injury to Musculoskeletal Structures; Sudden Death in Athletes: Causes, Screening Strategies, Use of Participation Guidelines, and Treatment of Episodes Bruce D. Beynnon, MS, PhD Professor of Orthopaedics and Rehabilitation, University of Vermont College of Medicine, Burlington, Vermont Relevant Biomechanics of the Knee http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter vii viii Contributors Mark J. Billante, MD Orthopaedic Surgeon, Greater Austin Orthopaedics, Austin, Texas Knee Replacement in Aging Athletes Leslie Bonci, MPH, RD Director of Sports Medicine Nutrition, Center for Sports Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania Nutrition for Sports Andrew H. Borom, MD Tallahassee Orthopedic Clinic, Tallahassee, Florida Sports Shoes and Orthoses James P. Bradley, MD Clinical Professor of Orthopedics, University of Pittsburgh Medical Center; Director, Sports Medicine Department, University of Pittsburgh Medical Center Shadyside Hospital; Director, Sports Medicine Department, University of Pittsburgh Medical Center St. Margaret Hospital, Pittsburgh, Pennsylvania Elbow Injuries in Children and Adolescents; Pediatric Elbow Fractures and Dislocations Barton R. Branam, MD Physician, Ohio Valley Orthopaedics and Sports Medicine, Cincinnati, Ohio Allograft Tissues Mark R. Brinker, MD Clinical Professor, Department of Orthopedic Surgery, Baylor College of Medicine; Director, Acute and Reconstructive Trauma Department, Texas Orthopedic Hospital, Fondren Orthopedic Group, Houston, Texas Physiology of Injury to Musculoskeletal Structures Stephen F. Brockmeier, MD Orthopedic Surgeon, Perry Orthopedics and Sports Medicine, Charlotte, North Carolina Meniscal Injuries James W. Brodsky, MD Clinical Professor of Orthopaedic Surgery, University of Texas Southwestern Medical School; Fellowship Director, Baylor University Medical Center, Dallas, Texas Stress Fractures of the Foot and Ankle David E. Brown, MD Clinical Associate Professor of Orthopedic Surgery, University of Nebraska Medical Center; Surgeon, OrthoWest, PC, Omaha, Nebraska Sports Pharmacology: Ergogenic Drugs in Sports Lauren Brown, BA Research Assistant, Department of Orthopaedics and Rehabilitation, University of Vermont, Burlington, Vermont Relevant Biomechanics of the Knee Thomas E. Brown, MD Associate Professor, Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia Physical Activity and Sports Participation after Total Hip Arthroplasty Shawn M. Brubaker, DO Staff, Shasta Orthopaedics and Sports Center, Redding, California Physical Activity and Sports Participation after Total Hip Arthroplasty Nathan Bruck, MD Instructor, Tel Aviv University Medical School, Tel Aviv; Attending Physician, Sheba Medical Center, Tel-Hashomer, Israel Stress Fractures of the Foot and Ankle Joseph A. Buckwalter, MD Professor and Head, Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, Iowa Physiology of Injury to Musculoskeletal Structures Wayne Z. Burkhead, MD Orthopedic Surgeon, Private Practice, Dallas, Texas Impingement Lesions in Adult and Adolescent Athletes Brian Busconi, MD Associate Professor of Orthopaedics and Physical Rehabilitation, University of Massachusetts Medical School, Worcester, Massachusetts Hip and Pelvis Kenneth P. Butters, MD Orthopedic Surgeon, Slocum Center for Orthopedics and Sports Medicine, Eugene, Oregon Nerve Lesions of the Shoulder S. Terry Canale, MD Professor and Department Chair, University of Tennessee-Campbell Clinic Department of Orthopaedic Surgery; Staff Physician, Campbell Clinic, Memphis, Tennessee Osteochondroses and Related Problems of the Foot and Ankle Robert C. Cantu, MD, FACS Medical Director, National Center for Catastrophic Sports Injury Research, University of North Carolina Medical Center, Chapel Hill, North Carolina; Chief of Neurosurgery, Emerson Hospital, Concord, Massachusetts Head Injuries Robert V. Cantu, MD Assistant Professor of Orthopaedic Surgery, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire Head Injuries Chang-Hyuk Choi, MD Assistant Professor, Department of Orthopaedic Surgery, Hanyang University Medical School, Hanyang University Hospital, Seoul, Korea Injuries of the Proximal Humerus in Adults http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter Contributors Luke Choi, MD Orthopaedic Resident, Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia Overuse Injuries Thomas O. Clanton, MD Professor and Chairman, Department of Orthopaedics, University of Texas–Houston Medical School, Houston, Texas Sport Shoes and Orthoses; Etiology of Injury to the Foot and Ankle Jack Clement, MD, PhD Physician, South Texas Radiology Imaging Centers, San Antonio, Texas Basic Imaging Techniques in the Adult; Imaging Considerations in the Skeletally Immature Patient Brian J. Cole, MD, MBA Professor of Orthopaedic Surgery, Rush University; Director, Cartilage Restoration Center, Rush University Medical Center, Chicago, IIIinois Articular Cartilage Lesion Fred G. Corley, Jr., MD Professor, Department of Orthopaedics, University of Texas Health Science Center at San Antonio; Professor of Orthopaedic Surgery, Department of Orthopaedic Traumatology, University Health System; Professor of Orthopaedic Surgery, Department of Orthopaedics, University of Texas Medicine Clinic, University of Texas Health Science Center, San Antonio, Texas Arm Jason A. Craft, MD Assistant Professor, Department of Orthopaedic Surgery, University of Mississippi School of Medicine; Assistant Professor, University Hospital and Clinic, University of Mississipi Medical Center, Jackson, Mississippi Fractures of the Coracoid in Adults and Children; Glenoid and Scapula Fractures in Adults and Children Ralph J. Curtis, Jr., MD Orthopedic Surgeon, Orthopedic Surgery Association, San Antonio, Texas Anatomy, Biomechanics, and Kinesiology of the Child’s Shoulder; Glenohumeral Instability in the Child Frances Cuomo, MD Assistant Professor, Department of Orthopaedic Surgery, New York University School of Medicine; Chief, Shoulder and Elbow Service, New York University Hospital for Joint Diseases, New York, New York Injuries of the Proximal Humerus in Adults ix Thomas M. DeBerardino, MD Associate Professor, Department of Surgery, F. E. