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Six years have passed since the rst edition of the Thieme Atlas of Anatomy: General Anatomy and Musculoskeletal System was published. It has passed its rst test and met the needs of students and practitioners everywhere, as evidenced by the many let ters and e-mails we have received. We thank you for your praise and constructive criticism, which helps us keep improving this atlas. Clinical knowledge presented in conjunction with anatomy is increasingly important earlier and earlier in the study of medicine. This has been further strengthened in this edition with the inclusion of about 30 new two-page spreads across the book devoted to
• osteoarthritis of the hip joint,
• compression syndromes of peripheral nerves,
• conduction anesthesia of peripheral nerves,
• shoulder arthroscopy and degenerative changes of the shoul der joint,
• functions of individual muscles and the symptoms associated with shortening or weakening of these muscles, and • diagnostic imaging of the large joints, such as the shoulder, elbow, and wrist, and the hip, knee, and ankle. In addition, we have added spreads on important foundational information on the common imaging planes for plain lm, MRI, and CT scans, the structure of skeletal muscle bers, the structure and chemical composition of hyaline cartilage, and the regeneration of peripheral nerves. We have also checked, corrected, and updated all the information in this atlas. With these improvements, this atlas is even bet ter suited to student s of medicine in what the World Health Organization (WHO) is again calling the “Decade of Bones and Joints” ( rst 2000 to 2010 and now 2010 to 2020) to draw at tention to the continuing prominence and dramatic rise of diseases of the musculoskeletal system with the rise in average life expectancy worldwide. Today more than half the chronic diseases of those over 60 involve the bones (e.g., osteoporosis) and joints (e.g., osteoarthritis), with tremendous economic consequences. One of the main reasons WHO is publicizing this is so that the world’s universities appropriately prepare physicians, physical therapists, and other health care workers to address the growing global burden of these diseases due to the aging population. This atlas emphasizes the correlations between physiologic changes in the course of life, the frequency of certain pathologic phenomena, and e ective diagnostics while teaching the anatomy, bet ter preparing students to treat patients with musculoskeletal diseases when they meet them in the clinic or in practice. When an elderly person su ers a fracture, it is not su cient to just address the fracture. The doctor must learn why the fracture happened and address the underlying cause. Does, for example, the patient have osteoporosis, or is he or she so in exible that any unexpected need to move leads to a fall? Interdisciplinary cooperation is needed to address these causes and provide appropriate preventive and rehabilitative care.
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