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June 12, 1972

Orthopaedics in Infancy and Childhood

Author Affiliations

University of Iowa Iowa City


by G. C. Lloyd-Roberts, 337 pp, with illus, Butterworths (Appleton-Century-Crofts, Inc.), 1971.

JAMA. 1972;220(11):1502-1505. doi:10.1001/jama.1972.03200110080037

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This rather small treatise contains an amazing aggregate of information about diagnosis and treatment of children's musculoskeletal disorders. Lucid descriptions make reading not only easy but also enjoyable.

The initial chapters describe disorders not limited to one part of the body. The remaining chapters each comment on regional orthopedic problems.

The enlightening discussion of osteomyelitis, one of the few orthopedic emergencies in children, depicts signs and symptoms with clarity, accentuates the importance of early treatment, and rightfully emphasizes the need for surgical therapy, a point too often neglected, to the detriment of the patient in these days of antibiotics. Unfortunately the author fails to extend this vigorous support of surgical drainage to the treatment of pyogenic arthritis.

Brief discussions of many epiphyseal and diaphyseal dysplasias, without photographs or roentgenograms, probably fail to clarify these confusing maladies, especially for a reader without prior acquaintance with the syndromes. The chapter on cysts