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland; Director, John A. Feagin, Jr. Sports Medicine Fellowship at West Point; Head Team Physician, United States Military Academy at West Point; Physician, Keller Army Community Hospital, West Point, New York The Team Physician: Preparticipation Examination, On-Field Emergencies, and Ethical and Legal Issues Richard E. Debski, PhD Associate Professor, Department of Bioengineering, University of Pittsburgh, Pittsburgh, Pennsylvania Fundamentals of Biomechanics; Functional Anatomy and Biomechanics of the Adult Shoulder Marc M. DeHart, MD Surgeon, Texas Orthopedics, Sports, and Rehabilitation Associates, Austin, Texas Deep Venous Thrombosis and Pulmonary Embolism Marlene DeMaio, MD, CAPT, USNR Surgeon, Department of Orthopaedic Surgery, Bone and Joint/Sports Medicine Institute, Naval Medical Center, Portsmouth, Virginia The Female Athlete Allen Deutsch, MD Clinical Assistant Professor, Department of Orthopaedic Surgery, Baylor College of Medicine; Physician, KelseySeybold Clinic; Physician, St. Luke’s Episcopal Hospital, Houston, Texas Fractures of the Coracoid in Adults and Children; Glenoid and Scapula Fractures in Adults and Children William W. Dexter, MD Professor, University of Vermont College of Medicine; Director, Sports Medicine Program, Maine Medical Center, Portland, Maine Dermatologic Disorders David R. Diduch, MD Professor of Orthopaedic Surgery, Head Orthopaedic Team Physician, and Fellowship Director of Sports Medicine, University of Virginia, Charlottesville, Virginia Knee Replacement in Aging Athletes William Dillin, MD Orthopaedic Surgeon, Kerlan-Jobe Orthopaedic Clinic, Los Angeles and Orange County, California Thoracolumbar Spine Injuries in the Adult Jeffrey R. Dugas, MD Affiliate Professor, College of Human Services, Troy University, Troy; Fellowship Director, American Sports Medicine Institute, Birmingham, Alabama Throwing Injuries in the Adult http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter Contributors Craig J. Edson, MHS, PT Physical Therapist, Geisinger/HealthSouth Rehabilitation Hospital, Danville, Pennsylvania Multiple Ligament Knee Injuries T. Bradley Edwards, MD Clinical Instructor, Department of Orthopaedic Surgery, University of Texas at Houston; Clinical Assistant Professor, Department of Orthopaedic Surgery, Baylor University; Orthopaedic Surgeon, Fondren Orthopedic Group, Houston, Texas Development of Skills for Shoulder Surgery; Glenohumeral Arthritis in the Athlete Marsha Eifert-Mangine, EdD, PT, ATC Assistant Professor, Department of Health Sciences, Physical Therapy Program, College of Mount Saint Joseph; Physical Therapist, NovaCare Rehabilitation, Cincinnati, Ohio Use of Modalities in Sports Frank J. Eismont, MD Leonard M. Miller Professor and Chairman, Department of Orthopaedics; Director, Residency and Fellow Education, University of Miami, Miami; Orthopaedic Surgeon, University of Miami Medical Group, Miami, Florida Thoracolumbar Spine Injuries in the Adult Hussein Elkousy, MD Volunteer Faculty, Department of Orthopaedic Surgery, University of Texas Health Science Center at Houston; Volunteer Faculty, University of Texas Medical Branch, Galveston; Volunteer Faculty, Baylor College of Medicine, Houston; Staff Surgeon, Texas Orthopedic Hospital, Houston, Texas Development of Skills for Shoulder Surgery; Muscle Ruptures Other Than the Rotator Cuff Gregory C. Fanelli, MD Chief Emeritus, Sports Medicine and Arthroscopic Surgery, Geisinger Medical Center, Danville, Pennsylvania Multiple Ligament Knee Injuries Mario Ferretti, MD Researcher, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania Anterior Cruciate Ligament Injuries in the Adult Gary B. Fetzer, MD Orthopaedic Surgeon,TRIA Orthopaedic Center, Bloomington, Minnesota Lateral and Posterolateral Injuries of the Knee Larry D. Field, MD Clinical Instructor, Department of Orthopaedic Surgery, University of Mississippi School of Medicine; Director, Upper Extremity Service, Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi Osteochondritis Dissecans of the Elbow; Olecranon Bursitis; Elbow Dislocations in the Adult Athlete and Pediatric Patient Daniel C. Fitzpatrick, MD, MS Orthopedic Surgeon, Slocum Center for Orthopedics and Sports Medicine, Eugene, Oregon Nerve Lesions of the Shoulder Kevin R. Ford, MS Research Biomechanist, Cincinnati Children’s Hospital, Cincinnati, Ohio Return-to-Sport Plyometric Training in the Rehabilitation of Athletes following Anterior Cruciate Ligament Reconstruction Donald E. Fowler Medical Student, University of Virginia, Charlottesville, Virginia Exercise Physiology W. Anthony Frisella, MD Orthopaedic Surgeon, St. Peters Bone and Joint Surgery, St. Peters, Missouri Injuries of the Proximal Humerus in Adults Freddie H. Fu, MD, DSc Chairman, Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania Anterior Cruciate Ligament Injuries in the Adult; Anterior Cruciate Ligament Injuries in the Child Lorenzo Gamez, MD Assistant Professor of Orthopaedics and Physical Rehabilitation, Department of Orthopaedics, University of Massachusetts Medical School, Worcester, Massachusetts Entrapment Neuropathies of the Foot Seth C. Gamradt, MD Assistant Professor, Department of Orthopaedic Surgery and Sports Medicine, University of California, Los Angeles, Los Angeles, California Glenohumeral Instability in Adults William E. Garrett, Jr., MD, PhD Professor, Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina Physiology of Injury to Musculoskeletal Structures; Sports Medicine Terminology Gary M. Gartsman, MD Clinical Professor, Department of Orthopaedic Surgery, University of Texas Health Sciences Center at Houston Medical School; Surgeon, Fondren Orthopedic Group, Houston, Texas Adhesive Capsulitis http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter Contributors Christian Gerber MD, FRCSEd (Hon) Professor of Orthopaedic Surgery, University of Zürich; Chairman, Department of Orthopaedics, Uniklinik Balgrist, Zürich, Switzerland Suture Materials Eric Giza, MD Orthopaedic Surgeon, Orthopaedic Sports Medicine Service, University of California, Davis Health System, Sacramento, California Ankle Instability Prevention; Principles of Injury Prevention; Spine-Related Injury Prevention in the Athlete: Trunk Stabilization S. Raymond Golish, MD, PhD Resident, Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia Design and Statistics in Sports Medicine Jorge E. Gómez, MD Clinical Professor, Sports Medicine and Pediatrics, University of Texas Health Science Center; Team Physician, University of Texas, San Antonio, Texas Heat Illness; Cold Injury; Altitude Andreas H. Gomoll, MD Assistant Professor of Orthopaedic Surgery, Harvard Medical School; Orthopaedic Surgeon, Brigham and Women’s Hospital, Boston, Massachusetts Articular Cartilage Lesion Letha Y. Griffin, MD, PhD Physician, Peachtree Orthopaedic Clinic, Atlanta, Georgia The Female Athlete Philippe P. Grondin, MD Fellow, Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada Tendinopathies around the Arm Andrew J. Grove, MD Adjunct Assistant Professor, Department of Pediatrics, Division of Adolescent Medicine, Medical College of Wisconsin; Primary Care/Sports Medicine Physician, Student Health Service, Marquette University, Milwaukee, Wisconsin Heat Illness; Cold Injury Dan Guttman, MD Clinical Instructor, Department of Orthopaedic Surgery, University of New Mexico, Albuquerque; Chief of Upper Extremity Surgery and the Hip Arthritis Service, Taos Orthopaedic Institute, Taos, New Mexico Injuries of the Proximal Humerus in Adults xi Christopher D. Harner, MD Professor, Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine; Chief, Division of Sports Medicine; Fellowship Director and Medical Director, Center for Sports Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania Posterior Cruciate Ligament Injuries in the Adult; Posterior Cruciate Ligament Injuries in the Child Justin D. Harris, MD Orthopaedic Surgeon, Nebraska Orthopaedic and Sports Medicine, Lincoln, Nebraska Multiple Ligament Knee Injuries Jennifer A. Hart, MPAS, PA-C Physician Assistant, Department of Orthopaedic Surgery, Division of Sports Medicine, University of Virginia, Charlottesville, Virginia Basic Arthroscopic Principles; Infection: Prevention, Control, and Treatment