Knee Pain: Know More

Hedley Piper, FRCS is a retired UK consultant orthopaedic surgeon. He trained in the NHS of the early 1970s. It was a surprisingly wide general surgical exposure. At 30 with his fellowship, he moved to practise for four years as a surgeon GP in a remote town in central British Columbia, Canada. (There was a rock at the roadside testifying to this.) Fielding all the trauma of logging, farming, mining and many miles of open, unpaved roads proved the benefit of those long hours at the NHS coal face. ‘Trauma’ took on new perspectives! Obstetrics and gynaecology, autopsy and social pathology were all in a day’s work. He refocused on orthopaedic surgery in 1978; three years of residency at McGill, Montreal, required a greater focus on the obscure details of orthopaedic pathologies. There was a lot to read and ingest. Then married with two children and nearly 10 years of very general orthopaedic practice in Montreal, hovering on the edge of academia but having to make a living, he returned to the UK in 1992 and was appointed as a consultant orthopaedic surgeon in Yorkshire. The irony of orthopaedic surgery is that it is the management of multiple aches and pains not really covered in formal orthopaedic training, possibly because those teaching and writing the books were still too young to actually have experienced aches and pains. The ideas in this book are based on 35 years of continuous and varied surgical practice—the problems of the knee being but a small part.

List of Illustrations; Preface; Foreword; Introduction; Section 1 Background and Problems; Chapter 1 Premises; Chapter 2 Approach to Knee Pain; Chapter 3Backgrounds and Training; Chapter 4 Orthopaedics and Physiotherapy; Chapter 5 Pain Inhibition and Coordination: The Basics; Section 2Fast Track; Chapter 6 Fast Track: The VMO Exercise; Chapter 7 Fast Track: Rehabilitation at Home; Section 3 The Science; Chapter 8Application of Basic Science: Anatomy, Physiology and Pathology; Chapter 9 Anatomy of the Leg Bones and the Angles Involved; Chapter 10 Anatomy of the Quadricep Muscles and the Vastus Medialis Oblique; Chapter 11 Nerve Supply to the Quadriceps; Chapter 12 Articular Surfaces; Chapter 13 The Patella; Chapter 14 How Pain Seems to Work; Chapter 15 The Mechanisms of Extension of the Knee; Chapter 16 Movements and Functions: Considerations in Human Knees; Section 4 Common Conditions and Notes on their Management; Chapter 17 Origins of Pains from the Knee; Chapter 18 The Teenage Knee (and a bit beyond). Conditions seen in Teenagers; Chapter 19 Adult Anterior Knee Pains; Chapter 20 Stability in the Knee Join; Chapter 21 Sport-related Knee Problems; Chapter 22 Hamstrings: A Note; Chapter 23 Genu Varus and OA Surgical Options: HTO to Hemi-arthroplasty; Section 5 ; Notes for the Health Care Practioner’s Attention and to Raise the Patient’s Expectations as to What Might be Reasonably Expected; Appendix:; Some Surgical Procedures and Reflections Thereon; Glossary of Terms; Author Biography