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Hospital for Special Surgery Manual of Rheumatology and Outpatient Orthopedic Disorders

Diagnosis and Therapy
Fifth Edition - 11/05

Edited by:
Stephen A. Paget, MD
Allan Gibofsky, MD, JD
John F. Beary, III, MD
Thomas P. Sculco, MD

Image: Manual of Rheumatology and Outpatient Orthopedic Disorders coverThis remarkable manual celebrates publication of its fifth edition this year. Innovations in diagnosis, therapeutics, and management strategies that have emerged in the four years since the last edition make this update timely. The succinct, authoritative, and didactic style of presenting the rationale and practical information in this publication will doubtless continue to assist and guide physicians in their clinical practice.

The scope of the book is comprehensive, covering the full spectrum of therapy and practice of rheumatology. The broad church of the specialty covered extends to regional pain syndromes, fibromyalgia, diseases of bone, sports injuries, and the principles and practice of surgery and rehabilitation. New chapters in the general sections cover not only immunology, genomics, and proteomics, but also ethical and legal issues, and psychological aspects of rheumatic disease.
- from the Foreword of Professor Sir Ravinder Maini

Featured Chapters:


Chapter 2 - Thinking Like a Rheumatologist

Chapter 4 - Rheumatologic Laboratory Tests

Chapter 5 - Immunogenetic Aspects of Rheumatic Diseases

Chapter 7 - Diagnostic Imaging Techniques

Chapter 8 - Arthrocentesis, Synovial Fluid Analysis, and Intra-articular Injections

Chapter 17 - Raynaud Phenomenon

Chapter 19 - Neck Pain

Chapter 20 - Low Back Pain

Chapter 23 - Hip Pain

Chapter 27 - The Female Athlete

Chapter 28 - Bursitis and Tendinitis

Chapter 39 - Ankylosing Spondylitis

Chapter 41 - Psoriatic Arthritis

Chapter 54 - Paget's Disease of Bone

Table of Contents


I. Musculoskeletal Database

  1. Musculoskeletal History and Physical Examination
    Stephen A. Paget, Charles N. Cornell, and John F. Beary III
  2. Thinking Like a Rheumatologist
    Arthur Yee
  3. Immunology for the Primary Care Physician
    Mary Kuntz Crow
  4. Rheumatologic Laboratory Tests
    Dalit Ashany, Anne R. Bass, and Keith B. Elkon
  5. Immunogenetic Aspects of Rheumatic Diseases
    Allan Gibofsky
  6. Bone, Connective Tissue, Joint and Vascular Biology and Pathology
    Linda A. Russell and Edward F. DiCarlo
  7. Diagnostic Imaging Techniques
    Robert Schneider and Helen Pavlov
  8. Arthrocentesis, Synovial Fluid Analysis, and Intra-articular Injections
    Jessica Berman, Theodore Fields, and Richard Stern
  9. Measuring Clinical Outcomes in Rheumatic Disease
    Melanie J. Harrison and Lisa A. Mandl
  10. Ethical and Legal Considerations
    C. Ronald MacKenzie and Allan Gibofsky
  11. Patient Education
    Laura Robbins and John P. Allegrante
  12. Psychosocial Aspects of the Rheumatic Diseases
    Sharon Danoff-Burg and Tracey A. Revenson


II. The Stat Rheumatology and Orthopedic Consultation: Your Guide to Acute Care

  1. Acute Management of Musculoskeletal and Autoimmune Diseases
    Arthur Yee and Edward Su


III. Clinical Presentations

  1. Monoarthritis/Polyarthritis: Differential Diagnosis
    Stephen Ray Mitchell and John F. Beary III
  2. Muscle Pain and Weakness
    Lawrence J. Kagen
  3. Rash and Arthritis
    Henry Lee, Michael Jacobs, Rachelle Scott, and Animesh A. Sinha
  4. Raynaud Phenomenon
    Kyriakos A. Kirou
  5. Autoimmune Ophthalmic Diseases
    Sergio Schwartzman, C. Michael Samson, and Scott S. Weissman
  6. Neck Pain
    James C. Farmer, David A. Bomback, and Thomas P. Sculco
  7. Low Back Pain
    H. Hallet Whitman III, Daniel J. Clauw, and John F. Beary III
  8. Shoulder Pain
    Andrew D. Pearle and Russell F. Warren
  9. Elbow Pain
    Robert N. Hotchkiss
  10. Hip Pain
    Thomas P. Sculco and Paul Lombardi
  11. Knee Pain
    Norman A. Johanson and Paul Pellicci
  12. Ankle and Foot Pain
    David S. Levine
  13. Sports Injuries
    Riley J. Williams and Thomas L. Wickiewicz
  14. The Female Athlete
    Lisa R. Callahan, Jo A. Hannafin, and Monique Sheridan
  15. Bursitis and Tendinitis
    Paul Pellicci and Richard R. McCormack