Joseph M. Hart, PhD, ATC Assistant Professor of Research, University of Virginia, Charlottesville, Virginia Exercise Physiology Andrew Haskell, MD Assistant Clinical Professor, University of California, San Francisco, San Francisco; Attending, Palo Alto Foundation Medical Group, Palo Alto, California Biomechanics Martin J. Herman, MD Associate Professor, Departments of Orthopaedic Surgery and Pediatrics, Drexel University College of Medicine; Attending, St. Christopher’s Hospital for Children and Hahnemann University Hospital, Philadelphia, Pennsylvania Cervical Spine Injuries in the Child Timothy E. Hewett, PhD, FACSM Associate Professor, University of Cincinnati College of Medicine; Director, Sports Medicine Biodynamics Center, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio Return-to-Sport Plyometric Training in the Rehabilitation of Athletes following Anterior Cruciate Ligament Reconstruction Christopher B. Hirose, MD Orthopaedic Surgeon, Panorama Orthopaedics, Golden, Colorado Etiology of Injury to the Foot and Ankle Gregory P. Guyton, MD Attending, Department of Orthopaedics, Union Memorial Hospital, Baltimore, Maryland Entrapment Neuropathies of the Proximal Humerus http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter xii Contributors Nicholas J. Honkamp, MD Staff Physician, Iowa Methodist Medical Center; Private Practice, Des Moines Orthopaedic Surgeons, Des Moines, Iowa Anterior Cruciate Ligament Injuries in the Adult; Anterior Cruciate Ligament Injuries in the Child; Posterior Cruciate Ligament Injuries in the Child; Posterior Cruciate Ligament in the Adult Florian G. Huber, MD Orthopaedic Surgeon, Peninsula Orthopaedic Associates; Orthopaedic Trauma Surgeon, Division of Orthopaedic Trauma, Peninsula Regional Medical Center, Salisbury, Maryland Arm Jack V. Ingari, MD Assistant Professor of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland; Associate Professor of Surgery, University of Texas Health Sciences Center at San Antonio; Staff, Attending Hand Surgeon, The Hand Center of San Antonio, San Antonio, Texas The Adult Wrist Darren L. Johnson, MD Professor and Chairman, Department of Orthopaedic Surgery, University of Kentucky School of Medicine; Chief of Orthopaedic Surgery, The Kentucky Clinic, University of Kentucky, Lexington, Kentucky Design and Statistics in Sports Medicine; Allograft Tissues; Medial Collateral Ligament Injuries in Adults; Pediatric Medial Knee Injuries Rob Johnson, MD Associate Professor, Department of Family Medicine and Community Health, University of Minnesota; Director, Primary Care Sports Medicine, Department of Family Medicine, Hennepin County Medical Center, Minneapolis, Minnesota Infectious Disease and Sports Robert J. Johnson, MD Professor Emeritus, Department of Orthopaedics, The University of Vermont College of Medicine, University of Vermont, Burlington, Vermont Relevant Biomechanics of the Knee Ron M. Johnson, PT, MPT, ATC, LAT, ATC, CSCS Facility Director, Excel Sports Therapy, Gulf Coast Rehabilitation, PC, Shiner, Texas Therapeutic Exercise Prescription James S. Keene, MD Professor of Orthopedic Surgery, University of Wisconsin; Chairman, Division of Sports Medicine, Department of Orthopedic Surgery and Rehabilitation, University of Wisconsin Medical School, Madison, Wisconsin Tendon Injuries of the Foot and Ankle Sami O. Khan, MD Orthopaedic Surgeon, Resurgens Orthopaedics, Decatur, Georgia Elbow Dislocations in the Adult Athlete and Pediatric Patient Richard Y. Kim, MD Orthopaedic Surgeon, Hackensack University Medical Center, Hackensack, New Jersey Entrapment Neuropathies around the Elbow Donald T. Kirkendall, PhD Adjunct Assistant Professor, Department of Exercise and Sport Sciences, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina Physiology of Injury to Musculoskeletal Structures; Sports Medicine Terminology Scott H. Kitchel, MD Athletic Medicine Staff, University of Oregon, Eugene, Oregon Thoracolumbar Spine Injuries in the Adult Sandra E. Klein, MD Assistant Professor, Department of Orthopaedic Surgery, Washington University School of Medicine; Attending, Barnes-Jewish Hospital at Washington University School of Medicine, St. Louis, Missouri Conditions of the Forefoot William Knopp, MD Assistant Professor, Department of Family and Community Medicine, University of Minnesota School of Medicine; Faculty, Family Medicine and Primary Care Sports Medicine, Methodist Hospital/University of Minnesota Family Medicine Residency Program, Minneapolis, Minnesota Infectious Disease and Sports Mininder Kocher, MD, MPH Associate Professor of Orthopaedic Surgery, Harvard Medical School; Associate Director, Division of Sports Medicine, Children’s Hospital Boston, Boston, Massachussetts The Young Athlete Melissa D. Koenig, MD Orthopaedic Surgeon, Kaiser Permanente Medical Group, Houston, Texas Ligament Injuries of the Foot and Ankle in Adult Athletes Sumant G. Krishnan, MD Assistant Clinical Professor, Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center at Dallas Southwestern Medical School; Staff, Shoulder Service, W.B. Carrell Memorial Clinic, Dallas, Texas Impingement Lesions in Adult and Adolescent Athletes http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter Contributors Irving L. Kron, MD Professor and Chairman, Department of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Virginia Health System, Charlottesville, Virginia Vascular Problems—Popliteal Artery Entrapment John E. Kuhn, MD Associate Professor, Department of Orthopaedics and Rehabilitation, Division of Sports Medicine, Vanderbilt University Medical School; Chief of Shoulder Surgery, Vanderbilt University Medical Center, Nashville, Tennessee Scapulothoracic Disorders in Athletes Robert F. LaPrade, MD, PhD Professor, Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota Lateral and Posterolateral Injuries of the Knee William C. Lauerman, MD Professor of Orthopaedic Surgery, Georgetown University School of Medicine; Chief, Division of Spine Surgery, Georgetown University Hospital, Washington, DC Thoracolumbar Spine Injuries in the Child Christine Lawless, MD, MBA President, Sports Cardiology Consultants LLC, Columbus, Ohio Sudden Death in Athletes: Causes, Screening Strategies, Use of Participation Guidelines, and Treatment of Episodes James Lebolt, DO Orthopedic Surgeon, Virginia Sports Medicine and Orthopedic Institute, Christiansburg; Orthopedic Surgeon, Montgomery Regional Hospital, Blacksburg, Virginia Throwing Injuries in the Adult Igor Cezar da Silva Leitao, MD Assistant Professor, Department of Orthopaedics, Santa Casa de Misericordia de Juiz de Fora, Juiz de Fora/MG, Brazil; Visiting Fellow from Hospital Felicio Rocho, University of Texas Health Science Center at San Antonio, San Antonio, Texas Injuries to the Sternoclavicular Joint in the Adult and Child Kenneth C. Lin, MD Orthopedic Surgeon, Evergreen Orthopedics, Monroe, Washington Impingement Lesions in Adult and Adolescent Athletes Thomas N. Lindenfeld, MD Associate Director, Cincinnati Sports Medicine and Orthopaedic Center, Cincinnati, Ohio Complex Regional Pain Syndromes Including Reflex Sympathetic Dystrophy and Causalgia xiii Turner C. Lisle, MD Resident, Department of Surgery, University of Virginia, Charlottesville, Virginia