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January 9, 1987

Musculoskeletal Disease: Staged for Rapid Comprehension

Author Affiliations

Southern California Sports Medicine and Orthopedic Group Van Nuys

Southern California Sports Medicine and Orthopedic Group Van Nuys


by John J. Dowling, 332 pp, with illus, $42.50, Chicago, Year Book Medical Publishers Inc, 1985.

JAMA. 1987;257(2):253-254. doi:10.1001/jama.1987.03390020119046

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


In the preface, the author outlines his reasons and considerations for writing this book. His main thrust is toward physicians who are involved in musculoskeletal diseases. He has developed a system or format of four stages that he feels correlates with the problem-oriented approach utilized by physicians when treating patients. Stage one represents a problem that has no complications or minimal problems. Stage two involves moderate problems that are confined locally to the involved area. Stage three involves systemic complications and maximal problems. Stage four represents end-stage problems, failures, and death.

The author has divided the book into eight arbitrary sections or chapters. In each chapter, he discusses musculoskeletal diseases and tries to describe them according to his four stages. Each disease has a table with the stages listed. The physical findings are listed according to how he feels they fall into the stages, and the treatment plans are also