IV. Diagnosis and Therapy

A. Connective Tissue Disorders

  1. Rheumatoid Arthritis
    Ioannis Tassiulas and Stephen A. Paget
  2. Systemic Lupus Erythematosus
    Jane E. Salmon and Robert P. Kimberly
  3. Antiphospholipid Syndrome
    Doruk Erkan and Lisa R. Sammaritano
  4. Dermatomyositis, Polymyositis, and Inclusion Body Myositis
    Lawrence J. Kagen and Petros Efthimiou
  5. Sjögren Syndrome
    Stuart S. Kassan
  6. Systemic Sclerosis and Related Syndromes
    Robert F. Spiera
  7. Polymyalgia Rheumatica and Giant Cell Arteritis
    Richard Stern
  8. Childhood Rheumatic Diseases
    Thomas J. A. Lehman
  9. The Vasculitides
    Yusuf Yazici and Michael D. Lockshin
  10. Pregnancy and Connective Tissue Disorders
    Doruk Erkan and Lisa Sammaritano


B. Spondyloarthropathies

  1. Ankylosing Spondylitis
    Eric S. Schned
  2. Arthritis Associated with Ulcerative Colitis and Crohn’s Disease
    Kyriakos A. Kirou and Allan Gibofsky
  3. Psoriatic Arthritis
    Petros Efthimiou and Joseph A. Markenson
  4. Reactive Arthritis
    Robert D. Inman


C. Crystal Arthropathies

  1. Gout
    Theodore R. Fields
  2. Pseudogout (Calcium Pyrophosphate Dihydrate Crystal Arthropathy)
    Theodore R. Fields


D. Infectious Diseases Involving the Musculoskeletal System

  1. Human Immunodeficiency Virus (HIV)
    Edward Parrish
  2. Infectious Arthritis
    Barry Brause and Juliet Brause
  3. Lyme Disease
    Anne R. Bass and Steven K. Magid
  4. Osteomyelitis
    Juliet Aizer and Barry Brause
  5. Rheumatic Fever
    Allan Gibofsky and John B. Zabriskie
  6. Whipple Disease
    Stephen A. Paget and Kristina Belostocki


E. Osteoarthritis, Metabolic Bone and Endocrine Disorders

  1. Osteoarthritis
    John F. Beary III and Michael Luggen
  2. Osteonecrosis
    John H. Healey and Andrea Piccioli
  3. Osteoporosis
    Alexander Krawiecki, Joseph M. Lane, and Joseph Barker
  4. Paget’s Disease of Bone
    John H. Healey and Andrea Piccioli
  5. Endocrine Arthropathies
    Michael D. Lockshin


F. Other Rheumatic Diseases

  1. Fibromyalgia and Chronic Pain
    Daniel J. Clauw and John F. Beary III
  2. Paraneoplastic Musculoskeletal Syndromes and Hypertrophic Osteoarthropathy
    Alan T. Kaell
  3. Miscellaneous Diseases with Rheumatic Manifestations
    Diana A. Yens, Chiara Baldini, and Stefano Bombardieri


V. Orthopedic Surgery and Rehabilitation: Principles and Practice

  1. Prosthetic Joint Replacement
    Mark Figgie and Harry E. Figgie III
  2. Perioperative Care of the Rheumatic Disease Patient
    C. Ronald MacKenzie and Nigel Sharrock
  3. Physical Therapy
    Sandy B. Ganz and Louis L. Harris
  4. Occupational Therapy: Therapist’s Management of Rheumatologic Disorders of the Hand
    Aviva Wolff


VI. Complementary and Alternative Medicine

    Gina Kearney and C. Ronald MacKenzie

VII. Formulary

    Arthur M. F. Yee and Jane E. Salmon


VIII. Appendices

  1. American College of Rheumatology Criteria for Diagnosis and Classification of Rheumatic Diseases
    Allan Gibofsky
  2. Neurologic Dermatomes
    Allan Gibofsky
  3. Functional Outcome Instruments
    Lisa Mandl and Melanie Harrison
  4. Myositis Functional Assessment
    Sandy B. Ganz and Louis L. Harris
  5. Normal Laboratory Values
    Allan Gibofsky and Stephen A. Paget
  6. Basic Rheumatology Library and Information Web Sites
    Theodore R. Fields