Vascular Problems—Popliteal Artery Entrapment Walter R. Lowe, MD Associate Professor, Department of Orthopedic Surgery, Baylor College of Medicine; Team Physician, Houston Texans, Houston, Texas Superior Labral Injuries David J. Lunardini, BS Medical Student, University of Virginia, Charlottesville, Virginia Exercise Physiology Mark W. Maffet, MD Assistant Professor, Department of Orthopedic Surgery, Baylor College of Medicine; Team Physician, Houston Comets; Team Physcian, Houston Baptist University, Houston, Texas Superior Labral Injuries Jeffrey J. Mair, DO Attending, Riverview Medical Center and Twin Cities Orthopedics, Waconia, Minnesota Lateral and Posterolateral Injuries of the Knee Robert Mangine, MEd, PT, ATC Adjunct Instructor, College of Mount Saint Joseph; Adjunct Clinical Instructor, Department of Ortho pedics, and Head Football Trainer, University of Cincinnati; Director of Clinical Residency, NovaCare Rehabilitation, Cincinnati, Ohio Use of Modalities in Sports Roger A. Mann, MD Associate Clinical Professor, Department of Orthopaedic Surgery, University of California, San Francisco, School of Medicine, San Francisco; Director, Foot Fellowship Program, Oakland, California Biomechanics; Entrapment Neuropathies of the Foot John G. Mastronarde, MD, MSc Associate Professor, Ohio State University; Director, OSU Asthma Center, The Ohio State University Medical Center, Columbus, Ohio Exercise-Induced Bronchospasm Carl G. Mattacola, PhD Associate Professor and Director, Rehabilitation Sciences Doctoral Program, Division of Athletic Training, University of Kentucky, College of Health Sciences, Lexington, Kentucky Design and Statistics in Sports Medicine http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter xiv Contributors Augustus D. Mazzocca, MD Associate Professor of Orthopaedic Surgery, University of Connecticut, Farmington, Connecticut Injuries to the Acromioclavicular Joint in Adults and Children; Sternum and Rib Fractures in Adults and Children Wendy McBride, MD Pediatric Emergency Physician, CarePoint PC, Physician, Sky Ridge Medical Center, Denver, Colorado Heat Illness; Altitude Kendra McCamey, MD Assistant Clinical Professor, Department of Family Medicine, The Ohio State University Medical Center; Team Physician, Department of Athletics, The Ohio State University, Columbus, Ohio Exercise-Induced Bronchospasm Michael P. McClincy, BS Medical Student, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania Forearm Fractures: Pediatric Elbow Fractures and Dislocations Edward R. McDevitt, MD Assistant Professor of Surgery, Uniformed Services University of the Health Sciences, Bethesda; Orthopaedic Surgeon, Anne Arundel Medical Center, Annapolis, Maryland Sports Pharmacology: Ergogenic Drugs in Sports; Sports Pharmacology: Recreational Drug Use Patrick J. McMahon, MD Adjunct Associate Professor, Department of Bio engineering, University of Pittsburgh; Founder, McMahon Orthopedics and Rehabilitation, Pittsburgh, Pennsylvania Functional Anatomy and Biomechanics of the Adult Shoulder Jennifer J. F. McVean, MD Fellow, University of Wisconsin; Fellow, American Family Children’s Hospital, Madison, Wisconsin Diabetes Mellitus W. Andrew Middendorf, MPT, ATC Physical Therapist, NovaCare Rehabilitation/University of Cincinnati, Cincinatti, Ohio Use of Modalities in Sports Chealon D. Miller, MD Resident, Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia Infection: Prevention, Control, and Treatment Mark D. Miller, MD S. Ward Casscells Professor of Orthopaedic Surgery and Head, Division of Sports Medicine, University of Virginia, Charlottesville; Adjunctive Clinical Professor and Team Physician, James Madison University, Harrisonburg, Virginia Design and Statistics in Sports Medicine; Basic Arthroscopic Principles; Infection: Prevention, Control, and Treatment Bernard F. Morrey, MD Professor of Orthopedics, College of Medicine, Mayo Clinic; Consultant, Division of Adult Reconstruction, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota Biomechanics of the Elbow and Forearm; Tendinopathies around the Elbow Vasilios Moutzouros, MD Clinical Instructor, Wayne State School of Medicine; Senior Staff, Department of Orthopaedics, Division of Sports Medicine, Henry Ford Center, Detroit, Michigan Osteochondroses Van C. Mow, PhD Stanley Dicker Professor and Chairman, Department of Biomedical Engineering; Director, Shelley Liu Ping Laboratory for Functional Tissue Engineering Research, Fu Foundation School of Engineering and Applied Science, Columbia University, New York, New York Physiology of Injury to Musculoskeletal Structures Gregory D. Myer, MS Sports Biomechanist, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio Return-to-Sport Plyometric Training in the Rehabilitation of Athletes following Anterior Cruciate Ligament Reconstruction Frank R. Noyes, MD Clinical Professor, Department of Orthopaedic Surgery, University of Cincinnati; Chairman, Medical Director, and Chief Operating Officer, Cincinnati Sports Medicine and Orthopaedic Center, Cincinnati, Ohio High Tibial Osteotomy in the Anterior Cruciate Ligament-Deficient Knee with Varus Angulation Eugene T. O’Brien Orthopaedic Surgeon, Churchill Evaluation Centers, San Antonio, Texas Wrist Injuries in the Child Agbecko Ocloo, MD Staff Surgeon, Korle Bu Teaching Hospital, Korle Bu, Accra, Ghana Patellar Fractures Daniel P. O’Connor, PhD Director, Joe W. King Orthopedic Institute, Houston, Texas Physiology of Injury to Musculoskeletal Structures Nnamdi Okeke, BS Medical Student, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania Anterior Cruciate Ligament Injuries in the Adult http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter Contributors Brett D. Owens, MD Assistant Professor, Uniformed Services University of the Health Sciences, Bethesda, Maryland; Assistant Professor, Texas Tech University Health Science Center; Chief, Sports Medicine and Shoulder Service, William Beaumont Army Medical Center, El Paso, Texas The Team Physician: Preparticipation Examination, On-Field Emergencies, and Ethical and Legal Issues Russ Paine, BS, PT Director of Sports Medicine Research and Rehabilitation, Memorial Hermann Sports Medicine Institute; Team Physical Therapist for Houston Rockets, Houston, Texas Proprioception and Joint Dysfunction; Language of Excercise and Rehabilitation Selene G. Parekh, MD, MBA Clinical Associate Professor, Duke University; Attending, Division of Orthopaedic Surgery, Duke University Medical Center; Adjunct Faculty, Duke University School of Business, Durham, North Carolina Heel Pain William D. Parham, PhD, ABPP Dean of Graduate School of Professional Psychology, John F. Kennedy University, Pleasant Hill, California Psychological Adjustment to Athletic Injury Richard D. Parker, MD Professor of Surgery, Cleveland Clinic Lerner College of Medicine; Chairman, Department of Orthopaedic Surgery, Orthopaedic Rheumatologic Institute, Cleveland Clinic Foundation, Cleveland, Ohio Patellar and Quadriceps Tendinopathies and Ruptures; Osteochondroses; Patellofemoral Instability: Recurrent Dislocation of the Patella; Acute Dislocation of the Patella; Chronic Dislocation of the Patella; Patellar Fractures Johnathan P. Parsons, MD Assistant Professor