근골격 영상의 측정과 분류 > Musculoskeletal

 <저자 서문>

“The best books are those whose readers believe they themselves could have written.”

Blaise Pascal, French mathematician,

physicist and philosopher (1623–1662)

There is scarcely any subspecialty of clinical medicine in which we find such a bewildering array of measuring techniques and classification systems as in orthopedics. They are so numerous that every radiologist, orthopedist, or trauma surgeon cannot possibly keep all the methods and reference values “in their head.” This problem, like the concept for this book, is not new.

When I began studying orthopedic radiology during my training at the University of Mu(..)nster, an important tool in our reading room was a ring binder stuffed with separate pages that had been copied from various text-books and journals. The pages, assembled in random order by my predecessors, covered important measurements and classifications that, while used with some frequency, were apparently difficult for the users to retain in their long-term memory. The ring binder and its contents, which had become tattered and unsightly over the years, was referred to by my colleagues and me simply as the “binder.” We considered it an indispensible aid, guarded it jealously, and were constantly adding new pages and notes of our own.

Later, residents in orthopedic radiology training at the Technische Universita(..)t Mu(..)nchen compiled a very similar collection, though in digital form. While I never felt that it matched the charm of the old binder, the digital col-lection was surely more modern, better organized, more accessible, and definitely more sanitary than the original. Moreover, it was the direct precursor of this book.

While not exhaustive, this book presents a great va-riety of measuring techniques and classification systems drawn from all areas of musculoskeletal radiology (except for fractures, which would fill another book). The authors have tried to refer back to original publications when-ever possible in order to eliminate any inaccuracies that may have been introduced over time. Besides explaining measurement techniques and classification criteria, we have tried to note the actual, practical value of specific methods. Outmoded practices and systems were either excluded from this collection or were included with ap-propriate comments.

This book cannot replace a textbook. It is intended as a handy reference for everyday use that will provide students and instructors with an “external memory” for things that are difficult to remember and, in many cases, need not be committed to memory. Of course, it is not enough simply to measure angles and juggle classifica-tions. We suggest that you take the time saved by using this book, and spend it gaining a sound basic knowledge of orthopedic diagnosis or expanding the knowledge that you already have. There are many ways of doing this.

I hope that this book will serve its readers as effectively as the “binder” served me in its time. I plan to use it, anyway.

Klaus Woertler

Munich, Germany

<역자서문>

판독 및 임상 진료 시에 이용되고 있는 근골격 영상의학 분야의 측정법 및 분류체계는 범위가 넓고 다양하여 이를 전부 기억하고 있는 것이 쉽지 않으며, 교과서 및 여러 학술지를 찾아야 되는 경우가 종종 있다. 이 책에서는 골절은 다루고 있지 않지만 척추를 포함한 근골격 영상 영역에서 알고 있어야 할 중요하고 자주 사용하는 측정 및 분류를 체계적으로 모식도와 함께 자세히 기술하고 있다. 또한, 각 주제별로 마지막에는 요약된 주요 내용을 강조하고 있어 알고 있는 지식을 재확인하고 정리할 수 있도록 해준다.

대한의학서적 최재령 사장님의 제의로 이 책을 번역 출간하게 되었다. 제1판 번역에서는 의학용어를 가급적 한글로 표기하고 제목 등에서 영어 용어를 병기하고자 하였으며, 독자들의 이해를 돕고 복잡한 해부학적 구조와 한글 의학용어 체계에서 오는 혼란스러운 면을 줄이고자 그림과 표는 원어를 그대로 사용하였다. 아직 미숙한 점이 있는 부분에 대해서는 독자 여러분들께 넓은 이해를 부탁드린다.

짧은 시간 내에 번역, 교정, 색인 작업에 함께 수고해 주신 교수님들과 오류 수정에 힘써주신 분들께 깊은 감사를 드린다. 또한 도서출판 대한의학의 최사장님과 편집, 인쇄 작업 등 출간을 위해 수고해 주신 여러 임직원분들께도 깊은 감사를 드린다.

이 책이 교과서를 대신할 수는 없지만, 매일 시행하고 있는 판독이나 진료 시에 불필요한 시간을 절약하며 손쉽게 찾아보고, 이를 적용하여 진단에 조금이나마 도움이 되기를 바라면서…

2016년 1월

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