Preface to the English Edition
Advancements in orthopedics have occurred at a rapid pace in recent
years. Whereas new modalities such as ultrasound, computed tomog-
raphy, and magneticresonance imagingare occasionally able to helpus
make precise orthopedic diagnoses more rapidly, meticulous history
taking and thorough clinical examination remain crucial to any treat-
Every medicalspecialty hasits own particularexaminationmethods.
In orthopedics and trauma surgery, these include examination of the
joints in combination with precise range of motiontesting inthe trunk
and extremities and evaluation of the musculature. There are many
standardized examination methods or tests that can aid in evaluating
My aim was to apply my knowledge and experience to the task of
compiling descriptions of these many tests and grouping them accord-
ing to the various regions of the body. The book also includes chapters
on the evaluation of posture deficiencies, thrombosis, and arterial is-
chemicdisorders. Eachtestisdescribed stepby step, beginningwiththe
patient’s initial position. Each of these descriptions also discusses the
evaluation of the test and the possible diagnosis that the test may
provide. Drawings have been included with each test to illustrate the
steps in the examination. Some tests for certain disorders differ only
slightly from oneanother. I have included them nonetheless as my own
experience has shown that a diagnosis can often be made only on the
basis of several typical tests for adisorder.
Thebook is intended as apractical guideto facilitateexaminationof
the patient and to help the physician diagnose musculoskeletal disor-
ders and injuries more rapidly. Several editions in various languages
have shownthatreaders arehighlyinterestedinathoroughdescription
of standardized examinationmethods in the form of tests.
Theindividual chapters havebeenrevised fortheEnglisheditionand
new tests have been included.
Dortmund, May 2004 Klaus Buckup