of Internal Medicine, The Ohio State University; Associate Director, The Ohio State University Asthma Center, Columbus, Ohio Exercise-Induced Bronchospasm Jayesh K. Patel, MD Chief Resident, Department of Orthopaedic Surgery, University of Kentucky, Lexington, Kentucky Medial Collateral Ligament Injuries in Adults; Pediatric Medial Knee Injuries Mark V. Paterno, MS, PT, MBA, SCS, ATL Assistant Professor, Department of Pediatrics, Division of Sports Medicine, University of Cincinnati College of Medicine; Coordinator of Orthopaedic and Sports Physical Therapy, Division of Occupational Therapy and Physical Therapy, Cincinnati Children’s Medical Center, Cincinnati, Ohio xv Russell S. Petrie, MD Orthopaedic Surgeon, Newport Orthopaedic Institute, Newport Beach, California Elbow Injuries in Children and Adolescents Peter D. Pizzutillo, MD Professor, Departments of Orthopedic Surgery and Pediatrics, Drexel University School of Medicine; Director, St. Christopher’s Hospital for Children; Physician, Hahnemann University Hospital, Philadelphia, Pennsylvania Cervical Spine Injuries in the Child Michael D. Pleacher, MD Assistant Professor of Pediatrics, University of New Mexico, Albuquerque, New Mexico Dermatologic Disorders Teodor T. Postolache, MD Associate Professor and Director, Mood and Anxiety Program, University of Maryland School of Medicine, Baltimore, Maryland; Director, Institute for Sports Chronobiology, Washington, DC Sleep and Chronobiology in Sports Matthew T. Provencher, MD Director, Orthopaedic Shoulder, Knee, and Sports Surgery, Department of Orthopaedic Surgery, Naval Medical Center, San Diego, San Diego, California Injuries to the Acromioclavicular Joint in Adults and Children; Sternum and Rib Fractures in Adults and Children Anil S. Ranawat, MD Orthopaedic Surgeon, Hospital for Special Surgery, New York, New York Forearm Fractures; Pediatric Elbow Fractures and Dislocations; Posterior Cruciate Ligament Injuries in the Adult; Posterior Cruciate Ligament Injuries in the Child Michael A. Rauh, MD Clinical Assistant Professor of Orthopaedic Surgery, Department of Orthopaedic Surgery, University Sports Medicine, State University of New York at Buffalo, Buffalo, New York Patellar and Quadriceps Tendinopathies and Ruptures William D. Regan, MD Assistant Professor of Orthopaedic Surgery, University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada Tendinopathies around the Elbow Scott B. Reynolds, MD Orthopaedic Surgeon, Nebraska Orthopaedic Associates, Omaha, Nebraska Throwing Injuries in the Adult Return-to-Sport Plyometric Training in the Rehabilitation of Athletes following Anterior Cruciate Ligament Reconstruction http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter xvi Contributors David R. Richardson, MD Assistant Professor and Director of Residency Program, University of Tennessee-Campbell Clinic Department of Orthopaedic Surgery, University of Tennessee; Staff Physician, Campbell Clinic, Memphis, Tennessee Osteochondroses and Related Problems of the Foot and Ankle John T. Riehl, MD Resident, Geisinger Pennsylvania Medical Center, Danville, Multiple Ligament Knee Injuries David Ring, MD, PhD Associate Professor of Orthopaedic Surgery, Harvard Medical School; Medical Director and Director of Research, Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, Massachusetts Fractures of the Elbow in the Adult Kristin N. Rinheimer, MS, PAC Physician’s Assistant, Geisinger Medical Center, Danville, Pennsylvania Multiple Ligament Knee Injuries Samuel P. Robinson, MD Orthopaedic Surgeon, Jordan-Young Institute, Virginia Beach, Virginia Pediatric Elbow Fractures and Dislocations Charles A. Rockwood, Jr., MD Professor and Chairman Emeritus, Department of Orthopaedics, University of Texas Health Science Center at San Antonio, San Antonio, Texas Injuries to the Sternoclavicular Joint in the Adult and Child Scott A. Rodeo, MD Co-Chief, Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, New York Meniscal Injuries Anthony A. Romeo, MD Director, Shoulder Service, Department of Orthopaedic Surgery, Rush University, Chicago, Illinois Injuries to the Acromioclavicular Joint in Adults and Children; Sternum and Rib Fractures in Adults and Children Melvin P. Rosenwasser, MD Robert E. Carroll Professor of Orthopaedic Surgery, Columbia University College of Physicans and Surgeons, New York; Director, Orthopaedic Hand and Trauma Service, New York/Presbyterian Hospital, New York, New York Entrapment Neuropathies around the Elbow Charles E. Rosipal, MD Physician, GIKK Ortho Specialists, Omaha, Nebraska Timothy G. Sanders, MD Visiting Professor, University of Kentucky College of Medicine, Lexington, Kentucky; Director of Education and Research, National Musculoskeletal Imaging, Weston, Florida Imaging of the Glenohumeral Joint Felix H. Savoie, MD Lee C. Schlesinger Professor and Vice Chairman, Department of Orthopaedic Surgery, Tulane University School of Medicine; Director, Tulane Institute of Sports Medicine, Tulane University Medical Center, New Orleans, Louisiana Osteochondritis Dissecans of the Elbow David L. Saxton, MD Clinical Faculty, Oklahoma University Medical Center, Oklahoma City, Oklahoma Complex Regional Pain Syndromes Including Reflex Sympathetic Dystrophy and Causalgia Andrew J. Schorfhaar, DO Assistant Professor and Team Orthopaedic Surgeon, Department of Radiology, Division of Sports Medicine, Michigan State University, East Lansing, Michigan Lateral and Posterolateral Injuries of the Knee Jon K. Sekiya, MD Associate Professor, Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan Fundamentals of Biomechanics Agam Shah, MD Othopaedic Surgeon, Newton-Wellesley Newton, Massachusetts Hospital, Hip and Pelvis Wei Shen MD Resident, Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania Anterior Cruciate Ligament Injuries in the Adult; Anterior Cruciate Ligament Injuries in the Child Thomas Shepler, MD Associate Professor of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland; Staff Physician, Reston HCA Hospital, Reston, Virginia The Pediatric Hand Holly J. Silvers, MPT ACL Prevention Project Coordinator, Santa Monica Orthopaedic and Sports Medicine Group, Santa Monica, California Anterior Cruciate Ligament Tear Prevention in the Female Athlete; Ankle Instability Prevention Injuries to the Sternoclavicular Joint in the Adult and Child http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter Contributors Manuj Singhal, MD Physician, Orthopaedic Associates of Lewisville, Lewisville, Texas Medial Collateral Ligament Injuries in Adults; Pediatric Medial Knee Injuries Timothy Steiner, MD Staff Orthopaedic Surgeon, Orthopaedics of Southern Indiana, Bloomington, Indiana Patellofemoral Instability: Acute Dislocation of the Patella; Patellofemoral Instability: Recurrent Dislocation of the Patella Scott P. Steinmann, MD Professor of Orthopedics, Mayo Clinic College of Medicine, Rochester, Minnesota Heterotopic Bone around the Elbow Joseph S. Torg, MD Professor of Orthopaedic Surgery, Temple University School of Medicine; Attending Staff, Temple University Hospital, Philadelphia, Pennsylvania Cervical Spine Injuries in the Adult C. Thomas Vangsness, Jr., MD Professor of Orthopaedic Surgery, Department of Orthopaedic