Examination of the Musculoskeletal System

Clinical Examination of the Musculoskeletal System - Assessing Rheumatic Conditions






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Preface

  • First Witch: When shall we three meet again?
  • In thunder? lightening? or in rain?
  • Second Witch: When the hurlyburly's done, when the battle's
  • lost and won.
  • Third Witch: That will be ere the set of sun.
  • First Witch: Where the place?
  • Scond Witch: Upon the heath.
(Act. Scene 1. "Macbeth" by William Shakespeare)

Unlike the three witches in the play "Macbeth," we did not meet on a lonely, wind-swept moor? but at the Center for Rheumatic Diseases in Glasgow, Scotland in the 1970s. At that time, we felt there was a need for a concise and compact account of clinical examination of the locomotor system. Although we went our separate ways, we continued to maintain the need for such a book.
This book summarizes what we consider important for the physician in clinical examination of a patient with arthritis or an allied condition. We included laboratory tests and radiologic investigations because we believe they form an integral part of clinical assessment. In the appendix, we also included some everyday facts and commonly used references. We hope this book will be useful to medical undergraduates in internal medicine, rheumatology, orthopaedics, and family practice training programs.
International cooperation in medical research has long been advocated in rheumatology. Coming from different cultural backgrounds, as we do, might be considered a handicap in writing a book such as this one on clinical examination. however, the reverse has been true.

W.Watson Buchanan, M.D., F.R.C.P., F.A.C.P., F.A.C.R.
Géza P. Bàlint, M.D., D.Sc.
Karel de Ceulaer, M.D.

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