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AJR 2000; 175:1720
© American Roentgen Ray Society


Atlas of Musculoskeletal Imaging

Michael P. Buetow

Sparrow Health System Lansing, MI 48912

By Tomas Lee Pope, Jr., and Stephen Loehr. New York: Thieme, 532 pp., 1998. $89

If you would like to review books for AJR, please send a cover letter stating your interest with a current curriculum vitae to Assistant Editor for Book Reviews, AJR, 101 S. Stratford Rd., Ste. 303, Winston-Salem, NC 27104.

In musculoskeletal imaging, it is quite frequent that one knows the diagnosis but has to spend time reviewing the anatomy so that the final interpretation is sufficiently descriptive. Which flexor tendon of the wrist is involved? Which quadriceps muscle is a torn? This text clearly presents multiprojectional MR images with detailed labeling for quick identification.

The book is organized by extremity with an additional chapter addressing the spine. It does not contain any abdominal, chest, or brain imaging. An interesting approach is that both extremities are presented as mirror images. This essentially makes a book with 250 pages of information more than 500 pages in length. However, it is worth it. It is not easy to flip those flexor tendons in your mind from a contralateral reference point. This atlas addresses the problem by simply presenting both extremities on facing pages. In addition, sketched topographic images, common to similar atlases, index each page for easy reference. The textbook is not burdened with unnecessary prose in that its objective is to simply lay out the anatomy. It is even fittingly bound in a horizontal manner so that it conveniently opens in front of an alternator or monitor. It is expected that an initial publication will have minor errors. One such error with this first edition is that the calf images are transposed.

As for alternative sources, most musculoskeletal textbooks are aimed at addressing pathology and include only perfunctory anatomic images leading into chapters. Some of these textbooks also contain correlative gross anatomy sections, which are not typically helpful when attempting to define anatomy at the viewbox. Many similar atlases characteristically address more than musculoskeletal imaging and therefore are less detailed. One exception is Sectional Anatomy by MRI (Churchill Livingstone, 1995), by Georges Y. El-Khoury, which is another excellent MR imaging atlas. Nevertheless, no other text-book that I am acquainted with contains mirror imaging suitably organized for use in extremity assessment.

As the indications for musculoskeletal imaging continue to grow, detailed anatomic description becomes even more important. This text provides a simple, well laid out, and convenient way to evaluate musculoskeletal anatomy.


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This Article
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