Surgery, University of Southern California, Los Angeles, California Osteochondritis Dissecans Marius von Knoch, MD Associate Professor of Orthopaedic Surgery, University of Duisburg-Essen, Essen, Germany Suture Materials J. Andy Sullivan, MD Clinical Professor of Pediatric Orthopedics, Department of Orthopedic Surgery, University of Oklahoma, College of Medicine; Attending, Oklahoma University Medical Center, Okalahoma City, Oklahoma Ligament Injuries of the Foot and Ankle in the Pediatric Athlete Dean C. Taylor, MD Professor of Surgery and Director, Duke Sports Medicine Fellowship, Duke University, Durham, North Carolina Sports Medicine Terminology Samir G. Tejwani, MD Orthopedic Surgeon, Department of Orthopedic Surgery, Division of Sports Medicine, Kaiser Permanente, Fontana, California Elbow Injuries in Children and Adolescents Richard J. Thomas, MD Attending, Sports Medicine and Orthopaedic Surgery, OrthoGeorgia, Macon, Georgia Olecranon Bursitis Paul D. Thompson, MD Director of Cardiology and Director of the Athlete’s Heart Program, Hartford Hospital, Hartford Connecticut Management of Hypertension in Athletes Daniel J. Tomaszewski, MD Attending, Geisinger Medical Pennsylvania xvii Center, Danville, Multiple Ligament Knee Injuries Steven M. Topper, MD Clinical Assistant Professor, Uniformed Services University of the Health Sciences, Bethesda, Maryland; Attending, The Colorado Hand Center, Colorado Springs, Colorado Keith L. Wapner, MD Clinical Professor of Orthopedic Surgery and Director of Foot and Ankle Orthopedic Fellowship, University of Pennsylvania; Adjunct Professor of Orthopedic Surgery, Drexel College of Medicine, Philadelphia, Pennsylvania Heel Pain Russell F. Warren, MD Professor, Department of Orthopaedic Surgery, Weill Medical College of Cornell University; Professor of Orthopaedic Surgery and Attending Orthopaedic Surgeon, Hospital for Special Surgery, New York, New York Glenohumeral Instability in Adults Scott Waterman, MD Sports Medicine Fellow, Keller Army Community Hospital, West Point, New York The Thigh Robert G. Watkins IV, MD Co-Director, Marina Spine Center, The Marina Hospital, Marina del Rey, California Spine-Related Injury Prevention in the Athlete: Trunk Stabilization Adam Nelson Whatley, MD Chief Resident, Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana Parsonage-Turner Syndrome Alexis C. Wickwire, MS Department of Bioengineering, University of Pittsburgh, Pittsburgh, Pennsylvania Fundamentals of Biomechanics Wrist Arthroscopy http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter xviii Contributors Kaye E. Wilkins, DVM, MD Professor of Orthopaedics and Pediatrics, University of Texas Health Science Center at San Antonio; Staff Orthopaedic Surgeon, University Hospital, San Antonio; Staff Orthopaedic Surgeon, Christus Children’s Hospital, San Antonio, Texas Injuries of the Proximal Humerus in the Skeletally Immature Athlete Gerald R. Williams, Jr., MD Professor of Orthopaedic Surgery, Jefferson Medical College; Chief, Shoulder and Elbow Service, The Rothman Institute, Philadelphia, Pennsylvania Glenoid and Scapula Fractures in Adults and Children; Fractures of the Coracoid in Adults and Children Matthew D. Williams, MD Assistant Professor of Orthopaedic Surgery, Louisiana State University Health Sciences Center, New Orleans; Orthopaedic Surgeon, Acadiana Orthopaedic Group, Lafayette, Louisiana Adhesive Capsulitis; Glenohumeral Arthritis in the Athlete Michael A. Wirth, MD Professor and Charles A. Rockwood, Jr., MD Chair, Department of Orthopaedics, University of Texas Health Science Center at San Antonio, San Antonio, Texas Injuries to the Sternoclavicular Joint in the Adult and Child Valerie M. Wolfe, MD Fellow, Department of Orthopaedic Surgery, New York Presbyterian/Columbia Hospital, New York, New York Entrapment Neuropathies around the Elbow Brett W. Wolters, MD, MS Attending Orthopaedic Surgeon, Memorial Medical Center, Springfield, Illinois Savio L.-Y. Woo, PhD, DSc Whiteford Professor and Director, Musculoskeletal Research Center, Department of Bioengineering, University of Pittsburgh, Pittsburgh, Pennsylvania Physiology of Injury to Musculoskeletal Structures Robert M. Wood, MD, FRCS Orthopedic Surgeon, Sports Medicine North, Lynnfield, and North Shore Medical Center, Salem, Massachusetts Etiology of Injury to the Foot and Ankle Virchel E. Wood, MD Professor, Department of Orthopaedic Surgery, Loma Linda University School of Medicine; Consulting Chief, Hand Surgery Service, Loma Linda University Medical Center, Loma Linda, California Thoracic Outlet Syndrome Adam Yanke Medical Student, Department of Orthopaedic Surgery, Rush University, Chicago, Illinois Articular Cartilage Lesion John A. Zavala, MD Chief Resident, Georgetown Washington, DC University Hospital, Thoracolumbar Spine Injuries in the Child Mary L. Zupanc, MD Professor, Department of Neurology and Pediatrics; Chief, Division of Pediatric Neurology; Heidi Marie Bauman Chair of Epilepsy; Director, Pediatric Comprehensive Epilepsy Program, Medical College of Wisconsin, Milwaukee, Wisconsin Sports and Epilepsy Lateral and Posterolateral Injuries of the Knee http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter p r e f a c e It is an honor and a pleasure to introduce the third edition of the popular textbook DeLee & Drez’s Orthopaedic Sports Medicine: Principles and Practice. In the preface to the previous edition, we emphasized that the orthopaedic sports specialist must be soundly schooled in a variety of conditions that are not commonly encountered in the dayto-day practice of orthopaedics. We would suggest that with the advent of subspecialty certification in orthopaedic sports medicine, this is even more important today. This textbook, unlike anything else in your library, can help you become properly schooled! So, what’s new in this edition? We have all new chapters, written by experts and leaders in their subspecialty. The contributors have done a fabulous job of reviewing and sharing their experience and the current state of knowledge in their respective fields. For this, we profoundly thank them! We introduce a new 4-color design and format, including full-color intraoperative and clinical images, to this edition. We offer expanded coverage of key topics, including new chapters on arthroscopic principles, allograft tissue, complications in athletes, nutrition, pharmacology, and psychology. We have also asked all contributors to completely update all surgical procedures from ACL reconstruction to cartilage transplantation to the latest arthroscopic shoulder techniques, including labral and rotator cuff repairs. With this edition we have also created a new website that includes the full content of the text, a self-assessment module, links to PubMed, an image library, content updates, and “bonus” video. We would like to recognize and thank our new web editor, Dr. Scott Montgomery, who is already working hard on developing this website. You can access it at www.expertconsult.com So, this is an exciting new edition. The contributors have done a masterful job. With our new web editor, it will always remain an up-to-date “work in progress.” We are confident that this two-volume treatise will remain the gold standard resource for sports medicine providers. Finally, we offer our sincere appreciation to Kim Murphy, Cathy Carroll, Dan Pepper, Jodi Kaye and all of the staff at Elsevier Science for their unfailing support in producing this third edition of DeLee and Drez! Jesse Delee David Drez Mark Miller http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter ixx This page intentionally left blank http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter c o n t e n t s VOLUME 1 C h a p t e r 3 Nonorthopaedic Conditions Part I Basics S e c t i o n A Infectious Disease and Sports C h a p t e r 1 Basic Science and Injury of Muscle, Tendon, and Ligament Rob Johnson and William Knopp 3 Physiology of Injury to Musculoskeletal Structures 1.Muscle and Tendon Injury Mark R. Brinker, Daniel P. O’Connor, Louis C. Almekinders, Thomas M. Best, Joseph A.Buckwalter, William E. Garrett, Jr., Donald T. Kirkendall, Van C. Mow, and Savio L.-Y. Woo 2.Ligamentous Injury Mark R. Brinker, Daniel P. O’Connor, Louis C. Almekinders, Thomas M. Best, Joseph A. Buckwalter, William E. Garrett, Jr., Donald T. Kirkendall, Van C. Mow, and Savio L.-Y. Woo 3.Articular Cartilage Injury Mark R. Brinker, Daniel P. O’Connor, Louis C. Almekinders, Thomas M. Best, Joseph A. Buckwalter,William E. Garrett, Jr., Donald T. Kirkendall, Van C. Mow, and Savio L.-Y. Woo 4.Meniscus Injury Mark R. Brinker, Daniel P. O’Connor, Louis C. Almekinders, Thomas M. Best, Joseph A. Buckwalter, William E. Garrett, Jr., Donald T. Kirkendall, Van C. Mow, and Savio L.-Y. Woo Mark R. Brinker, Daniel P. O’Connor, Louis C. Almekinders, Thomas M. Best, Joseph A. Buckwalter, William E. Garrett, Jr., Donald T. Kirkendall, Van C. Mow, and Savio L.-Y. Woo 3 3 32 Richard E. Debski, Alexis C. Wickwire, and Jon K. Sekiya S. Raymond Golish, Carl G. Mattacola, Darren L. Johnson, and Mark D.Miller C h a p t e r 2 Surgical Principles Mark D. Miller and Jennifer Hart Marius von Knoch and Christian Gerber 180 Section F 185 Section G Dermatologic Disorders 193 85 C h a p t e r 4 Exercise Physiology 207 97 C h a p t e r 5 Rehabilitation and Therapeutic Modalities 221 Michael D. Pleacher and William W. Dexter Joseph M. Hart, Donald E. Fowler, and David J. Lunardini S e c t i o n A Language of Exercise and Rehabilitation 121 121 Russ Paine 221 Section B Use of Modalities in Sports Robert Mangine, Marsha Eifert-Mangine, and W. Andrew Middendorf 229 Section C Section B Suture Materials 172 S e c t i o n E Mary L. Zupanc 65 162 Section D Sports and Epilepsy S e c t i o n A Basic Arthroscopic Principles Christine Lawless and Thomas Best Jonathan P. Parsons, Kendra McCamey, and John G. Mastronarde Section C Design and Statistics in Sports Medicine Sudden Death in Athletes: Causes, Screening Strategies, Use of Participation Guidelines, and Treatment of Episodes Exercise-Induced Bronchospasm 56 156 Section C Jennifer J. F. McVean and David B. Allen Section B Fundamentals of Biomechanics Management of Hypertension in Athletes Diabetes Mellitus 40 147 Section B Shafeeq Ahmed and Paul D. Thompson S e c t i o n A 5.Bone Injury 147 132 Therapeutic Exercise Prescription Ron M. Johnson 238 Section C Allograft Tissues 137 Barton R. Branam and Darren L. Johnson http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter xxi xxii Contents Section D Proprioception and Joint Dysfunction Section C 294 Russ Paine Gregory D. Myer, Mark V. Paterno, Kevin R. Ford, and Timothy E. Hewett C h a p t e r 6 Principles of Injury Prevention Holly J. Silvers 300 Roald Bahr 333 Eric Giza and Holly J. Silvers 333 335 Robert G. Watkins IV C h a p t e r 7 Complications 338 C h a p t e r 10 The Female Athlete 475 C h a p t e r 11 Environmental Stress 493 S e c t i o n A Heat Illness 493 Section B Cold Injury 498 Section C 341 351 Complex Regional Pain Syndromes Including Reflex Sympathetic Dystrophy and Causalgia 351 David L. Saxton and Thomas N. Lindenfeld Section B Marc M. DeHart 463 Andrew J. Grove and Jorge E. Gómez S e c t i o n A Deep Venous Thrombosis and Pulmonary Embolism C h a p t e r 9 The Young Athlete Jorge E. Gómez, Andrew J. Grove, and Wendy McBride Section D Spine-Related Injury Prevention in the Athlete: Trunk Stabilization 441 Letha Y. Griffin, April Armstrong, and Marlene DeMaio Section C Ankle Instability Prevention Sleep and Chronobiology in Sports Mininder Kocher Section B Preventing Hamstring Strains 431 Teodor T. Postolache S e c t i o n A Anterior Cruciate Ligament Tear Prevention in the Female Athlete William D. Parham Section D S e c t i o n E Return-to-Sport Plyometric Training in the Rehabilitation of Athletes Following Anterior Cruciate Ligament Reconstruction Psychological Adjustment to Athletic Injury Altitude 502 C h a p t e r 12 The Team Physician: Preparticipation Examination, On-Field Emergencies, and Ethical and Legal Issues 507 C h a p t e r 13 Basic Imaging Techniques 533 Wendy J. McBride and Jorge E. Gómez Thomas M. DeBerardino and Brett D. Owens S e c t i o n A 370 Basic Imaging Techniques in the Adult Jack Clement 533 Section C Section B Infection: Prevention, Control, and Treatment 386 Imaging Considerations in the Skeletally Immature Patient 587 399 C h a p t e r 14 Overuse Injuries 611 399 Part II Anatomic Site of Injury 410 C h a p t e r 15 Head Injuries 657 C h a p t e r 16 Spinal Injuries 665 Chealon D. Miller, Jennifer A. Hart, and Mark D. Miller C h a p t e r 8 Nutrition, Pharmacology, and Psychology in Sports Jack Clement S e c t i o n A Nutrition for Sports Leslie Bonci Section B Pharmacology 1.Sports Pharmacology: Ergogenic Drugs in Sports Edward R. McDevitt and David E. Brown Robert C. Cantu and Robert V. Cantu 410 2.Sports Pharmacology: Recreational Drug Use Edward R. McDevitt Luke Choi 424 http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter Contents S e c t i o n A Cervical Spine Injuries 1.Cervical Spine Injuries in the Adult 665 665 2.Cervical Spine Injuries in the Child 701 Joseph S. Torg Peter D. Pizzutillo and Martin J. Herman William Dillin, Frank J. Eismont, and Scott Kitchel 2.Thoracolumbar Spine Injuries in the Child William C. Lauerman and John A. Zavala C h a p t e r 17 Shoulder 714 754 1.Functional Anatomy and Biomechanics of the Adult Shoulder Patrick J. McMahon and Richard E. Debski 2.Anatomy, Biomechanics, and Kinesiology of the Child’s Shoulder Ralph J. Curtis, Jr. 769 769 769 Charles E. Rosipal, Michael A. Wirth, Igor Cezar da Silva Leitao, and Charles A. Rockwood, Jr. 779 Matthew T. Provencher, Augustus D. Mazzocca, and Anthony A. Romeo 791 2.Fractures of the Coracoid in Adults and Children Allen Deutsch, Jason A. Craft, and Gerald R. Williams, Jr. 826 John E. Kuhn Matthew T. Provencher, Augustus D. Mazzocca, and Anthony A. Romeo 857 Hussein Elkousy Rotator Cuff 986 1.Impingement Lesions in Adult and Adolescent Athletes 986 2.Superior Labral Injuries Mark W. Maffet and Walter R. Lowe 1016 Section J Injuries of the Proximal Humerus 1033 1.Injuries of the Proximal Humerus in Adults 1033 2.Injuries of the Proximal Humerus in the Skeletally Immature Athlete 1066 Section K Adhesive Capsulitis Gary M. Gartsman and Matthew D. Williams 1094 Matthew D. Williams and T. Bradley Edwards 1104 Section M 1120 S e c t i o n N Thoracic Outlet Syndrome Karim Abdollahi and Virchel E. Wood 1127 S e c t i o n O 876 Vascular Problems of the Shoulder J. Michael Bennett 1137 S e c t i o n P 885 Parsonage-Turner Syndrome Adam Nelson Whatley 1143 Section Q Development of Skills for Shoulder Surgery Hussein Elkousy and T. Bradley Edwards 1146 893 VOLUME 2 Section G Muscle Ruptures other than the Rotator Cuff Section I Daniel C. Fitzpatrick and Kenneth P. Butters Section F Sternum and Rib Fractures in Adults and Children 947 Nerve Lesions of the Shoulder S e c t i o n E Scapulothoracic Disorders in Athletes 3.Imaging of the Glenohumeral Joint Glenohumeral Arthritis in the Athlete Injuries to the Glenoid, Scapula, and Coracoid 857 Allen Deutsch, Jason A. Craft, and Gerald R. Williams, Jr. 932 Section L Section D 1.Glenoid and Scapula Fractures in Adults and Children 2.Glenohumeral Instability in the Child Seth C. Gamradt and Russell F. Warren Kaye E. Wilkins Section C Injuries to the Acromioclavicular Joint in Adults and Children 909 909 W. Anthony Frisella, Dan Guttman, Chang-Hyuk Choi, and Frances Cuomo Section B Injuries to the Sternoclavicular Joint in the Adult and Child 1.Glenohumeral Instability in Adults Kenneth C. Lin, Sumant G. Krishnan, and Wayne Z. Burkhead S e c t i o n A Anatomy and Biomechanics Glenohumeral Instabilities Timothy G. Sanders Thoracolumbar Injuries 1.Thoracolumbar Spine Injuries in the Adult S e c t i o n H Ralph J. Curtis, Jr. Section B xxiii 900 C h a p t e r 18 Arm Florian G. Huber 1157 http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter xxiv Contents Chapter 19 Elbow and Forearm Section B 1189 S e c t i o n A Biomechanics of the Elbow and Forearm Bernard F. Morrey 1189 William D. Regan, Philippe P. Grondin, and Bernard F. Morrey 1197 1.Throwing Injuries in the Adult Jeffrey R. Dugas, Scott B. Reynolds, James Lebolt, and James R. Andrews 2.Elbow Injuries in Children and Adolescents James P. Bradley, Russell S. Petrie, and Samir G. Tejwani 1214 1214 Felix H. Savoie and Larry D. Field Richard J. Thomas and Larry D. Field 1227 1.Fractures of the Elbow in the Adult David Ring 2.Pediatric Elbow Fractures and Dislocations Anil S. Ranawat, Michael P. McClincy, Samuel P. Robinson, and James P. Bradley Mir Haroon Ali and Scott P. Steinmann 1241 Sami O. Khan and Larry D. Field 1246 1250 1250 Richard Y. Kim, Valerie M. Wolfe, and Melvin P. Rosenwasser C h a p t e r 20 Wrist and Hand 1279 1289 1300 1311 2.Wrist Injuries in the Child 1363 1477 Section C Physical Activity and Sports Participation after Total Hip Arthroplasty 1499 C h a p t e r 22 Patella 1513 S e c t i o n A Patellar and Quadriceps Tendinopathies and Ruptures 1513 Section B 1526 Section C Subluxation and Dislocation 1.Patellofemoral Instability: Acute Dislocation of the Patella Timothy Steiner and Richard D. Parker 2.Patellofemoral Instability: Recurrent Dislocation of the Patella 1534 1534 1548 Section D Patellar Fractures 1572 C h a p t e r 23 Knee 1579 Agbecko Ocloo and Richard D. Parker 1319 1451 Section B Timothy Steiner and Richard D. Parker 1.The Adult Wrist Eugene T. O’Brien S e c t i o n A Vasilios Moutzouros and Richard D. Parker 1319 1319 Jack V. Ingari 1451 Osteochondroses S e c t i o n A Wrist C h a p t e r 21 Hip, Pelvis, and Thigh Michael A. Rauh and Richard D. Parker Section I Entrapment Neuropathies around the Elbow 1430 Shawn M. Brubaker and Thomas E. Brown S e c t i o n H Elbow Dislocations in the Adult Athlete and Pediatric Patient Wrist Arthroscopy Scott Waterman Section G Heterotopic Bone around the Elbow Section C The Thigh Section F Forearm Fractures 1404 Robert Atkinson Agam Shah and Brian Busconi S e c t i o n E Olecranon Bursitis 2.The Pediatric Hand Hip and Pelvis Section D Osteochondritis Dissecans of the Elbow 1379 1379 Steven M. Topper Section C Throwing Injuries 1.Athletic Injuries of the Adult Hand Thomas Shepler Section B Tendinopathies around the Elbow Hand S e c t i o n A Relevant Biomechanics of the Knee Bruce D. Beynnon, Robert J. Johnson, and Lauren Brown 1579 Section B Meniscal Injuries Stephen F. Brockmeier and Scott A. Rodeo 1596 http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter Contents Section C xxv S e c t i o n A Medial Ligament Injuries 1.Medial Collateral Ligament Injuries 1624 Stress Fractures of the Leg in Adults 1624 Section B 2.Pediatric Medial Knee Injuries 1638 Leg Pain and Exertional Compartment Syndromes 1857 1865 Manuj Singhal, Jayesh K. Patel, and Darren Johnson Jayesh K. Patel, Manuj Singhal, and Darren Johnson Bryce Bederka and Annunziato Amendola Bryce Bederka and Annunziato Amendola Section D Anterior Cruciate Ligament Injuries 1.Anterior Cruciate Ligament Injuries 1644 C h a p t e r 25 Foot and Ankle in the Adult 1644 S e c t i o n A Nicholas J. Honkamp, Wei Shen, Nnamdi Okeke, Mario Ferretti, and Freddie H. Fu Biomechanics Andrew Haskell and Roger A. Mann 2.Anterior Cruciate Ligament Injuries in the Child Nicholas J. Honkamp, Wei Shen, and Freddie H. Fu 1676 Posterior Cruciate Ligament Injuries 1683 1.Posterior Cruciate Ligament Injuries in the Adult 1683 Nicholas J. Honkamp, Anil S. Ranawat, and Christopher D. Harner 2.Posterior Cruciate Ligament Injuries in the Child Nicholas J. Honkamp, Anil S. Ranawat, and Christopher D. Harner Lateral and Posterolateral Injuries of the Knee 1718 Andrew J. Schorfhaar, Jeffrey J. Mair, Gary B. Fetzer, Brett W. Wolters, and Robert F. LaPrade 1747 1766 Mark J. Billante and David R. Diduch 1771 Frank R. Noyes and Sue D. Barber-Westin 1912 1912 1960 1975 Geoffrey S. Baer and James S. Keene James W. Brodsky and Nathan Bruck 1787 2012 Section F 2030 Section G Entrapment Neuropathies of the Foot 2057 S e c t i o n H Conditions of the Forefoot Sandra E. Klein Section K High Tibial Osteotomy in the Anterior Cruciate Ligament–Deficient Knee with Varus Angulation Tendon Injuries of the Foot and Ankle Gregory P. Guyton, Lorenzo Gamez, and Roger A. Mann Section J Knee Replacement in Aging Athletes J. Andy Sullivan Keith L. Wapner and Selene G. Parekh Section I Andreas H. Gomoll, Adam Yanke, and Brian J. Cole 2.Ligament Injuries of the Foot and Ankle in the Pediatric Athlete Heel Pain S e c t i o n H Articular Cartilage Lesion Ligament Injuries 1.Ligament Injuries of the Foot and Ankle in Adult Athletes Stress Fractures of the Foot and Ankle Gregory C. Fanelli, Justin D. Harris, Daniel J. Tomaszewski, John T. Riehl, Craig J. Edson, and Kristin N. Reinheimer C. Thomas Vangsness Jr. Section C S e c t i o n E Section G Osteochondritis Dissecans 1873 Section D Section F Multiple Ligament Knee Injuries Sports Shoes and Orthoses Melissa D. Koenig 1713 1865 Section B Andrew H. Borom and Thomas O. Clanton S e c t i o n E 1849 2064 Section I Osteochondroses and Related Problems of the Foot and Ankle S. Terry Canale and David R. Richardson 2142 Section J 1801 Etiology of Injury to the Foot and Ankle 2171 A p p e n di x Sports Medicine Terminology 2207 Christopher B. Hirose, Thomas O. Clanton, and Robert M. Wood Section L Vascular Problems—Popliteal Artery Entrapment Turner C. Lisle and Irving L. Kron C h a p t e r 24 Leg 1836 Dean C. Taylor, Robert A. Arciero, Donald T. Kirkendall, and William E. Garrett, Jr. 1849 I N D E X i http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031437&elsca1=doodys&elsca2=PDF&elsca3=DeLee9781416031437&elsca4=frontmatter